Information Collection

Loan and Payroll Support Applications and Agreements

IC 241028 under ICR 202101-1505-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Loan and Payroll Support Applications and Agreements	Form
Withdrawal Agreement 1505-0263 4003, 4112 & 4113_PSP withdrawal agreement.docx	Form and Instruction
Payroll Support Program Extension (PSP2) Application For 1505-0263 DRAFT PSP2 Application for PSP1 Participants with Taxpyer Protection.docx home.treasury.gov/policy-issues/cares/preserving-jobs-for-american-industry	Form
Payroll Support Program Extension Agreement 1505-0263 - PSP2 Agreement.docx home.treasury.gov/policy-issues/cares/preserving-jobs-for-american-industry	Form and Instruction

IC Title:

Loan and Payroll Support Applications and Agreements

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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Withdrawal Agreement	1505-0263 4003, 4112 & 4113_PSP withdrawal agreement.docx		Yes	Yes	Fillable Fileable
Form	N/A	Payroll Support Program Extension (PSP2) Application Form	1505-0263 DRAFT PSP2 Application for PSP1 Participants with Taxpyer Protection.docx	https://home.treasury.gov/policy-issues/cares/preserving-jobs-for-american-industry	Yes	Yes	Fillable Fileable Signable
Form and Instruction	N/A	Payroll Support Program Extension Agreement	1505-0263 - PSP2 Agreement.docx	https://home.treasury.gov/policy-issues/cares/preserving-jobs-for-american-industry	Yes	Yes	Fillable Fileable Signable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

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 New Statute	Previously Approved
Annual Number of Responses for this IC	30	-970	1,000
Annual IC Time Burden (Hours)	60	-1,940	2,000
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.