Disclosure for Lobbying Activities for NTIA Public Wireless Supply Chain Innovation Fund Grant Program

ICR 202506-0660-005CF · OMB 4040-0013 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 4040-0013 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form 4040-0013 Certification Regarding Lobbying	Form	Modified	Repair queued
Form 4040-0013 SF-LLL Disclosure of Lobbying Activities (SF-LLL)	Form and Instruction	Modified	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
267395	Certification Regarding Lobbying	Form	Modified	Certification Regarding Lobbying
267394	Disclosure of Lobbying Activities (SF-LLL)	Form and Instruction	Modified	SF-LLL Disclosure of Lobbying Activities (SF-LLL)

ICR Details

OMB Control No: 4040-0013	ICR Reference No: 202506-0660-005CF
Status: Active	Previous ICR Reference No: 202405-0660-007CF
Agency/Subagency: DOC/NTIA	Agency Tracking No:
Title: Disclosure for Lobbying Activities for NTIA Public Wireless Supply Chain Innovation Fund Grant Program
Type of Information Collection: RCF Recertification	Common Form ICR:
Type of Review Request:
OIRA Conclusion Action: Approved	Conclusion Date: 06/23/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/23/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2028	36 Months From Approved	06/30/2025
Responses	200	0	200
Time Burden (Hours)	150	0	150
Cost Burden (Dollars)	0	0	0

Abstract:

Authorizing Statute(s): Statute at Large: 134 Stat. 3388 Name of Statute: William M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021
Statute at Large: 136 Stat. 1392 Name of Statute: CHIPS and Science Act of 2022

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Certification Regarding Lobbying	4040-0013	Certification Regarding Lobbying
Disclosure of Lobbying Activities (SF-LLL)	4040-0013	SF-LLL Disclosure of Lobbying Activities (SF-LLL)

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	200	200
Annual Time Burden (Hours)	150	150
Annual Cost Burden (Dollars)	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:

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods?

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? No

Agency Contact: Diana Moreno 202 482-1034 [email protected]

Common Form ICR: