
[Federal Register: July 27, 2010 (Volume 75, Number 143)]
[Notices]               
[Page 44002]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr27jy10-116]                         

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DEPARTMENT OF HOMELAND SECURITY

Federal Emergency Management Agency

[Docket ID: FEMA-2010-0016]

 
Agency Information Collection Activities: Submission for OMB 
Review; Comment Request, OMB No. 1660-0005; National Flood Insurance 
Program--Claim Forms

AGENCY: Federal Emergency Management Agency, DHS.

ACTION: Notice; 30-day notice and request for comments; revision of a 
currently approved information collection; OMB No. 1660-0005; FEMA Form 
086-0-6 (formerly 81-40) National Flood Insurance Program Worksheet-
Contents-Personal Property; 086-0-7 (formerly 81-41) Worksheet--
Building; 086-0-8 (formerly 81-41A) Worksheet--Building (Continued); 
086-0-9 (formerly 81-42) Proof of Loss; 086-0-10 (formerly 81-42A) 
Increased Cost of Compliance Proof of Loss; 086-0-11 (formerly 81-43) 
Notice of Loss; 086-0-12 (formerly 81-44) Statement as to Full Cost of 
Repair or Replacement under the Replacement Cost Coverage, Subject to 
the Terms and Conditions of this Policy; 086-0-13 (formerly 81-57) 
National Flood Insurance Program Preliminary Report; 086-0-14 (formerly 
81-58) National Flood Insurance Program Final Report; 086-0-15 
(formerly 81-59) National Flood Insurance Program Narrative Report; 
086-0-16 (formerly 81-63) Cause of Loss and Subrogation Report; 086-0-
17 (formerly 81-96) Manufactured (Mobile) Home/Travel Trailer 
Worksheet; 086-0-18 (formerly 81-96A) Manufactured (Mobile) Home/Travel 
Trailer Worksheet (Continued); 086-0-19 (formerly 81-98) Increased Cost 
of Compliance (ICC) Adjuster Report; 086-0-20 (formerly 81-109) 
Adjuster Preliminary Damage Assessment; 086-0-21 (formerly 81-110) 
Adjuster Certification Application.

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SUMMARY: The Federal Emergency Management Agency (FEMA) will submit the 
information collection abstracted below to the Office of Management and 
Budget for review and clearance in accordance with the requirements of 
the Paperwork Reduction Act of 1995. The submission will describe the 
nature of the information collection, the categories of respondents, 
the estimated burden (i.e., the time, effort and resources used by 
respondents to respond) and cost, and the actual data collection 
instruments FEMA will use.

DATES: Comments must be submitted on or before August 26, 2010.

ADDRESSES: Submit written comments on the proposed information 
collection to the Office of Information and Regulatory Affairs, Office 
of Management and Budget. Comments should be addressed to the Desk 
Officer for the Department of Homeland Security, Federal Emergency 
Management Agency, and sent via electronic mail to 
oira.submission@omb.eop.gov or faxed to (202) 395-5806.

FOR FURTHER INFORMATION CONTACT: Requests for additional information or 
copies of the information collection should be made to Director, 
Records Management Division, 1800 South Bell Street, Arlington, VA 
20598-3005, facsimile number (202) 646-3347, or e-mail address FEMA-
Information-Collections-Management@dhs.gov.

SUPPLEMENTARY INFORMATION: 

Collection of Information

    Title: National Flood Insurance Program--Claim Forms.
    Type of Information Collection: Revision of a currently approved 
information collection.
    OMB Number: 1660-0005.
    Form Titles and Numbers: FEMA Form 086-0-6 (formerly 81-40) 
National Flood Insurance Program Worksheet-Contents-Personal Property; 
086-0-7 (formerly 81-41) Worksheet--Building; 086-0-8 (formerly 81-41A) 
Worksheet--Building (Continued); 086-0-9 (formerly 81-42) Proof of 
Loss; 086-0-10 (formerly 81-42A) Increased Cost of Compliance Proof of 
Loss; 086-0-11 (formerly 81-43) Notice of Loss; 086-0-12 (formerly 81-
44) Statement as to Full Cost of Repair or Replacement under the 
Replacement Cost Coverage, Subject to the Terms and Conditions of this 
Policy; 086-0-13 (formerly 81-57) National Flood Insurance Program 
Preliminary Report; 086-0-14 (formerly 81-58) National Flood Insurance 
Program Final Report; 086-0-15 (formerly 81-59) National Flood 
Insurance Program Narrative Report; 086-0-16 (formerly 81-63) Cause of 
Loss and Subrogation Report; 086-0-17 (formerly 81-96) Manufactured 
(Mobile) Home/Travel Trailer Worksheet; 086-0-18 (formerly 81-96A) 
Manufactured (Mobile) Home/Travel Trailer Worksheet (Continued); 086-0-
19 (formerly 81-98) Increased Cost of Compliance (ICC) Adjuster Report; 
086-0-20 (formerly 81-109) Adjuster Preliminary Damage Assessment; 086-
0-21 (formerly 81-110) Adjuster Certification Application.
    Abstract: The claims forms used for the National Flood Insurance 
Program are used by policyholders and adjusters to collect the 
information needed to investigate, document, evaluate, and settle 
claims against National Flood Insurance Program policies for flood 
damage to their insured property or qualification for benefits under 
Increased Cost of Compliance coverage.
    Affected Public: Individuals or households; Business or other for-
profit; Not for-profit institutions; farms; Federal Government; State, 
local or Tribal government.
    Estimated Number of Respondents: 3,640.
    Frequency of Response: On Occasion.
    Estimated Average Hour Burden per Respondent: 5.73 Hours.
    Estimated Total Annual Burden Hours: 20,841.6 Hours.
    Estimated Cost: There are no operation and maintenance, or capital 
and start-up costs associated with this the collection of information.

    Dated: July 16, 2010.
Tammi Hines,
Acting Director, Records Management Division, Mission Support Bureau, 
Federal Emergency Management Agency, Department of Homeland Security.
[FR Doc. 2010-18324 Filed 7-26-10; 8:45 am]
BILLING CODE 9110-11-P

