Information Collection

V-Zone Risk Factor Rating Form and Instructions

IC 189055 under ICR 200905-1660-002 · OMB 1660-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 086-0-4 V-Zone Risk Factor Rating Form and Instructions	Form and Instruction
FEMA Form 086-0-4 V-Zone Risk Factor Rating Form and Instructions FF 086-0-4.pdf	Form and Instruction

IC Title:

V-Zone Risk Factor Rating Form and Instructions

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 61

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	FEMA Form 086-0-4	V-Zone Risk Factor Rating Form and Instructions	FF 086-0-4.pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 18 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	130	130
Annual IC Cost Burden (Dollars)	13,000	13,000

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.