Information Collection

Elevation Certificate

IC 21050 under ICR 201507-1660-003 · OMB 1660-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEAM Form 086-0-33 Elevation Certificate	Form and Instruction
FEAM Form 086-0-33 Elevation Certificate and Instructions FEMA Form 086-0-33Legal.pdf	Form and Instruction

IC Title:

Elevation Certificate

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 61

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 and Instruction	FEAM Form 086-0-33	Elevation Certificate and Instructions	FEMA Form 086-0-33Legal.pdf		Yes	No	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Homeownership Promotion

Privacy Act System of Records

Title: National Flood Insurance Program Files

FR Citation: 80 FR 30091

Number of Respondents: 9,307

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	9,307	2,747	6,560
Annual IC Time Burden (Hours)	34,901	10,301	24,600
Annual IC Cost Burden (Dollars)	3,257,450	961,450	2,296,000

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.