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TSA Form 2808-R Retired Badge and/or Retired Credential Application
Law Enforcement Officers Safety Act (LEOSA) and Retired Badge/Credential
OMB: 1652-0071
IC ID: 234430
OMB.report
DHS/TSA
OMB 1652-0071
ICR 202203-1652-006
IC 234430
( )
Documents and Forms
Document Name
Document Type
Form TSA Form 2808-R
TSA Form 2808-R Retired Badge and/or Retired Credential Application
Form and Instruction
TSA Form 2808-R Retired Badge and/or Retired Credential Application
TSA Form 2808-R, Retired Badge, and or Retired Credential Application.pdf
Form and Instruction
TSA Form 2808-R Retired Badge and/or Retired Credential Application
TSA Form 2808-R, Retired Badge, and or Retired Credential Application.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
TSA Form 2808-R Retired Badge and/or Retired Credential Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
TSA Form 2808-R
Retired Badge and/or Retired Credential Application
TSA Form 2808-R, Retired Badge, and or Retired Credential Application.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
DHS/TSA/SORN-002 Transportation Security Threat Assessment System
FR Citation:
79 FR 46862
Number of Respondents:
183
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
183
0
0
153
0
30
Annual IC Time Burden (Hours)
15
0
0
13
0
2
Annual IC Cost Burden (Dollars)
0
0
0
0
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.