Law Enforcement Officer (LEO) Reimbursement Request

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TSA Form 3503 (1/1 LEO Reimbursement Request Form	Form and Instruction	Modified	Available
49 USC sec 44903.pdf	Supplementary Document	Uploaded 2015-10-09	Available
1652-0063 LEO Reimbursement SS 10292015.docx	Supporting Statement A	Uploaded 2015-10-29	Available
49 USC sec 44917.pdf	Supplementary Document	Uploaded 2015-10-29	Available
49 USC sec 44901.pdf	Supplementary Document	Uploaded 2015-10-29	Available
DHS ALL 007 SORN 73 FR 61880 (October 17, 2008).pdf	Supplementary Document	Uploaded 2015-10-29	Available
1652-0063 LEO Reimbursement 30 DN (80 FR 57201) 9222015.pdf	Supplementary Document	Uploaded 2015-10-09	Available
1652-0063 LEO Reimb. Request 60DN (80 FR 38454) 762015.pdf	Supplementary Document	Uploaded 2015-10-09	Available
49 USC sec 106.pdf	Supplementary Document	Uploaded 2015-10-29	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: 201510-1652-002
Status: Historical Active	Previous ICR Reference No: 201411-1652-002
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: Law Enforcement Officer (LEO) Reimbursement Request
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/29/2015
	Date Received in OIRA: 10/30/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved	12/31/2015
Responses	3,912	0	3,912
Time Burden (Hours)	3,912	0	3,912
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
   US Code: 49 USC 44901 Name of Law: Transporatation Security: Screening Passengers and property
   US Code: 49 USC 44917 Name of Law: Transportation Security: Deployment of FAMs
   US Code: 49 USC 44903 Name of Law: Transportation Security: Air Transportation Security
  

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:
	80 FR 38454	07/06/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 57201	09/22/2015
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 3503 (1/15) [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	3,912	0	0	0	0
Annual Time Burden (Hours)	3,912	3,912	0	0	0	0
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: $23,951

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: 10/30/2015

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