Information Collection

Flood Insurance General Change Endorsement

IC 189052 under ICR 201006-1660-003 · OMB 1660-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0006 can be found here:

Documents and Forms

Document Name Document Type
Form FEMA Form 086-0-3 Flood Insurance General Change Endorsement Form
FEMA Form 086-0-3 Flood Insurance General Change Endorsement 086-0-3.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Flood Insurance General Change Endorsement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 44 CFR 61

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form 086-0-3	Flood Insurance General Change Endorsement	086-0-3.pdf		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19,920	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 18 %

	Approved	Previously Approved
Annual Number of Responses for this IC	19,920	19,920
Annual IC Time Burden (Hours)	2,988	2,988
Annual IC Cost Burden (Dollars)	6,374,400	6,374,400

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.