Information Collection

Proof of Loss

IC 180847 under ICR 202301-1660-007 · OMB 1660-0005.

Documents and Forms

Document Name Document Type
Form FEMA Form FF-206-F Proof of Loss Form
FEMA Form FF-206-F Proof of Loss - Building & Contents (Policyholder-Prepar FEMA Form FF-206-FY-21-108 (formerly 086-0-09).pdf www.fema.gov/national-flood-insurance-program/claims-adjuster-forms Form
FEMA Form FF-206-F Proof of Loss - Building & Contents (Policyholder-Prepar FEMA Form FF-206-FY-21-108 (formerly 086-0-09).pdf www.fema.gov/national-flood-insurance-program/claims-adjuster-forms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Proof of Loss	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FEMA Form FF-206-FY-21-108 (formerly 086-0-9)	Proof of Loss - Building & Contents (Policyholder-Prepared)	FEMA Form FF-206-FY-21-108 (formerly 086-0-09).pdf	http://www.fema.gov/national-flood-insurance-program/claims-adjuster-forms	Yes	No	Fillable Printable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title: National Flood Insurance Program	FR Citation: 79 FR 28747

Number of Respondents: 338	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	338	-62	400
Annual IC Time Burden (Hours)	85	17	68
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.