Information Collection Request

National Flood Insurance Program Claims Forms

ICR 202301-1660-007 · OMB 1660-0005 · Received in OIRA

Forms and Documents

Document	Type	Status	Availability
Form FF-104-FY-22-220 ( Onsite Housing Inspection	Form	Modified	Repair queued
Form FEMA Form FF-206-F Claim Appeal	Form and Instruction	Modified	Repair queued
Form FEMA Form 086-0-24 Advance Payment Request - Increased Cost of Compliance (ICC)	Form and Instruction	Removed	Repair queued
Form FEMA Form 086-0-23 Advance Payment Request - Building & Contents	Form and Instruction	Removed	Repair queued
Form FEMA Form FF-206-F Proof of Loss - Building & Contents (Adjuster-Prepared)	Form	Modified	Repair queued
Form FEMA Form FF-206-F National Flood Insurance Program Worksheet - Contents - Personal Property	Form	Modified	Missing upstream
Form FEMA Form FF-206-F Manufactured (Mobile) Home/Travel Trailer Worksheet	Form	Modified	Repair queued
Form FEMA Form FF-206-F Notice of Loss	Form	Modified	Repair queued
Form FEMA Form FF-206-F Increase of Compliance Proof of Loss	Form	Modified	Repair queued
Form FEMA Form FF-206-F Proof of Loss	Form	Modified	Repair queued
Form FEMA Form FF-206-F Worksheet - Building	Form	Modified	Missing upstream
FEMA e(3) Statement NFIP Claims and Claims Appeals (1660-0005) 20200402 FINAL.pdf	Supplementary Document	Uploaded 2023-01-25	Repair queued
1660-0005 DHS-FEMA-PIA-050 Privacy Impact Assessment (PIA) NFIP PIVOT System 2018-03-28.pdf	Supplementary Document	Uploaded 2023-01-25	Repair queued
1660-0005 DHS-FEMA NFIP System of Records Notice (SORN) 2014-05-19.pdf	Supplementary Document	Uploaded 2023-01-25	Repair queued
CFR-2021-title44-vol1-sec206-110.pdf	Supplementary Document	Uploaded 2023-01-25	Missing upstream
CFR-2021-title44-vol1-part62.pdf	Supplementary Document	Uploaded 2023-01-25	Repair queued
CFR-2021-title44-vol1-part61.pdf	Supplementary Document	Uploaded 2023-01-25	Missing upstream
USCODE-2021-title42-chap68-subchapIV-sec5174.pdf	Supplementary Document	Uploaded 2023-01-25	Repair queued
PLAW-93publ288.pdf	Supplementary Document	Uploaded 2023-01-25	Repair queued
1660-0005 - Published 30-Day BRI Revision FRN - 2023 02 22.pdf	Supplementary Document	Uploaded 2023-02-23	Missing upstream
1660-0005 - Published 60-Day BRI Revision FRN - 2022 12 08.pdf	Supplementary Document	Uploaded 2023-02-01	Missing upstream
1660-0005 - Supporting Statement A - 2023 02 23 clean.docx	Supporting Statement A	Uploaded 2023-02-23	Repair queued
PLAW-108publ264.pdf	Supplementary Document	Uploaded 2023-01-25	Repair queued
USCODE-2021-title42-chap50.pdf	Supplementary Document	Uploaded 2023-01-25	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
242937	Remote Video Telephony Housing Inspection	Other-Video Script	Modified
242931	Remote Voice Telephony Housing Inspection	Other-Phone Script	Modified
242930	Onsite Housing Inspection	Form	Modified
242929	Claim Appeal	Form and Instruction	Modified
242917	Advance Payment Request - Increased Cost of Compliance (ICC)	Form and Instruction	Removed
242916	Advance Payment Request - Building & Contents	Form and Instruction	Removed
242915	Proof of Loss - Building & Contents (Adjuster-Prepared)	Form	Modified
21044	National Flood Insurance Program Worksheet - Contents - Personal Property	Form	Modified
208986	NFIP Claims Appeal	Other-Manual	Removed
180858	Manufactured (Mobile) Home/Travel Trailer Worksheet	Form	Modified
180849	Notice of Loss	Form	Modified
180848	Increase of Compliance Proof of Loss	Form	Modified
180847	Proof of Loss	Form	Modified
180842	Worksheet - Building	Form	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	DHS/FEMA
OMB Control No	1660-0005
Type of Information Collection	Revision of a currently approved collection
Previous ICR Reference No	202007-1660-003
Agency Tracking No	BRI
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31