National Flood Insurance Program Policy Forms

ICR 201611-1660-004

OMB: 1660-0006

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Form and Instruction
Modified
Supporting Statement A
2016-11-30
Supplementary Document
2013-06-25
Supplementary Document
2016-11-30
Supplementary Document
2016-11-30
Supplementary Document
2010-06-09
Supplementary Document
2009-05-06
Supplementary Document
2009-05-06
Supplementary Document
2009-05-06
ICR Details
1660-0006 201611-1660-004
Historical Active 201306-1660-003
DHS/FEMA
National Flood Insurance Program Policy Forms
Revision of a currently approved collection   No
Regular
Approved without change 04/28/2017
Retrieve Notice of Action (NOA) 11/30/2016
  Inventory as of this Action Requested Previously Approved
04/30/2020 36 Months From Approved 04/30/2017
601,067 0 56,122
91,015 0 8,268
6,500 0 6,500

In order to provide for the availability of policies for flood insurance, policies are marketed through the facilities of licensed insurance agents or brokers in the various States. Applications from agents or brokers are forwarded to FEMA. Upon receipt and examination of the application and required premium, FEMA issues the appropriate Federal flood insurance policy.

PL: Pub.L. 90 - 448 1301 Name of Law: Housing and Urban Development Act of 1968
   PL: Pub.L. 93 - 234 6500 Name of Law: Flood Disaster Protection Act of 1973
  
None

Not associated with rulemaking

  81 FR 14459 03/27/2016
81 FR 84603 11/23/2016
No

  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 601,067 56,122 0 544,945 0 0
Annual Time Burden (Hours) 91,015 8,268 0 82,747 0 0
Annual Cost Burden (Dollars) 6,500 6,500 0 0 0 0
Yes
Miscellaneous Actions
No
FEMA Form 086-0-1 (Application) – The increase in burden hours is due to a change in the number of forms submitted and the inclusion of forms submitted electronically via the NFIP Direct Servicing Agent web site at https://www.nfipservices.com/. Previously, only the “paper” forms submitted by mail or fax were reported. The number of submitted forms reported has increased from 5,330 to 29,550. The number of burden hours has increased from 1,066 to 5,910. There are proposed formatting changes and changes to the information being collected to comply with the Biggert-Water Flood Insurance Reform Act of 2012 (BW-12) and the Homeowner Flood Insurance Affordability Act of 2014 (HFIAA). The changes do not change the paperwork burden associated with the forms since there is no significant net change to the information required to be collected on the form, i.e., some items have been added, others have been removed. FEMA Form 086-0-2 (Cancellation) – The increase in burden hours is due to a change in the number of forms submitted and the inclusion of forms submitted electronically via the NFIP Direct Servicing Agent web site at https://www.nfipservices.com/. Previously, only the “paper” forms submitted by mail or fax were reported. The number of submitted forms reported has increased from 21,743 to 40,890. The number of burden hours has increased from 2,718 to 5,111. There are no changes to the information being collected. However, there are proposed formatting changes to the form. FEMA Form 086-0-3 (Endorsement) – The increase in burden hours is due to a change in the number of forms submitted and the inclusion of forms submitted electronically via the NFIP Direct Servicing Agent web site at https://www.nfipservices.com/. Previously, only the “paper” forms submitted by mail or fax were reported. The number of submitted forms reported has increased from 25,377 to 510,402. The number of burden hours has increased from 3,807 to 76,560. There are proposed formatting changes and changes to the information being collected to comply with BW-12 and HFIAA. The changes do not change the paperwork burden associated with the forms since there is no significant net change to the information required to be collected on the form, i.e., some items have been added, others have been removed. FEMA Form 086-0-4 (V-Zone Risk Factor Rating Form) – There is no change in the number of burden hours. The number of forms submitted has remained constant 10. The burden hours have remained constant at 65. FEMA Form 086-0-5 Preferred Risk Application) – The increase in burden hours is due a change in the number of forms submitted and the inclusion of forms submitted electronically via the NFIP Direct Servicing Agent web site at https://www.nfipservices.com/. Previously, only the “paper” forms submitted by mail or fax were reported. The number of submitted forms reported has increased from 3,662 to 20,215. The number of burden hours has increased from 612 to 3,370. There are proposed formatting changes and changes to the information being collected to comply with BW-12 and HFIAA. The changes do not change the paperwork burden associated with the forms since there is no significant net change to the information required to be collected on the form, i.e., some items have been added, others have been removed. FEMA Forms 086-0-1 (Application, 086-0-2 (Cancellation), 086-0-3 (Endorsement), 086-0-5 Preferred Risk Policy and Newly Mapped Application – There is no change to the cost burden; there is no cost to the respondent to submit these forms. The only cost is the amount of the insurance premium received by the NFIP Servicing Agent; it is not a cost to the respondents due to the data collection activity. FEMA Form 086-0-4 (V-Zone Risk Factor Rating Form) – The cost burden has remained the same because there is no change in usage, i.e., the number of forms submitted has remained constant at 10.

$9,782,601
No
No
No
No
No
Uncollected
Millicent Brown 202 646-2814 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
11/30/2016


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