FEMA Form 086-0-27D, Coastal Structures Form

Revision to National Flood Insurance Program Maps: Application Forms and Instructions for LOMRs and CLOMRs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0016 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 086-0-27 FEMA Form 086-0-27D, Coastal Structures Form Form and Instruction
Instructions for Completing the Application Forms for CLOMR & LOMR.pdf www.fema.gov/plan/prevent/fhm/frm_form.shtm Instruction
FEMA Form 086-0-27 Coastal Structures Form FEMA Form 086-0-27D OMB Draft version 8-30-2017.pdf www.fema.gov/library/viewRecord.do?id=1493 Form and Instruction

Information Collection (IC) Details

IC Title:	FEMA Form 086-0-27D, Coastal Structures Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR Part 65 (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 and Instruction	FEMA Form 086-0-27D	Coastal Structures Form	FEMA Form 086-0-27D OMB Draft version 8-30-2017.pdf	http://www.fema.gov/library/viewRecord.do?id=1493	Yes	Yes	Fillable Fileable
Instruction			Instructions for Completing the Application Forms for CLOMR & LOMR.pdf	http://www.fema.gov/plan/prevent/fhm/frm_form.shtm	No		Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 65	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	65	-45	110
Annual IC Time Burden (Hours)	455	345	110
Annual IC Cost Burden (Dollars)	325,000	-225,000	550,000

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.