Information Collection

CARES Act: Certification

IC 241263 under ICR 202004-2106-001 · OMB 2106-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2106-0023 can be found here:

Documents and Forms

Document Name Document Type
Form CARES 1 CARES Act: Certification Form and Instruction
CARES 1 Certification PRA - OST - 2106 0023 - CARES Act - Instrument.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CARES Act: Certification	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CARES 1	Certification	PRA - OST - 2106 0023 - CARES Act - Instrument.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	330	330
Annual IC Time Burden (Hours)	1,320	1,320
Annual IC Cost Burden (Dollars)	33,000	33,000

Documents for IC

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.