Lll Form PDF Details

In an effort to ensure transparency and accountability within governmental operations, the Disclosure of Lobbying Activities form, known commonly as the LLL Form, stands as a pivotal document approved by the Office of Management and Budget under the OMB No. 0348-0046. This form is designed to unveil activities related to lobbying that are conducted in connection with specific federal actions such as contracts, grants, cooperative agreements, loans, loan guarantees, and loan insurance, as stipulated under 31 U.S.C. 1352. Entities engaging in lobbying must disclose various details through the form, including the type and status of the federal action in question, details about the reporting entity and the lobbying entity, the federal department or agency involved, and a description of the lobbying activities undertaken. This entails specifying the amount of payment, the nature of the services performed, and information about the officials contacted. The disclosure serves not only as a record of the lobbying efforts but also as a crucial piece of information relied upon by the federal government. Failure to comply with this mandated disclosure can result in significant civil penalties, underscoring the importance of the LLL Form in promoting ethical conduct and transparency in the intersection of public and private interests. The information gathered through this form is not only reported to Congress semi-annually but is also made available for public inspection, reinforcing the overarching goal of fostering an environment of openness within governmental processes.

QuestionAnswer
Form NameLll Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdisclosure lobbying lll form, sf lobbying activities, standard form lobbying, dws livescan

Form Preview Example

 

 

 

 

 

 

 

 

DISCLOSURE OF LOBBYING ACTIVITIES

 

 

 

 

 

 

Approved by OMB

 

 

 

 

 

 

 

 

 

 

 

 

 

 

0348-0046

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(See reverse for public burden disclosure.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Type of Federal Action:

 

 

 

 

 

 

2.

Status of Federal Action

 

 

 

3.

Report Type:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. contract

 

 

 

 

 

 

 

 

 

 

a. bid/offer/application

 

 

 

 

 

 

a. initial filing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. material change

 

 

 

 

b. grant

 

 

 

 

 

 

 

 

 

 

b. initial award

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c. cooperative agreement

 

 

 

 

 

c. post-award

 

 

 

 

 

 

 

For Material Change Only:

 

 

 

 

d. loan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

 

 

 

Quarter

 

 

 

 

 

 

e. loan guarantee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

date of last report

 

 

 

 

f. loan insurance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Name and Address of Reporting Entity:

 

 

 

 

 

 

 

5.

If Reporting Entity in No. 4 is Subawardee, Enter Name and

 

 

 

Prime

Subawardee

 

 

 

 

 

 

 

 

Address of Prime:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tier

 

 

, if known:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Congressional District, if known:

 

 

 

 

 

 

 

 

Congressional District, if known:

 

 

 

 

 

 

 

 

 

 

6. Federal Department/Agency:

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

Federal Program Name/Description:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CFDA Number, if applicable:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Federal Action Number, if known:

 

 

 

 

 

 

 

9.

Award Amount, if known:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. a. Name and Address of Lobbying Entity

 

 

 

 

 

 

 

b.

Individuals Performing Services (including address of different

 

(if individual, last name, first name, MI):

 

 

 

 

 

 

 

 

from No. 10a.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(last name, first name, MI):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(attach Continuation Sheet(s) SF-LLL-A, if necessary)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11.

Amount of Payment (check all that apply) :

 

 

 

 

 

 

 

13. Type of Payment (check all that apply):

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

actual

planned

 

 

 

 

a.

retainer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. one-time fee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

Form of Payment (check all that apply):

 

 

 

 

 

 

 

 

 

c. commission

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. cash

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

d. contingent fee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. in-kind; specify:

nature

 

 

 

 

 

 

 

 

 

 

e.

deferred

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

value

 

 

 

 

 

 

 

 

 

f.

other; specify:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.

Brief Description of Services Performed or to be Performed and Date(s) of Service, including officer(s), employee(s), or Member(s)

 

contacted, for Payment indicated in Item 11.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(attach Continuation Sheet(s) SF-LLL-A, if necessary)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.

Continuation Sheet(s) SF-LLL-A attached:

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

Information requested through this form is authorized by title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31 U.S.C. section 1352. This disclosure of lobbying activities

 

Signature:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

is a material representation of fact upon which reliance was

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

placed by the tier above when this transaction was made or

 

Print Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

entered into. This disclosure is required pursuant

to

31

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S.C. 1352. This information will be

 

reported

to

the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Congress semi-annually

and will be available for

public

 

Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

inspection. Any person who fails to

file

the required

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

disclosure shall be subject to a civil penalty of not less than

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$10,000 and not more than $100,000 for each such failure.

 

 

Telephone No.:

 

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Federal Use Only:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Authorized for Local Reproduction

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Standard Form - LLL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EF

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