Information Collection

Certificate Regarding Lobbying Activities, Financial Capability Questionnaire, Screenshot of active SAM.gov registration

IC 256681 under ICR 202212-0596-003 · OMB 0596-0254.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0596-0254 can be found here:

Documents and Forms

Document Name Document Type
Certificate Regarding Lobbying Activities, Financial Capability Questionnaire, Screenshot of active SAM.gov registration.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Certificate Regarding Lobbying Activities, Financial Capability Questionnaire, Screenshot of active SAM.gov registration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Certificate Regarding Lobbying Activities, Financial Capability Questionnaire, Screenshot of active SAM.gov registration.docx		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 234	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	234	0	234
Annual IC Time Burden (Hours)	176	0	176
Annual IC Cost Burden (Dollars)	0	-7,178	7,178

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.