Proof of Loss - Building & Contents (Adjuster-Prepared)

National Flood Insurance Program Claims Forms

Documents and Forms

Document Name Document Type
Form FEMA Form FF-206-F Proof of Loss - Building & Contents (Adjuster-Prepared) Form
FEMA Form FF-206-F Proof of Loss - Building & Contents (Adjuster-Prepared) FEMA Form FF-206-FY-21-112 (formerly 086-0-22).pdf www.fema.gov/flood-insurance/find-form/adjusters Form
FEMA Form FF-206-F Proof of Loss - Building & Contents (Adjuster-Prepared) FEMA Form FF-206-FY-21-112 (formerly 086-0-22).pdf www.fema.gov/flood-insurance/find-form/adjusters Form

Information Collection (IC) Details

IC Title:	Proof of Loss - Building & Contents (Adjuster-Prepared)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 62.20

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form FF-206-FY-21-112 (formerly 086-0-22)	Proof of Loss - Building & Contents (Adjuster-Prepared)	FEMA Form FF-206-FY-21-112 (formerly 086-0-22).pdf	https://www.fema.gov/flood-insurance/find-form/adjusters	Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,388	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4,388	-806	5,194
Annual IC Time Burden (Hours)	1,097	681	416
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.