TSA Form 2808-R Retired Badge and/or Retired Credential Application

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

Documents and Forms

Document Name Document Type
Form TSA Form 2808-R TSA Form 2808-R Retired Badge and/or Retired Credential Application Form and Instruction
TSA Form 2808-R Retired Badge and/or Retired Credential Application TSA Form 2808-R, Retired Badge, and or Retired Credential Application.pdf Form and Instruction
TSA Form 2808-R Retired Badge and/or Retired Credential Application TSA Form 2808-R, Retired Badge, and or Retired Credential Application.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	TSA Form 2808-R Retired Badge and/or Retired Credential Application	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 2808-R	Retired Badge and/or Retired Credential Application	TSA Form 2808-R, Retired Badge, and or Retired Credential Application.pdf		Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/TSA/SORN-002 Transportation Security Threat Assessment System	FR Citation: 79 FR 46862

Number of Respondents: 183	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	183	153	30
Annual IC Time Burden (Hours)	15	13	2
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.