Information Collection

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

IC 272308 under ICR 202411-1405-002 · OMB 1405-0245.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0245 can be found here:

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.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: New

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	DS-7809	Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application	ds7809.pdf		No		Fillable Printable

Line of Business: Law Enforcement

Subfunction: Property Protection

Privacy Act System of Records
Title: Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application	FR Citation: 89 FR 12579

Number of Respondents: 90	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	90	90
Annual IC Time Burden (Hours)	90	90
Annual IC Cost Burden (Dollars)	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.