Information Collection

Form 81-87A, Elevation Form

IC 181697 under ICR 200708-1660-001 · OMB 1660-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 81-87 A Form 81-87A, Elevation Form	Form
81-87 A Elevation Form Form 81-87A.pdf www.fema.gov/plan/prevent/fhm/dl_mt-1.shtm	Form

IC Title:

Form 81-87A, Elevation Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	81-87 A	Elevation Form	Form 81-87A.pdf	http://www.fema.gov/plan/prevent/fhm/dl_mt-1.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: 18,272

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18,272	18,272
Annual IC Time Burden (Hours)	22,840	22,840
Annual IC Cost Burden (Dollars)	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.