National Flood Insurance Program Agent Site Registration

National Flood Insurance Program Call Center and Agent Referral Enrollment Form

Documents and Forms

Document Name Document Type
Form FEMA Form 517-0-1 National Flood Insurance Program Agent Site Registration Form
FEMA Form 517-0-1 National Flood Insurance Agent Site Registration FEMA Form 517-0-1 .pdf www.FloodSmart.gov Form
FEMA Form 517-0-1 NFIP Agent Site Registration FEMA Form 517-0-1 (Electronic).docx www.FloodSmart.gov Form

Information Collection (IC) Details

IC Title:	National Flood Insurance Program Agent Site Registration	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 44 CFR Part 62 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 517-0-1	National Flood Insurance Agent Site Registration	FEMA Form 517-0-1 .pdf	http://www.FloodSmart.gov	Yes	No	Fillable Printable
Form	FEMA Form 517-0-1 (Electronic)	NFIP Agent Site Registration	FEMA Form 517-0-1 (Electronic).docx	http://www.FloodSmart.gov	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: DHS/ALL-002 - Department of Homeland Security (DHS) Mailing and Other Lists System	FR Citation: 73 FR 71659

Number of Respondents: 8,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,300	2,549	5,751
Annual IC Time Burden (Hours)	274	84	190
Annual IC Cost Burden (Dollars)	0	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.