Information Collection

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

IC 242915 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 - 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

IC Title:

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:

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-21-112 (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 %

table that charts list of burden
	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

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.