FEMA Form 086-0-26A, Elevation Form

Revisions to National Flood Insurance Program Maps: Application Forms and Instructions for (C)LOMAs and (C)LOMR-Fs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0015 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 086-0-26 FEMA Form 086-0-26A, Elevation Form Form and Instruction
FEMA Form 086-0-26 Elevation Form FEMA Form 086-0-26A Draft version 9-30-2017.pdf www.fema.gov/media-library/assets/documents/31858 Form and Instruction

Information Collection (IC) Details

IC Title:	FEMA Form 086-0-26A, Elevation 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:

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 086-0-26A	Elevation Form	FEMA Form 086-0-26A Draft version 9-30-2017.pdf	https://www.fema.gov/media-library/assets/documents/31858	Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 29,941	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	29,941	29,941
Annual IC Time Burden (Hours)	37,426	37,426
Annual IC Cost Burden (Dollars)	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.