Freedom of Information/Privacy Act Record Request Form (INV 100)

ICR 201510-3206-004

OMB: 3206-0259

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
3206-0259 201510-3206-004
Historical Active 201504-3206-006
OPM
Freedom of Information/Privacy Act Record Request Form (INV 100)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 10/23/2015
Retrieve Notice of Action (NOA) 10/02/2015
  Inventory as of this Action Requested Previously Approved
05/31/2016 05/31/2016 05/31/2016
16,626 0 16,626
1,386 0 1,386
0 0 0

Requesting two non-substantive changes to OMB 3206-0259, INV 100, Expiration Date 5-31-2016. The Section 2 change supports the Paperwork Reduction Act and plain language initiative by offering the Secure e-Mail delivery method option and the Section 3 change is grammatical. The proposed optional form INV 100 use is to standardize collection of data elements specific to FOIA and Privacy Act record requests submitted to OPM Federal Investigative Services (FIS). Standardization of the access process will increase the volume of perfected requests received and strike an appropriate balance between the burden to the public in submitting a request and FIS-FOI/PA being able to verify the identity of the requester thereby ensuring Privacy Act Protected records are not inappropriately released to third parties.

US Code: 5 USC CFR 294 Name of Law: Electronic Code of Federal Regulations
   US Code: 5 USC CFR 297 Name of Law: Electronic Code of Federal Regulations
  
None

Not associated with rulemaking

  77 FR 53237 08/31/2012
78 FR 19025 03/28/2013
No

1
IC Title Form No. Form Name
INV 100 - FREEDOM OF INFORMATION / PRIVACY ACT RECORD REQUEST FORM INV 100 FREEDOM OF INFORMATION / PRIVACY ACT RECORD REQUEST FORM

  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 16,626 16,626 0 0 0 0
Annual Time Burden (Hours) 1,386 1,386 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
No
No
No
Uncollected
Alicia Hoefke 202 606-2514 [email protected]

  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.
10/02/2015


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