OMB control number

Paycheck Protection Program Affiliation Worksheet

OMB 3245-0416 · SBA.

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 2028-11-30 and is listed under ICR 202508-3245-009.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202508-3245-009 Extension without change of a currently approved collection 2025-08-29
202201-3245-005 Extension without change of a currently approved collection 2022-01-31 Approved without change
202106-3245-003 Revision of a currently approved collection 2021-06-28 Approved with change
202012-3245-001 New collection (Request for a new OMB Control Number) 2020-12-08 Approved with change