Application Form for Single Residential Lot or Structure Amendments to National Flood Insurance Program

Forms and Documents

Document Name	Status
Form 086-0-22 Application Form for Single Residential Lot or Structure Amendments to National Flood Insurance Program Form	Modified
DHS-FEMA-NFIP-LOMA-1 National Flood Insurance Program Letter of Map Ammendment System of Records 021506 SORN.pdf Supplementary Document	2010-07-28
Narrative of Revisions 1660-0037 7-28-10.docx Supplementary Document	2010-08-17
Titl 44 CFR Part 70.pdf Supplementary Document	2010-07-28
Title 44 CFR Part 65.pdf Supplementary Document	2010-07-28
MT-EZ Instructions_rev_06_22_10.pdf Supplementary Document	2010-07-28
Flood_Disaster_Prot._Act_of_1973.pdf Supplementary Document	2010-07-28
60-day FRN published 5-5-10.pdf Supplementary Document	2010-07-28
30-day FRN pub 7-27-10 75fr44002.pdf Supplementary Document	2010-07-27
Supporting Statement 1660-0037 7-27-10.doc Supporting Statement A	2010-08-17

IC Document Collections

IC ID	Document Title	Status
21103	Application Form for Single Residential Lot or Structure Amendments to National Flood Insurance Program Form	Modified

ICR Details

OMB Control No: 1660-0037	ICR Reference No: 201007-1660-007
Status: Historical Active	Previous ICR Reference No: 200706-1660-005
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Application Form for Single Residential Lot or Structure Amendments to National Flood Insurance Program
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: 09/29/2010
	Date Received in OIRA: 08/17/2010
Terms of Clearance: A one-year approval is granted for the form due to lack of GPEA compliance. Once a means for electronic submission is developed and deployed, the form would be eligible for a three-year approval.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2011	36 Months From Approved	09/30/2010
Responses	37,550	0	26,400
Time Burden (Hours)	45,060	0	31,680
Cost Burden (Dollars)	0	0	0

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Abstract: FEMA Forms 086-0-22 and 086-0-22A are designed to assist respondents in gathering information that FEMA needs to determine whether a certain single-lot property or structure is likely to be flooded during a flood event that has a 1-percent annual chance of being equaled or exceeded in any given year (base flood).

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Authorizing Statute(s): PL: Pub.L. 93 - 234 One Name of Law: Flood Disaster Protection Act of 1973
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 24723	05/05/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 44001	07/27/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application Form for Single Residential Lot or Structure Amendments to National Flood Insurance Program	086-0-22, 086-0-22A	Application Form for Single Residential Lot or Structure Amendments to National Flood Insurance Program Maps ,   Application Form for Single Residential Lot or Structure Amendments to National Flood Insurance Program Maps (Spanish)

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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	37,550	26,400	0	0	11,150	0
Annual Time Burden (Hours)	45,060	31,680	0	0	13,380	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The annual burden hours increased from 31,680 to 45,060, representing an increase of 13,380. This increase, reflected as an adjustment, is due to an increase in estimated annual responses from the previous collection. The increase in the number of responses can be attributed to the issuance of new Flood Insurance Rate Maps (FIRMs) for numerous communities in FY09. The new or revised flood hazard areas had an impact on many homeowners in these communities and therefore an increased number of responses to this collection were received.

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Annual Cost to Federal Government: $218,187

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]? No

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)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 08/17/2010

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