Document ID: FEMA-2010-0016-0001
Agency: fema
Document Type: Notice
Title: Agency Information Collection Activities; Proposals, Submissions, and Approvals: National Flood Insurance Program - Claim Forms
Posted Date: 2010-05-05T04:00Z

[Federal Register: May 5, 2010 (Volume 75, Number 86)]
[Notices]               
[Page 24728-24730]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr05my10-113]                         

[[Page 24728]]

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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.

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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-Collections-Management@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.

[[Page 24729]]

                                                                           Estimated Annualized Burden Hours and Costs
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                                                                                                     Number of                      Avg. burden    Total annual                    Total annual
              Type of respondent                       Form name/form No.            Number of     responses per   Total Number    per response     burden (in      Avg. hourly     respondent
                                                                                    respondents     respondent     of responses     (in hours)        hours)         wage rate         cost
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Business or other for-profit..................  National Flood Insurance Program           2,184               1           2,184            2.5          5,460.0          $38.74        $211,520
                                                 Worksheet-Contents-Personal
                                                 Property/FEMA Form 86-0-06.
Business or other for-profit..................  Worksheet--Building/FEMA Form              3,640               1           3,640            2.5          9,100.0           38.74         352,534
                                                 086-0-07.
Business or other for-profit..................  Worksheet--Building (Continued)/           3,640               1           3,640            1            3,640.0           38.74         141,014
                                                 FEMA Form 086-0-08.
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                 260               1             260            2              520.0           38.74          20,145
                                                 Proof of Loss/FEMA Form 086-0-
                                                 10.
Business or other for-profit..................  Notice of Loss/FEMA Form 086-0-            3,640               1           3,640            0.07           254.8           40.68          10,365
                                                 11.
Business or other for-profit..................   Statement as to Full Cost of              1,040               1           1,040            0.1            104.0           38.74           4,029
                                                 Repair or Replacement under the
                                                 Replacement Cost Coverage,
                                                 Subject to the Terms and
                                                 Conditions of this Policy/FEMA
                                                 Form 086-0-12.
Business or other for-profit..................   National Flood Insurance                  3,640               1           3,640            0.07           254.8           38.74           9,871
                                                 Program Preliminary Report/FEMA
                                                 Form 086-0-13.
Business or other for-profit..................  National Flood Insurance Program           3,640               1           3,640            0.07           254.8           38.74           9,871
                                                 Final Report/FEMA Form 086-0-14.
Business or other for-profit..................  National Flood Insurance Program           2,080               1           2,080            0.08           166.4           38.74           6,446
                                                 Narrative Report/FEMA Form 086-
                                                 0-15.
Business or other for-profit..................  Cause of Loss and Subrogation                364               1             364            1              364.0           38.74          14,101
                                                 Report/FEMA Form 086-0-16.
Business or other for-profit..................  Manufactured (Mobile) Home/                  208               1             208            0.05            10.4           38.74             403
                                                 Travel Trailer Worksheet/FEMA
                                                 Form 086-0-17.
Business or other for-profit..................  Manufactured (Mobile) Home/                  208               1             208            0.25            52.0           38.74           2,014
                                                 Travel Trailer Worksheet
                                                 (Continued)/FEMA Form 086-0-18.
Business or other for-profit..................  Increased Cost of Compliance                 260               1             260            0.42           109.2           38.74           4,230
                                                 (ICC) Adjuster Report/FEMA Form
                                                 086-0-19.
Business or other for-profit..................  Adjuster Preliminary Damage                  520               1             520            0.25           130.0           38.74           5,036
                                                 Assessment/FEMA Form 086-0-20.
Business or other for-profit..................  Adjuster Certification                       520               1             520            0.25           130.0           38.74           5,036
                                                 Application/FEMA Form 086-0-21.
                                               -------------------------------------------------------------------------------------------------------------------------------------------------
    Total.....................................  ................................           3,640  ..............          29,484  ..............         20841.6  ..............         807,898
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    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