Information Collection

Proof of Loss

IC 180847 under ICR 202301-1660-007 · OMB 1660-0005.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-206-F Proof of Loss	Form
Form FEMA Form FF-206-F Proof of Loss - Building & Contents (Policyholder-Prepared) Proof of Loss	Form
FEMA Form FF-206-F Proof of Loss - Building & Contents (Policyholder-Prepar FEMA Form FF-206-FY-21-108 (formerly 086-0-09).pdf www.fema.gov/national-flood-insurance-program/claims-adjuster-forms	Form
FEMA Form FF-206-F Proof of Loss - Building & Contents (Policyholder-Prepar FEMA Form FF-206-FY-21-108 (formerly 086-0-09).pdf www.fema.gov/national-flood-insurance-program/claims-adjuster-forms	Form

IC Title:

Proof of Loss

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	FEMA Form FF-206-FY-21-108 (formerly 086-0-9)			http://www.fema.gov/national-flood-insurance-program/claims-adjuster-forms	Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title: National Flood Insurance Program

FR Citation: 79 FR 28747

Number of Respondents: 338

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	338	-62	400
Annual IC Time Burden (Hours)	85	17	68
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.

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