Information Collection

Flood Insurance Preferred Risk Policy Application

IC 189053 under ICR 202006-1660-008 · OMB 1660-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form 086-0-5 Flood Insurance Preferred Risk Policy Application	Form and Instruction
FEMA Form 086-0-5 Flood Insurance Preferred Risk Application FF 086-0-5.pdf	Form and Instruction

IC Title:

Flood Insurance Preferred Risk Policy Application

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 61

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FEMA Form 086-0-5	Flood Insurance Preferred Risk Application	FF 086-0-5.pdf		Yes	Yes	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title: National Flood Insurance Program Files System of Records

FR Citation: 73 FR 77747

Number of Respondents: 37,259

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 18 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	37,259	17,044	20,215
Annual IC Time Burden (Hours)	6,210	2,841	3,369
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.