Information Collection

Military Spouse PPP Self-Certification Checklist

IC 252932 under ICR 202605-0704-005 · OMB 0704-0667.

Documents and Forms

Document Name Document Type
Form DD3145-4 Military Spouse PPP Self-Certification Checklist Military Spouse PPP Self-Certification Checklist Form and Instruction
DD3145-4 Military Spouse PPP Self-Certification Checklist DD3145-4 20230123.PDF Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Military Spouse PPP Self-Certification Checklist	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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	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 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	277,448	0	277,448
Annual IC Time Burden (Hours)	138,724	0	138,724
Annual IC Cost Burden (Dollars)	1,552,322	-1,387	1,553,709

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.

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