Information Collection

Loan and Payroll Support Applications and Agreements

IC 241028 under ICR 202101-1505-008 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Loan and Payroll Support Applications and Agreements Form and Instruction
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
Payroll Support Program Extension (PSP2) Application (On 1505-0263 PSP2 Application Portal Screenshots 2021-01-08v2.pptx home.treasury.gov/policy-issues/cares/preserving-jobs-for-american-industry Form and Instruction
Payroll Support Program Extension Agreement - Contractor FormofPayrollSupportAgreementContractors.pdf Form and Instruction
Payroll Support Program Extension Agreement - Air Carrie FormofPayrollSupportAgreementPassengerAirCarriers.pdf Form and Instruction
Payroll Support Program (PSP1) Recall Waiver Form PSP1 Recall Waiver Form v3.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

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
Form and Instruction	N/A	Payroll Support Program Extension (PSP2) Application (Online Portal)	1505-0263 PSP2 Application Portal Screenshots 2021-01-08v2.pptx	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 - Contractors	FormofPayrollSupportAgreementContractors.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Payroll Support Program Extension Agreement - Air Carriers	FormofPayrollSupportAgreementPassengerAirCarriers.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	N/A	Payroll Support Program (PSP1) Recall Waiver Form	PSP1 Recall Waiver Form v3.pdf		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: 600	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	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	1,170	1,170
Annual IC Cost Burden (Dollars)	0	0

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.