Flood Insurance General Change Endorsement

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⚠️ Notice: This information collection may be referencing outdated material.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 086-0-3 Flood Insurance General Change Endorsement Form
FEMA Form 086-0-3 Flood Insurance General Change Endorsement FEMA Form 086-0-3 06252013.pdf www.nfipservices.com Form

Information Collection (IC) Details

IC Title:	Flood Insurance General Change Endorsement	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 086-0-3	Flood Insurance General Change Endorsement	FEMA Form 086-0-3 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: National Flood Insurance Program	FR Citation: 73 FR 77747

Number of Respondents: 25,377	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	25,377	5,457	19,920
Annual IC Time Burden (Hours)	3,807	819	2,988
Annual IC Cost Burden (Dollars)	0	-6,374,400	6,374,400

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.