Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Statement as to Full Cost of Repair or Replacement under the Replacement Cost Coverage, Subject to the Terms and Conditions of this Policy Modified 2953 295 0 Form 086-0-12 Statement as to Full Cost of Repair or Replacement under the Replacement Cost Coverage, Subject to the Terms and Conditions of this Policy
Adjuster Certification Application Modified 520 130 0 Form 086-0-21 Adjuster Certification Application
Adjuster Preliminary Damage Assessment Modified 5906 1477 0 Form 086-0-20 Adjuster Preliminary Damage Assessment
Cause of Loss and Subrogation Report Modified 1034 1034 0 Form 086-0-16 Cause of Loss and Subrogation Report
Increase of Compliance Proof of Loss Modified 5906 11812 0 Form 086-0-10 Increase Of Compliance Proof of Loss
Increased Cost of Compliance (ICC) Adjuster Report Modified 5906 2481 0 Form 086-0-19 Increased Cost of Compliance (ICC) Adjuster Report
Manufactured (Mobile) Home/Travel Trailer Worksheet Modified 591 296 0 Form 086-0-17 Manufactured (Mobile) Home/Travel Trailer Worksheet
Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued) Modified 591 148 0 Form 086-0-18 Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued)
NFIP Claims Appeal New 900 1800 0
National Flood Insurance Program Final Report Modified 10335 723 0 Form 086-0-14 National Flood Insurance Program Final Report
National Flood Insurance Program Narrative Report Modified 5906 472 0 Form 086-0-15 National Flood Insurance Program Narrative Report
National Flood Insurance Program Preliminary Report Modified 10335 723 0 Form 086-0-13 National Flood Insurance Program Preliminary Report
National Flood Insurance Program Worksheet - Contents - Personal Property Modified 6201 15503 0 Form 086-0-06 National Flood Insurance Program Worksheet - Contents - Personal Property
Notice of Loss Modified 10335 723 0 Form 086-0-11 Notice of Loss
Proof of Loss Modified 10335 827 0 Form 086-0-9 Proof of Loss
Worksheet - Building Modified 9744 24360 0 Form 086-0-07 Building - Worksheet
Worksheet - Building (Continued) Modified 9744 9744 0 Form 086-0-08 NFIP Worksheet Building
Total burden requested under this ICR: 97242 72548 0  
To view an IC, click on IC Title