National Flood Insurance Program Agent Referral Questionaire

National Flood Insurance Program Call Center and Agent Referral Enrollment Form

OMB: 1660-0059

IC ID: 187890

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Screenshot
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

National Flood Insurance Program Agent Referral Questionaire
 
No Modified
 
Required to Obtain or Retain Benefits
 
44 CFR Part 62  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction FEMA Form 512-0-1 National Flood Insurance Program Agent Referral Questionnaire FEMA Form 512-0-1.pdf http://www.FloodSmart.gov Yes Yes Fillable Printable
Other-Screenshot FEMA Form 512-0-1 Electronic (online screenshot).docx www.FloodSmart.gov Yes Yes Fillable Printable

Disaster Management Disaster Preparedness and Planning

DHS/ALL-002 - Department of Homeland Security (DHS) Mailing and Other Lists System  73 FR 71659

50,894 0
   
Individuals or Households
 
   50 %

  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 50,894 0 0 0 0 50,894
Annual IC Time Burden (Hours) 2,545 0 0 0 0 2,545
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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