HomeMy WebLinkAboutDISCLOSURE OF LOBBYINGCOPS Hiring Recovery Program (CHRP) rage I of 4
COPS Hiring Recovery Program (C
Attachment to SF -424
Section 10.- DISCLOSURE OF LOBBYING ACTIVITIES
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COPS Hiring Recovery Program (CHRP) Page l or 4
— Instructions for Completion of SF -LLL, Disclosure of Lobbying Activities
This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at t
Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a forrr
agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a cove
items that apply for both the initial filing and material change report. Refer to the implementing guidance published k
Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to inflL
Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material char
reported, enter the year and quarter in which'the change occurred. Enter the date of the last previously su
entity for this covered Federal action.
4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional Distr
appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subawa
subawardee, e.g., the first subawardee of the prime is the 1 st tier. Subawards include but are not limited tc
contract awards under grants.
5. If the organization filing the report in item 4 checks "Subawardee," then enter the full name, address, cit
Federal recipient. Include Congressional District, if known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least one orgai
name, if known. For example, Department of Transportation, United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action (item 1). If known, enter t
Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified in item
(RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan a,
application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFPD E-90-
9. For a covered Federal action where there has been an award or loan commitment by the Federal agenc
award/loan commitment for tliO' rime entity',:ideritified in item 4 or 5.
10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reportin
influence the covered Federal action.
(b) Enter the full name(s) of the individual(s) performing services, and include full address if different from
Name, and Middle Initial (MI).
11. The certifying official shall sign and date the form, print his/her name, title and telephone number.
Public reporting burden for this colection of information is estimated to average 30 minutes per response,
instructions, searching existing data sources, gathering and maintaining the data needed, and completing
information. Send comments regarding the burden estimate or any other aspect of this collection of inform
reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046)
Disclosure of Lobbying Activities
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352.
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COPS Hiring Recovery Program (CHRP)'. "'
F ' Not Applicable
1 . Type of Federal Action:
ic;�,n gu2ianlf�t:
*4. Name and Address of Reporting Entity:
City of Miami
�. Prime
Subawardee
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2 . Status of Federal Action: 3 . Report 1
For Materiai
Year:
Quarter:
Date of last
5 . If Repor
Name and F
Subawardee Tier: if known: Congressional District (number), if known: Congressioi
7 . Federal
6 . Federal Department/Agency:
J . _)v -t
CFDA Numl
8 . Federal Action Number, if known: 9 . Award A
10.a . Name and Address of Lobbying Registrant (if individual, last name, first name, MO:
10. b. Indivi
No. 10a) Oa;
%r
11 . Information requested through this form is authorized by Title 31 U .S .0 . Section 1352 .
This disclosure of lobbying activities is a material representation of fact upon which reliance
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was placed by the tier above when this transaction was made or entered into. This disclosure is
legally and (
required pursuant to 31 U .S .0 . 1352 . This information will be reported to the Congress semi-
this applicat
annually and will be available for public inspection .Any person who fails to file the required
have read, t
disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000
grant comp)
for each such failure.
Guide, the (
other applic;
certify that tl
true and ac(
statements
fines, impris
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COPS Hiring Recovery Program (CHP P) rage ,4 01 ,+
cooperative
"Typed
Name:
'Title:
Telephone
No.:
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Helpful Hints I CHRP Home I Application Guide 1 424 Instructions I CHIRP Application (PDF) I Nonsupplanting FAQ
Retention FAQ's I Program and Financial Requirements
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