Application for Participation in the National Flood Insurance Program (NFIP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0004 can be found here:

Documents and Forms

Document Name Document Type
Form 81-64 Application for Participation in the National Flood Insurance Program (NFIP) Form
81-64 Application for Participation in the National Flood Insu FF 81-64.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Participation in the National Flood Insurance Program (NFIP)	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 64

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	81-64	Application for Participation in the National Flood Insurance Program	FF 81-64.pdf		No		Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 187	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	187	37	150
Annual IC Time Burden (Hours)	748	148	600
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.