National Flood Insurance Program Policy Forms

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FF 086-0-5 Preferred Risk Policy and Newly Mapped Application	Form and Instruction	Removed	Repair queued
Form FEMA Form 086-0-5T Preferred Risk Policy and Newly Mapped Application	Form and Instruction	Removed	Repair queued
Form FEMA Form 086-0-5T Temporary Preferred Risk Policy and Newly Mapped Application	Form and Instruction	Removed	Repair queued
Form FEMA Form FF-206-F Flood Insurance General Change Endorsement	Form and Instruction	Modified	Available
Form FEMA Form FF-206-F Flood Insurance General Change Endorsement	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-206-F Flood Insurance Cancellation / Nullification Request Form	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-206-F Flood Insurance Cancellation / Nullification Request Form	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-206-F Flood Insurance Application	Form and Instruction	Modified	Repair queued
Form FEMA Form FF-206-F Flood Insurance Application	Form and Instruction	Modified	Repair queued
PN, FEMA - NFIP Policy Forms, 20230221, PRIV Final.pdf	Supplementary Document	Uploaded 2023-02-23	Repair queued
SORN-DHS-FEMA-003 NFIP Files (79 FR 28747, 2014 05 19).pdf	Supplementary Document	Uploaded 2023-02-16	Repair queued
privacy-pia-fema-050-nfippivot-march2018_0.pdf	Supplementary Document	Uploaded 2023-02-16	Repair queued
privacy-pia-fema-048-nfipdirect-october2017.pdf	Supplementary Document	Uploaded 2023-02-16	Repair queued
1660-0006 - BRI Supporting Statement A - 2023 02 23 clean.docx	Supporting Statement A	Uploaded 2023-02-23	Repair queued
1660-0006 - Published 30-Day BRI Revision FRN - 2023 02 22.pdf	Supplementary Document	Uploaded 2023-02-23	Repair queued
1660-0006 - Published 60-Day BRI Revision FRN - 2022 12 07.pdf	Supplementary Document	Uploaded 2022-12-28	Repair queued
PLAW-113publ89.pdf	Supplementary Document	Uploaded 2021-03-29	Repair queued
Public Law 93-234 (87 Stat 975).pdf	Supplementary Document	Uploaded 2021-03-29	Repair queued
USCODE-2010-title42-chap50.pdf	Supplementary Document	Uploaded 2021-03-29	Repair queued
Public Law 90-448 (82 Stat 476).pdf	Supplementary Document	Uploaded 2021-03-29	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
246636	Temporary Preferred Risk Policy and Newly Mapped Application	Form and Instruction	Removed	Preferred Risk Policy and Newly Mapped Application
246636	Temporary Preferred Risk Policy and Newly Mapped Application	Form and Instruction	Removed	Preferred Risk Policy and Newly Mapped Application
246636	Temporary Preferred Risk Policy and Newly Mapped Application	Form and Instruction	Removed
246635	Flood Insurance General Change Endorsement	Form and Instruction	Modified	Flood Insurance General Change Endorsement
246635	Flood Insurance General Change Endorsement	Form and Instruction	Modified
246634	Flood Insurance Cancellation / Nullification Request Form	Form and Instruction	Modified	Flood Insurance Cancellation / Nullification Request Form
246634	Flood Insurance Cancellation / Nullification Request Form	Form and Instruction	Modified
246633	Flood Insurance Application	Form and Instruction	Modified	Flood Insurance Application
246633	Flood Insurance Application	Form and Instruction	Modified

ICR Details

OMB Control No: 1660-0006	ICR Reference No: 202212-1660-011
Status: Historical Active	Previous ICR Reference No: 202104-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No: BRI
Title: National Flood Insurance Program Policy Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/23/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/23/2023
Terms of Clearance: The agency updated their burden estimate.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2027	36 Months From Approved	05/31/2024
Responses	372,422	0	409,781
Time Burden (Hours)	51,628	0	62,196
Cost Burden (Dollars)	0	0	0

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Abstract: To provide for the availability of policies for flood insurance, policies are marketed and administered through the facilities of licensed insurance agents or brokers in the various States. Applications, general change requests, and cancellations from agents or brokers are forwarded to a direct servicing agent designated as fiscal agent by the Federal Insurance and Mitigation Administration (FIMA), referred to as NFIP Direct. Upon receipt and examination of the application, general change request, cancellation, and required premium, the servicing company issues or updates the appropriate Federal flood insurance policy.

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Authorizing Statute(s): PL: Pub.L. 90 - 448 1301 Name of Law: Housing and Urban Development Act of 1968
   PL: Pub.L. 93 - 234 6500 Name of Law: Flood Disaster Protection Act of 1973
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 75060	12/07/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 10918	02/22/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Flood Insurance Application	FEMA Form FF-206-FY-21-117 (formerly 086-0-1)	Flood Insurance Application
Flood Insurance Cancellation / Nullification Request Form	FEMA Form FF-206-FY-21-118 (formerly 086-0-2)	Flood Insurance Cancellation / Nullification Request Form
Flood Insurance General Change Endorsement	FEMA Form FF-206-FY-21-119 (formerly 086-0-3)	Flood Insurance General Change Endorsement
Temporary Preferred Risk Policy and Newly Mapped Application	FF 086-0-5, FEMA Form 086-0-5T	Preferred Risk Policy and Newly Mapped Application ,   Preferred Risk Policy and Newly Mapped Application

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	372,422	409,781	0	-37,359	0	0
Annual Time Burden (Hours)	51,628	62,196	0	-11,635	1,067	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: FEMA Form FF-206-FY-21-117 (formerly 086-0-1) (Application) – Incorporates the burden hours formerly associated with temporary FEMA Form 086-0-1/T, which is no longer in use, but its burden hours remain associated with the current form. The burden hours increased by 293 based on the Usability Testing results and correction of errors in the burden estimates (3,812 – 3,519 = 293). FEMA Form FF-206-FY-21-118 (formerly 086-0-2) (Cancellation) – Incorporates the burden hours formerly associated with temporary FEMA Form 086-0-2/T, which is no longer in use, but its burden hours remain associated with the current form. The burden hours increased by 774 based on the Usability Testing results and correction of errors in the burden estimates (4,645 – 3,871 = 774). FEMA Form FF-206-FY-21-119 (formerly 086-0-3) (Endorsement) – Replaces the burden hours formerly associated with temporary FEMA Form 086-0-3/T, which is no longer in use, but its burden hours remain associated with the current form. The burden hours decreased by 8,097 based on a combination of the Usability Testing results and a correction of errors in the burden estimates; also, a decrease in the amount of information requested (eliminating duplicate information) resulted in less time to complete the form (43,171 – 48,595 = -5,424). FEMA Form 086-0-5T (Preferred Risk Policy Application) – This form is no longer in use because FEMA no longer offers the Preferred Risk Policy under the NFIP Risk Rating 2.0: Equity in Action rating methodology. Its removal from this collection reduces burden by 6,211 hours. The number of submitted forms decreased from 37,259 to 0. The number of burden hours has decreased from 6,211 to 0. In summation, a reduction of 10,568 (-6,211 + -4,357) burden hours has been recognized and included as an update to the collection. FEMA Forms FF-206-FY-21-117 (formerly 086-0-1) (Application) - Replaces the burden cost formerly associated with FEMA Form 086-0-1/T. The increase in the annual cost burden is due to the increase in the wage rate. The cost burden has increased from $132,138 to $154,805. FF-206-FY-21-118 (formerly 086-0-2) (Cancellation) - Replaces the burden cost formerly associated with FEMA Form 086-0-2/T. The increase in the annual cost burden is due to the increase in the wage rate. The cost burden has increased from $145,356 to $188,633. FF-206-FY-21-119 (formerly 086-0-3) (Endorsement) - Replaces the burden cost formerly associated with FEMA Form 086-0-3/T. The cost burden has decreased from $1,824,742 to $1,753,174. FEMA Form 086-0-5T Preferred Risk Policy and Newly Mapped Application –The decrease in the annual cost burden is due to the removal of this form from the information collection because the Preferred Risk Policy is no longer available and this form is no longer used under the new rating methodology. The cost burden has decreased from $2,233,223 to $0. In summation, a reduction of $2,238,847 (-$2,233,223 + -$5,624) has been recognized and included as an update to the collection.

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Annual Cost to Federal Government: $9,357,010

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/23/2023

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