Information Collection

Application for Participation in the National Flood Insurance Program (NFIP)

IC 21042 under ICR 201402-1660-006 · OMB 1660-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0004 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 086-0-30 Application for Participation in the National Flood Insurance Program (NFIP) Form
FEMA Form 086-0-30 Application for Participation in the National Flood Insu FEMA FORM 086-0-30, 5-29-2014.pdf www.fema.gov/library/viewRecord.do?id=2557 Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Participation in the National Flood Insurance Program (NFIP)	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 59.2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 086-0-30	Application for Participation in the National Flood Insurance Program	FEMA FORM 086-0-30, 5-29-2014.pdf	http://www.fema.gov/library/viewRecord.do?id=2557	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title: DHS/FEMA-003-National Flood Insurance Program Files System of Records	FR Citation: 79 FR 28747

Number of Respondents: 237	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	237	237
Annual IC Time Burden (Hours)	948	948
Annual IC Cost Burden (Dollars)	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.