PRIVACY ACT - FORM OF REQUEST FOR NOTIFICATION OF WHETHER A RECORD EXISTS, FORM OF REQUEST TO AMEND RECORDS, FORM OF REQUEST FOR APPEAL OF REFUSAL TO AMEND RECORDS

ICR 198706-1505-001

OMB: 1505-0065

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1505-0065 198706-1505-001
Historical Active 198612-1505-001
TREAS/DO
PRIVACY ACT - FORM OF REQUEST FOR NOTIFICATION OF WHETHER A RECORD EXISTS, FORM OF REQUEST TO AMEND RECORDS, FORM OF REQUEST FOR APPEAL OF REFUSAL TO AMEND RECORDS
Revision of a currently approved collection   No
Regular
Approved without change 08/04/1987
Retrieve Notice of Action (NOA) 06/25/1987
  Inventory as of this Action Requested Previously Approved
12/31/1989 12/31/1989 12/31/1989
1,000 0 1,000
1,000 0 1,000
0 0 0

THE PRIVACY ACT PROVIDES THAT INDIVIDUALS MAY SEEK ACCESS OR AMENDMENT TO THEIR RECORDS OR ANY INFORMATION PERTAINING TO THEM MAINTAINED IN A SYSTEM OF RECORDS AND REFERENCED BY PERSONAL NAME OR IDENTIFIER.

None
None


No

  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 1,000 1,000 0 0 0 0
Annual Time Burden (Hours) 1,000 1,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
06/25/1987


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