Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application

ICR 202108-1405-002

OMB: 1405-0245

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2021-08-10
Supporting Statement A
2021-08-10
ICR Details
202108-1405-002
Received in OIRA
STATE/AFA
Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application
New collection (Request for a new OMB Control Number)   No
Regular 08/26/2021
  Requested Previously Approved
36 Months From Approved
70 0
70 0
1,758 0

This collection is necessary in order for DS to process and issue the photographic identification cards (LEOSA Identification Cards) as specified under 18 U.S.C. § 926C (The Law Enforcement Officers Safety Act of 2004 (LEOSA), as amended).

US Code: 18 USC 926C Name of Law: Carrying of Concealed Firearms by Qualified Retired Law Enforcement Officers
  
None

Not associated with rulemaking

  86 FR 24133 05/05/2021
86 FR 40225 07/27/2021
No

  Total Request 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 70 0 0 70 0 0
Annual Time Burden (Hours) 70 0 0 70 0 0
Annual Cost Burden (Dollars) 1,758 0 0 1,758 0 0
Yes
Miscellaneous Actions
No
New collection; updated burden tables.

$15,124
No
    No
    No
No
No
No
No
Elizabeth Twerdahl 571 345-2187

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/26/2021


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