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 Removed 0 0 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 277 57 0 Form 086-0-21 Adjuster Certification Application
Adjuster Preliminary Damage Assessment Modified 57 14 0 Form 086-0-20 Adjuster Preliminary Damage Assessment
Cause of Loss and Subrogation Report Modified 715 715 0 Form 086-0-16 Cause of Loss and Subrogation Report
Increase of Compliance Proof of Loss Modified 57 114 0 Form 086-0-10 Increase Of Compliance Proof of Loss
Increased Cost of Compliance (ICC) Adjuster Report Modified 57 24 0 Form 086-0-19 Increased Cost of Compliance (ICC) Adjuster Report
Manufactured (Mobile) Home/Travel Trailer Worksheet Modified 392 196 0 Form 086-0-17 Manufactured (Mobile) Home/Travel Trailer Worksheet
Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued) Modified 392 98 0 Form 086-0-18 Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued)
NFIP Claims Appeal Modified 1200 2400 0 Other-Manual
National Flood Insurance Program Final Report Modified 7121 475 0 Form 086-0-14 National Flood Insurance Program Final Report
National Flood Insurance Program Narrative Report Modified 4059 338 0 Form 086-0-15 National Flood Insurance Program Narrative Report
National Flood Insurance Program Preliminary Report Modified 7121 475 0 Form 086-0-13 National Flood Insurance Program Preliminary Report
National Flood Insurance Program Worksheet - Contents - Personal Property Modified 2167 5418 0 Form 086-0-06 National Flood Insurance Program Worksheet - Contents - Personal Property
Notice of Loss Modified 7121 475 0 Form 086-0-11 Notice of Loss
Proof of Loss Modified 7121 593 0 Form 086-0-9 Proof of Loss
Worksheet - Building Modified 5783 14458 0 Form 086-0-07 Building - Worksheet
Worksheet - Building (Continued) Modified 5783 5783 0 Form 086-0-08 NFIP Worksheet Building
Total burden requested under this ICR: 49423 31633 0  
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