Form 81-87A, Elevation Form

Revisions to National Flood Insurance Program Maps: Application Forms and Instructions for (C)LOMAs and (C)LOMR-Fs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0015 can be found here:

Documents and Forms

Document Name Document Type
Form 81-87 A Form 81-87A, Elevation Form Form
81-87 A Elevation Form Form 81-87A.pdf www.fema.gov/plan/prevent/fhm/dl_mt-1.shtm Form

Information Collection (IC) Details

IC Title:	Form 81-87A, Elevation Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	81-87 A	Elevation Form	Form 81-87A.pdf	http://www.fema.gov/plan/prevent/fhm/dl_mt-1.shtm	Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18,272	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18,272	18,272
Annual IC Time Burden (Hours)	22,840	22,840
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.