OMB control number
Law Enforcement Officer (LEO) Reimbursement Request
OMB 1652-0063 · DHS/TSA.
OMB 1652-0063
TSA, through its Office of Law Enforcement/Federal Air Marshal Service, will use the LEO Reimbursement Request Form to enter into agreements with airport operators to reimburse them for law enforcement services in support of airport security screening checkpoints TSA has authority to enter into these agreement pursuant to 49 U.S.C. §§ 106(m) and 114(m), as well as 49 U.S.C. §§ 114(g), 44901(g), and 44903(e) .
The latest form for Law Enforcement Officer (LEO) Reimbursement Request expires 2022-04-30 and is listed under ICR 201808-1652-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form TSA Form 3503 LEO Reimbursement Request Invoice | Form and Instruction |
 1652-0063 LEO ReimbReq 30DN 86 FR 54227 (9.30.2021).pdf | Supplementary Document |
 1652-0063 LEOReimbReq SS_9.30.2021.docx | Supporting Statement A |
| 49 USC sec114.pdf | Supplementary Document |
| privacy-pia-dhs-fms-august2017.pdf | Supplementary Document |
| 49 USC sec 44903.pdf | Supplementary Document |
| 49 USC sec 44922.pdf | Supplementary Document |
| 49 USC sec 44901.pdf | Supplementary Document |
| 1652-0063 LEOReimbReq 60DN 86 FR 24880 (5.10.2021).pdf | Supplementary Document |
| 49 USC sec 106.pdf | Supplementary Document |
 LEO Reimbursement Request Invoice |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202109-1652-005 | Extension without change of a currently approved collection | 2021-09-30 | Approved without change | |
| 201808-1652-002 | Extension without change of a currently approved collection | 2019-01-31 | Approved without change | |
| 201510-1652-002 | Extension without change of a currently approved collection | 2015-10-30 | Approved without change | |
| 201411-1652-002 | Existing collection in use without an OMB Control Number | 2014-11-28 | Approved without change | |
| 201404-1652-001 | New collection (Request for a new OMB Control Number) | 2014-09-18 | Withdrawn | |
| 201301-1652-001 | New collection (Request for a new OMB Control Number) | 2013-04-03 | Withdrawn |