Information Collection Request

CARES Act Loan and Payroll Support Programs for Air Carriers and Other Eligible Businesses

ICR 202309-1505-001 · OMB 1505-0263 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Quarterly Report Closeout Report Form Modified Available
Q4 2021 Template - 4112 Only Form Modified Available
Q4 2021 Template - 4003 Only Form Modified Available
Q4 2021 Template - 4003 and 4112 Form Modified Available
PSP3 Withdrawal Agreement Form and Instruction Unchanged Available
PSP1 Award Recertification Form and Instruction Unchanged Available
Payroll Support Program 3 Agreements Form and Instruction Unchanged Available
PSP1 Special Rule Form and Instruction Unchanged Available
Recall Screenshots Form and Instruction Unchanged Available
Certification of Recall Notice Requirement - No Involuntary Furloughs Form and Instruction Unchanged Available
Certification of Recall Notice Requirements - Involuntary Furloughs Form and Instruction Unchanged Available
Recertification of PSP1 Sworn Financial Statements Form and Instruction Unchanged Available
Payroll Support Program (PSP1) Recall Waiver Form Form and Instruction Unchanged Available
Payroll Support Program Extension Agreement - Air Carriers Form and Instruction Unchanged Available
Payroll Support Program Extension Agreement - Contractors Form and Instruction Unchanged Available
Payroll Support Program Extension (PSP2) Application (Online Portal) Form and Instruction Unchanged Available
Payroll Support Program Extension Agreement Form and Instruction Unchanged Available
Payroll Support Program Extension (PSP2) Application Form Form Unchanged Available
Withdrawal Agreement Form and Instruction Unchanged Available
Loan and Payroll Support Applications and Agreements Form and Instruction Unchanged Repair queued
1505-0263 Non-substantive Change Justification 2023-09-07 FINAL.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-09-15 Repair queued
1505-0263 SS - CARES Act Loan and Payroll Support and PSP2 and PSP3_-01-31-22_v1.docx Supporting Statement A Uploaded 2022-01-31 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
241274 Compliance Reporting and Recordkeeping Form ModifiedQuarterly Report Closeout Report
241274 Compliance Reporting and Recordkeeping Form ModifiedQ4 2021 Template - 4112 Only
241274 Compliance Reporting and Recordkeeping Form ModifiedQ4 2021 Template - 4003 Only
241274 Compliance Reporting and Recordkeeping Form ModifiedQ4 2021 Template - 4003 and 4112
241274 Compliance Reporting and Recordkeeping Other-Screenshots Modified
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedPSP3 Withdrawal Agreement
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedPSP1 Award Recertification
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedPayroll Support Program 3 Agreements
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedPSP1 Special Rule
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedRecall Screenshots
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedCertification of Recall Notice Requirement - No Involuntary Furloughs
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedCertification of Recall Notice Requirements - Involuntary Furloughs
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedRecertification of PSP1 Sworn Financial Statements
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedPayroll Support Program (PSP1) Recall Waiver Form
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedPayroll Support Program Extension Agreement - Air Carriers
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedPayroll Support Program Extension Agreement - Contractors
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedPayroll Support Program Extension (PSP2) Application (Online Portal)
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedPayroll Support Program Extension Agreement
241028 Loan and Payroll Support Applications and Agreements Form UnchangedPayroll Support Program Extension (PSP2) Application Form
241028 Loan and Payroll Support Applications and Agreements Form and Instruction UnchangedWithdrawal Agreement
241028 Loan and Payroll Support Applications and Agreements Form and Instruction Unchanged
241028 Loan and Payroll Support Applications and Agreements Other-email template Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2025 04/30/2025 04/30/2025
2,801 0 2,801
11,902 0 11,902
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Compliance Reporting and Recordkeeping NA, NA, NA, N/A ,   ,   ,  
Loan and Payroll Support Applications and Agreements n/a, N/A, n/a, N/A, N/A, N/A, N/A, N/A, N/A, N/A, N/A, n/a, n/a, n/a, n/a ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,801 2,801 0 0 0 0
Annual Time Burden (Hours) 11,902 11,902 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No