Information Collection Request

National Flood Insurance Program Claims Forms

ICR 202301-1660-007 · OMB 1660-0005 · Historical Active

Forms and Documents

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

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
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 ModifiedOnsite Housing Inspection
242930 Onsite Housing Inspection Form Modified
242929 Claim Appeal Form and Instruction ModifiedClaim Appeal
242929 Claim Appeal Form and Instruction Modified
242917 Advance Payment Request - Increased Cost of Compliance (ICC) Form and Instruction RemovedAdvance Payment Request - Increased Cost of Compliance (ICC)
242917 Advance Payment Request - Increased Cost of Compliance (ICC) Form and Instruction Removed
242916 Advance Payment Request - Building & Contents Form and Instruction RemovedAdvance Payment Request - Building & Contents
242916 Advance Payment Request - Building & Contents Form and Instruction Removed
242915 Proof of Loss - Building & Contents (Adjuster-Prepared) Form ModifiedProof of Loss - Building & Contents (Adjuster-Prepared)
242915 Proof of Loss - Building & Contents (Adjuster-Prepared) Form Modified
21044 National Flood Insurance Program Worksheet - Contents - Personal Property Form ModifiedPersonal Property (Contents) Worksheet
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 ModifiedManufactured (Mobile) Home/Travel Trailer Worksheet
180858 Manufactured (Mobile) Home/Travel Trailer Worksheet Form Modified
180849 Notice of Loss Form ModifiedFirst Notice of Loss
180849 Notice of Loss Form Modified
180848 Increase of Compliance Proof of Loss Form ModifiedProof of Loss - Increased Cost of Compliance (ICC)
180848 Increase of Compliance Proof of Loss Form Modified
180847 Proof of Loss Form ModifiedProof of Loss - Building & Contents (Policyholder-Prepared)
180847 Proof of Loss Form Modified
180842 Worksheet - Building Form ModifiedBuilding Property Worksheet
180842 Worksheet - Building Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2026 36 Months From Approved 01/31/2024
302,360 0 313,226
309,621 0 316,549
0 0 0





Reginfo record details
11
table that charts list of burden
IC Title Form No. Form Name
Claim Appeal FEMA Form FF-206-FY-21-115 (formerly 086-0-25)
Advance Payment Request - Building & Contents FEMA Form 086-0-23
Advance Payment Request - Increased Cost of Compliance (ICC) FEMA Form 086-0-24
Increase of Compliance Proof of Loss FEMA Form FF-206-FY-21-109 (formerly 086-0-10)
Manufactured (Mobile) Home/Travel Trailer Worksheet FEMA Form FF-206-FY-21-111 (formerly 086-0-17)
NFIP Claims Appeal
National Flood Insurance Program Worksheet - Contents - Personal Property FEMA Form FF-206-FY-21-106 (formerly 086-0-06)
Notice of Loss FEMA Form FF-206-FY-21-110 (formerly 086-0-11)
Onsite Housing Inspection FF-104-FY-22-220 (formerly 009-0-143)
Proof of Loss FEMA Form FF-206-FY-21-108 (formerly 086-0-9)
Proof of Loss - Building & Contents (Adjuster-Prepared) FEMA Form FF-206-FY-21-112 (formerly 086-0-22)
Remote Video Telephony Housing Inspection
Remote Voice Telephony Housing Inspection
Worksheet - Building FEMA Form FF-206-FY-21-107 (formerly 086-0-07)

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 302,360 313,226 0 -3,753 -7,113 0
Annual Time Burden (Hours) 309,621 316,549 0 -3,497 -3,431 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No