Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 4040-0013	ICR Reference No: 202112-4040-003
Status: Historical Active	Previous ICR Reference No: 201810-4040-011
Agency/Subagency: EGOV	Agency Tracking No:
Title: SF-LLL Disclosure of Lobbying Activities and Certification Regarding Lobbying 4040-0013
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/25/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/24/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2025	36 Months From Approved	02/28/2022
Responses	16,627	0	16,627
Time Burden (Hours)	14,651	0	14,651
Cost Burden (Dollars)	0	0	0

Annual Cost to Federal Government: $571,389

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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? No

Agency Contact: Joseph Raborn 202 870-2037 joseph.raborn@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:

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
DOT/FRA	202411-2130-014CF	Disclosure of Lobbying Activities (4040-0013)	Active	Disclosure of Lobbying Activities (SF-LLL)
HUD/HUDSEC	202406-2501-005CF	SF-LLL and Lobbying form - HUD NOFOs	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RHS	202202-0575-006CF	SF LLL Disclosure of Lobbying Activity	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/APHIS	202404-0579-007CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
DOC/NTIA	202203-0660-006CF	Disclosure of Lobbying Activities (SF-LLL) for NTIA Broadband Programs	Historical Active	Disclosure of Lobbying Activities (SF-LLL)
DOC/NTIA	202202-0660-001CF	Disclosure of Lobbying Activities (SF-LLL) for 911 Grant Program	Historical Active	Disclosure of Lobbying Activities
USDA/RBS	202208-0570-011CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
EAC	202309-3265-002CF	SF-LLL Burden Increase	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
VA	202405-2900-004CF	Veteran and Spouse Transitional Assistance Grant Program	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202212-0570-005CF	Form SF‐LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RHS	202411-0575-004CF	Standard Form LLL, “Disclosure of Lobbying Activities"	Active	Disclosure of Lobbying Activities (SF-LLL)
DOT/FHWA	202405-2125-009CF	Disclosure of Lobbying Activities (SF-LLL)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/APHIS	202202-0579-002CF	Disclosure of Lobbying Activities	Historical Active	Disclosure of Lobbying Activities
ED/OS	202202-1894-004CF	SF-LLL Disclosure of Lobbying Activities	Historical Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202306-0570-006CF	SF-LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities (SF-LLL)
VA	202311-2900-009CF	SF-LLL, Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/FSA	202208-0560-008CF	Increasing Land, Capital, and Market Access Program	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
DOI/BLM	202202-1004-001CF	BLM - SF-LLL - Disclosure of Lobbying Common Form Usage	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
DOI/OSMRE	202202-1029-001CF	Request to use the SF-LLL - Disclosure for Lobbying form - State, Local, and tribal Govt. for OSMRE	Active	Disclosure of Lobbying Activities
DOD/DODDEP	202202-0704-001CF	SF-LLL Disclosure of Lobbying Activities 4040-0013	Active	Disclosure of Lobbying Activities
USDA/FNS	202202-0584-002CF	Disclosure of Lobbying Activities (SF-LLL)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/FS	202202-0596-001CF	DISCLOSURE OF LOBBYING ACTIVITIES.	Active	Disclosure of Lobbying Activities
EAC	202204-3265-007CF	Request to use SFLLL for EAC Grant Compliance	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202202-0570-015CF	Disclosure of Lobbying Activities - Form SF LLL	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202202-0570-008CF	SF LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
DOI/FWS	202202-1018-002CF	USFWS Usage of Form SF-LLL (Private Sector)	Active	Disclosure of Lobbying Activities (SF-LLL)
DOL/DM	202202-1225-001CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
DOT/FAA	202202-2120-002CF	FAA Aircraft Pilot Workforce Development Grant Program - SF-LLL and Certification Forms Request	Active	Certification Regarding Lobbying, Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL), Disclosure of Lobbying Activities (SF-LLL)
DOI/FWS	202202-1018-001CF	USFWS Usage of Form SF-LLL (State/Local/Tribal Government)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202202-0570-009CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202202-0570-001CF	SF-LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities
DOT/FMCSA	202202-2126-001CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RBS	202205-0570-009CF	SF LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
DOT/FAA	202202-2120-001CF	FAA Aviation Maintenance Technical Workers Workforce Development Grant Program - SF-LLL and Certification Forms Request	Active	Certification Regarding Lobbying, Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL), Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202202-0572-001CF	Disclosure of Lobbying Activities (SF-LLL)	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
VA	202412-2900-004CF	Veterans Legacy Grants Program	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202408-0572-002CF	SF-LLL, “Disclosure of Lobbying Activities” (0572-0139)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/FSA	202303-0560-004CF	Farm Labor Stabilization and Protection Pilot Grant Program	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
VA	202307-2900-005CF	Disclosure of Lobbying Activities and Certification Regarding Lobbying	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
DOC/NTIA	202302-0660-004CF	Disclosure of Lobbying Activities (SF-LLL) for NTIA Broadband Programs	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RHS	202202-0575-003CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
NRC	202202-3150-001CF	Disclosure of Lobbying Activities (SF-LLL)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202202-0570-004CF	SF - LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
ED/OS	202202-1894-003CF	SF-LLL Disclosure of Lobbying Activities	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202207-0570-011CF	Standard Form LLL, "Disclosure of Lobbying Activities"	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RHS	202202-0575-005CF	SF LLL, Disclosure of Lobbying	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/APHIS	202202-0579-003CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RUS	202202-0572-005CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RBS	202205-0570-021CF	SF LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202202-0570-011CF	SF-LLL Disclosure Form to Report Lobbying	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RHS	202202-0575-001CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/RBS	202202-0570-006CF	SF-LLL, “Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RBS	202202-0570-005CF	Disclosure of Lobbying Activities SF-LLL	Active	Disclosure of Lobbying Activities
USDA/FAS	202202-0551-001CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL), Disclosure of Lobbying Activities (SF-LLL)
USDA/RHS	202202-0575-004CF	SF LLL Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202202-0570-003CF	Disclosure of Lobbying Activities - SF LLL	Active	Disclosure of Lobbying Activities
USDA/RBS	202202-0570-010CF	SF-LLL Disclosure of Lobbying Activities	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202202-0570-007CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RBS	202202-0570-013CF	SF-LLL, Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202202-0572-007CF	SF-LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202202-0572-003CF	SF-LLL, “Disclosure of Lobbying Activities- Household Water System Program	Active	Disclosure of Lobbying Activities
USDA/RBS	202202-0570-012CF	SF LL- Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/FNS	202202-0584-001CF	SF-LLL Disclosure of Lobbying Activities (FNS)	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/RHS	202202-0575-002CF	SF-LLL Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RUS	202405-0572-019CF	SF LLL - Disclosure of Lobbying Activities (0572-0136)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/NRCS	202203-0578-005CF	Urban Agriculture and Innovative Production (UAIP).	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
TREAS/DO	202202-1505-001CF	Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program	Active	Disclosure of Lobbying Activities
USDA/NRCS	202203-0578-011CF	Composting and Food Waste Reduction (CFWR) Cooperative Agreement Program	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202207-0570-007CF	SF LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202202-0572-004CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
DOI/OSMRE	202202-1029-002CF	Request to use the SF-LLL - Disclosure for Lobbying - Private Sector form for OSMRE.	Active	Disclosure of Lobbying Activities
USDA/RUS	202202-0572-008CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
DFC	202202-3015-001CF	SF-LLL Disclosure of Lobbying Activities 4040-0013	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202202-0572-006CF	SF-LLL, "Disclosure of Lobbying Activities.”	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202203-0570-004CF	SF-LLL, Disclosure of Lobbying Activities (4040-0013)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202205-0570-002CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202209-0570-009CF	Standard Form LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202202-0572-009CF	SF-LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202202-0572-002CF	Disclosure of Lobbying Activities SF-LLL	Active	Disclosure of Lobbying Activities
USDA/RBS	202202-0570-014CF	SF-LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities (SF-LLL)
DOC/NTIA	202405-0660-007CF	Disclosure for Lobbying Activities for NTIA Public Wireless Supply Chain Innovation Fund Grant Program	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
ED/OS	202502-1894-002CF	SF-LLL Disclosure of Lobbying Activities	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
EPA/OMS	202404-2030-010CF	SF-LLL Disclosure of Lobbying Activities	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202209-0572-007CF	SF LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/FSA	202402-0560-004CF	Farm Service Agency - Emergency Relief Program 2022 (ERP 2022) Cooperative Agreements	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/APHIS	202202-0579-001CF	Disclosure of Lobbying Activities (4040-0013)	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/RBS	202202-0570-002CF	SF-LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities
CPSC	202506-3041-003CF	SF-LLL Disclosure of Lobbying Activities	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)