Application for Participation in the National Flood Insurance Program (NFIP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0004 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 086-0-30 Application for Participation in the National Flood Insurance Program (NFIP) Form
FEMA Form 086-0-30 Application for Participation in the National Flood Insu FEMA Form 086-0-30 (formerly FF 81-64) 3-29-2011.pdf www.fema.gov/library/viewRecord.do?id=2557 Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Participation in the National Flood Insurance Program (NFIP)	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 59.2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 086-0-30	Application for Participation in the National Flood Insurance Program	FEMA Form 086-0-30 (formerly FF 81-64) 3-29-2011.pdf	http://www.fema.gov/library/viewRecord.do?id=2557	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title: Privacy Act of 1974; Federal Emergency Management Agency003 National Flood Insurance Program Files System of Records	FR Citation: 73 FR 77747

Number of Respondents: 237	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	237	50	187
Annual IC Time Burden (Hours)	948	200	748
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.