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

Documents and Forms

Document Name Document Type
Form 086-0-22 Application Form for Single Residential Lot or Structure Amendments to National Flood Insurance Program Form
086-0-22 Application Form for Single Residential Lot or Structure FEMA Form 086-0-22.pdf Form
086-0-22A Application Form for Single Residential Lot or Structure FEMA Form 086-0-22A .pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application Form for Single Residential Lot or Structure Amendments to National Flood Insurance Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	086-0-22	Application Form for Single Residential Lot or Structure Amendments to National Flood Insurance Program Maps	FEMA Form 086-0-22.pdf		Yes	No	Fillable Printable
Form	086-0-22A	Application Form for Single Residential Lot or Structure Amendments to National Flood Insurance Program Maps (Spanish)	FEMA Form 086-0-22A .pdf		Yes	No	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: National Flood Insurance Program (NFIP); Letter of Map Ammendment (LOMA) System of Records	FR Citation: 71 FR 790

Number of Respondents: 18,775	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	37,550	11,150	26,400
Annual IC Time Burden (Hours)	45,060	13,380	31,680
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.