[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-536003-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-536003-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","disclosure-of-lobbying-activities-nutrition-department-complete-this-form","DISCLOSURE OF LOBBYING ACTIVITIES - Nutrition Department - Complete this form","","Form for disclosing lobbying activities under 31 U.S.C. 1352, intended for a reporting entity within the Nutrition Department. It collects details about the type and status of the covered federal action, report classification, reporting entity and tier information, federal department and program name, federal action identifiers, award amounts, and payment amounts and forms. It also requires a description of services and certification statements, including signature and contact information. 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(See reverse for public burden disclosure.)  \n\n| 1. TYPE OF FEDERAL ACTION\u003Cbr> a. Contract  b. Grant |  | c. Cooperative agreement  d. Loan |  |  | e. Loan guarantee  f. Loan insurance |\n| --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |\n| 2. STATUS OF FEDERAL ACTION\u003Cbr> a. Bid/offer/application  b. Initial award  c. Post-award |  |  |  |  |  |\n| 3. REPORT TYPE\u003Cbr> a. Initial filing  b. Material change  For material change only:   Year   Quarter   Date of last report |  |  |  |  |  |\n| 4. NAME AND ADDRESS OF REPORTING ENTITY\u003Cbr> Prime  Subawardee, Tier   if known   Congressional District, if known |  |  |  |  |  |\n| 5. IF REPORTING ENTITY IN NO. 4 IS SUBAWARDEE, ENTER NAME AND ADDRESS OF PRIME\u003Cbr>  Congressional District, if known |  |  |  |  |  |\n| 6. FEDERAL DEPARTMENT/AGENCY |  |  | 7. FEDERAL PROGRAM NAME/DESCRIPTION\u003Cbr>  CFDA Number, if applicable |  |  |\n| 8. FEDERAL ACTION NUMBER, if known |  |  | 9. AWARD AMOUNT (if known)\u003Cbr>$   |  |  |\n| 10a. NAME AND ADDRESS OF LOBBYING ENTITY\u003Cbr>(if individual last name, first name, MI) |  |  | 10b. INDIVIDUALS PERFORMING SERVICES\u003Cbr>(including address if different from \\#10a) (last name, first name, MI) |  |  |\n\n\n| (Attach Continuation Sheet(s), if necessary) |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| 11. AMOUNT OF PAYMENT (check all that apply)\u003Cbr>$    Actual  Planned |  |  |  |  |  |  |\n| 12. FORM OF PAYMENT (check all that apply)\u003Cbr> a. Cash  b. In-kind; specify: nature   value |  |  |  |  |  |  |\n| 13. TYPE OF PAYMENT (check all that apply)\u003Cbr> a. Retainer  b. One-time fee  c. Commission  d. Contingent fee  e. Deferred  f. Other, specify   |  |  |  |  |  |  |\n| 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. |  |  |  |  |  |  |\n| 15. |  | YES |  | NO CONTINUATION SHEET(S), ATTACHED |  |  |\n| 16. Information requested through this form is authorized by title  31 U.S.C. Section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or 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 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. |  |  |  |  | ORIGINAL SIGNATURE |  |\n|  |  |  |  |  | PRINT NAME OR TYPE |  |\n|  |  |  |  |  | TITLE |  |\n|  |  |  |  |  | TELEPHONE NUMBER | DATE |\n\nINSTRUCTIONS FOR COMPLETION OF ISBE 85-37, DISCLOSURE OF LOBBYING ACTIVITIES  \nThis disclosure form shall be completed by the reporting entity, whether subawardee 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 filing 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 agency, 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 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.  \n1. 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.  \n2.","cbCaicghvr3lN1eb","https://ap.wps.com/l/cbCaicghvr3lN1eb","pdf",329174,"English","# Disclosure of Lobbying Activities\n## Instructions for Completion of ISBE 85-37\n## Form Items to Complete (1-16)","[{\"question\":\"What is the purpose of this lobbying disclosure form?\",\"answer\":\"It is used to disclose lobbying activities pursuant to 31 U.S.C. 1352 for covered federal actions and material changes to prior filings.\"},{\"question\":\"Which reporting details are required for the covered federal action?\",\"answer\":\"The form requires the type of federal action, its status, report type/classification, federal agency and program information, and relevant identifying numbers and award amount when known.\"},{\"question\":\"What information must be provided about payments and the lobbying services?\",\"answer\":\"It requires payment amount and form (e.g., cash or in-kind), type of payment (e.g., retainer, contingent fee, deferred), and a brief description of services with dates and the contacted officers or employees.\"}]","DISCLOSURE OF LOBBYING ACTIVITIES - Nutrition Department - Complete this form | PDF",1791601558]