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Application for Participation in the National Flood Insurance Program (NFIP)
Application for Participation in the National Flood Insurance Program (NFIP)
OMB: 1660-0004
IC ID: 21042
OMB.report
DHS/FEMA
OMB 1660-0004
ICR 201804-1660-002
IC 21042
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0004 can be found here:
2023-06-28 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form FEMA Form 086-0-30
Application for Participation in the National Flood Insurance Program (NFIP)
Form
FEMA Form 086-0-30 Application for Participation in the National Flood Insu
FEMA FORM 086-0-30, 5-29-2014.pdf
www.fema.gov/library/viewRecord.do?id=2557
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Participation in the National Flood Insurance Program (NFIP)
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 59.2
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
FEMA Form 086-0-30
Application for Participation in the National Flood Insurance Program
FEMA FORM 086-0-30, 5-29-2014.pdf
http://www.fema.gov/library/viewRecord.do?id=2557
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Repair and Restore
Privacy Act System of Records
Title:
DHS/FEMA-003-National Flood Insurance Program Files System of Records
FR Citation:
79 FR 28747
Number of Respondents:
72
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
72
0
0
-165
237
0
Annual IC Time Burden (Hours)
288
0
-660
0
948
0
Annual IC Cost Burden (Dollars)
0
0
0
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.