Information Collection

Loan and Payroll Support Applications and Agreements

IC 241028 under ICR 202504-1505-003 · OMB 1505-0263.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Loan and Payroll Support Applications and Agreements	Form and Instruction
Withdrawal Agreement Loan and Payroll Support Applications and Agreements	Form and Instruction
Payroll Support Program Extension (PSP2) Application Form Loan and Payroll Support Applications and Agreements	Form
Payroll Support Program Extension Agreement Loan and Payroll Support Applications and Agreements	Form and Instruction
Payroll Support Program Extension (PSP2) Application (Online Portal) Loan and Payroll Support Applications and Agreements	Form and Instruction
Payroll Support Program Extension Agreement - Contractors Loan and Payroll Support Applications and Agreements	Form and Instruction
Payroll Support Program Extension Agreement - Air Carriers Loan and Payroll Support Applications and Agreements	Form and Instruction
Payroll Support Program (PSP1) Recall Waiver Form Loan and Payroll Support Applications and Agreements	Form and Instruction
Recertification of PSP1 Sworn Financial Statements Loan and Payroll Support Applications and Agreements	Form and Instruction
Certification of Recall Notice Requirements - Involuntary Furloughs Loan and Payroll Support Applications and Agreements	Form and Instruction
Certification of Recall Notice Requirement - No Involuntary Furloughs Loan and Payroll Support Applications and Agreements	Form and Instruction
Recall Screenshots Loan and Payroll Support Applications and Agreements	Form and Instruction
PSP1 Special Rule Loan and Payroll Support Applications and Agreements	Form and Instruction
Payroll Support Program 3 Agreements Loan and Payroll Support Applications and Agreements	Form and Instruction
PSP1 Award Recertification Loan and Payroll Support Applications and Agreements	Form and Instruction
PSP3 Withdrawal Agreement Loan and Payroll Support Applications and Agreements	Form and Instruction
APRIL 5 2020 special rule reporting email_clean.docx	Other-email template
APRIL 5 2020 special rule reporting email_clean.docx	Other-email template
Withdrawal Agreement 1505-0263 4003, 4112 & 4113_PSP withdrawal agreement.docx	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 (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 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 (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 - Contractor FormofPayrollSupportAgreementContractors.pdf	Form and Instruction
Payroll Support Program Extension Agreement - Air Carrie FormofPayrollSupportAgreementPassengerAirCarriers.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
Payroll Support Program (PSP1) Recall Waiver Form PSP1 Recall Waiver Form v3.pdf	Form and Instruction
Recertification of PSP1 Sworn Financial Statements PSP1 Re-certification Form v2.pptx	Form and Instruction
Recertification of PSP1 Sworn Financial Statements PSP1 Re-certification Form v2.pptx	Form and Instruction
Certification of Recall Notice Requirements - Involuntar 1505-0263 CERTIFICATION OF RECALL NOTICE REQUIREMENT - INVOLUNTARY FURLOUGHS 2021-03-02.docx	Form and Instruction
Certification of Recall Notice Requirements - Involuntar 1505-0263 CERTIFICATION OF RECALL NOTICE REQUIREMENT - INVOLUNTARY FURLOUGHS 2021-03-02.docx	Form and Instruction
Certification of Recall Notice Requirement - No Involunt 1505-0263 CERTIFICATION OF RECALL NOTICE REQUIREMENT - NO INVOLUNTARY FURLOUGHS 2021-03-02.docx	Form and Instruction
Certification of Recall Notice Requirement - No Involunt 1505-0263 CERTIFICATION OF RECALL NOTICE REQUIREMENT - NO INVOLUNTARY FURLOUGHS 2021-03-02.docx	Form and Instruction
Recall Screenshots PSP2 Recall Certification Form v3.pdf	Form and Instruction
Recall Screenshots PSP2 Recall Certification Form v3.pdf	Form and Instruction
PSP1 Special Rule PSP 1 Special Rule Portal with confirmation emails (May)_clean.docx	Form and Instruction
PSP1 Special Rule PSP 1 Special Rule Portal with confirmation emails (May)_clean.docx	Form and Instruction
Payroll Support Program 3 Agreements PSP3 agreement - FINAL.docx	Form and Instruction
Payroll Support Program 3 Agreements PSP3 agreement - FINAL.docx	Form and Instruction
PSP1 Award Recertification PSP1 Carrier Award Certification Portal_Final - 4-28-21.docx	Form and Instruction
PSP1 Award Recertification PSP1 Carrier Award Certification Portal_Final - 4-28-21.docx	Form and Instruction
PSP3 Withdrawal Agreement Template for CARES PSP 3 withdrawal agreement (clean).docx	Form and Instruction
PSP3 Withdrawal Agreement Template for CARES PSP 3 withdrawal agreement (clean).docx	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: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a		Yes	Yes	Fillable Fileable
Form	N/A	https://home.treasury.gov/policy-issues/cares/preserving-jobs-for-american-industry	Yes	Yes	Fillable Fileable Signable
Form and Instruction	N/A	https://home.treasury.gov/policy-issues/cares/preserving-jobs-for-american-industry	Yes	Yes	Fillable Fileable Signable
Form and Instruction	N/A	https://home.treasury.gov/policy-issues/cares/preserving-jobs-for-american-industry	Yes	Yes	Fillable Fileable Signable
Form and Instruction	N/A		Yes	Yes	Fillable Fileable
Form and Instruction	N/A		Yes	Yes	Fillable Fileable
Form and Instruction	N/A		Yes	Yes	Fillable Fileable
Form and Instruction	N/A		Yes	Yes	Fillable Fileable
Form and Instruction	N/A		Yes	Yes	Fillable Fileable Signable
Form and Instruction	N/A		Yes	Yes	Fillable Fileable Signable
Form and Instruction	n/a		Yes	Yes	Fillable Fileable
Other-email template			Yes	Yes	Fillable Fileable
Form and Instruction	n/a		Yes	Yes	Fillable Fileable
Form and Instruction	n/a		Yes	Yes	Fillable Fileable
Form and Instruction	n/a		Yes	Yes	Fillable Fileable
Form and Instruction	n/a		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

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
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1	1
Annual IC Time Burden (Hours)	-2	2
Annual IC Cost Burden (Dollars)	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.

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