Information Collection

Emergency and Regular Programs without Base Flood Evalations

IC 21040 under ICR 200706-1660-004 · OMB 1660-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 81-28 Emergency and Regular Program (Without Base Flood Elevations) Emergency and Regular Programs without Base Flood Evalations	Form and Instruction
81-28 Emergency and Regular Program (Without Base Flood Elevat FEMA FORM 81-28 JUNE 07.pdf www.fema.gov/business/nfip/forms.shtm	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 59.22

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	81-28			http://www.fema.gov/business/nfip/forms.shtm	Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,930

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 13 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,965	-7,285	10,250
Annual IC Time Burden (Hours)	5,930	-5,445	11,375
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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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