National Flood Insurance Program Call Center and Agent Referral Enrollment Form

Forms and Documents

Document Name	Status
Form FEMA Form 517-0-1 National Flood Insurance Program Agent Site Registration Form	Modified
Form FEMA Form 512-0-1 National Flood Insurance Program Agent Referral Questionaire Form and Instruction	Modified
DHS-ALL 004, SORN.pdf Supplementary Document	2015-09-17
privacy_PIA_dhs all_contacts lists_20130321.pdf Supplementary Document	2015-09-17
Supporting Statement for OMB Collection 1660-0059,clean.doc Supporting Statement A	2015-09-17
PTA, Floodsmart, 20131212, FINAL.pdf Supplementary Document	2015-09-17
DHS-ALL 002, SORN.pdf Supplementary Document	2015-09-17
Forms Revision Chart for FEMA Form 512-0-1.pdf Supplementary Document	2015-08-28
FEMA NoC Document Narrative of Changes from Last Submission for OMB Collection 1660-0059.docx Supplementary Document	2015-08-28
42 U.S.C. 4001.pdf Supplementary Document	2015-08-28
42 U.S.C. 4002(a)(6).pdf Supplementary Document	2015-08-28
Published 30 Day FRN for OMB Collection 1660-0059.pdf Supplementary Document	2015-09-08
Published 60 Day FRN for OMB Collection 1660-0059, 5-28-2015.pdf Supplementary Document	2015-08-28

IC Document Collections

IC ID	Document Title	Status
21138	National Flood Insurance Program Agent Site Registration Form	Modified
187890	National Flood Insurance Program Agent Referral Questionaire Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0059	ICR Reference No: 201508-1660-002
Status: Historical Active	Previous ICR Reference No: 201206-1660-005
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: National Flood Insurance Program Call Center and Agent Referral Enrollment Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/16/2015
	Date Received in OIRA: 09/30/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2018	36 Months From Approved	11/30/2015
Responses	59,194	0	56,645
Time Burden (Hours)	2,819	0	2,735
Cost Burden (Dollars)	0	0	0

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Abstract: The NFIP Call Center and Agent Referral Enrollment form is used for (1) allows the NFIP to service request for flood insurance information or agents to enroll in the Agent Referral Program and Agent Co-Op Program and for FEMA to follow-up with the agents on referrals that do not lead to policy sales.

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Authorizing Statute(s): US Code: 42 USC 4001 Name of Law: The Flood Disaster Protection Act of 1973
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 30482	05/28/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 53553	09/04/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
National Flood Insurance Program Agent Referral Questionaire	FEMA Form 512-0-1	National Flood Insurance Program Agent Referral Questionnaire
National Flood Insurance Program Agent Site Registration	FEMA Form 517-0-1, FEMA Form 517-0-1 (Electronic)	National Flood Insurance Agent Site Registration ,   NFIP Agent Site Registration

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	59,194	56,645	0	0	2,549	0
Annual Time Burden (Hours)	2,819	2,735	0	0	84	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: For FEMA Form 517-0-1, the increase in agent enrollment is attributed to recent trends as well as an expected increase in agent acquisition efforts. There has been no change in the information being collected. For FEMA Form 512-0-1, there is no change in burden or the data collection itself. However, talking points for the call center have been updated to provide clearer direction for transferring calls to other departments and better customer service to the consumer.

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Annual Cost to Federal Government: $406,941

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/30/2015

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