OMB control number
Federal Hotel and Motel Fire Safety Declaration Form
OMB 1660-0068 · DHS/FEMA.
The Federal Hotel and Motel Fire Safety Declaration Form, FEMA Form FF-USFA-FY-21-112 (formerly 516-0-1), is used to collect basic information on life-safety systems related directly to fire-safety in hotels, motels, and similar places of accommodation applying for inclusion on the NML. In completing the form, applicants—property owners, lodging managers, or their delegates—provide basic information including identification of the owner(s) of the property, the business’s Employer Identification Number (EIN), and provisions for life-safety from fire. The form requests specific responses from applicants as to the installation of smoke alarms in all guestrooms of properties submitted for listing on the NML. In addition, applicants must indicate if the lodging establishment has an automatic fire sprinkler system where the building is four stories or higher. Once approved for the NML, the database record for each lodging establishment is assigned a unique identification number (FEMA ID). The information is collected and distributed through an on-line, electronic database accessed through the USFA website. Information submitted voluntarily by lodging establishments is reviewed and if the criteria meet the requirements of Public Law 101-391, they are given a FEMA ID number and listed in the NML database. Federal travelers and the public seeking public accommodation with provisions for life-safety from fire access the NML through the on-line database and identify lodging establishments in the area to which they are traveling.
The latest form for Federal Hotel and Motel Fire Safety Declaration Form expires 2029-05-31 and can be found here.
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Form and Instruction |
Form and Instruction |
Supplementary Document |
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Supporting Statement A |
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Supplementary Document |
| Extension without change of a currently approved collection | 2025-03-27 | ||
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Approved without change |
Extension without change of a currently approved collection | 2021-11-02 | |
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Approved without change |
Revision of a currently approved collection | 2018-08-31 | |
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Approved with change |
Extension without change of a currently approved collection | 2015-06-10 | |
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Approved without change |
Extension without change of a currently approved collection | 2012-04-27 | |
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Approved without change |
Revision of a currently approved collection | 2009-04-22 | |
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Approved without change |
Extension without change of a currently approved collection | 2006-02-27 | |
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Approved without change |
Existing collection in use without an OMB Control Number | 2003-03-01 |
Federal Hotel and Motel Fire Safety Declaration Form
Federal Enterprise Architecture: Homeland Security - Key Asset and Critical Infrastructure Protection
| Form FF-USFA-FY-21-112 (formerly 516-0-1) | Federal Hotel and Motel Fire Safety Declaration Form | apps.usfa.fema.gov/hotel/register | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.