SF-LLL Disclosure of Lobbying Activities 4040-0013

OMB Control No: 4040-0013	ICR Reference No: 201508-4040-011
Status: Historical Active	Previous ICR Reference No: 201307-4040-003
Agency/Subagency: EGOV	Agency Tracking No:
Title: SF-LLL Disclosure of Lobbying Activities 4040-0013
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/15/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/13/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	36 Months From Approved
Responses	8,388	0	0
Time Burden (Hours)	8,388	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The SF-LLL is the standard disclosure form for lobbying paid for with non-Federal funds, as required by the Byrd Amendment, as amended by the Lobbying Disclosure Act of 1995.

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Authorizing Statute(s): US Code: 31 USC 1352 Name of Law: null

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 6594	11/06/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 7604	02/11/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Disclosure of Lobbying Activities 4040-0013 SF-LLL Disclosure of Lobbying Activities 4040-0013

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ICR Summary of Burden

	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	8,388	0	0	7,388	0	1,000
Annual Time Burden (Hours)	8,388	0	0	8,221	0	167
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: This form has been categorized as a common form as it is used by all federal grant-making agencies. HHS owns the form and reports only HHS burden hours.

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Annual Cost to Federal Government: $327,132

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Ed Calimag 202 690-7569 [email protected]

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Common Form ICR:  Yes

OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 5 calendar days from the date the agency's RCF including the common form was received in OIRA.

Description/Changes for Common Form Usage:  This form has been categorized as a common form as it is used by all federal grant-making agencies. HHS owns the form and reports only HHS burden hours. Other federal grant-making agencies must request use of the form and are responsible for reporting burden hours.

Approved RCFs using this ICR

Agency/Sub Agency RCF ID RCF Title RCF Status IC Title DOI/OSMRE 201605-1029-008CF Request to use the SF-LLL - Disclosure for Lobbying form - State, Local, and tribal Govt. for OSMRE Historical Active Disclosure of Lobbying Activities DOI/OSMRE 201605-1029-009CF Request to use the SF-LLL - Disclosure for Lobbying - Private Sector form for OSMRE. Historical Active Disclosure of Lobbying Activities DOI/BLM 201606-1004-011CF BLM - SF-LLL - Disclosure of Lobbying Common Form Usage Historical Active Disclosure of Lobbying Activities, Disclosure of Lobbying Activities USDA/RUS 201701-0572-018CF Disclosure of Lobbying Activities SF-LLL Historical Active Disclosure of Lobbying Activities USDA/RBS 201701-0570-026CF Disclosure of Lobbying Activities SF-LLL Historical Active Disclosure of Lobbying Activities USDA/RHS 201607-0575-011CF SF-LLL Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities, Disclosure of Lobbying Activities USDA/RBS 201612-0570-019CF SF - LLL Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities, Disclosure of Lobbying Activities USDA/RUS 201605-0572-005CF SF-LLL, “Disclosure of Lobbying Activities- Household Water System Program Historical Active Disclosure of Lobbying Activities USDA/RBS 201612-0570-024CF Disclosure of Lobbying Activities - SF LLL Historical Active Disclosure of Lobbying Activities USDA/APHIS 201702-0579-014CF Disclosure of Lobbying Activities (4040-0013) Historical Active Disclosure of Lobbying Activities, Disclosure of Lobbying Activities USDA/FNS 201706-0584-019CF SF-LLL Disclosure of Lobbying Activities (FNS) Historical Active Disclosure of Lobbying Activities, Disclosure of Lobbying Activities USDA/RHS 201702-0575-020CF SF-LLL Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities USDA/APHIS 201704-0579-026CF Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities USDA/RBS 201709-0570-035CF SF-LLL, “Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities USDA/RUS 201707-0572-029CF SF-LLL Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities, Disclosure of Lobbying Activities DOC/NTIA 201709-0660-012CF Disclosure of Lobbying Activities (SF-LLL) for 911 Grant Program Historical Active Disclosure of Lobbying Activities USDA/RHS 201804-0575-027CF SF-LLL Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities USDA/RUS 201710-0572-037CF Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities USDA/RBS 201708-0570-032CF SF-LLL Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities USDA/APHIS 201807-0579-032CF Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities DOT/FMCSA 201809-2126-007CF SF-LLL Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities USDA/FS 201802-0596-007CF DISCLOSURE OF LOBBYING ACTIVITIES. Historical Active Disclosure of Lobbying Activities USDA/RUS 201804-0572-046CF Disclosure of Lobbying Activities (SF-LLL) Historical Active Disclosure of Lobbying Activities, Disclosure of Lobbying Activities DOD/DODDEP 201802-0704-004CF SF-LLL Disclosure of Lobbying Activities 4040-0013 Historical Active Disclosure of Lobbying Activities USDA/RBS 201802-0570-041CF SF-LLL, “Disclosure of Lobbying Activities” Historical Active Disclosure of Lobbying Activities USDA/RBS 201802-0570-036CF SF-LLL, “Disclosure of Lobbying Activities” Historical Active Disclosure of Lobbying Activities TREAS/DO 201811-1505-005CF Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program Historical Active Disclosure of Lobbying Activities DOL/DM 201606-1225-008CF Disclosure of Lobbying Activities Historical Active Disclosure of Lobbying Activities

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(i) Why the information is being collected;
			(ii) Use of information;
			(iii) Burden estimate;
			(iv) Nature of response (voluntary, required for a benefit, or mandatory);
			(v) Nature and extent of confidentiality; and
			(vi) Need to display currently valid OMB control number;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date: 10/13/2015

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