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U.S. Department of Justice <br />Office of Community Oriented Policing Services <br />Disclosure of Lobbying Activities <br />Instructions for Completion of SF-LLL, Disclosure of Lobbying Activities <br />a <br />~~ <br />a , « <br />This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation <br />or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The fil- <br />ing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to <br />influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a <br />Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and <br />material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional <br />information. <br />1. Identify the type of covered Federal action for which <br />lobbying activity is and/or has been secured to influence <br />the outcome of a covered Federal action. <br />2. Identify the status of the covered Federal action <br />3. Identify the appropriate classification of this report. If <br />this is a follow-up report caused by a material change to <br />the information previously reported, enter the year and <br />quarter in which the change occurred. Enter the date of <br />the last previously submitted report by this reporting <br />entity for this covered Federal action. <br />8. Enter the most appropriate Federal identifying number <br />available for the Federal action identified in item 1 (e.g., <br />Request for Proposal (RFP) number; Invitation for Bid <br />(IFB) number; grant announcement number; the con- <br />tract, grant, or loan award number; the application/pro- <br />posal control number assigned by the Federal agency). <br />Include prefixes, e.g., "RFP-DE-90-001." <br />9. For a covered Federal action where there has been an <br />award or loan commitment by the Federal agency, enter <br />the Federal amount of the award/loan commitment for <br />the prime entity identified in item 4 or 5. <br />4. Enter the full name, address, city, state and zip code of <br />the reporting entity. Include Congressional District <br />number, if known. Check the appropriate classification <br />of the reporting entity that designates if it is, or expects <br />to be, a prime or subaward recipient. Identify the tier of <br />the subawardee, e.g., the first subawardee of the prime is <br />the 1st tier. Subawards include but are not limited to <br />subcontracts, subgrants and contract awards under <br />grants. <br />5. If the organization filing the report in item 4 checks <br />"subawardee," then enter the full name, address, city, <br />state and zip code of the prime Federal recipient. <br />Include Congressional District, if known. <br />6. Enter the name of the Federal agency making the <br />award or loan commitment. Include at least one organi- <br />zational level below agency name, if known. For exam- <br />ple, Department of Transportation, United States Coast <br />Guard. <br />7. Enter the Federal program name or description for the <br />covered Federal action (item 1). If known, enter the full <br />Catalog of Federal Domestic Assistance (CFDA) num- <br />ber for grants, cooperative agreements, loans and loan <br />commitments. <br />10. (a) Enter the full name, address, city, state and zip <br />code of the lobbying entity engaged by the reporting reg- <br />istrant identified in item 4 to influence the covered <br />Federal action. <br />(b) Enter the full name(s) of the individual(s) performing <br />services, and include full address if different from 10 (a). <br />Enter Last Name, First Name, and Middle Initial (MI). <br />11. The certifying official shall sign and date the form, <br />print his/her name, title and telephone number. <br />Public reporting burden for this collection of informa- <br />tion is estimated to average 30 minutes per response, <br />including time for reviewing instructions, searching <br />existing data sources, gathering and maintaining the <br />data needed, and completing and reviewing the collec- <br />tion of information. Send comments regarding the bur- <br />den estimate or any other aspect of this collection of <br />information, including suggestions for reducing this bur- <br />den, to the Office of Management and Budget, <br />Paperwork Reduction Project (0348-0046), Washington, <br />D. C. 20530. <br />