202506-0575-019CF RCF OMB: 4040-0013
OMB.report
OMB 4040-0013
RCF 202506-0575-019CF
( RCF Recertification )
Array
(
[refNbr] => 202506-0575-019CF
[obm] => 4040-0013
[icr] => 202502-4040-008
[status] => Active
[agency] => USDA/RHS
[title] => Standard Form LLL, “Disclosure of Lobbying Activities"
[typeRCF] => RCF Recertification
[oiraAction] => Approved
[oiraNOA] => 1325630
[termsOfClearance] =>
[previousRCF] => 202411-0575-004CF
[agencyTrackingNo] => 0575-0180
[conclusionDate] => 2025-06-23
[dateReceived] => 2025-06-23
)
Document
View RCF
- OIRA Conclusion
RCF ID: 202506-0575-019CFPrevious RCF ID: 202411-0575-004CF
Status:
Active
Expiration Date: 06/30/2028
Agency/Subagency: USDA/RHSAgency Tracking No: 0575-0180
Host OMB Control No: 4040-0013Host ICR Reference No: 202502-4040-008
Title: Standard Form LLL, “Disclosure of Lobbying Activities"
Type of RCF: RCF Recertification
OIRA Conclusion Action: ApprovedConclusion Date:
06/23/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
06/23/2025
Terms of Clearance:
Description of Agency Usage:
Applicants are required to complete this form to disclose their involvement in lobbying activities. This form OMB No. is 4040-0013.
This package OMB No is 0575-0180.
Authorizing Statute(s):
None
Annual Cost to Federal Government:
Agency Contact:
Lisa Day 971 313-4750 [email protected]
Common Form Information Collections (IC) in this RCF:
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
65
65
0
0
0
0
Annual Time Burden (Hours)
65
65
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement: