Regulatory Collection Filing

Disclosure of Lobbying Activities SF-LLL

RCF 202202-0572-002CF · Host ICR 202112-4040-003 · OMB 4040-0013

RCF Summary

Host OMB Control No.	4040-0013
Host ICR Reference No.	202112-4040-003
Agency/Subagency	USDA/RUS
Status	Active
Type of RCF	RCF Recertification
OIRA Conclusion Action	Approved
Date Received in OIRA	2022-02-25
Conclusion Date	2022-02-25
Agency Tracking No.	0572-0138
Related Links	OMB 4040-0013 · ICR 202112-4040-003 · Previous RCF 201902-0572-001CF · Retrieve Notice of Action (NOA)

RCF Details

View RCF - OIRA Conclusion

Title: Disclosure of Lobbying Activities SF-LLL

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 02/25/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/25/2022
Terms of Clearance:

Description of Agency Usage: For grants over $100,000, Revolving Fund Program (0572-0138) grant recipients must certify that no Federal appropriated funds will be paid to any person for influencing or attempting to influence a member or an employee of a member of Congress, an officer or employee of Congress or any agency.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Rebecca Hunt 202 205-3660 [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		3	3	0	Form and Instruction	4040-0013	SF-LLL Disclosure of Lobbying Activities (SF-LLL)

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	3	3
Annual Time Burden (Hours)	3	3
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: