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This disclosure form shall be completed by the reporting entity, whether subowardee or prime Federal recipient, at the initiation or receipt of a covered Federal 'action, or a material change to a previous filing pursuant to title 31 U.S.C. section 1352. The Aling of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any sency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Use the SF-UL-A Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the

outcome of a covered federal action. 2. Identity the status of the covered federal action. 3. Identify the appropriate classification of this report. If this is a followup report caused by a material change to the

information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last

previously submitted report by this reporting entity for this covered Federal action. 4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District, if

known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e., the first subawardee of the prime is the 1st tier.

Subwards include but are not limited to subcontracts, suberants and contract awards under grants. 5. If the organization filing the report in item 4 checks "Subawardee", then enter the full name, address, city, state and

zip code of the prime Federal recipient. Include Congressional District, it known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational

level below agency 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 the full

Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans, and loan

commitments. 2. Enter the most appropriate Federal identifying number wailable for the Federal action identified in item 1. (e..,

Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract, grant, or loan award number, the application/proposal control number assigned by the Federal agency). Include

prefixes, e.g., "RFP-DE-90-001." 9. for a covered federal action where there has been an award or loan commitment by the federal agency, enter the

Federal amount of the awardloan commitment for the prime entity identified in item 4 or 5. 10. (a) Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity

identified in item 4 to influence the covered Federal action. (b)Enter the full names of the individuals) performing services, and include hull address if different from 10 (a).

Enter Last Name, First Name, and Middle Initial (MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the

lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned

to be made. 12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution,

specity the nature and value of the in-kind payment. 13. Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed, or will be expected to

perform, and the date(s) of any services rendered. Include all preparatory and related activity, not just time spent in actual contact with Federal officials. Identify the Federal officiaks) or employee(s) contacted for the officer(s),

employee(s), or Member(s) of Congress that were contacted. 15. Check whether or not a SF-ULL-A Continuation Sheet(s) is attached. 16. The certifying official shall sign and date the form, print histher name, tite, and telephone number.

Public reporting burden for this collection of information is estimated to worage 30 mintues per response, including time for reviewing instructions, searching existing data source, rathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other mpact of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0340-0046), Washington, D.C. 20503.



Approved by OME 0340-50

Neporting Entity:

wthorized to local le Standard Porn - WA

c tion

Subtitle B-Regulations Relating to Commerce and

Foreign Trade



Page 291


Foreign trade statistics
Training of foreign participants in census proce-

dures and general statistics
Special services and studies by the Bureau of the

Census .............
Public information ........
Cutoff dates for recognition of boundary changes

for the Census 2000 ......
Furnishing personal census data from census of

population schedules
Procedure for challenging certain population and

income estimates .....



Seal ..........



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