Regulatory Collection Filing

SF-LLL Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities

RCF 201702-0575-020CF · Host ICR 201508-4040-011 · OMB 4040-0013

RCF Summary

Host OMB Control No.	4040-0013
Host ICR Reference No.	201508-4040-011
Agency/Subagency	USDA/RHS
Status	Historical Active
Type of RCF	RCF New
OIRA Conclusion Action	Approved without change
Date Received in OIRA	2017-04-03
Conclusion Date	2017-04-09
Agency Tracking No.	0575-0015
Related Links	OMB 4040-0013 · ICR 201508-4040-011 · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: SF-LLL Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/09/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/03/2017
Terms of Clearance:

Description of Agency Usage: Re-lenders who are awarded loans over $100,000 and/or lobby are required to complete this form.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Aaron Morris 202 205-0486 [email protected]

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Disclosure of Lobbying Activities		20	20	0	Form	4040-0013	SF-LLL Disclosure of Lobbying Activities 4040-0013

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	20	20
Annual Time Burden (Hours)	20	20
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: Common form usage.