11-75A50126R00001_RFP Att 11 SF LLL Disclosure of Lobbying Activities Form Instructions.pdf
PDF 312 KB Posted
- Solicitation number
- 75A50126R00001_RFP_NPIVS_27
About this file
This document is the Federal Agency Form Instructions for the Disclosure of Lobbying Activities (SF-LLL), OMB Number 4040-0013, which expires on June 30, 2028. The form is administered by Grants.gov and is used to disclose lobbying activities related to covered federal actions. This is a template document containing instructions for completing the form rather than a specific solicitation or contract opportunity.
The instructions detail 11 primary fields and multiple sub-fields required for disclosure submission. Key fields include: Type of Federal Action, Status of Federal Action (Bid/Offer/Application, Initial Award, or Post-Award), Report Type (Initial Filing or Material Change), Name and Address of Reporting Entity (designating whether the filer is Prime or Subawardee), information on the Prime recipient if applicable, Federal Department/Agency, Assistance Listing Number and Title, Federal Action Number, Award Amount, Name and Address of Lobbying Registrant, Individual Performing Services, and Certifying Official information. All address fields require street, city, state, and ZIP code information. Congressional District information is optional. The form must be completed and signed by a Certifying Official, with signature and date automatically completed upon Grants.gov submission. Failure to file the required disclosure subjects filers to civil penalties ranging from $10,000 to $100,000 per violation. The disclosed information is reported to Congress semi-annually and made available for public inspection.
View the file
Other files
Show all 26
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
OMB Number: 4040-0013 1 OMB Expiration Date: 06/30/2028
Federal Agency Form Instructions Form Identifiers Information
Agency Owner Grants.gov
Form Name Disclosure of Lobbying Activities (SF-LLL) Form Version Number 2.0
OMB Number 4040-0013
OMB Expiration Date 06/30/2028
Form Field Instructions Field Number
Field Name Required or Optional
Information
1. *Type of Federal Action: Required Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. This field is required.
2. *Status of Federal Action Required Identify the status of the covered Federal action. This field is required.
2-a. a. Bid/Offer/Application Check if applicable
Click if the Status of Federal Action is a bid, an offer or an application.
2-b. b. Initial Award Check if applicable
Click if the Status of Federal Action is an initial award.
2-c. c. Post-Award Check if applicable
Click if the Status of Federal Action is a post-award.
3.0 *Report Type Required Identify the appropriate classification of this report.
3-a. a. Initial filing Check if applicable
Check if Initial filing.
3-b. b. Material change Check if applicable
If this is a follow up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the previously submitted report by this reporting entity for this covered Federal action. This field is required.
OMB Number: 4040-0013 2
Field Number
Field Name Required or Optional
Information
Material Change Year Conditionally Required
If this is a follow up report caused by a material change to the information previously reported, enter the year in which the change occurred.
Material Change Quarter Conditionally Required
If this is a follow up report caused by a material change to the information previously reported, enter the quarter in which the change occurred.
Material Change Date of Last Report
Conditionally Required
Enter the date of the previously submitted report by this reporting entity for this covered Federal action.
4. Name and Address of Reporting Entity
Required Provide the information for Name and Address of Reporting Entity.
Prime Check if applicable
Click to designate the organization filing the report as the Prime Federal recipient.
Subawardee Check if applicable
Click to designate the organization filing the report as the SubAwardee Federal recipient.
Subawards include but are not limited to subcontracts, subgrants and contract awards under grants.
Tier if known: Optional Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier.
Name Required Enter the name of reporting entity. This field is required
Street 1 Required Enter Street 1 of the reporting entity. This field is required.
Street 2 Optional Enter Street 2 of the reporting entity.
City Required Enter City of the reporting entity This field is required.
State Required Enter the state of the reporting entity. This field is required
ZIP Required Enter the ZIP of the reporting entity. This field is required
OMB Number: 4040-0013 3
Field Number
Field Name Required or Optional
Information
Congressional District, if known Optional Enter the primary Congressional District of the reporting entity.
Enter in the following format: 2 character state abbreviation – 3 characters district number, e.g., CA-005 for California 5th district, CA-012 for California 12th district, NC-103 for North Carolina’s 103rd district.
5. If Reporting Entity in No. 4 is Subaward, Enter Name and Address of Prime
Conditionally Required
If Reporting Entity in No. 4 is Subaward, provide the information for the Name and Address of Prime
Name Required If the organization filing the report in item 4, checks "Subawardee", enter the full name of the prime Federal recipient.
Street 1 Required If the organization filing the report in item 4, checks "Subawardee", enter the address of the prime Federal recipient.
Street 2 Optional If the organization filing the report in item 4, checks "Subawardee", enter the address of the prime Federal recipient.
City Required If the organization filing the report in item 4, checks "Subawardee", enter the city of the prime Federal recipient.
State Required If the organization filing the report in item 4, checks "Subawardee", select the appropriate state from this pull down menu.
ZIP Required Enter the ZIP of Prime. This field is required
OMB Number: 4040-0013 4
Field Number
Field Name Required or Optional
Information
Congressional District, if known Optional Enter the Congressional District of Prime. Enter in the following format: 2 character state abbreviation – 3 characters district number, e.g., CA-005 for California 5th district, CA-012 for California 12th district, NC-103 for North Carolina’s 103rd district.
6. Federal Department/Agency
Required Enter the name of the Federal Department or Agency making the award or loan commitment. This field is required.
7. Assistance Listing Number: Required Enter the full Assistance Listing Number for grants, cooperative agreements, loans and loan commitments. Pre-populated from SF-424 if using Grants.gov.
Assistance Listing Title: Required Enter the Federal program name or description for the covered Federal action. Pre-populated from SF-424 if using Grants.gov.
8. Federal Action Number Optional Enter the most appropriate Federal identifying number available for the Federal action, identified in item 1 (e.g., Request for Proposal (RFP) number, invitation for Bid (IFB) number, grant announcement number, the contract, grant, or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001".
9. Award Amount Optional For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment of the prime entity identified in item 4 or 5.
OMB Number: 4040-0013 5
Field Number
Field Name Required or Optional
Information
10.a. Name And Address of Lobbying Registrant
Required Provide the information for the Name and Address of Lobbying Registrant.
Prefix Optional Enter the prefix (e.g., Mr., Mrs., Miss), if appropriate, for the Lobbying Registrant.
First Name Required Enter the first name of Lobbying Registrant. This field is required.
Middle Name Optional Enter the middle name of Lobbying Registrant.
Last Name Required Enter the last name of Lobbying Registrant. This field is required.
Suffix Optional Enter the suffix (e.g., Jr. Sr., PhD), if appropriate, for the Lobbying Registrant.
Street 1 Required Enter the first line of street address for the Lobbying Registrant.
Street 2 Optional Enter the second line of street address for the Lobbying Registrant.
City Required Enter the city of the Lobbying Registrant.
State Required Select the appropriate state of the Lobbying Registrant.
ZIP Code Required Enter the Zip Code (or ZIP+4) of the Lobbying Registrant.
10.b. Individual Performing Services Required Provide the information for Individual Performing Services
Prefix Optional Enter the prefix (e.g., Mr., Mrs., Miss), if appropriate, for the Individual Performing Services.
First Name Required Enter the first name of the Individual Performing Services.
This field is required.
Middle Name Optional Enter the middle name of the Individual Performing Services.
Last Name Required Enter the last name of the Individual Performing Services.
This field is required.
OMB Number: 4040-0013 6
Field Number
Field Name Required or Optional
Information
Suffix Optional Enter the suffix (e.g., Jr. Sr., PhD), if appropriate, for the Individual Performing Services.
Street 1 Required Enter the first line of street address for the Individual Performing Services.
Street 2 Optional Enter the second line of street address for the Individual Performing Services.
City Required Enter the city of the Individual Performing Services.
State Required Select the state for the address of the Individual Performing Services from this pull down menu.
ZIP Code Required Enter the Zip Code (or ZIP+4) of the Individual Performing Services.
11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when the transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C.
1352. This information will be reported to the Congress semi-annually and will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
N/A N/A
Signature: Required Completed by Grants.gov upon submission.
Name: Required Provide the information for the Name of the Certifying Official.
OMB Number: 4040-0013 7
Field Number
Field Name Required or Optional
Information
Prefix Optional Enter the prefix (e.g., Mr., Mrs., Miss), if appropriate, for the Certifying Official.
First Name Required Enter the first name of Certifying Official. This field is required.
Middle Name Optional Enter the middle name of the Certifying Official.
Last Name Required Enter the last name of the Certifying Official. This field is required.
Suffix Optional Enter the suffix (e.g., Jr. Sr., PhD), if appropriate, for the Certifying Official.
Title: Optional Enter the title of the Certifying Official.
Telephone No.: Optional Enter the telephone number of the certifying official.
Date: Required Completed by Grants.gov upon submission.
| Federal Agency Form Instructions |
| Form Field Instructions |
File details come from the government source that posted it. Updated .