Application for Participation in the National Flood Insurance Program (NFIP)

Forms and Documents

Document Name	Status
Form FEMA Form 086-0-30 Application for Participation in the National Flood Insurance Program (NFIP) Form	Modified
FEMA 496 - Joining the NFIP.pdf Supplementary Document	2011-02-15
Title 44 CFR Part 59.2.pdf Supplementary Document	2011-02-15
Supporting Statement 1660-0004, 2-15-2011.doc Supporting Statement A	2011-02-15
Published 30 Day FRN 1660-0004 2-8-11.pdf Supplementary Document	2011-02-15
Drafted Privacy Act Statement for OMB Control# 1660-0004, FEMA Form 086-0-30.pdf Supplementary Document	2011-01-31
Changes to Collection OMB Control# 1660-0004, 1-28-2011.docx Supplementary Document	2011-01-31
SORN 73fr77747 12-19-2008.pdf Supplementary Document	2011-01-31
Published 60-day FRN for OMB Control# 1660-0004, 11-24-2010.pdf Supplementary Document	2011-01-31
NFIP Act 1968 and Flood Protection Act.pdf Supplementary Document	2007-12-19
44 CFR Part 59.22.pdf Supplementary Document	2007-12-19

IC Document Collections

IC ID	Document Title	Status
21042	Application for Participation in the National Flood Insurance Program (NFIP) Form	Modified

ICR Details

OMB Control No: 1660-0004	ICR Reference No: 201101-1660-005
Status: Historical Active	Previous ICR Reference No: 200712-1660-007
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Application for Participation in the National Flood Insurance Program (NFIP)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/06/2011
	Date Received in OIRA: 03/31/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	36 Months From Approved	06/30/2011
Responses	237	0	187
Time Burden (Hours)	948	0	748
Cost Burden (Dollars)	0	0	0

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Abstract: The National Flood Insurance Program (NFIP) provides flood insurance to the communities that apply for participation and make a commitment to adopt and enforce land use control measures that are to protect development from future flood damages. The application form will enable FEMA to continue to rapidly process new community applications and to thereby more quickly provide flood insurance protection to the residents in communities.

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Authorizing Statute(s): PL: Pub.L. 93 - 234 201 Name of Law: National Flood Insurance Program
  

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:
	75 FR 71716	11/24/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 7576	02/10/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for Participation in the National Flood Insurance Program (NFIP)	FEMA Form 086-0-30	Application for Participation in the National Flood Insurance Program

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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	237	187	0	50	0	0
Annual Time Burden (Hours)	948	748	0	200	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: For FEMA Form 086-0-30, the previously approved hour burden was 748 hours; the requested burden is now 948 hours an increase of 200 hours. The increase in burden hours results from an increase in responses due to the map modernization initiative. The map modernization initiative has resulted in an increase in the number of communities being mapped for the first time or remapped. The mapping process raises the awareness of the NFIP program by communities throughout the United States, resulting in an increase in enrollments.

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Annual Cost to Federal Government: $74,788

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 03/31/2011

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