Flood Insurance Application

National Flood Insurance Program Policy Forms

OMB: 1660-0006

IC ID: 43970

Information Collection (IC) Details

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Flood Insurance Application
 
No Modified
 
Required to Obtain or Retain Benefits
 
44 CFR 61

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form FEMA Form 086-0-1 Flood Insurance Application FEMA Form 086-0-1 06252013.pdf www.nfipservices.com Yes Yes Fillable Printable

Disaster Management Disaster Preparedness and Planning

Emergency Management Agency-003 National Flood Insurance Program Files System of Reocrds  73 FR 77747

5,330 0
   
Individuals or Households
 
   18 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,330 0 0 -529 0 5,859
Annual IC Time Burden (Hours) 1,066 0 0 -106 0 1,172
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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