Flood Insurance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0120 can be found here:

Documents and Forms

Document Name Document Type
Form N\A Flood Insurance Form and Instruction
N\A Sample Notice of Special Flood Hazards and Availability Sample Notice of Special Flood Hazards and Availability of Federal Disaster Relief Assistance.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Flood Insurance	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 12 CFR 339

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N\A	Sample Notice of Special Flood Hazards and Availability of Federal Disaster Relief	Sample Notice of Special Flood Hazards and Availability of Federal Disaster Relief Assistance.docx		No		Paper Only

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,421	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	150,314	-10,030	160,344
Annual IC Time Burden (Hours)	138,893	89,642	49,251
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.