Federal Hotel and Motel Fire Safety Declaration Form

Forms and Documents

Document Name	Status
Form 516-0-1 Federal Hotel and Motel Fire Safety Declaration Form Form	Modified
Form 516-0-1 Federal Hotel and Motel Fire Safety Declaration Form Form	Modified
Supporting Statement for OMB#1660-0068, 2-24-2012.doc Supporting Statement A	2012-02-24
SORN, DHS-ALL-002 DHS Maling and Other Lists System 112508.pdf Supplementary Document	2012-01-24
Privacy_PIA_dhs_lists_20111215.pdf Supplementary Document	2012-01-24
PTA, FEMA 516-0-1 Motel and Hotel National Master List, 20120123, priv final.pdf Supplementary Document	2012-01-24
Published 30-day FRN for OMB Control# 1660-0068, 1-17-2012.pdf Supplementary Document	2012-01-20
FEMA Narrative of Changes for OMB-1660-0068, 1-17-2012.docx Supplementary Document	2012-01-13
Public Law 101-391.pdf Supplementary Document	2009-02-27
Published 60-day FRN for OMB Control# 1660-0068, 11-9-2011.pdf Supplementary Document	2012-01-12

IC Document Collections

IC ID	Document Title	Status
21152	Federal Hotel and Motel Fire Safety Declaration Form Form	Modified
188195	Federal Hotel and Motel Fire Safety Declaration Form Form	Modified

ICR Details

OMB Control No: 1660-0068	ICR Reference No: 201110-1660-002
Status: Historical Active	Previous ICR Reference No: 200902-1660-005
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Federal Hotel and Motel Fire Safety Declaration Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/06/2012
	Date Received in OIRA: 04/27/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2015	36 Months From Approved	06/30/2012
Responses	2,655	0	2,891
Time Burden (Hours)	696	0	797
Cost Burden (Dollars)	0	0	0

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Abstract: FEMA Form 516-0-1 collects information on hotels and motels to ensure compliance with fire prevention and control guidelines per the Fire and Prevention Act of 1974. Information is published in the National Master List (NML) and is publicly available.

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Authorizing Statute(s): PL: Pub.L. 101 - 391 3 Name of Law: Hotel and Motel Fire Safety Act of 1990
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 69753	11/09/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 2306	01/17/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Federal Hotel and Motel Fire Safety Declaration Form	516-0-1, 516-0-1	Federal Hotel and Motel Fire Safety Declaration Form ,   Hotel / Motel Fire-Safe List Online Registration
Federal Hotel and Motel Fire Safety Declaration Form	516-0-1	Federal Hotel and Motel Fire Safety Declaration Form

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,655	2,891	0	0	-236	0
Annual Time Burden (Hours)	696	797	0	0	-101	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This adjusted change in burden hours due to factors over which the Federal government has no control, as the difference is due to normal fluctuation in the number of hotels and motels submitting requests and to the number reviews of applications by state fire marshal agencies. Nineteen states have chosen to do their own approval versus having the USFA complete the review. The previously approved burden hours were 797; the current estimated annual hour burden is 696, resulting in a decrease (adjustment) of -101 hours. The decrease in burden hours results from a decrease in the number of applications received.

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Annual Cost to Federal Government: $71,141

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/27/2012

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