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 Collection 1660-0068 (508) Part A 071315.docx Supporting Statement A	2015-07-17
Title 15 2224.pdf Supplementary Document	2015-04-21
PIA - privacy_pia_dhs all_contacts lists_20130321.pdf Supplementary Document	2015-04-20
PTA, FEMA - Federal Hotel and Motel Fire Safety Declaration Form (1660-0068), 20150218, PRIV Final.pdf Supplementary Document	2015-04-20
Published 30 Day FRN for OMB Collection 1660-0068, 4-17-2015.pdf Supplementary Document	2015-04-21
FEMA NoC Document Narrative of Changes from Last Submission, OMB Collection 1660-0068.docx Supplementary Document	2015-04-21
Public Law 101-391.pdf Supplementary Document	2009-02-27
Published 60 Day FRN for OMB Collection 1660-0068, 2-2-2015.pdf Supplementary Document	2015-04-20

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: 201504-1660-004
Status: Historical Active	Previous ICR Reference No: 201110-1660-002
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 with change	Conclusion Date: 08/21/2015
	Date Received in OIRA: 06/10/2015
Terms of Clearance: The Department revised its statement on Small Businesses impacted by this information collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2018	36 Months From Approved	08/31/2015
Responses	2,655	0	2,655
Time Burden (Hours)	696	0	696
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. Applicants complete and submit the Hotel-Motel Declaration Form online through the USFA website (http://www.usfa.dhs.gov/applications/hotel/) or they may request a paper-based version. Applications submitted through the website are reviewed and, if approved, the applicant will receive a FEMA ID Number for their facility. Online submission is the preferred method selected by the majority applicants. Paper-based forms returned by traditional methods (USPS mail, special delivery, or facsimile) receive the same review process as those submitted online. Lodging establishments must meet a certain level of life-safety from fire, as defined in Public Law 101-391, to become eligible for listing on the NML. Federal employees use the NML to select lodging while traveling on government-related business, but the list is also accessible to the general public.

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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:
	80 FR 5567	02/02/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 21253	04/17/2015
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	Hotel / Motel Fire-Safe List Online Registration ,   Federal Hotel and Motel Fire Safety Declaration Form
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	2,655	0	0	0	0
Annual Time Burden (Hours)	696	696	0	0	0	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:

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Annual Cost to Federal Government: $50,053

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: 06/10/2015

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