Information Collection

FEMA Form 086-0-28(E), Community Visit Report

IC 21079 under ICR 201311-1660-003 · OMB 1660-0023.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0023 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 086-0-28(E) FEMA Form 086-0-28(E), Community Visit Report	Form
086-0-28(E) Community Visit Report Screenshots for FEMA Form 086-0-28(E), CAV.docx	Form

IC Title:

FEMA Form 086-0-28(E), Community Visit Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	086-0-28(E)	Community Visit Report	Screenshots for FEMA Form 086-0-28(E), CAV.docx		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: 1,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.