Information Collection

Economic Injury Disaster Loan Application (EIDL) COVID-19

IC 241540 under ICR 202009-3245-004 · OMB 3245-0406.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3245-0406 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SBA Form 3502 Economic Injury Disaster Loan Application (EIDL) COVID-19	Form and Instruction
SBA Form 3502 COVID-19 EIDL Supporting Info 3245-0406 SBA Form 3502 - COVID-19 EIDL Supporting Info 9-29-2020.pdf www.sba.gov	Form and Instruction
SBA Form 3503 Self-Certification for Verification of Eligible 3245-0406 SBA Form 3503 - Self-Certification for Verification of Elgible 9-29-2020.pdf www.sba.gov	Form and Instruction
Rapid Intake Form 3245-0406 Rapid_Intake_Final_Version w seal 9-29-2020.pdf www.sba.gov	Form and Instruction
SBA Form 3501 COVID-19 EIDL Application 3245-0406 COVID-19 EIDL Application (SBA Form 3501) 9-29-2020.pdf www.sba.gov	Form and Instruction

IC Title:

Economic Injury Disaster Loan Application (EIDL) COVID-19

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SBA Form 3502	COVID-19 EIDL Supporting Info	3245-0406 SBA Form 3502 - COVID-19 EIDL Supporting Info 9-29-2020.pdf	www.sba.gov	Yes	Yes	Printable Only
Form and Instruction	SBA Form 3503	Self-Certification for Verification of Eligible	3245-0406 SBA Form 3503 - Self-Certification for Verification of Elgible 9-29-2020.pdf	www.sba.gov	Yes	Yes	Printable Only
Form and Instruction	N/A	Rapid Intake Form	3245-0406 Rapid_Intake_Final_Version w seal 9-29-2020.pdf	www.sba.gov	Yes	Yes	Printable Only
Form and Instruction	SBA Form 3501	COVID-19 EIDL Application	3245-0406 COVID-19 EIDL Application (SBA Form 3501) 9-29-2020.pdf	www.sba.gov	Yes	Yes	Printable Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,000,000

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	17,000,000	7,000,000	10,000,000
Annual IC Time Burden (Hours)	28,333,333	11,665,666	16,667,667
Annual IC Cost Burden (Dollars)	0	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.