Flood Insurance Application, Flood Insurance General Change Endorsement, Flood Insurance Cancellation/nullification Request Form

FLOOD INSURANCE APPLICATION, FLOOD INSURANCE GENERAL CHANGE ENDORSEMENT, FLOOD INSURANCE CANCELLATION/NULLIFICATION REQUEST FORM

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3067-0022 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	FLOOD INSURANCE APPLICATION, FLOOD INSURANCE GENERAL CHANGE ENDORSEMENT, FLOOD INSURANCE CANCELLATION/NULLIFICATION REQUEST FORM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	FEMA 81-16,	No	No
Form	17, 18, 23,	No	No
Form	25, 26, 27	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 892,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	892,000	458,000	434,000
Annual IC Time Burden (Hours)	223,000	6,000	217,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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