Information Collection

Federal Hotel and Motel Fire Safety Declaration Form

IC 21152 under ICR 202110-1660-001 · OMB 1660-0068.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1660-0068 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FF-USFA-FY-21-112 Federal Hotel and Motel Fire Safety Declaration Form	Form and Instruction
FF-USFA-FY-21-112 Federal Hotel and Motel Fire Safety Declaration Form FF-USFA-FY-21-112.pdf apps.usfa.fema.gov/hotel/register	Form and Instruction
FF-USFA-FY-21-112 Federal Hotel and Motel Fire Safety Declaration Form FF-USFA-FY-21-112.pdf apps.usfa.fema.gov/hotel/register	Form and Instruction

IC Title:

Federal Hotel and Motel Fire Safety Declaration Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FF-USFA-FY-21-112 (formerly 516-0-1)	Federal Hotel and Motel Fire Safety Declaration Form	FF-USFA-FY-21-112.pdf	https://apps.usfa.fema.gov/hotel/register	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,511

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,511	1,202	1,309
Annual IC Time Burden (Hours)	628	301	327
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.