Application form to add a new listing

Use this form to report your property’s compliance with the Hotel and Motel Fire Safety Act of 1990 (P.L. 101-391). There is no charge for this listing. This form is being submitted to add a previously unlisted property to the National Master List.

FEMA Form 516-0-1 | OMB No. 1660-0068 | Expires Aug. 31, 2018

Status: Initial application

Property information

City/State: (not required)

Smoke alarms/automatic sprinkler systems

Smoke alarm equipped

Each guest room is equipped with at least one hard-wired single station smoke alarm installed in accordance with National Fire Protection Association (NFPA) Standard 72. Note: smoke alarms that are solely battery operated do not qualify.

Automatic sprinkler equipped

Sprinklers required unless three stories or fewer in height

Declaration

By submitting this form, you attest that the information supplied on this form is true and accurate to the best of your knowledge and belief. Therefore, this property is entitled to be included in the National Master List of public accommodations compiled by the U.S. Fire Administration. This information is subject to verification by federal, state, and local fire authorities, and you are subject to fines of up to $10,000 and/or imprisonment for up to five years if you knowingly make false or fraudulent statements to the government.

For verification purposes, please provide your email address. The address entered must belong to the person listed in the Name field above. If this is a new property listing, a confirmation email message will be sent to this address upon receipt of the application. If a reply email is not received within seven days, the application will be deleted.

For more information contact:

U.S. Fire Administration
16825 S. Seton Ave.
Emmitsburg, MD 21727
301-447-1263

Paperwork burden disclosure notice FEMA Form 516-0-1

Property Owners/Managers
Public reporting burden for this data collection is estimated to average 15 minutes per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. This collection of information is voluntary. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472-3100, Paperwork Reduction Project (1660-0068) NOTE: Do not send your completed form to this address.
States
Public reporting burden for this data collection is estimated to average 20 minutes per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. This collection of information is voluntary. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street, SW, Washington, DC 20472-3100, Paperwork Reduction Project (1660-0068) NOTE: Do not send your completed form to this address.