Information Collection

Flood Insurance Preferred Risk Policy Application

IC 189053 under ICR 201611-1660-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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 086-0-5 Flood Insurance Preferred Risk Policy Application Form and Instruction
FEMA Form 086-0-5 Flood Insurance Preferred Risk Application FEMA Form 086-0-5_PRPNewlyMappedApp_opt2_3Aug15_v3.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Flood Insurance Preferred Risk Policy Application	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 and Instruction	FEMA Form 086-0-5	Flood Insurance Preferred Risk Application	FEMA Form 086-0-5_PRPNewlyMappedApp_opt2_3Aug15_v3.pdf		No		Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: National Flood Insurance Program Files System of Records	FR Citation: 73 FR 77747

Number of Respondents: 20,215	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 18 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20,215	16,553	3,662
Annual IC Time Burden (Hours)	3,369	2,757	612
Annual IC Cost Burden (Dollars)	0	0	0

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.