24728 Federal Register / Vol. 75, No. 86 / Wednesday, May 5, 2010 / Notices 

DEPARTMENT OF HOMELAND 

SECURITY 

Federal Emergency Management 

Agency 

[Docket ID: FEMA–2010–0016] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request, 1660–0005; 

National Flood Insurance Program— 

Claim Forms 

AGENCY: Federal Emergency 

Management Agency, DHS. 

ACTION: Notice; 60-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. 

SUMMARY: The Federal Emergency 

Management Agency, as part of its 

continuing effort to reduce paperwork 

and respondent burden, invites the 

general public and other Federal 

agencies to take this opportunity to 

comment on a proposed revision of a 

currently approved information 

collection. In accordance with the 

Paperwork Reduction Act of 1995, this 

Notice seeks comments concerning the 

collection of information related to the 

flood insurance claims process. 

DATES: Comments must be submitted on 

or before July 6, 2010. 

ADDRESSES: To avoid duplicate 

submissions to the docket, please use 

only one of the following means to 

submit comments: 

(1) Online. Submit comments at 

http://www.regulations.gov under 

Docket ID FEMA–2010–0016. Follow 

the instructions for submitting 

comments. 

(2) Mail. Submit written comments to 

Office of Chief Counsel, Regulation and 

Policy Team, DHS/FEMA, 500 C Street, 

SW., Room 835, Washington, DC 20472– 

3100. 

(3) Facsimile. Submit comments to 

(703) 483–2999. 

(4) E-mail. Submit comments to 

FEMA-POLICY@dhs.gov. Include Docket 

ID FEMA–2010–0016 in the subject line. 

All submissions received must 

include the agency name and Docket ID. 

Regardless of the method used for 

submitting comments or material, all 

submissions will be posted, without 

change, to the Federal eRulemaking 

Portal at http://www.regulations.gov, 

and will include any personal 

information you provide. Therefore, 

submitting this information makes it 

public. You may wish to read the 

Privacy Act notice that is available on 

the Privacy and Use Notice link on the 

Administration Navigation Bar of 

http://www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: 

Contact Donald Waters, Insurance 

Examiner, FEMA 202–212–4725 for 

additional information. You may 

contact the Records Management 

Division for copies of the proposed 

collection of information at facsimile 

number (202) 646–3347 or e-mail 

address: FEMA-Information-CollectionsManagement@dhs.gov. 

SUPPLEMENTARY INFORMATION: The 

National Flood Insurance Program 

(NFIP) is codified at 42 U.S.C. 4001, et 

seq. and is authorized by Public Law 

90–448 (1968) and expanded by Public 

Law 93–234 (1973). The National Flood 

Insurance Act of 1968 requires that the 

Federal Emergency Management Agency 

(FEMA) provide flood insurance at full 

actuarial rates reflecting the complete 

flood risk to structures built or 

substantially improved on or after the 

effective date for the initial Flood 

Insurance Rate Map (FIRM) for the 

community, or after December 31, 1974, 

whichever is later, so that the risk 

associated with buildings in flood-prone 

areas are borne by those located in such 

areas and not by the taxpayers at large. 

In accordance with Public Law 93–234, 

the purchase of flood insurance is 

mandatory when Federal or federally 

related financial assistance is being 

provided for acquisition or construction 

of buildings located, or to be located, 

within FEMA-identified special flood 

hazard areas of communities that are 

participating in the NFIP. When flood 

damage occurs to insured property, 

information is collected to report, 

investigate, negotiate, and settle the 

claim. 

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 Total Annual Burden 

Hours: 20,841.6 Hours. 


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Federal Register / Vol. 75, No. 86 / Wednesday, May 5, 2010 / Notices 24729 

ESTIMATED ANNUALIZED BURDEN HOURS AND COSTS

Type of respondent Form name/form 

No. 

Number of 

respondents 

Number of 

responses per 

respondent 

Total Number 

of responses 

Avg. burden per 

response 

(in hours) 

Total annual 

burden 

(in hours) 

Avg. hourly 

wage rate 

Total annual 

respondent 

cost 

Business or other 

for-profit.

National Flood Insurance Program 

Worksheet-Contents-Personal 

Property/FEMA 

Form 86–0–06.

2,184 1 2,184 2 .5 5,460.0 $38.74 $211,520 

Business or other 

for-profit.

Worksheet—Building/FEMA Form 

086–0–07.

3,640 1 3,640 2 .5 9,100.0 38.74 352,534 

Business or other 

for-profit.

Worksheet—Building (Continued)/ 

FEMA Form 086– 

0–08.

3,640 1 3,640 1 3,640.0 38.74 141,014 

Business or other 

for-profit.

Proof of Loss/FEMA 

Form 086–0–09.

3,640 1 3,640 0 .08 291.2 38.74 11,281 

Business or other 

for-profit.

Increased Cost of 

Compliance Proof 

of Loss/FEMA 

Form 086–0–10.

260 1 260 2 520.0 38.74 20,145 

Business or other 

for-profit.

Notice of Loss/ 

FEMA Form 086– 

0–11.

3,640 1 3,640 0 .07 254.8 40.68 10,365 

Business or other 

for-profit.

Statement as to Full 

Cost of Repair or 

Replacement 

under the Replacement Cost 

Coverage, Subject to the Terms 

and Conditions of 

this Policy/FEMA 

Form 086–0–12.

1,040 1 1,040 0 .1 104.0 38.74 4,029 

Business or other 

for-profit.

National Flood Insurance Program 

Preliminary Report/FEMA Form 

086–0–13.

3,640 1 3,640 0 .07 254.8 38.74 9,871 

Business or other 

for-profit.

National Flood Insurance Program 

Final Report/ 

FEMA Form 086– 

0–14.

3,640 1 3,640 0 .07 254.8 38.74 9,871 

Business or other 

for-profit.

National Flood Insurance Program 

Narrative Report/ 

FEMA Form 086– 

0–15.

2,080 1 2,080 0 .08 166.4 38.74 6,446 

Business or other 

for-profit.

Cause of Loss and 

Subrogation Report/FEMA Form 

086–0–16.

364 1 364 1 364.0 38.74 14,101 

Business or other 

for-profit.

Manufactured (Mobile) Home/Travel 

Trailer Worksheet/FEMA Form 

086–0–17.

208 1 208 0 .05 10.4 38.74 403 

Business or other 

for-profit.

Manufactured (Mobile) Home/Travel 

Trailer Worksheet 

(Continued)/ 

FEMA Form 086– 

0–18.

208 1 208 0 .25 52.0 38.74 2,014 

Business or other 

for-profit.

Increased Cost of 

Compliance (ICC) 

Adjuster Report/ 

FEMA Form 086– 

0–19.

260 1 260 0 .42 109.2 38.74 4,230 

Business or other 

for-profit.

Adjuster Preliminary 

Damage Assessment/FEMA Form 

086–0–20.

520 1 520 0 .25 130.0 38.74 5,036 

Business or other 

for-profit.

Adjuster Certification Application/ 

FEMA Form 086– 

0–21.

520 1 520 0 .25 130.0 38.74 5,036 

Total ................ ................................. 3,640 ........................ 29,484 .......................... 20841.6 ........................ 807,898 


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24730 Federal Register / Vol. 75, No. 86 / Wednesday, May 5, 2010 / Notices 

Estimated Cost: There are no 

operation and maintenance, or capital 

and start-up costs associated with this 

collection of information. 

Comments 

Comments may be submitted as 

indicated in the ADDRESSES caption 

above. Comments are solicited to (a) 

Evaluate whether the proposed data 

collection is necessary for the proper 

performance of the agency, including 

whether the information shall have 

practical utility; (b) evaluate the 

accuracy of the agency’s estimate of the 

burden of the proposed collection of 

information, including the validity of 

the methodology and assumptions used; 

(c) enhance the quality, utility, and 

clarity of the information to be 

collected; and (d) minimize the burden 

of the collection of information on those 

who are to respond, including through 

the use of appropriate automated, 

electronic, mechanical, or other 

technological collection techniques or 

other forms of information technology, 

e.g., permitting electronic submission of 

responses. 

Dated: April 28, 2010. 

Samuel C. Smith, 

Acting Director, Records Management 

Division, Mission Support Bureau, Federal 

Emergency Management Agency, Department 

of Homeland Security. 

[FR Doc. 2010–10526 Filed 5–4–10; 8:45 am] 

BILLING CODE 9110–11–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Federal Emergency Management 

Agency 

[Docket ID: FEMA–2010–0026] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request, 1660–0046; FEMA/ 

EMI Independent Study Course 

Enrollment and Test Answer Sheet 

AGENCY: Federal Emergency 

Management Agency, DHS. 

ACTION: Notice; 60-day notice and 

request for comments; revision of a 

currently approved information 

collection; OMB No. 1660–0046; FEMA 

Form 064–0–9 (formerly 95–23), FEMA/ 

EMI Independent Study Course 

Enrollment and Test Answer Sheet 

(paper and electronic). 

SUMMARY: The Federal Emergency 

Management Agency, as part of its 

continuing effort to reduce paperwork 

and respondent burden, invites the 

general public and other Federal 

agencies to take this opportunity to 

comment on a proposed revision of a 

currently approved information 

collection. In accordance with the 

Paperwork Reduction Act of 1995, this 

Notice seeks comments concerning the 

collection of information necessary to 

allow students to enroll in online 

independent study courses and take the 

tests after study is complete. 

DATES: Comments must be submitted on 

or before July 6, 2010. 

ADDRESSES: To avoid duplicate 

submissions to the docket, please use 

only one of the following means to 

submit comments: 

(1) Online. Submit comments at 

http://www.regulations.gov under 

docket ID FEMA–2010–0026. Follow the 

instructions for submitting comments. 

(2) Mail. Submit written comments to 

Office of Chief Counsel, Regulation and 

Policy Team, DHS/FEMA, 500 C Street, 

SW., Room 835, Washington, DC 20472– 

3100. 

(3) Facsimile. Submit comments to 

(703) 483–2999. 

(4) E-mail. Submit comments to 

FEMA–POLICY@dhs.gov. Include docket 

ID FEMA–2010–0026 in the subject line. 

All submissions received must 

include the agency name and docket ID. 

Regardless of the method used for 

submitting comments or material, all 

submissions will be posted, without 

change, to the Federal eRulemaking 

Portal at http://www.regulations.gov, 

and will include any personal 

information you provide. Therefore, 

submitting this information makes it 

public. You may wish to read the 

Privacy Act notice that is available on 

the Privacy and Use Notice link on the 

Administration Navigation Bar of 

http://www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: 

Contact Mollie Herrick, Systems 

Specialist, FEMA/EMI/Distance 

Learning Branch at 301–447–1407 for 

additional information. You may 

contact the Records Management 

Division for copies of the proposed 

collection of information at facsimile 

number (202) 646–3347 or e-mail 

address: FEMA–Information-CollectionsManagement@dhs.gov. 

SUPPLEMENTARY INFORMATION: FEMA’s 

Emergency Management Institute (EMI) 

provides a wide variety of training to 

emergency management personnel 

throughout the country. The EMI 

Independent Study (IS) Program is part 

of the FEMA training program 

authorized under the Robert T. Stafford 

Disaster Relief and Emergency Act, 42 

U.S.C. 5121–5207, Public Law 93–288 

as amended. These courses are offered 

online by the Emergency Management 

Institute (EMI). The IS Program provides 

valuable training to Federal, State, local 

and Tribal emergency management 

personnel and the general citizenry of 

the United States without having to 

attend a resident course at EMI, or at a 

State-sponsored course. The National 

Incident Management System (NIMS) is 

our nation’s incident management 

system. Homeland Security Presidential 

Directive 5, ‘‘Management of Domestic 

Incidents’’ requires the adoption of 

NIMS by all Federal departments and 

agencies. This directive also requires 

that Federal preparedness assistance 

funding for States, Territories, local 

jurisdictions and Tribal entities be 

dependent on being NIMS compliance. 

Collection of Information 

Title: FEMA/EMI Independent Study 

Course Enrollment and Test Answer 

Sheet. 

Type of Information Collection: 

Revision of a currently approved 

information collection. 

OMB Number: 1660–0046. 

Form Titles and Numbers: FEMA 

Form 064–0–9 (formerly 95–23), FEMA/ 

EMI Independent Study Course 

Enrollment and Test Answer Sheet 

(paper and electronic). 

Abstract: The Independent Study (IS) 

program offers self-paced courses 

designed for people who have 

emergency management responsibilities 

and the general public. All are offered 

free-of-charge to those who qualify for 

enrollment. Those who wish to 

participate select the course(s) they 

want to take, review the material and 

then complete an examination covering 

coursework. Successful completion 

results in a certificate that can be used 

to obtain continuing learning credit or 

even college credit. 

Affected Public: Individuals and 

households, business or other for-profit, 

not for profit institutions, farms, Federal 

government, State, local or Tribal 

government. 

Estimated Total Annual Burden 

Hours: 3,925,204 Hours. 


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