V-Zone Risk Factor Rating Form and Instructions

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⚠️ Notice: This information collection may be referencing outdated material.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 FEM Form 086-0-4 V-Zone Risk Factor Rating Form and Instructions Form and Instruction
FEM Form 086-0-4 V-Zone Risk Factor Rating Form and Instructions FEMA Form 086-0-4 06252013.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	V-Zone Risk Factor Rating Form and Instructions	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 and Instruction	FEM Form 086-0-4	V-Zone Risk Factor Rating Form and Instructions	FEMA Form 086-0-4 06252013.pdf		Yes	No	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: National Flood Insurance Program Files System of Records	FR Citation: 73 FR 77747

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 18 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-10	20
Annual IC Time Burden (Hours)	65	-65	130
Annual IC Cost Burden (Dollars)	6,500	-6,500	13,000

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.