View Information Collection Request (ICR) Package

OMB Control No: 4040-0013	ICR Reference No: 201508-4040-011
Status: Historical Active	Previous ICR Reference No: 201307-4040-003
Agency/Subagency: EGOV	Agency Tracking No:
Title: SF-LLL Disclosure of Lobbying Activities 4040-0013
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/15/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/13/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	36 Months From Approved
Responses	8,388	0	0
Time Burden (Hours)	8,388	0	0
Cost Burden (Dollars)	0	0	0

Abstract: The SF-LLL is the standard disclosure form for lobbying paid for with non-Federal funds, as required by the Byrd Amendment, as amended by the Lobbying Disclosure Act of 1995.

Authorizing Statute(s): US Code: 31 USC 1352

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 6594	11/06/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 7604	02/11/2015
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Disclosure of Lobbying Activities	4040-0013	SF-LLL Disclosure of Lobbying Activities 4040-0013

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	8,388	7,388	1,000
Annual Time Burden (Hours)	8,388	8,221	167
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This form has been categorized as a common form as it is used by all federal grant-making agencies. HHS owns the form and reports only HHS burden hours.

Annual Cost to Federal Government: $327,132

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Ed Calimag 202 690-7569 Ed.Calimag@hhs.gov

Common Form ICR: Yes
OIRA authorizes any Agency to begin using a Common Form associated with this ICR automatically after 5 calendar days from the date the agency's RCF including the common form was received in OIRA.
Description/Changes for Common Form Usage: This form has been categorized as a common form as it is used by all federal grant-making agencies. HHS owns the form and reports only HHS burden hours. Other federal grant-making agencies must request use of the form and are responsible for reporting burden hours.

Approved RCFs using this ICR

View ICR - OIRA Conclusion