Information Collection

Manufactured (Mobile) Home/Travel Trailer Worksheet

IC 180858 under ICR 201007-1660-006 · OMB 1660-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0005 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 086-0-17 Manufactured (Mobile) Home/Travel Trailer Worksheet	Form
086-0-17 Manufactured (Mobile) Home/Travel Trailer Worksheet 086-0-17.pdf	Form

IC Title:

Manufactured (Mobile) Home/Travel Trailer Worksheet

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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	086-0-17	Manufactured (Mobile) Home/Travel Trailer Worksheet	086-0-17.pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title: National Flood Insurance Program

FR Citation: 74 FR 77747

Number of Respondents: 208

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 81 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	208	-92	300
Annual IC Time Burden (Hours)	104	-46	150
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.