Information Collection

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

IC 21103 under ICR 201007-1660-007 · OMB 1660-0037.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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	086-0-22	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 %

table that charts list of burden
	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

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.