National Flood Insurance Program Claims Forms

ICR 202301-1660-007

OMB: 1660-0005

Federal Form Document

Forms and Documents

Document Name	Status
Form FF-104-FY-22-220 ( Onsite Housing Inspection Form	Modified
Form FEMA Form FF-206-F Claim Appeal Form and Instruction	Modified
Form FEMA Form 086-0-24 Advance Payment Request - Increased Cost of Compliance (ICC) Form and Instruction	Removed
Form FEMA Form 086-0-23 Advance Payment Request - Building & Contents Form and Instruction	Removed
Form FEMA Form FF-206-F Proof of Loss - Building & Contents (Adjuster-Prepared) Form	Modified
Form FEMA Form FF-206-F National Flood Insurance Program Worksheet - Contents - Personal Property Form	Modified
Form FEMA Form FF-206-F Manufactured (Mobile) Home/Travel Trailer Worksheet Form	Modified
Form FEMA Form FF-206-F Notice of Loss Form	Modified
Form FEMA Form FF-206-F Increase of Compliance Proof of Loss Form	Modified
Form FEMA Form FF-206-F Proof of Loss Form	Modified
Form FEMA Form FF-206-F Worksheet - Building Form	Modified
FEMA e(3) Statement NFIP Claims and Claims Appeals (1660-0005) 20200402 FINAL.pdf Supplementary Document	2023-01-25
1660-0005 DHS-FEMA-PIA-050 Privacy Impact Assessment (PIA) NFIP PIVOT System 2018-03-28.pdf Supplementary Document	2023-01-25
1660-0005 DHS-FEMA NFIP System of Records Notice (SORN) 2014-05-19.pdf Supplementary Document	2023-01-25
CFR-2021-title44-vol1-sec206-110.pdf Supplementary Document	2023-01-25
CFR-2021-title44-vol1-part62.pdf Supplementary Document	2023-01-25
CFR-2021-title44-vol1-part61.pdf Supplementary Document	2023-01-25
USCODE-2021-title42-chap68-subchapIV-sec5174.pdf Supplementary Document	2023-01-25
PLAW-93publ288.pdf Supplementary Document	2023-01-25
1660-0005 - Published 30-Day BRI Revision FRN - 2023 02 22.pdf Supplementary Document	2023-02-23
1660-0005 - Published 60-Day BRI Revision FRN - 2022 12 08.pdf Supplementary Document	2023-02-01
1660-0005 - Supporting Statement A - 2023 02 23 clean.docx Supporting Statement A	2023-02-23
PLAW-108publ264.pdf Supplementary Document	2023-01-25
USCODE-2021-title42-chap50.pdf Supplementary Document	2023-01-25

IC Document Collections

IC ID	Document Title	Status
242937	Remote Video Telephony Housing Inspection Other-Video Script	Modified
242931	Remote Voice Telephony Housing Inspection Other-Phone Script	Modified
242930	Onsite Housing Inspection Form	Modified
242929	Claim Appeal Form and Instruction	Modified
242917	Advance Payment Request - Increased Cost of Compliance (ICC) Form and Instruction	Removed
242916	Advance Payment Request - Building & Contents Form and Instruction	Removed
242915	Proof of Loss - Building & Contents (Adjuster-Prepared) Form	Modified
21044	National Flood Insurance Program Worksheet - Contents - Personal Property Form	Modified
208986	NFIP Claims Appeal Other-Manual	Removed
180858	Manufactured (Mobile) Home/Travel Trailer Worksheet Form	Modified
180849	Notice of Loss Form	Modified
180848	Increase of Compliance Proof of Loss Form	Modified
180847	Proof of Loss Form	Modified
180842	Worksheet - Building Form	Modified