FEMA Form 086-0-27C, Coastal Analysis Form

Revision to National Flood Insurance Program Maps: Application Forms and Instructions for LOMRs and CLOMRs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0016 can be found here:

Documents and Forms

Document Name Document Type
Form 086-0-27C FEMA Form 086-0-27C, Coastal Analysis Form Form
Instructions for Completing the Application Forms for CLOMR & LOMR.pdf www.fema.gov/plan/prevent/fhm/frm_form.shtm Instruction
086-0-27C Coastal Analysis Form FEMA Form 086-0-27C, Coastal Analysis Form.pdf www.fema.gov/plan/prevent/fhm/frm_form.shtm Form

Information Collection (IC) Details

IC Title:	FEMA Form 086-0-27C, Coastal Analysis Form	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	086-0-27C	Coastal Analysis Form	FEMA Form 086-0-27C, Coastal Analysis Form.pdf	http://www.fema.gov/plan/prevent/fhm/frm_form.shtm	Yes	No	Fillable Printable
Instruction			Instructions for Completing the Application Forms for CLOMR & LOMR.pdf	http://www.fema.gov/plan/prevent/fhm/frm_form.shtm	No		Printable Only

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	150	-1,530	1,680
Annual IC Time Burden (Hours)	150	-1,530	1,680
Annual IC Cost Burden (Dollars)	6,998	-46,460	53,458

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.