Form 086-0-29 Community Contact Report

DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY

O.M.B. No. 1660-0023
Expires December 31, 2010

COMMUNITY CONTACT REPORT

PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this data collection is estimated to average 1 hour per response. The burden estimate includes the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form.
This collection of information is required to obtain or retain benefits. You are not required to respond to this collection of information unless it
displays a valid OMB control number. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the
burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street,
SW, Washington, DC 20472, Paperwork Reduction Project (1660-0023) NOTE: Do not send your completed form to this address.
INSTURCTIONS
A community Contact Report indicating the findings must be completed after each community contact. The report should not be completed
during the meeting with the local officials or provided to the local officials to complete. The Community Contact Report and any other relevant
documentation should be completed and on file in the FEMA regional office within 30 days from the date of the contact.
Section I - Self-explanatory.
Section II - "Name of Local Official" is the name of the designated local official with responsibility, authority, and means to implement the
NFIP requirements. "Address" and "Telephone Number" is the address and telephone number of the local official. Attach list of all attendees.
Section II and IV - Self-explanatory.
Section V - This section indicates the date that the CAC is closed. A CAC can be considered closed when all program deficiencies have been
corrected and violations identified have been remedied to the maximum extent possible, and all follow-up action(s) has/have been
completed. The date the CAC is closed shall be completed and initialed by the FEMA regional office ONLY.
Attach any other documentation related to the contact, e.g., chronology of contacts, correspondence, resolutions of issues, community
ordinances.

SECTION I
1. NAME OF COMMUNITY

2. STATE

3. COMMUNITY ID NUMBER

4. COUNTY

5. CONTACT CONDUCTED BY

6. AGENCY

7. DATE OF CONTACT

8. TYPE OF CONTACT
Telephone call only
Brief Visit

SECTION II
9. NAME OF LOCAL OFFICIAL

10. TELEPHONE NUMBER

ATTACH LIST OF THE
ATTENDEES

11. ADDRESS OF LOCAL OFFICIAL

SECTION III - FINDINGS
PART A : Refer to subparagraph 3-4b in the NFIP Guidance for Conducting CAC's and CAV's for guidance in completing questions 1-4. Check appropriate
response.
1. Are there any problems with the communities floodplain management regulations?

SERIOUS

MINOR

NONE

2. Are there problems with the communities administrative and enforcement procedures?

SERIOUS

MINOR

NONE

3. Are there engineering or other problems with the maps or flood insurance study?

SERIOUS

MINOR

NONE

4. Are there any other problems in the community's floodplain management program?

SERIOUS

MINOR

NONE

5. Are there any problems with the Biennial Report data? (Attach a copy of the Biennial report noting the changes in the information)

YES

NO

6. Have the potential violation(s) been identified or are any suspected?

YES

NO

FEMA Form 086-0-29, OCT O8

Previously FF 81-69

SECTION III - CONTINUED
PART B: (Narrative) - Attach a brief narrative statement addressing items 1-4. Identify each page of the narrative with the following: name of community, date
of CAC, and name of person conducting the CAC.
1. Background. Include in this section any relevant background information such as the history of the community's floodplain management program, history
of flooding in the community, a general description of the character of the flood hazard and floodplain development, availability of sites for development outside
the SFHA.
2. Reference Part A, Questions 1-4 and 6. Provide a narrative statement of the findings for any serious, minor, or yes answers in questions 1-4 and 6, or
describe any of there issues related to the community's floodplain management program including any unique or innovative floodplain management
procedures or program.
3. Follow - Up. Provide a narrative statement as to the type of follow-up provided at the time of the CAC or any additional follow-up which is needed to assist
the community in resolving or preventing any further program deficiencies or violations, e.g., community needs assistance in revising its floodplain
management regulations, local flood proofing workshop is needed, local officials need assistance in updating the communities permit procedures. Include a
schedule for completing any follow-up promised to the community, e.g., recommended date for conducting a workshop.
4. Community Action Needed. Provide a narrative statement as to the appropriate community action that should take place to resolve the particular issue or
problems. e.g., revise floodplain management permit form, update floodplain management regulation. Include a schedule setting out the expected time for the
community to resolve the problem or issue, or for which some type of action is expected, e.g., expected date for adoption of the local floodplain management
regulation.
SECTION IV - RECOMMENDED FOLLOW - UP ACTION BY THE COMMUNITY
IS A COMMUNITY ASSISTANCE VISIT NEED? (If yes, give the recommended date and the reason for the needed visit)
YES

NO

Year

REASON:

SECTION V - COMPLETED BY THE FEMA REGIONAL OFFICE
DATE CLOSED

INITIALS