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: 202502-4040-008
Status: Active	Previous ICR Reference No: 202112-4040-003
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: 06/23/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/15/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2028	36 Months From Approved	06/30/2025
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: Sagal Musa 202 205-2634 sagal.musa@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
DOI/OSMRE	202506-1029-003CF	Request to use the SF-LLL - Disclosure for Lobbying form - State, Local, and tribal Govt. for OSMRE	Active	Disclosure of Lobbying Activities
CPSC	202506-3041-004CF	SF-LLL Disclosure of Lobbying Activities	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/FNS	202506-0584-004CF	SF-LLL Disclosure of Lobbying Activities (FNS)	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
DFC	202506-3015-001CF	SF-LLL Disclosure of Lobbying Activities 4040-0013	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
DOT/FAA	202506-2120-007CF	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)
DOL/DM	202506-1225-003CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RBS	202506-0570-060CF	SF-LLL Disclosure of Lobbying Activities	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202506-0572-024CF	SF-LLL, "Disclosure of Lobbying Activities.”	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202506-0572-027CF	SF-LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/APHIS	202506-0579-003CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RBS	202506-0570-059CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
ED/OS	202506-1894-002CF	SF-LLL Disclosure of Lobbying Activities	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RHS	202506-0575-017CF	SF LLL, Disclosure of Lobbying	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/NRCS	202506-0578-007CF	Composting and Food Waste Reduction (CFWR) Cooperative Agreement Program	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
HUD/HUDSEC	202506-2501-003CF	SF-LLL and Lobbying form - HUD NOFOs	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
ED/OS	202506-1894-003CF	SF-LLL Disclosure of Lobbying Activities	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202506-0572-022CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/FAS	202506-0551-005CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL), Disclosure of Lobbying Activities (SF-LLL)
NCUA	202509-3133-002CF	DISCLOSURE OF LOBBYING ACTIVITIES	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-057CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RBS	202506-0570-070CF	Standard Form LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-067CF	SF LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-058CF	SF LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-061CF	SF-LLL Disclosure Form to Report Lobbying	Active	Disclosure of Lobbying Activities (SF-LLL)
DOT/FMCSA	202506-2126-002CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RUS	202506-0572-029CF	SF LLL - Disclosure of Lobbying Activities (0572-0136)	Active	Disclosure of Lobbying Activities (SF-LLL)
DOD/DODDEP	202506-0704-001CF	SF-LLL Disclosure of Lobbying Activities 4040-0013	Active	Disclosure of Lobbying Activities
USDA/RHS	202506-0575-013CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/RBS	202506-0570-065CF	Disclosure of Lobbying Activities - Form SF LLL	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202506-0572-021CF	SF-LLL, “Disclosure of Lobbying Activities- Household Water System Program	Active	Disclosure of Lobbying Activities
USDA/RBS	202506-0570-051CF	SF-LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities
USDA/APHIS	202506-0579-002CF	Disclosure of Lobbying Activities (4040-0013)	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/RBS	202506-0570-053CF	Disclosure of Lobbying Activities - SF LLL	Active	Disclosure of Lobbying Activities
USDA/FSA	202506-0560-009CF	Farm Labor Stabilization and Protection Pilot Grant Program	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-075CF	SF-LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-074CF	Form SF‐LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities (SF-LLL)
DOT/FRA	202506-2130-004CF	Disclosure of Lobbying Activities (4040-0013)	Active	Disclosure of Lobbying Activities (SF-LLL)
DOC/NTIA	202506-0660-005CF	Disclosure for Lobbying Activities for NTIA Public Wireless Supply Chain Innovation Fund Grant Program	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-056CF	SF-LLL, “Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RBS	202506-0570-055CF	Disclosure of Lobbying Activities SF-LLL	Active	Disclosure of Lobbying Activities
EPA/OMS	202506-2030-004CF	SF-LLL Disclosure of Lobbying Activities	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
DOC/NTIA	202506-0660-004CF	Disclosure of Lobbying Activities (SF-LLL) for NTIA Broadband Programs	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202506-0572-020CF	Disclosure of Lobbying Activities SF-LLL	Active	Disclosure of Lobbying Activities
USDA/RHS	202506-0575-016CF	SF LLL Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202506-0572-026CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-069CF	SF LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RHS	202506-0575-014CF	SF-LLL Certification of Non-Lobbying Activities or Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
EAC	202506-3265-004CF	SF-LLL Burden Increase	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202506-0572-028CF	SF LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
DOT/FAA	202506-2120-008CF	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)
USDA/RBS	202506-0570-068CF	SF-LLL, Disclosure of Lobbying Activities (4040-0013)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202506-0572-030CF	SF-LLL, “Disclosure of Lobbying Activities” (0572-0139)	Active	Disclosure of Lobbying Activities (SF-LLL)
VA	202506-2900-007CF	SF-LLL, Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RUS	202506-0572-019CF	Disclosure of Lobbying Activities (SF-LLL)	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
DOI/FWS	202506-1018-004CF	USFWS Usage of Form SF-LLL (Private Sector)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/FNS	202506-0584-005CF	Disclosure of Lobbying Activities (SF-LLL)	Active	Disclosure of Lobbying Activities (SF-LLL)
EAC	202506-3265-003CF	Request to use SFLLL for EAC Grant Compliance	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
TREAS/DO	202506-1505-004CF	Social Impact Partnerships to Pay for Results Act (SIPPRA) grant program	Active	Disclosure of Lobbying Activities
USDA/RUS	202506-0572-025CF	SF-LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-054CF	SF - LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/NRCS	202506-0578-008CF	Urban Agriculture and Innovative Production (UAIP).	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-066CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-071CF	Standard Form LLL, "Disclosure of Lobbying Activities"	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/FSA	202506-0560-010CF	Farm Service Agency - Emergency Relief Program 2022 (ERP 2022) Cooperative Agreements	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-062CF	SF LL- Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
NRC	202506-3150-002CF	Disclosure of Lobbying Activities (SF-LLL)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-063CF	SF-LLL, Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
DOI/OSMRE	202506-1029-004CF	Request to use the SF-LLL - Disclosure for Lobbying - Private Sector form for OSMRE.	Active	Disclosure of Lobbying Activities
USDA/RUS	202506-0572-023CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/RBS	202506-0570-073CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
DOT/FHWA	202506-2125-005CF	Disclosure of Lobbying Activities (SF-LLL)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RHS	202506-0575-018CF	SF LLL Disclosure of Lobbying Activity	Active	Disclosure of Lobbying Activities (SF-LLL)
VA	202506-2900-008CF	Veterans Legacy Grants Program	Active	Disclosure of Lobbying Activities (SF-LLL)
DOI/BLM	202506-1004-003CF	BLM - SF-LLL - Disclosure of Lobbying Common Form Usage	Active	Disclosure of Lobbying Activities, Disclosure of Lobbying Activities
USDA/RHS	202506-0575-019CF	Standard Form LLL, “Disclosure of Lobbying Activities"	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-052CF	SF-LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities
USDA/RHS	202506-0575-015CF	SF-LLL Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
DOI/FWS	202506-1018-003CF	USFWS Usage of Form SF-LLL (State/Local/Tribal Government)	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-064CF	SF-LLL, “Disclosure of Lobbying Activities”	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/RBS	202506-0570-072CF	SF LLL - Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities (SF-LLL)
VA	202506-2900-009CF	Veteran and Spouse Transitional Assistance Grant Program	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/APHIS	202506-0579-004CF	Disclosure of Lobbying Activities	Active	Disclosure of Lobbying Activities
USDA/FSA	202506-0560-008CF	Increasing Land, Capital, and Market Access Program	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
VA	202506-2900-006CF	Disclosure of Lobbying Activities and Certification Regarding Lobbying	Active	Certification Regarding Lobbying, Disclosure of Lobbying Activities (SF-LLL)
HUD/PIH	202507-2577-004CF	SF-LLL Disclosure of Lobbying Activities.	Active	Disclosure of Lobbying Activities (SF-LLL)
USDA/FS	202508-0596-008CF	DISCLOSURE OF LOBBYING ACTIVITIES.	Active	Disclosure of Lobbying Activities
USDA/FS	202506-0596-003CF	DISCLOSURE OF LOBBYING ACTIVITIES.	Historical Active	Disclosure of Lobbying Activities