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Fema Form 81-65 - Floodproofing Certificate For Non-Residential Structures - 1999-2002 Page 2

PAPERWORK BURDEN DISCLOSURE NOTICE

GENERAL–This information is provided pursuant to Public Law 96-511, (The Paper Reduction Act of

1980, as amended), dated December 11, 1980, to allow the public to participate more fully and

meaningfully in the Federal paperwork review process.

AUTHORITY–Public Law 96-511, amended; 44 U.S.C. 3507; and 5 CFR 1320

PAPERWORK REDUCTION ACT NOTICE–Public reporting burden for Floodproofing Certificate is

estimated to average 3.25 hours per response. Burden means the time, effort, or financial resources

expended by persons to generate, maintain, disclose, or provide information to the Federal Emergency

Management Agency . You are not required to respond to this collection of information unless a valid

OMB control number is displayed in the upper right corner of each form. You may send comments

regarding the accuracy of the burden estimate and any suggestions for reducing the burden to:

Information Collection Management, Federal Emergency Management Agency, 500 C Street, SW,

Washington, DC 20427, Paperwork Reduction Project (3067-0077). To ensure timely receipt and

processing of the completed forms, return them to the address provided in the instructions to the forms.

Do not send form(s) to the above address. Your response to this collection of information is required to

obtain or retain benefits under the National Flood Insurance Program.

* U.S. Government Printing Office: 1997 – 517-742/83821

Fema Form 81-65 - Floodproofing Certificate For Non-Residential Structures - 1999-2002 Page 2