Law Enforcement Officer (LEO) Reimbursement Request

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TSA Form 35## (#/1 LEO Reimbursement Request Form	Form and Instruction	Modified	Available
1652-NEW LEO Reimbursement SS.docx	Supporting Statement A	Uploaded 2014-11-28	Available
U_S_C_ Title 49 - 44917.htm	Supplementary Document	Uploaded 2013-07-26	Available
49 U_S_C_ 44901.htm	Supplementary Document	Uploaded 2013-07-26	Available
Federal Register, Volume 73 Issue 202 (Friday, October 17, 2008).mht	Supplementary Document	Uploaded 2013-01-07	Source copy available
1652_NEW LEO Reimbursement 30 Day.pdf	Supplementary Document	Uploaded 2013-01-07	Available
1652_NEW LEO Form 60 Day.pdf	Supplementary Document	Uploaded 2013-01-07	Repair queued
U_S_C_ Title 49 - TRANSPORTATION.mht	Supplementary Document	Uploaded 2013-01-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
205274	LEO Reimbursement Request Form	Form and Instruction	Modified

ICR Details

OMB Control No: 1652-0063	ICR Reference No: 201411-1652-002
Status: Historical Active	Previous ICR Reference No: 201404-1652-001
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: Law Enforcement Officer (LEO) Reimbursement Request
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/28/2014
	Date Received in OIRA: 11/28/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2015	36 Months From Approved
Responses	3,912	0	0
Time Burden (Hours)	3,912	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: TSA, through its Office of Law Enforcement/Federal Air Marshal Service, will use the LEO Reimbursement Request Form to enter into agreements with airport operators to reimburse them for law enforcement services in support of airport security screening checkpoints TSA has authority to enter into these agreement pursuant to 49 U.S.C. §§ 106(m) and 114(m), as well as 49 U.S.C. §§ 114(g), 44901(g), and 44903(e) .

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Authorizing Statute(s): US Code: 49 USC 106 (m) Name of Law: Federal Aviation Administration
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 37062	06/20/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 64819	10/23/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
LEO Reimbursement Request Form	TSA Form 35## (#/14) [File: 3500.8.5]	LEO Reimbursement Request-Invoice

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,912	0	0	0	0	3,912
Annual Time Burden (Hours)	3,912	0	0	0	0	3,912
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $28,166

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/28/2014

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