CD511-V1.1.pdf

The document is a U.S. Department of Commerce Form CD-511, Certification Regarding Lobbying, a standard federal grant compliance form. The form requires applicants to disclose and certify lobbying activities related to federal grants, contracts, loans, or cooperative agreements over $100,000. Key compliance requirements include: (1) reporting any federal or non-federal funds paid to influence or attempt to influence federal officials or Congress, (2) completing and submitting Standard Form-LLL "Disclosure Form to Report Lobbying", and (3) including lobbying certification language in all award documents and subawards.

The form must be signed by the authorized representative of the applicant, who certifies compliance with lobbying regulations under Section 1352, Title 31 of the U.S. Code. Failure to file the required certification can result in civil penalties of up to $100,000 for each failure occurring on or before October 23, 1996, and up to $110,000 for each failure after that date. The form includes fields for applicant name, award number, project name, authorized representative details, signature, and date of submission.