Revisions to National Flood Insurance Program Maps: Application Forms and Instructions for (C)LOMAs and (C)LOMR-Fs

Forms and Documents

Document Name	Status
Form 81-87 Form 81-87, Property Information Form Form	Modified
Form Online LOMA/LOMR-F On-line LOMA/LOMR-F Tutorial Form and Instruction	New
Form 81-87B Form 81-87 B, Community Acknowledgement Form Form	New
Form 81-87 A Form 81-87A, Elevation Form Form	New
Supporting Statement 1660-0015-November 20, 2007.doc Supporting Statement A	2007-11-20
Published 30 Day FRN 1660-0015.pdf Supplementary Document	2007-09-10
Regulations 65&70.pdf Supplementary Document	2007-08-16
Published 60 day FRN.pdf Supplementary Document	2007-08-15

IC Document Collections

IC ID	Document Title	Status
21064	Form 81-87, Property Information Form Form	Modified
181699	On-line LOMA/LOMR-F Tutorial Form and Instruction	New
181698	Form 81-87 B, Community Acknowledgement Form Form	New
181697	Form 81-87A, Elevation Form Form	New

ICR Details

OMB Control No: 1660-0015	ICR Reference No: 200708-1660-001
Status: Historical Active	Previous ICR Reference No: 200512-1660-004
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Revisions to National Flood Insurance Program Maps: Application Forms and Instructions for (C)LOMAs and (C)LOMR-Fs
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/20/2007
	Date Received in OIRA: 09/10/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	36 Months From Approved	12/31/2007
Responses	41,633	0	39,933
Time Burden (Hours)	58,150	0	58,150
Cost Burden (Dollars)	8,987,400	0	8,222,000

---

Abstract: The application/certification forms (referred to as MT-1 series forms) are designed to assist requestors in gathering information that FEMA needs to determine whether a certain property is likely to be flooded during a flood event that has a 1 percent change of being equaled or exceeded in any given year (base flood).

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 34699	06/25/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 50689	09/04/2007
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
On-line LOMA/LOMR-F Tutorial	Online LOMA/LOMR-F Tutorial	Online LOMA/LOMR-F Tutorial
Form 81-87, Property Information Form	81-87	Property Information Form
Form 81-87 B, Community Acknowledgement Form	81-87B	Community Acknowledgement Form
Form 81-87A, Elevation Form	81-87 A	Elevation Form

---

ICR Summary of Burden

	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	41,633	39,933	0	1,700	0	0
Annual Time Burden (Hours)	58,150	58,150	0	0	0	0
Annual Cost Burden (Dollars)	8,987,400	8,222,000	0	765,400	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: An program was made to this information collection to capture the correct purchasing of service cost to respondents. The total number of respondents included for this cost should have been 19,972. The total cost should be 8,987,400. (19,972x $450) vs. 8,222,000. An increase of +$765,400 was included in purchasing of service cost to respondents for this collection. The total number of responses for this information collection is 41,633 vs. 39,633. This additional response include 1,700 responses for the On-Line Tutorial.

---

Annual Cost to Federal Government: $140,895

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/10/2007

---