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Federal forms, ICRs, and supporting documents

Information Collection Request

RETIRED/FORMER DSS LAW ENFORCEMENT OFFICER LEOSA PHOTOGRAPHIC IDENTIFICATION CARD APPLICATION

ICR 202601-1405-008 · OMB 1405-0245 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form DS-7809 Law Enforcement Officers Safety Act (LEOSA) Identification Cards 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
Form DS-7809 Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application Form and Instruction Unchanged Repair queued
30-day LEOSA -Legal Authorities.docx Supplementary Document Uploaded 2026-01-15 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 (002).docx Supporting Statement A Uploaded 2026-01-15 Available
IC Document Collections
IC IDCollectionTypeStatusForm
278759 Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application Form and Instruction NewLaw Enforcement Officers Safety Act (LEOSA) Identification Cards
272308 Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application Form and Instruction UnchangedLaw Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application
248797 Law Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application Form and Instruction UnchangedLaw Enforcement Officers Safety Act (LEOSA) Photographic Identification Card Application
ICR Details
1405-0245 202601-1405-008
Received in OIRA 202411-1405-002
STATE/AFA
RETIRED/FORMER DSS LAW ENFORCEMENT OFFICER LEOSA PHOTOGRAPHIC IDENTIFICATION CARD APPLICATION
Revision of a currently approved collection   No
Regular 01/15/2026
  Requested Previously Approved
36 Months From Approved 02/29/2028
250 160
250 160
1,758 1,758
This collection is necessary 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
  90 FR 12777 08/19/2025
91 FR 12898 01/14/2026
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 250 160 0 0 90 0
Annual Time Burden (Hours) 250 160 0 0 90 0
Annual Cost Burden (Dollars) 1,758 1,758 0 0 0 0
No
No
$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.
01/15/2026