Information Collection

Freedom of Information Act (FOIA) Request for Assistance and Consent

IC 194856 under ICR 201911-3095-002 · OMB 3095-0068.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3095-0068 can be found here:

Documents and Forms

Document Name Document Type
Form NA Form 10003 Freedom of Information Act (FOIA) Request for Assistance and Consent Form and Instruction
NA Form 10003 Consent to Make Inquiries and Release of Information and na-10003_FINAL_08_19.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Freedom of Information Act (FOIA) Request for Assistance and Consent	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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	NA Form 10003	Consent to Make Inquiries and Release of Information and Records	na-10003_FINAL_08_19.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title: NARA 40	FR Citation: 75 FR 45674

Number of Respondents: 3,646	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,646	3,246	400
Annual IC Time Burden (Hours)	608	595	13
Annual IC Cost Burden (Dollars)	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.