Byrd_Anti-LobbyingCertification.pdf

This document is a Byrd Anti-Lobbying Amendment Certification form for federal contracts or grants exceeding $100,000. The certification requires the undersigned to affirm that no federal appropriated funds have been or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, or a congressional staff member in connection with the awarding of a federal contract, grant, loan, or cooperative agreement.

The form mandates that if any non-federal funds have been or will be paid to any person for lobbying activities related to the federal transaction, the undersigned must complete and submit a Standard Form-LLL "Disclosure Form to Report Lobbying." Failure to comply with this certification can result in a civil penalty ranging from $10,000 to $100,000 for each such failure. The document provides checkboxes for the applicant to either confirm no non-federal funds will be used for lobbying or to attach a disclosure form describing the use of non-federal funds for lobbying activities.