Information Collection

LEO Reimbursement Request Invoice

IC 205274 under ICR 202109-1652-005 · OMB 1652-0063.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA Form 3503 LEO Reimbursement Request Invoice	Form and Instruction
TSA Form 3503 LEO Reimbursement Request-Invoice TSA Form 3503 LEO Reimbursement Request Invoice_Final4-22.xlsx	Form and Instruction
TSA Form 3503 LEO Reimbursement Request-Invoice TSA Form 3503 LEO Reimbursement Request Invoice_Final4-22.xlsx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	TSA Form 3503	LEO Reimbursement Request-Invoice	TSA Form 3503 LEO Reimbursement Request Invoice_Final4-22.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: DHS/ALL-007 Accounts Payable System of Record

FR Citation: 83 FR 65705

Number of Respondents: 294

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,528	-36	3,564
Annual IC Time Burden (Hours)	3,528	-36	3,564
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.