Information Collection Request

Law Enforcement Officers Security Act (LEOSA) and Retired Badge/Credential

ICR 201812-1652-001 · OMB 1652-0071 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form TSA Form 2825A TSA Form 2825A LEOSA Identification Card Application Form and Instruction New Available
Form TSA Form 2808 TSA Form 2808 Access Control Application PIV/Badge/Credential Form and Instruction New Available
TSA MD 3500.1, FINAL, 180605.pdf Supplementary Document Uploaded 2018-12-17 Available
DHS Directive 257-01-001.pdf Supplementary Document Uploaded 2018-12-17 Available
LEOSA 257-01.pdf Supplementary Document Uploaded 2018-12-17 Available
USCODE-2011-title18-partI-chap44-sec926C.pdf Supplementary Document Uploaded 2018-12-17 Available
SORN 2014-18699.pdf Supplementary Document Uploaded 2018-12-06 Available
1652-NEW LEOSARetCred SS 10.5.2018.docx Supporting Statement A Uploaded 2018-12-06 Available
1652-NEW LEOSARetCred 30DN 83 FR 54762 (10.31.2018).pdf Supplementary Document Uploaded 2018-12-06 Available
1652-NEW LEOSARetCred 60DN 83 FR 24814 (5.30.2018).pdf Supplementary Document Uploaded 2018-12-06 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
234463 TSA Form 2825A LEOSA Identification Card Application Form and Instruction New
234430 TSA Form 2808 Access Control Application PIV/Badge/Credential Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2022 36 Months From Approved
62 0 0
5 0 0
0 0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
TSA Form 2808 Access Control Application PIV/Badge/Credential TSA Form 2808 Access Control Application PIV/Badge/Credential
TSA Form 2825A LEOSA Identification Card Application TSA Form 2825A LEOSA Identification Card Application

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 62 0 0 0 62 0
Annual Time Burden (Hours) 5 0 0 0 5 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No