LEO Reimbursement Request Invoice

Law Enforcement Officer (LEO) Reimbursement Request

Documents and Forms

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

Information Collection (IC) Details

IC Title:	LEO Reimbursement Request Invoice	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:

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 %

	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

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.