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OMB Control No: 1660-0006	ICR Reference No: 202212-1660-011
Status: Historical Active	Previous ICR Reference No: 202104-1660-001
Agency/Subagency: DHS/FEMA	Agency Tracking No: BRI
Title: National Flood Insurance Program Policy 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: 02/23/2024
	Date Received in OIRA: 02/23/2023
Terms of Clearance: The agency updated their burden estimate.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2027	36 Months From Approved	05/31/2024
Responses	372,422	0	409,781
Time Burden (Hours)	51,628	0	62,196
Cost Burden (Dollars)	0	0	0

Abstract: To provide for the availability of policies for flood insurance, policies are marketed and administered through the facilities of licensed insurance agents or brokers in the various States. Applications, general change requests, and cancellations from agents or brokers are forwarded to a direct servicing agent designated as fiscal agent by the Federal Insurance and Mitigation Administration (FIMA), referred to as NFIP Direct. Upon receipt and examination of the application, general change request, cancellation, and required premium, the servicing company issues or updates the appropriate Federal flood insurance policy.

Authorizing Statute(s): PL: Pub.L. 90 - 448 1301 Name of Law: Housing and Urban Development Act of 1968
PL: Pub.L. 93 - 234 6500 Name of Law: Flood Disaster Protection Act of 1973

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:
	87 FR 75060	12/07/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 10918	02/22/2023
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Flood Insurance Application	FEMA Form FF-206-FY-21-117 (formerly 086-0-1)
Flood Insurance Cancellation / Nullification Request Form	FEMA Form FF-206-FY-21-118 (formerly 086-0-2)
Flood Insurance General Change Endorsement	FEMA Form FF-206-FY-21-119 (formerly 086-0-3)
Temporary Preferred Risk Policy and Newly Mapped Application	FF 086-0-5, FEMA Form 086-0-5T	,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	372,422	409,781	-37,359	0
Annual Time Burden (Hours)	51,628	62,196	-11,635	1,067
Annual Cost Burden (Dollars)	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: FEMA Form FF-206-FY-21-117 (formerly 086-0-1) (Application) – Incorporates the burden hours formerly associated with temporary FEMA Form 086-0-1/T, which is no longer in use, but its burden hours remain associated with the current form. The burden hours increased by 293 based on the Usability Testing results and correction of errors in the burden estimates (3,812 – 3,519 = 293). FEMA Form FF-206-FY-21-118 (formerly 086-0-2) (Cancellation) – Incorporates the burden hours formerly associated with temporary FEMA Form 086-0-2/T, which is no longer in use, but its burden hours remain associated with the current form. The burden hours increased by 774 based on the Usability Testing results and correction of errors in the burden estimates (4,645 – 3,871 = 774). FEMA Form FF-206-FY-21-119 (formerly 086-0-3) (Endorsement) – Replaces the burden hours formerly associated with temporary FEMA Form 086-0-3/T, which is no longer in use, but its burden hours remain associated with the current form. The burden hours decreased by 8,097 based on a combination of the Usability Testing results and a correction of errors in the burden estimates; also, a decrease in the amount of information requested (eliminating duplicate information) resulted in less time to complete the form (43,171 – 48,595 = -5,424). FEMA Form 086-0-5T (Preferred Risk Policy Application) – This form is no longer in use because FEMA no longer offers the Preferred Risk Policy under the NFIP Risk Rating 2.0: Equity in Action rating methodology. Its removal from this collection reduces burden by 6,211 hours. The number of submitted forms decreased from 37,259 to 0. The number of burden hours has decreased from 6,211 to 0. In summation, a reduction of 10,568 (-6,211 + -4,357) burden hours has been recognized and included as an update to the collection. FEMA Forms FF-206-FY-21-117 (formerly 086-0-1) (Application) - Replaces the burden cost formerly associated with FEMA Form 086-0-1/T. The increase in the annual cost burden is due to the increase in the wage rate. The cost burden has increased from $132,138 to $154,805. FF-206-FY-21-118 (formerly 086-0-2) (Cancellation) - Replaces the burden cost formerly associated with FEMA Form 086-0-2/T. The increase in the annual cost burden is due to the increase in the wage rate. The cost burden has increased from $145,356 to $188,633. FF-206-FY-21-119 (formerly 086-0-3) (Endorsement) - Replaces the burden cost formerly associated with FEMA Form 086-0-3/T. The cost burden has decreased from $1,824,742 to $1,753,174. FEMA Form 086-0-5T Preferred Risk Policy and Newly Mapped Application –The decrease in the annual cost burden is due to the removal of this form from the information collection because the Preferred Risk Policy is no longer available and this form is no longer used under the new rating methodology. The cost burden has decreased from $2,233,223 to $0. In summation, a reduction of $2,238,847 (-$2,233,223 + -$5,624) has been recognized and included as an update to the collection.

Annual Cost to Federal Government: $9,357,010

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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? No

Agency Contact: Krista Robinson 202 394-6377 krista.robinson@fema.dhs.gov

View ICR - OIRA Conclusion