OMB control number

Law Enforcement Officer (LEO) Reimbursement Request

OMB 1652-0063 · DHS/TSA.

OMB 1652-0063

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) .

The latest form for Law Enforcement Officer (LEO) Reimbursement Request expires 2022-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form TSA Form 3503 LEO Reimbursement Request Invoice Form and Instruction
1652-0063 LEO ReimbReq 30DN 86 FR 54227 (9.30.2021).pdf Supplementary Document
1652-0063 LEOReimbReq SS_9.30.2021.docx Supporting Statement A
49 USC sec114.pdf Supplementary Document
privacy-pia-dhs-fms-august2017.pdf Supplementary Document
49 USC sec 44903.pdf Supplementary Document
49 USC sec 44922.pdf Supplementary Document
49 USC sec 44901.pdf Supplementary Document
1652-0063 LEOReimbReq 60DN 86 FR 24880 (5.10.2021).pdf Supplementary Document
49 USC sec 106.pdf Supplementary Document
LEO Reimbursement Request Invoice Form and Instruction

All Historical Document Collections

202109-1652-005 Approved without change	Extension without change of a currently approved collection	2021-09-30
201808-1652-002 Approved without change	Extension without change of a currently approved collection	2019-01-31
201510-1652-002 Approved without change	Extension without change of a currently approved collection	2015-10-30
201411-1652-002 Approved without change	Existing collection in use without an OMB Control Number	2014-11-28
201404-1652-001 Withdrawn	New collection (Request for a new OMB Control Number)	2014-09-18
201301-1652-001 Withdrawn	New collection (Request for a new OMB Control Number)	2013-04-03