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 OCC, Clean.docx Supporting Statement A	2018-04-24
Title 15 2224.pdf Supplementary Document	2015-04-21
privacy-PIA-dhs-gcl-august2017.pdf Supplementary Document	2018-04-24
PTA, FEMA - Hotel and Motel Fire Safety Declaration Form, 20170926, PRIV Final.pdf Supplementary Document	2018-04-24
Published 30 Day FRN for OMB Collection 1660-0068, 4-5-2018.pdf Supplementary Document	2018-04-24
Narrative of Changes for OMB Collection 1660-0068.docx Supplementary Document	2018-04-24
Public Law 101-391.pdf Supplementary Document	2009-02-27
Published 60 Day FRN for OMB Collection 1660-0068, 12-1-2017.pdf Supplementary Document	2018-04-24

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: 201804-1660-001
Status: Active	Previous ICR Reference No: 201504-1660-004
Agency/Subagency: DHS/FEMA	Agency Tracking No:
Title: Federal Hotel and Motel Fire Safety Declaration Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/14/2019
	Date Received in OIRA: 08/31/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2022	36 Months From Approved	02/28/2019
Responses	1,897	0	2,655
Time Burden (Hours)	523	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:
	82 FR 56983	12/01/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 14645	04/05/2018
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	1,897	2,655	0	0	-758	0
Annual Time Burden (Hours)	523	696	0	0	-173	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: There are no changes to the information being collected. However, the burden hours have decreased based on the estimated number of respondents and responses from the last OMB submission. The current annual hour burden is 696 hours, the new hours burden is 523 for a decrease of 173 annual hour burden.

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Annual Cost to Federal Government: $67,971

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 08/31/2018

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