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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.