Application for Participation in the National Flood Insurance Program (NFIP)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FEMA Form 086-0-30 Application for Participation in the National Flood Insurance Program (NFIP)	Form	Modified	Available
Published 60 Day FRN 1660-0004.pdf	Supplementary Document	Uploaded 2018-04-24	Available
Published 30 Day FRN.pdf	Supplementary Document	Uploaded 2018-04-24	Available
2017 Supporting Statement for OMB Collection 1660-0004.docx	Supporting Statement A	Uploaded 2018-04-24	Available
44 CFR Sec 60.6.pdf	Supplementary Document	Uploaded 2014-06-03	Available
44 CFR Sec 60.5.pdf	Supplementary Document	Uploaded 2014-06-03	Available
44 CFR Sec 60.4.pdf	Supplementary Document	Uploaded 2014-06-03	Available
44 CFR 60.3 (2013).pdf	Supplementary Document	Uploaded 2014-06-03	Available
44 CFR 59.22 and 59.24 (2013).pdf	Supplementary Document	Uploaded 2014-06-03	Available
privacy_PIA_fema_nfipits_10122012.pdf	Supplementary Document	Uploaded 2014-06-02	Available
FEMA 496 - Joining the NFIP.pdf	Supplementary Document	Uploaded 2011-02-15	Available
Title 44 CFR Part 59.2.pdf	Supplementary Document	Uploaded 2011-02-15	Available
Narrative of Changes for OMB Collection 1660-0004.docx	Supplementary Document	Uploaded 2014-06-03	Available
privacy_SORN_fema_NFIP_Program_Files_2014.pdf	Supplementary Document	Uploaded 2014-06-02	Available
NFIP Act 1968 and Flood Protection Act.pdf	Supplementary Document	Uploaded 2007-12-19	Available
44 CFR Part 59.22.pdf	Supplementary Document	Uploaded 2007-12-19	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
211773	Floodplain Development Documentation		Unchanged
21042	Application for Participation in the National Flood Insurance Program (NFIP)	Form	Modified

ICR Details

OMB Control No: 1660-0004	ICR Reference No: 201804-1660-002
Status: Active	Previous ICR Reference No: 201402-1660-006
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Application for Participation in the National Flood Insurance Program (NFIP)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/10/2020
	Date Received in OIRA: 01/23/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2023	36 Months From Approved
Responses	88,141	0	0
Time Burden (Hours)	220,461	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The National Flood Insurance Program (NFIP) provides flood insurance to the communities that apply for participation and make a commitment to adopt and enforce land use control measures that are to protect development from future flood damages. The application form will enable FEMA to continue to rapidly process new community applications and to thereby more quickly provide flood insurance protection to the residents in communities.

---

Authorizing Statute(s): PL: Pub.L. 93 - 234 201 Name of Law: National Flood Insurance Program
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 58631	12/13/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 11233	03/14/2018
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Application for Participation in the National Flood Insurance Program (NFIP)	FEMA Form 086-0-30	Application for Participation in the National Flood Insurance Program
Floodplain Development Documentation

---

ICR Summary of Burden

table that charts list of burden

	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	88,141	0	0	0	-165	88,306
Annual Time Burden (Hours)	220,461	0	0	-660	0	221,121
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The number of burden hours has been updated to reflect changing number of respondents and responses received through this collection over time. These changes have occurred naturally, and do not result from specific action taken by FEMA.

---

Annual Cost to Federal Government: $83,041

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/23/2020

---