National Flood Insurance Program Call Center and Agent Referral Enrollment Form

Forms and Documents

Document Name	Status
Form FEMA Form 517-1 Agent Referral Program Enrollment Form Form	Modified
Authority-Sec 2 NFIA of 1968 and 1973.doc Supplementary Document	2009-01-28
30-day FRN 09-jan23.pdf Supplementary Document	2009-01-28
60-day FRN published 10-15-08 1660-0059.pdf Supplementary Document	2009-01-28
Supporting Statement 1660-0059 5-13-09.doc Supporting Statement A	2009-05-13

IC Document Collections

IC ID	Document Title	Status
21138	Agent Referral Program Enrollment Form Form	Modified
187890	National Flood Insurance Program Agent Referral Questionaire Other-Script	New

ICR Details

OMB Control No: 1660-0059	ICR Reference No: 200901-1660-007
Status: Historical Active	Previous ICR Reference No: 200504-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: National Flood Insurance Program Call Center and Agent Referral Enrollment Form
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/10/2009
	Date Received in OIRA: 05/12/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2012	36 Months From Approved
Responses	81,796	0	0
Time Burden (Hours)	3,944	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This collection facilitates the purchasing of flood insurance by connecting buyers and sellers. Potential customers can learn about flood insurance and/or request an agent, and agents can enroll in the referral service and obtain sales leads.

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Authorizing Statute(s): US Code: 42 USC 4001 Name of Law: The Flood Disaster Protection Act of 1973
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 61144	10/15/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 4214	01/23/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
National Flood Insurance Program Agent Referral Questionaire
Agent Referral Program Enrollment Form	FEMA Form 517-1	Agent Referral Program Enrollment Form

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	81,796	0	0	81,796	0	0
Annual Time Burden (Hours)	3,944	0	0	3,944	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Changes in wage rate category values and increase in number of potential respondents targeted by FEMA.

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Annual Cost to Federal Government: $392,201

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/12/2009

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