Attachment 15 - Disclosure of Lobbying Activities.pdf
PDF 109 KB Posted
- Attached to
- Logistical Meeting/Conference Support Federal contract opportunity
- Solicitation number
- 75N95024R00071
About this file
This document is a Disclosure of Lobbying Activities form (SF-LLL) that must be completed for federal contract opportunities. It requires the reporting entity to disclose any lobbying activities related to the federal action, such as a contract, grant, or cooperative agreement. The form collects information on the type of federal action, status, report type, reporting entity, federal department/agency, program name, award amount, and details on any lobbyists or individuals performing lobbying services. This disclosure is required under 31 U.S.C. 1352 and the information will be reported to Congress and available for public inspection. Failure to file the required disclosure can result in civil penalties.
The related federal contract opportunity is a solicitation by the Department of Health and Human Services National Institutes of Health for Logistical Meeting/Conference Support services. The solicitation number is 75N95024R00071, and proposals are due by 12:00 PM EST on Friday, May 17, 2024. All questions must be submitted to Morgen Slager via email no later than 12:00 PM EST on April 26, 2024.
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Text version
Review Public Burden Disclosure Statement
DISCLOSURE OF LOBBYING ACTIVITIES OMB Control Number: 4040-0013 Expiration Date: 2/28/2025
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
1. * Type of Federal Action:
a. contract
b. grant
c. cooperative agreement
d. loan
e. loan guarantee
f. loan insurance
2. * Status of Federal Action:
a. bid/offer/application
b. initial award
c. post-award
3. * Report Type:
a. initial filing
b. material change
4. Name and Address of Reporting Entity:
Prime SubAwardee
* Name
* Street 1 Street 2
* City State Zip
Congressional District, if known:
5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime:
6. * Federal Department/Agency: 7. * Federal Program Name/Description:
CFDA Number, if applicable:
8. Federal Action Number, if known: 9. Award Amount, if known:
10. a. Name and Address of Lobbying Registrant:
Prefix * First Name Middle Name
* Last Name Suffix
b. Individual Performing Services (including address if different from No. 10a)
Prefix * First Name Middle Name
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.
* Signature:
*Name: Prefix * First Name Middle Name
Title: Telephone No.: Date:
Federal Use Only: STANDARD FORM LLL (REV. 7/1997) Authorized for Local Reproduction
File details come from the government source that posted it. Updated .