Information Collection

Certification Regarding Lobbying

IC 267395 under ICR 202506-0660-005CF · OMB 4040-0013.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 4040-0013 Certification Regarding Lobbying Certification Regarding Lobbying Form
4040-0013 Certification Regarding Lobbying 4040-0013 GG Lobbying.pdf Form

Information Collection (IC) Details

View RCF Information Collection (IC)

IC Title:	Certification Regarding Lobbying	Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 2 CFR 225 5 CFR 1320.5(d)(s) 2 CFR 230 2 CFR 215 2 CFR 220

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4040-0013	Certification Regarding Lobbying	4040-0013 GG Lobbying.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].