View Information Collection Request (ICR) Package

OMB Control No: 1660-0005	ICR Reference No: 202301-1660-007
Status: Active	Previous ICR Reference No: 202007-1660-003
Agency/Subagency: DHS/FEMA	Agency Tracking No: BRI
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 without change	Conclusion Date: 05/19/2023
	Date Received in OIRA: 02/23/2023
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2026	36 Months From Approved	01/31/2024
Responses	302,360	0	313,226
Time Burden (Hours)	309,621	0	316,549
Cost Burden (Dollars)	0	0	0

Abstract: After a flood loss, claims forms are used by NFIP Direct policyholders to provide information needed to investigate, document, evaluate, and adjudicate claims against FEMA policies for flood damage to insured property or determine eligibility and settlement for benefits under Coverage D, Increased Cost of Compliance coverage. After a federally-declared disaster, FEMA inspectors use household inspection instruments to verify applicant information and document damage to determine award eligibility.

Authorizing Statute(s): PL: Pub.L. 108 - 264 205 Name of Law: The Bunning-Bereuter-Blumenauer Flood Insurance Reform Act (FIRA) of 2004
   PL: Pub.L. 93 - 288 101-606 Name of Law: The Robert B. Stafford Disaster Relief Act of 1974
   US Code: 42 USC 4001-4131 Name of Law: National Flood Insurance
   US Code: 42 USC 5174 Name of Law: Federal Assistance to Individuals and Households

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 75281	12/08/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 10923	02/22/2023
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 11

IC Title	Form No.	Form Name
Claim Appeal	FEMA Form FF-206-FY-21-115 (formerly 086-0-25)
Advance Payment Request - Building & Contents	FEMA Form 086-0-23
Advance Payment Request - Increased Cost of Compliance (ICC)	FEMA Form 086-0-24
Increase of Compliance Proof of Loss	FEMA Form FF-206-FY-21-109 (formerly 086-0-10)
Manufactured (Mobile) Home/Travel Trailer Worksheet	FEMA Form FF-206-FY-21-111 (formerly 086-0-17)
NFIP Claims Appeal
National Flood Insurance Program Worksheet - Contents - Personal Property	FEMA Form FF-206-FY-21-106 (formerly 086-0-06)
Notice of Loss	FEMA Form FF-206-FY-21-110 (formerly 086-0-11)
Onsite Housing Inspection	FF-104-FY-22-220 (formerly 009-0-143)
Proof of Loss	FEMA Form FF-206-FY-21-108 (formerly 086-0-9)
Proof of Loss - Building & Contents (Adjuster-Prepared)	FEMA Form FF-206-FY-21-112 (formerly 086-0-22)
Remote Video Telephony Housing Inspection
Remote Voice Telephony Housing Inspection
Worksheet - Building	FEMA Form FF-206-FY-21-107 (formerly 086-0-07)

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	302,360	313,226	-3,753	-7,113
Annual Time Burden (Hours)	309,621	316,549	-3,497	-3,431
Annual Cost Burden (Dollars)	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Cutting Redundancy

Short Statement: On March 22, 2022, the Department of Homeland Security’s (DHS) announced the implementation of the Paperwork Reduction Act (PRA) Burden Reduction Initiative through a memorandum to DHS Component and Office Heads. CIO Hysen announced this Initiative in response to Executive Order (EO) 14058, Transforming Federal Customer Experience and Service Delivery to Rebuild Trust in Government, issued by the President on December 13, 2021. DHS announced that its overall goal was to reduce the burden hours placed on the public in response to requests to collect information by 10% in the next year, which was 20-million hours for DHS as a whole and 2,682,279 hours for FEMA. In compliance with this initiative, FEMA reviewed and assessed the NFIP Direct claim forms and housing inspection instruments in this collection to determine if all were still necessary to fulfill FEMA’s missions, and if there were any opportunities for consolidation, improvement, or other methods of burden reduction. For this submission, FEMA identified two NFIP Direct claim forms in which necessary data could be combined or collected in other forms or systems, thereby eliminating the need for those forms, and reducing duplicative information collection. Accordingly, FEMA proposes to remove the following two forms from this collection: (1) FEMA Form FF-206-FY-21-113 (formerly 086-0-23) Advance Payment Request - Building & Contents, and (2) FEMA Form FF-206-FY-21-114 (formerly 086-0-24) Advance Payment Request - Increased Cost of Compliance (ICC). The NFIP Claims Appeal is outdated and a duplicate version of FF-206-FY-21-115 (formerly 086-0-25) that FEMA should have removed in an earlier revision and is making that correction now. These revisions yield a decrease of -6,928 (-3,431 + -3,497) annual burden hours. This adjustment (decrease) reflects a decrease in estimated NFIP Direct claims volume (and number of respondents) and the discontinuation of information collection in the two Claim Forms where all necessary data collected is incorporated into other forms. Due to the removal of three forms, a projected decrease in NFIP Direct claim volume and update the average hourly wages, these revisions yield a net decrease of -$204,635 (-$147,019 + -$57,616) in total annual respondent costs.

Annual Cost to Federal Government: $103,163,066

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. 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? Yes

Agency Contact: Echo Brathwaite 202 880-6399 echo.brathwaite@fema.dhs.gov

View ICR - OIRA Conclusion