View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1660-0005
ICR Reference No:
201007-1660-006
Status:
Historical Active
Previous ICR Reference No:
200706-1660-006
Agency/Subagency:
DHS/FEMA
Agency Tracking No:
Title:
National Flood Insurance Program Claims Forms
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
10/26/2010
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/27/2010
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2013
36 Months From Approved
10/31/2010
Responses
29,484
0
42,225
Time Burden (Hours)
20,935
0
29,448
Cost Burden (Dollars)
0
0
0
Abstract:
The Claims Forms used for the National Flood Insurance Program are used by policyholders and adjusters to collect the information needed to investigate, document, evaluate, and settle claims against National Flood Insurance Program policies for flood damage to their insured property or qualification for benefits under Increased Cost of Compliance coverage.
Authorizing Statute(s):
US Code:
42 USC 4001
Name of Law: The National Flood Insurance Act of 1968
PL:
Pub.L. 103 - 325 555
Name of Law: National Flood Insurance Reform Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
75 FR 24728
05/05/2010
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 44002
07/27/2010
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
16
IC Title
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
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
086-0-21
Adjuster Certification Application
Adjuster Preliminary Damage Assessment
086-0-20
Adjuster Preliminary Damage Assessment
Cause of Loss and Subrogation Report
086-0-16
Cause of Loss and Subrogation Report
Increase of Compliance Proof of Loss
086-0-10
Increase Of Compliance Proof of Loss
Increased Cost of Compliance (ICC) Adjuster Report
086-0-19
Increased Cost of Compliance (ICC) Adjuster Report
Manufactured (Mobile) Home/Travel Trailer Worksheet
086-0-17
Manufactured (Mobile) Home/Travel Trailer Worksheet
Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued)
086-0-18
Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued)
National Flood Insurance Program Final Report
086-0-14
National Flood Insurance Program Final Report
National Flood Insurance Program Narrative Report
086-0-15
National Flood Insurance Program Narrative Report
National Flood Insurance Program Preliminary Report
086-0-13
National Flood Insurance Program Preliminary Report
National Flood Insurance Program Worksheet - Contents - Personal Property
086-0-06
National Floos Insurance Program Worksheet - Contents - Personal Property
Notice of Loss
086-0-11
Notice of Loss
Proof of Loss
086-0-9
Proof of Loss
Worksheet - Building
086-0-07
Building - Worksheet
Worksheet - Building (Continued)
086-0-08
NFIP Worksheet Building
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
29,484
42,225
0
0
-12,741
0
Annual Time Burden (Hours)
20,935
29,448
0
0
-8,513
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The prior PRA submission included calculations based on the catastrophic events Hurricanes Katrina and Rita. Disaster activity has decreased to more historically normal levels and the new annual burden hours reflect this. The Annual Hour Burden at the time of the last PRA submission was 29,448, the new Annual Hour Burden is 20,935.2 and the net decrease is -8,512.8 hours.
Annual Cost to Federal Government:
$5,303,786
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
Agency Contact:
John Ramsay 202 646-4247 John.Ramsay@dhs.gov
Common Form ICR:
No
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:
08/27/2010