Information Collection Request

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

ICR 202203-1652-006 · OMB 1652-0071 · Received in OIRA

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 Modified Repair queued
Form TSA Form 2808-R TSA Form 2808-R Retired Badge and/or Retired Credential Application Form and Instruction Modified Repair queued
1652-0071 LEOSARetCred 30DN_87 FR 16762 (3.24.2022).pdf Supplementary Document Uploaded 2022-03-24 Repair queued
1652-0071 LEOSARetCred SS.docx Supporting Statement A Uploaded 2022-03-24 Available
TSA MD 3500.1 LEOSA Applicability and Eligibility 6.5.2018.pdf Supplementary Document Uploaded 2022-03-22 Missing upstream
TSA MD 2800.11 Badge and Credential Program 1.27.2014.pdf Supplementary Document Uploaded 2022-03-22 Repair queued
DHS Dir 257-01-001 The LEOSA Instruction 12.18.2018.pdf Supplementary Document Uploaded 2022-03-22 Repair queued
DHS Dir 257-01 LEOSA 12.22.2017.pdf Supplementary Document Uploaded 2022-03-22 Repair queued
PUBL112-239 LEOSA (1.2.2013).pdf Supplementary Document Uploaded 2022-03-22 Repair queued
LEOSA PUBL111-272 (10.12.2010).pdf Supplementary Document Uploaded 2022-03-22 Repair queued
DHS PIA e-Law Enforcement Officer Logbook Program.pdf Supplementary Document Uploaded 2022-03-22 Missing upstream
DHS SORN DHS_TSA_002 TranspSecThreatAssmtSystem.pdf Supplementary Document Uploaded 2022-03-22 Repair queued
1652-0071 LEOSARetCred 60DN_87 FR 1773 (1.12.2022).pdf Supplementary Document Uploaded 2022-03-22 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
234463 TSA Form 2825A LEOSA Identification Card Application Form and Instruction Modified
234430 TSA Form 2808-R Retired Badge and/or Retired Credential Application Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 09/30/2022
369 62
54 5
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
TSA Form 2808-R Retired Badge and/or Retired Credential Application TSA Form 2808-R Retired Badge and/or Retired Credential Application
TSA Form 2825A LEOSA Identification Card Application TSA Form 2825A LEOSA Identification Card Application

table that charts list of burden
  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 369 62 0 0 307 0
Annual Time Burden (Hours) 54 5 0 0 49 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No