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

Documents and Forms

Document Name Document Type
Form DS-7809 Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application Form and Instruction
DS-7809 Law Enforcement Officers Safety Act (LEOSA) Photographic ds7809 - DRAFT - 11-22-2021.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

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	DS-7809	Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application	ds7809 - DRAFT - 11-22-2021.pdf		Yes	Yes	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Property Protection

Privacy Act System of Records
Title: 18 USC 926C	FR Citation: 86 FR 24133

Number of Respondents: 70	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	70	70
Annual IC Time Burden (Hours)	70	70
Annual IC Cost Burden (Dollars)	1,758	1,758

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.