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Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 202411-1405-002 · OMB 1405-0245 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form DS-7809 Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application Form and Instruction New Repair queued
Form DS-7809 Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application Form and Instruction Unchanged Repair queued
Legal Authorities.docx Supplementary Document Uploaded 2024-11-13 Repair queued
legalAuthorities - LEOSA.docx Supplementary Document Uploaded 2021-08-10 Repair queued
LEOSA- Supporting Statement.docx Supporting Statement A Uploaded 2024-11-13 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
272308 Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application Form and Instruction New
248797 Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application Form and Instruction Unchanged
ICR Details
1405-0245 202411-1405-002
Received in OIRA 202108-1405-002
STATE/AFA
Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application
Revision of a currently approved collection   No
Regular 11/13/2024
  Requested Previously Approved
36 Months From Approved 12/31/2024
160 70
160 70
1,758 1,758
This collection is necessary in order for DS to process and issue the photographic identification cards (LEOSA Identification Cards) as specified under 18 U.S.C. § 926C (The Law Enforcement Officers Safety Act of 2004 (LEOSA), as amended).
US Code: 18 USC 926C Name of Law: Carrying of Concealed Firearms by Qualified Retired Law Enforcement Officers
  
None
Not associated with rulemaking
  89 FR 12484 08/27/2024
89 FR 12579 11/13/2024
No
  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 160 70 0 90 0 0
Annual Time Burden (Hours) 160 70 0 90 0 0
Annual Cost Burden (Dollars) 1,758 1,758 0 0 0 0
Yes
Miscellaneous Actions
No
DS anticipates approximately 90 respondents per year. Time to collect the required support documents should take on average one hour. Therefore, the total hour burden is estimated to be 90 hours.
$15,124
No
    No
    No
No
No
No
No
John Ferguson 202 647-3854
  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.
11/13/2024