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

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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 person 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 instruction
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

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