View RCF - OIRA Conclusion

Title: SF-LLL Disclosure of Lobbying Activities

Type of RCF: RCF Recertification
OIRA Conclusion Action: Approved	Conclusion Date: 06/23/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/23/2025
Terms of Clearance:

Description of Agency Usage: CPSC uses SF-LLL to collect information for the Pool Safely Grant Program Application and the Carbon Monoxide Poisoning Prevention Grant Program Application.

Authorizing Statute(s): None

Annual Cost to Federal Government:
Agency Contact: Cynthia Gillham 301 504-7701 cgillham@cpsc.gov

Common Form Information Collections (IC) in this RCF:

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Certification Regarding Lobbying		55	28	0	Form	4040-0013	Certification Regarding Lobbying
Disclosure of Lobbying Activities (SF-LLL)		55	55	0	Form and Instruction	4040-0013	SF-LLL Disclosure of Lobbying Activities (SF-LLL)

RCF Summary of Burden:

	Total Approved	Previously Approved
Annual Number of Responses	110	110
Annual Time Burden (Hours)	83	83
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: