Compliance Reporting and Recordkeeping

CARES Act Loan and Payroll Support Programs for Air Carriers and Other Eligible Businesses

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1505-0263 can be found here:

Documents and Forms

Document Name Document Type
Baseline and Q3 Template Changes Screenshots 101420.docx Other-Screenshots
Q4 and Baseline 4112 Screenshots.pdf Other-Screenshots
Q4 4003-only screenshots.pdf Other-Screenshots
Q4 4112_4003 screenshots.pdf Other-screenshots
4003-4112 Combo Screenshots as of 05212021.pdf Other-Screenshots
4112 Screenshots as of 05202021.pdf Other-Screenshots
Q4 Baseline Screenshots as of 05192021.pdf Other-Screenshots
Q1 2021 4003 Only 05212021.pdf Other-Screenshots

Information Collection (IC) Details

IC Title:	Compliance Reporting and Recordkeeping	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	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots	Baseline and Q3 Template Changes Screenshots 101420.docx	Yes	Yes	Fillable Fileable
Other-Screenshots	Q4 and Baseline 4112 Screenshots.pdf	Yes	Yes	Fillable Fileable
Other-Screenshots	Q4 4003-only screenshots.pdf	Yes	Yes	Fillable Fileable
Other-screenshots	Q4 4112_4003 screenshots.pdf	Yes	Yes	Fillable Fileable
Other-Screenshots	4003-4112 Combo Screenshots as of 05212021.pdf	Yes	Yes	Fillable Fileable
Other-Screenshots	4112 Screenshots as of 05202021.pdf	Yes	Yes	Fillable Fileable
Other-Screenshots	Q4 Baseline Screenshots as of 05192021.pdf	Yes	Yes	Fillable Fileable
Other-Screenshots	Q1 2021 4003 Only 05212021.pdf	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,100	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	Previously Approved
Annual Number of Responses for this IC	4,400	4,400
Annual IC Time Burden (Hours)	17,600	17,600
Annual IC Cost Burden (Dollars)	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.