Information Collection

30739 NFIP Claim Adjustment_10_05_2021_DOT

IC 252026 under ICR 202109-1090-002 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 30739 NFIP Claim A 30739 NFIP Claim Adjustment_10_05_2021_DOT 30739 NFIP Claim Adjustment_10_05_2021_DOT	Form and Instruction
30739 NFIP Claim A 30739 NFIP Claim Adjustment_10_05_2021_DOT 30739 NFIP Claim Adjustment_10_05_2021_DOT.xlsx	Form and Instruction
1090-0008 Generic Clearance Request Form FEMA FIMA Claim Adjustment (003).pdf 1090-0008 Generic Clearance Request Form FEMA FIMA Claim Adjustment (003)	IC Document
1090-0008 Survey Mapping Document FEMA FIMA _Claim Adjustment.xlsx 1090-0008 Survey Mapping Document FEMA FIMA _Claim Adjustment	IC Document

IC Title:

30739 NFIP Claim Adjustment_10_05_2021_DOT

Agency IC Tracking Number:

30739 NFIP Claim Adjustment_10_05_2021_DOT

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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	30739 NFIP Claim Adjustment_10_05_2021_DOT				Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1090-0008 Generic Clearance Request Form FEMA FIMA Claim Adjustment (003)		03/08/2022
1090-0008 Survey Mapping Document FEMA FIMA _Claim Adjustment		03/08/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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