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USFA Home

Hotel-Motel National
Master List

Register

Online Registration

FEMA Form 516-0-1
OMB No. 1660-0068
Expires April 30,
2012

Hotel/Motel Fire-Safe List Online Registration

View
Paperwork Burden Disclosure Notice (Property Owners/Managers)
View
Paperwork Burden Disclosure Notice (States)

Use this form to report your property's compliance with the Hotel and Motel Fire
Safety Act of 1990 (P.L. 101-391). There is no charge for this listing. This
form is being submitted to Add a previously unlisted property
to the National Master List.

Status: Initial Application

Step 1 of 3: Property Information

Property Type: Hotel/Motel Apartment Building College/University Bed &
Breakfast Other

General Manager:

Property Name:

Federal Employer ID Number:

P.O. Box:

Street Address:

City/State: (Not Required)

Zip Code:

Phone Number:

Property Fax: (Optional)

Property Email:

Website: (Optional)

Step 2 of 3: Smoke Alarms/Automatic Sprinkler Systems

Smoke Alarm Equipped

Each guest room is equipped with at least one hard-wired single station smoke
alarm installed in accordance with National Fire Protection Association (NFPA)
Standard 72. Note: smoke alarms that are solely battery operated do not
qualify.

Yes

No

Number of Floors: Sprinklers required unless three stories or fewer in height

Select One

If sprinklers
installed on or after October 25, 1992 - This property has an automatic
sprinkler system installed in accordance with NPFA Standard 13 or 13R, whichever
is appropriate, in accordance with the requirements of the
Act.

If sprinklers
installed before October 25, 1992 - This property has an automatic
sprinkler system installed in compliance with an applicable standard (adopted by
the governmental authority having jurisdiction, and in effect, at the time of
installation), provided such standard required the placement of a sprinkler head
in the sleeping area of each guest room.

This property is three
or fewer stories in height and is therefore exempt from the Act's automatic fire
sprinkler requirements.

Step 3 of 3: Declaration

By submitting this form, you attest that the information supplied
on this form is true and accurate to the best of your knowledge and belief.
Therefore, this property is entitled to be included in the National Master List
of public accommodations compiled by the United States Fire Administration. This
information is subject to verification by federal, state, and local fire
authorities, and you are subject to fines of up to $10,000 and/or imprisonment
for up to five years if you knowingly make false or fraudulent statements to the
government.

Name:

Title:

Organization:

Phone Number:
Extension: (Optional)

Fax Number: (Optional)

For verification purposes, please provide your E-mail address. The
address entered must belong to the person listed in the Name field
above. If this is a new property listing, a confirmation E-mail message
will be sent to this address upon receipt of the application. If a reply E-mail
is not received within 7 days, the application will be deleted.

Your Email Address:

For more information contact:

United States Fire Administration
16825 S. Seton
Ave.
Emmitsburg, MD 21727
Tel. (301) 447-1067

Paperwork Burden Disclosure Notice

FEMA Form 516-0-1

Property Owners/Managers

Public reporting burden for this data collection is estimated to average 15
minutes per response. The burden estimate includes the time for reviewing
instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and submitting this form. This collection of
information is voluntary. You are not required to respond to this collection of
information unless a valid OMB control number is displayed on this form. Send
comments regarding the accuracy of the burden estimate and any suggestions for
reducing the burden to: Information Collections Management, Department of
Homeland Security, Federal Emergency Management Agency, 1800 South Bell Street,
Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0068) NOTE:
Do not send your completed form to this address.

States

Public reporting burden for this data collection is estimated to average 20
minutes per response. The burden estimate includes the time for reviewing
instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and submitting this form. This collection of
information is voluntary. You are not required to respond to this collection of
information unless a valid OMB control number is displayed on this form. Send
comments regarding the accuracy of the burden estimate and any suggestions for
reducing the burden to: Information Collections Management, Department of
Homeland Security, Federal Emergency Management Agency, 1800 South Bell Street,
Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0068) NOTE:
Do not send your completed form to this address.

Last Updated: December 14, 2011

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U.S. Fire Administration,
16825 S. Seton Ave., Emmitsburg, MD 21727 | USNG: 18SUJ00529652
(301) 447-1000 Fax: (301) 447-1346
Admissions Fax: (301) 447-1441

Employment Opportunities U.S.
Fire Administration,
16825 S. Seton Avenue
Emmitsburg, MD 21727 Call Us at (301) 447-1000 View Desktop Version