Onsite Housing Inspection

National Flood Insurance Program Claims Forms

Documents and Forms

Document Name Document Type
Form FF-104-FY-22-220 ( Onsite Housing Inspection Form
FF-104-FY-22-220 ( Onsite Housing Inspection FF-104-FY-22-220 (formerly 009-0-143)_ ACE 5 Screens.docx Form
FF-104-FY-22-220 ( Onsite Housing Inspection FF-104-FY-22-220 (formerly 009-0-143)_ ACE 5 Screens.docx Form

Information Collection (IC) Details

IC Title:	Onsite Housing Inspection	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	FF-104-FY-22-220 (formerly 009-0-143)	Onsite Housing Inspection	FF-104-FY-22-220 (formerly 009-0-143)_ ACE 5 Screens.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Repair and Restore

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 171,327	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	171,327	171,327
Annual IC Time Burden (Hours)	171,327	171,327
Annual IC Cost Burden (Dollars)	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.