View RCF - OIRA Conclusion

Title: Standard Form LLL, “Disclosure of Lobbying Activities"

Type of RCF: RCF New
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/18/2025
	Date Received in OIRA: 01/21/2025
Terms of Clearance:

Description of Agency Usage: Applicants are required to complete this form to disclose their involvement in lobbying activities. This form OMB No. is 4040-0013. This package OMB No is 0575-0180.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Lisa Day 971 313-4750 lisa.day@usda.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Disclosure of Lobbying Activities (SF-LLL)		65	65	0	Form and Instruction	4040-0013	SF-LLL Disclosure of Lobbying Activities (SF-LLL)

RCF Summary of Burden:

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	65	65
Annual Time Burden (Hours)	65	65
Annual Cost Burden (Dollars)	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: The agency is requesting to use the form which will result in a program change of 65 burden hours.