6600-08 Lobbying Cost Certificate for Indirect Costs

Lobbying Cost Certificate for Indirect Costs
I hereby certify that the __________________________________
(name of organization)

has complied with the requirements and standards on lobbying costs in OMB
Circular A-122 for the fiscal year ended ____________________________
(fiscal year covered by indirect cost proposal)

_______________________

_________________________

Signature

Type or Print Name

____________________________________
Title

_______________________________________
Date

(Signed by the official having the authority to negotiate indirect cost rates for the organization
or by a higher level official)
**Note – The above certification is a requirement of OMB Circular A-122. EPA will not
process your indirect cost proposal without this certification.

Paperwork Reduction Act Burden Statement
The public reporting and record keeping burden for this collection of information is estimated
to average 15 minutes per response. Send comments on the Agency's need for this
information, the accuracy of the provided burden estimates, and any suggested methods for
minimizing respondent burden, including through the use of automated collection techniques
to the Director, Collection Strategies Division, U.S. Environmental Protection Agency
(2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control
number in any correspondence. Do not send the completed form to this address.
EPA Form 6600-08