Information Collection

Federal Hotel and Motel Fire Safety Declaration Form

IC 188195 under ICR 202412-1660-001 · OMB 1660-0068.

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
Form FF-USFA-FY-21-112 Federal Hotel and Motel Fire Safety Declaration Form (Review of Form) Federal Hotel and Motel Fire Safety Declaration Form	Form and Instruction
FF-USFA-FY-21-112 Federal Hotel and Motel Fire Safety Declaration Form (Re FF-USFA-FY-21-112 Application Form.docx apps.usfa.fema.gov/hotel/register	Form and Instruction
FF-USFA-FY-21-112 Federal Hotel and Motel Fire Safety Declaration Form (Re FF-USFA-FY-21-112 Application Form.docx apps.usfa.fema.gov/hotel/register	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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)			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: 21

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	630	0	630
Annual IC Time Burden (Hours)	210	2	208
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.

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