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Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued)
National Flood Insurance Program Claims Forms
OMB: 1660-0005
IC ID: 180859
OMB.report
DHS/FEMA
OMB 1660-0005
ICR 201704-1660-001
IC 180859
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0005 can be found here:
2023-02-23 - Revision of a currently approved collection
2020-07-31 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 086-0-18
Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued)
Form
086-0-18 Manufactured (Mobile) Home/Travel Trailer Worksheet (Con
FEMA FORM 086-0-18 Draft version 12-22-2016.pdf
www.fema.gov/national-flood-insurance-program/claims-adjuster-forms
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
086-0-18
Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued)
FEMA FORM 086-0-18 Draft version 12-22-2016.pdf
http://www.fema.gov/national-flood-insurance-program/claims-adjuster-forms
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Disaster Management
Subfunction:
Disaster Preparedness and Planning
Privacy Act System of Records
Title:
National Flood Insurance Program
FR Citation:
79 FR 28747
Number of Respondents:
392
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
81 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
392
0
-199
0
0
591
Annual IC Time Burden (Hours)
98
0
-50
0
0
148
Annual IC Cost Burden (Dollars)
0
0
0
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.