Information Collection Request

National Flood Insurance Program Call Center and Agent Referral Enrollment Form

ICR 201206-1660-005 · OMB 1660-0059 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FEMA Form 517-0-1 Agent Referral Program Enrollment Form Form Modified Available
Form FEMA Form 512-0-1 National Flood Insurance Program Agent Referral Questionaire Form and Instruction Modified Available
44 CFR Part 62.mht Supplementary Document Uploaded 2012-06-25 Source copy available
PTA OMB No. 1660-0059, NFIP Call Center 12112011.doc Supplementary Document Uploaded 2012-06-25 Available
SORN 12192008.mht Supplementary Document Uploaded 2012-06-25 Source copy available
Pub. 30 Day FRN 6-25-2012.pdf Supplementary Document Uploaded 2012-06-25 Available
Pub. 60 Day FRN 04182012.pdf Supplementary Document Uploaded 2012-06-25 Available
Supporting Statement--Revised 062012.doc Supporting Statement A Uploaded 2012-06-25 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
21138 Agent Referral Program Enrollment Form Form Modified
187890 National Flood Insurance Program Agent Referral Questionaire Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2015 36 Months From Approved 08/31/2012
56,645 0 81,796
2,735 0 3,944
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
National Flood Insurance Program Agent Referral Questionaire FEMA Form 512-0-1 National Flood Insurance Program Agent Referral Questionnaire
Agent Referral Program Enrollment Form FEMA Form 517-0-1, FEMA Form 517-0-1 (electronc) National Flood Insurance Agent Site Registration ,   NFIP Agent Site Registration

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 56,645 81,796 0 0 -25,151 0
Annual Time Burden (Hours) 2,735 3,944 0 0 -1,209 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No