Information Collection

Coastal Analysis (Form 4)

IC 181702 under ICR 202312-1660-005 · OMB 1660-0016.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Instructions for Completing the Application Forms for CLOMR & LOMR.pdf www.fema.gov/plan/prevent/fhm/frm_form.shtm	Instruction
FEMA Form FF-206-F Coastal Analysis (Form 4) FEMA Form FF-206-FY-21-103_DRAFT.pdf www.fema.gov/library/viewRecord.do?id=1493	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 Part 65 (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Instruction			Instructions for Completing the Application Forms for CLOMR & LOMR.pdf	http://www.fema.gov/plan/prevent/fhm/frm_form.shtm	No		Printable Only
Form	FEMA Form FF-206-FY-21-103 (formerly 086-0-27C)	Coastal Analysis (Form 4)	FEMA Form FF-206-FY-21-103_DRAFT.pdf	http://www.fema.gov/library/viewRecord.do?id=1493	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 109

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	109	-21	130
Annual IC Time Burden (Hours)	382	-73	455
Annual IC Cost Burden (Dollars)	0	-1,300,000	1,300,000

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.