Information Collection

Payroll Support Application & Agreement (Sections 4112 & 4113)

IC 241028 under ICR 202004-1505-007 · OMB 1505-0263.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0263 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Payroll Support Application Form Payroll Support Application & Agreement (Sections 4112 & 4113)	Form
Payroll Support Program Agreement Payroll Support Application & Agreement (Sections 4112 & 4113)	Form and Instruction
Supplemental Information for Contractor Applicants Payroll Support Application & Agreement (Sections 4112 & 4113)	Form
Payroll Support Application Form 1505-NEW Air Carrier Payroll Support Application Form_20200330_651p.docx	Form
Payroll Support Program Agreement 1505-0263 CARES Act PSP Agreement 2020-04-14.pdf	Form and Instruction
Supplemental Information for Contractor Applicants 1505-0263 Contractor Information Request Form 2020-04-29.docx	Form

IC Title:

Payroll Support Application & Agreement (Sections 4112 & 4113)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Printable
Form	n/a	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	36,000	36,000
Annual IC Time Burden (Hours)	66,000	66,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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