Information Collection

LEO Reimbursement Request Invoice

IC 205274 under ICR 202109-1652-005 · OMB 1652-0063.

Documents and Forms

Document Name Document Type
Form TSA Form 3503 LEO Reimbursement Request Invoice Form and Instruction
TSA Form 3503 LEO Reimbursement Request-Invoice TSA Form 3503 LEO Reimbursement Request Invoice_Final4-22.xlsx Form and Instruction
TSA Form 3503 LEO Reimbursement Request-Invoice TSA Form 3503 LEO Reimbursement Request Invoice_Final4-22.xlsx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	LEO Reimbursement Request Invoice	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 3503	LEO Reimbursement Request-Invoice	TSA Form 3503 LEO Reimbursement Request Invoice_Final4-22.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/ALL-007 Accounts Payable System of Record	FR Citation: 83 FR 65705

Number of Respondents: 294	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,528	-36	3,564
Annual IC Time Burden (Hours)	3,528	-36	3,564
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.