Advance Payment Request - Building & Contents

National Flood Insurance Program Claims Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0005 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 086-0-23 Advance Payment Request - Building & Contents Form and Instruction
FEMA Form 086-0-23 Advance Payment Request - Building & Contents FEMA Form 086-0-23.pdf Form and Instruction
FEMA Form 086-0-23 Advance Payment Request - Building & Contents FEMA Form 086-0-23.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Advance Payment Request - Building & Contents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 086-0-23	Advance Payment Request - Building & Contents	FEMA Form 086-0-23.pdf		Yes	No	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,593	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,593	5,593
Annual IC Time Burden (Hours)	951	951
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.