Information Collection

Military Spouse PPP Self-Certification Checklist

IC 252932 under ICR 202204-0704-005 · OMB 0704-0667.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0667 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DD3145-4 Military Spouse PPP Self-Certification Checklist	Form and Instruction
DD3145-4 Military Spouse PPP Self-Certification Checklist DD3145-4 20230123.PDF	Form and Instruction
DD3145-4 Military Spouse PPP Self-Certification Checklist DD3145-4 20230123.PDF	Form and Instruction

IC Title:

Military Spouse PPP Self-Certification Checklist

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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	DD3145-4	Military Spouse PPP Self-Certification Checklist	DD3145-4 20230123.PDF		Yes	Yes	Fillable Fileable Signable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 69,362

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	277,448	277,448
Annual IC Time Burden (Hours)	138,724	138,724
Annual IC Cost Burden (Dollars)	1,553,709	1,553,709

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.