Closed-Basin Lake Endorsement

ICR 200008-3067-004

OMB: 3067-0281

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
32100 Migrated
ICR Details
3067-0281 200008-3067-004
Historical Active 200303-1660-050
FEMA
Closed-Basin Lake Endorsement
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/05/2000
Retrieve Notice of Action (NOA) 08/18/2000
  Inventory as of this Action Requested Previously Approved
12/31/2003 12/31/2003
300 0 0
235 0 0
0 0 0

This endorsement allows a policyholder to file a total lose claim for an insured building that is actually damaged or under imminent threat of flooding, without the requirement for the building to be continously imundated for 90 days. The claim payment must be used by the policyholder to relocate the struc- ture out of the flood area.

None
None


No

1
IC Title Form No. Form Name
Closed-Basin Lake Endorsement 81-42, 81-42A, 81-43

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 300 0 0 300 0 0
Annual Time Burden (Hours) 235 0 0 235 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/18/2000


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