Manufactured (Mobile) Home/Travel Trailer Worksheet

National Flood Insurance Program Claims Forms

OMB: 1660-0005

IC ID: 180858

Information Collection (IC) Details

View Information Collection (IC)

Manufactured (Mobile) Home/Travel Trailer Worksheet
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 086-0-17 Manufactured (Mobile) Home/Travel Trailer Worksheet FEMA Form 086-0-17.pdf http://www.fema.gov/national-flood-insurance-program/claims-adjuster-forms Yes Yes Fillable Printable

Disaster Management Disaster Preparedness and Planning

National Flood Insurance Program  79 FR 28747

320 0
   
Private Sector Businesses or other for-profits
 
   81 %

  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 320 0 -72 0 0 392
Annual IC Time Burden (Hours) 480 0 284 0 0 196
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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