FEMA Form 086-0-26A, 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⚠️ Notice: This information collection may be referencing outdated material.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 086-0-26A FEMA Form 086-0-26A, Elevation Form Form
086-0-26A Elevation Form FEMA Form 086-0-26A, Elevation Form.pdf www.fema.gov/plan/prevent/fhm/dl_mt-1.shtm Form

Information Collection (IC) Details

IC Title:	FEMA Form 086-0-26A, Elevation 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:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	086-0-26A	Elevation Form	FEMA Form 086-0-26A, Elevation Form.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: 26,870	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	26,870	8,598	18,272
Annual IC Time Burden (Hours)	33,587	10,747	22,840
Annual IC Cost Burden (Dollars)	0	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.