Law Enforcement Officers Safety Act (LEOSA) and Retired Badge/Credential

Forms and Documents

Document Name	Status
Form TSA Form 2825A TSA Form 2825A LEOSA Identification Card Application Form and Instruction	Unchanged
Form TSA Form 2808 TSA Form 2808 Access Control Application PIV/Badge/Credential Form and Instruction	Unchanged
1652-0071 LEOSA OMB 83C-PRA Change WorkSheet Form_.pdf Justification for No Material/Nonsubstantive Change	2019-09-27

IC Document Collections

IC ID	Document Title	Status
234463	TSA Form 2825A LEOSA Identification Card Application Form and Instruction	Unchanged
234430	TSA Form 2808 Access Control Application PIV/Badge/Credential Form and Instruction	Unchanged

ICR Details

OMB Control No: 1652-0071	ICR Reference No: 201909-1652-002
Status: Active	Previous ICR Reference No: 201812-1652-001
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: Law Enforcement Officers Safety Act (LEOSA) and Retired Badge/Credential
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/12/2019
	Date Received in OIRA: 10/17/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2022	09/30/2022	09/30/2022
Responses	62	0	62
Time Burden (Hours)	5	0	5
Cost Burden (Dollars)	0	0	0

---

Abstract: Under 18 U.S.C. sec. 926C, which codifies a portion of LEOSA, a "qualified retired law enforcement officer" may carry a concealed firearm in any jurisdiction in the United States, regardless of State or local laws, with certain limitations and conditions. In accordance with LEOSA, the Department of Homeland Security (DHS) requires DHS components to implement the provisions of LEOSA pertaining to qualified retired LEOs as cost-effectively and efficiently as possible consistent with the requirements and intent of the statute for LEOs formerly employed by DHS and predecessor agencies.

---

Authorizing Statute(s): US Code: 18 USC 926C Name of Law: Carrying of concealed firearms by qualified
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 24814	05/30/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 54762	10/31/2018
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
TSA Form 2808 Access Control Application PIV/Badge/Credential	TSA Form 2808	Access Control Application PIV/Badge/Credential
TSA Form 2825A LEOSA Identification Card Application	TSA Form 2825A	LEOSA Identification Card Application

---

ICR Summary of Burden

	Total Approved	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	62	62	0	0	0	0
Annual Time Burden (Hours)	5	5	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are no program changes or adjustments as this is a new collection.

---

Annual Cost to Federal Government: $19,059

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/17/2019

---