View Information Collection (IC)
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Agenda
Reg Review
ICR
View Information Collection (IC)
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:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
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
n/a
Withdrawal Agreement
1505-0263 4003, 4112 & 4113_PSP withdrawal agreement.docx
Yes
Yes
Fillable Fileable
Form
N/A
Payroll Support Program Extension (PSP2) Application Form
1505-0263 DRAFT PSP2 Application for PSP1 Participants with Taxpyer Protection.docx
https://home.treasury.gov/policy-issues/cares/preserving-jobs-for-american-industry
Yes
Yes
Fillable Fileable Signable
Form and Instruction
N/A
Payroll Support Program Extension Agreement
1505-0263 - PSP2 Agreement.docx
https://home.treasury.gov/policy-issues/cares/preserving-jobs-for-american-industry
Yes
Yes
Fillable Fileable Signable
Form and Instruction
N/A
Payroll Support Program Extension (PSP2) Application (Online Portal)
1505-0263 PSP2 Application Portal Screenshots 2021-01-08v2.pptx
https://home.treasury.gov/policy-issues/cares/preserving-jobs-for-american-industry
Yes
Yes
Fillable Fileable Signable
Form and Instruction
N/A
Payroll Support Program Extension Agreement - Contractors
FormofPayrollSupportAgreementContractors.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Payroll Support Program Extension Agreement - Air Carriers
FormofPayrollSupportAgreementPassengerAirCarriers.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Payroll Support Program (PSP1) Recall Waiver Form
PSP1 Recall Waiver Form v3.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Recertification of PSP1 Sworn Financial Statements
PSP1 Re-certification Form v2.pptx
Yes
Yes
Fillable Fileable
Form and Instruction
N/A
Certification of Recall Notice Requirements - Involuntary Furloughs
1505-0263 CERTIFICATION OF RECALL NOTICE REQUIREMENT - INVOLUNTARY FURLOUGHS 2021-03-02.docx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
N/A
Certification of Recall Notice Requirement - No Involuntary Furloughs
1505-0263 CERTIFICATION OF RECALL NOTICE REQUIREMENT - NO INVOLUNTARY FURLOUGHS 2021-03-02.docx
Yes
Yes
Fillable Fileable Signable
Form and Instruction
n/a
Recall Screenshots
PSP2 Recall Certification Form v3.pdf
Yes
Yes
Fillable Fileable
Other-email template
APRIL 5 2020 special rule reporting email_clean.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
PSP1 Special Rule
PSP 1 Special Rule Portal with confirmation emails (May)_clean.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Payroll Support Program 3 Agreements
PSP3 agreement - FINAL.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
PSP1 Award Recertification
PSP1 Carrier Award Certification Portal_Final - 4-28-21.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
PSP3 Withdrawal Agreement
Template for CARES PSP 3 withdrawal agreement (clean).docx
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:
600
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
600
0
0
0
0
600
Annual IC Time Burden (Hours)
1,170
0
0
0
0
1,170
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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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