Information Collection Request

Law Enforcement Officer (LEO) Reimbursement Request

ICR 202109-1652-005 · OMB 1652-0063 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form TSA Form 3503 LEO Reimbursement Request Invoice Form and Instruction Modified Available
1652-0063 LEO ReimbReq 30DN 86 FR 54227 (9.30.2021).pdf Supplementary Document Uploaded 2021-09-30 Repair queued
1652-0063 LEOReimbReq SS_9.30.2021.docx Supporting Statement A Uploaded 2021-09-30 Repair queued
49 USC sec114.pdf Supplementary Document Uploaded 2018-10-16 Repair queued
privacy-pia-dhs-fms-august2017.pdf Supplementary Document Uploaded 2018-10-16 Repair queued
49 USC sec 44903.pdf Supplementary Document Uploaded 2018-10-16 Repair queued
49 USC sec 44922.pdf Supplementary Document Uploaded 2018-10-16 Repair queued
49 USC sec 44901.pdf Supplementary Document Uploaded 2018-10-16 Repair queued
1652-0063 LEOReimbReq 60DN 86 FR 24880 (5.10.2021).pdf Supplementary Document Uploaded 2021-09-13 Repair queued
49 USC sec 106.pdf Supplementary Document Uploaded 2018-10-16 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
205274 LEO Reimbursement Request Invoice Form and Instruction Modified
ICR Details
1652-0063 202109-1652-005
Received in OIRA 201808-1652-002
DHS/TSA
Law Enforcement Officer (LEO) Reimbursement Request
Extension without change of a currently approved collection   No
Regular 09/30/2021
  Requested Previously Approved
36 Months From Approved 04/30/2022
3,528 3,564
3,528 3,564
0 0

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) .

US Code: 49 USC 44901 Name of Law: Transporatation Security: Screening Passengers and property
   US Code: 49 USC 106 (m) Name of Law: Federal Aviation Administration
   US Code: 49 USC 44922 Name of Law: Transportation Security: Deputation of State and local LEOs
   US Code: 49 USC 44903 Name of Law: Transportation Security: Air Transportation Security
  
None

Not associated with rulemaking

  86 FR 24880 05/10/2021
86 FR 54227 09/30/2021
No

1
IC Title Form No. Form Name
LEO Reimbursement Request Invoice TSA Form 3503 LEO Reimbursement Request-Invoice

  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 3,528 3,564 0 0 -36 0
Annual Time Burden (Hours) 3,528 3,564 0 0 -36 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There are no program changes or adjustments reported.

$26,626
No
    Yes
    No
No
No
No
No
Christina Walsh 571 227-2062 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
09/30/2021