Information Collection

FEMA Form 086-0-27C, Coastal Analysis Form

IC 181702 under ICR 201010-1660-002 · OMB 1660-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0016 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 086-0-27C FEMA Form 086-0-27C, Coastal Analysis Form	Form
Instructions for Completing the Application Forms for CLOMR & LOMR.pdf www.fema.gov/plan/prevent/fhm/frm_form.shtm	Instruction
086-0-27C Coastal Analysis Form FEMA Form 086-0-27C, Coastal Analysis Form.pdf www.fema.gov/plan/prevent/fhm/frm_form.shtm	Form

IC Title:

FEMA Form 086-0-27C, Coastal Analysis Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Part 65 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	086-0-27C	Coastal Analysis Form	FEMA Form 086-0-27C, Coastal Analysis Form.pdf	http://www.fema.gov/plan/prevent/fhm/frm_form.shtm	Yes	No	Fillable Printable
Instruction			Instructions for Completing the Application Forms for CLOMR & LOMR.pdf	http://www.fema.gov/plan/prevent/fhm/frm_form.shtm	No		Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	150	-1,530	1,680
Annual IC Time Burden (Hours)	150	-1,530	1,680
Annual IC Cost Burden (Dollars)	6,998	-46,460	53,458

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.