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 can be found here.