Flood Insurance Cancellation / Nullification Request

National Flood Insurance Program Policy Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0006 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 086-0-2 Flood Insurance Cancellation / Nullification Request Form
FEMA Form 086-0-2 Flood Insurance Cancellation/Nullification Request Form FEMA Form 086-0-2 06252013.pdf www.nfipservices.com Form

Information Collection (IC) Details

IC Title:	Flood Insurance Cancellation / Nullification Request	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 61

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 086-0-2	Flood Insurance Cancellation/Nullification Request Form	FEMA Form 086-0-2 06252013.pdf	http://www.nfipservices.com	Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 21,743	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 18 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	21,743	18,785	2,958
Annual IC Time Burden (Hours)	2,718	2,348	370
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.