Paycheck Protection Program Affiliation Worksheet

OMB 3245-0416

During SBA’s review of loans made under the Paycheck Protection Program, SBA will collect information from those Borrowers that have known Affiliates or believed to have Affiliates as defined in 13 CFR 121.301(f). SBA will use the information to review the borrowers' eligibility certifications and compliance with SBA's size and affiliation requirements.

The latest form for Paycheck Protection Program Affiliation Worksheet expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SBA Form 3511 Paycheck Protection Program_Affiliation Worksheet Form and Instruction
3245-0416 Supporting Statement SBA Form 3511 PPP_Affliation Worksheet 1-31-2022.docx Supporting Statement A
Paycheck Protection Program_Affiliation Worksheet Form and Instruction

All Historical Document Collections

202201-3245-005 Approved without change	Extension without change of a currently approved collection	2022-01-31
202106-3245-003 Approved with change	Revision of a currently approved collection	2021-06-28
202012-3245-001 Approved with change	New collection (Request for a new OMB Control Number)	2020-12-08