Information Collection

Residential Basement Floodproofing Certificate

IC 21096 under ICR 202403-1660-003 · OMB 1660-0033.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FEMA Form FF-206-F Residential Basement Floodproofing Certificate	Form
FEMA Form FF-206-F Residential Basement Floodproofing Certificate FEMA Form FF-206-FY-21-122_DRAFT.pdf www.fema.gov/pdf/nfip/manual200505/08cert.pdf	Form
FEMA Form FF-206-F Residential Basement Floodproofing Certificate FEMA Form FF-206-FY-21-122_DRAFT.pdf www.fema.gov/pdf/nfip/manual200505/08cert.pdf	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 60.3 44 CFR 60.6

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-21-122 (formerly 086-0-24)	Residential Basement Floodproofing Certificate	FEMA Form FF-206-FY-21-122_DRAFT.pdf	http://www.fema.gov/pdf/nfip/manual200505/08cert.pdf	Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records

Title: National Flood Insurance Program Files System of Records Notice

FR Citation: 73 FR 77747

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	-90	100
Annual IC Time Burden (Hours)	25	-300	325
Annual IC Cost Burden (Dollars)	5,000	-30,000	35,000

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.