SFLLL_2_0-V2.0.pdf
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- Attached to
- Fueling AI Innovation and Adoption
- Opportunity number
- DFOP0017898
- Issued by
-
Department of State
About this file
This is the Standard Form - LLL (Rev. 7-97), the Disclosure of Lobbying Activities form required pursuant to 31 U.S.C. 1352, with OMB Number 4040-0013 and expiration date 06/30/2028. The form serves as a template for entities to disclose lobbying activities related to federal funding actions.
The form requires disclosure of the type of federal action (contract, grant, cooperative agreement, loan, loan guarantee, or loan insurance) and its status (bid/offer/application, initial award, or post-award). Reporting entities must provide their name and address, identify whether they are the prime recipient or subawardee, and include congressional district information if known. If the reporting entity is a subawardee, the prime recipient's name and address must be entered. Required federal information includes the department/agency, program name/description, Assistance Listing Number if applicable, and federal action number if known. The form also requires disclosure of the lobbying registrant's name and address, as well as information on any individual performing lobbying services. Completion requires the signature of an authorized representative with title, telephone number, and date. The form notes that failure to file the required disclosure subjects entities to civil penalties of not less than $10,000 and not more than $100,000 for each failure, and that disclosed information will be reported to Congress semi-annually and made available for public inspection.
SF-LLL (Optional)
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| FIIA NOFO Questions and Answers.xlsx | XLSX spreadsheet | |
| NOFO Applicant Checklist.docx | DOCX document | |
| FAIIA NOFO.docx | DOCX document | |
| SF424B-V1.1.pdf | ||
| SF424A-V1.0.pdf | ||
| SF424_2_1-V2.1.pdf | ||
| Attachment 3 - FAIIA Budget Narrative Template.docx | DOCX document | |
| Attachment 2 - FAIIA Detailed Budget.xlsx | XLSX spreadsheet | |
| Attachment 1 - FAIIA Project Proposal Template.docx | DOCX document |
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Text version
10. a. Name and Address of Lobbying Registrant:
9. Award Amount, if known:
* Street 1
* City State Zip
Street 2
* Last Name
Prefix * First Name Middle Name
Suffix
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 OMB Number: 4040-0013
Expiration Date: 06/30/2028
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:
Assistance Listing Number, if applicable:
8. Federal Action Number, if known:
b. Individual Performing Services (including address if different from No. 10a)
Prefix * First Name Middle Name
* Street 1
* City State Zip
Street 2
11.
* Last Name Suffix
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:
Completed on submission to Grants.gov
Completed on submission to Grants.gov
*Name: Prefix * First Name Middle Name
* Last Name Suffix
Title: Telephone No.: Date:
Federal Use Only: Authorized for Local Reproduction Standard Form - LLL (Rev. 7-97)
File details come from the government source that posted it. Updated .