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Freedom of Information/Privacy Act Records Request
Freedom of Information Act (FOIA) Certification of Identity Form
OMB: 0412-0589
IC ID: 212451
OMB.report
AID
OMB 0412-0589
ICR 202103-0412-002
IC 212451
( )
Documents and Forms
Document Name
Document Type
Form AID 507-1
Freedom of Information/Privacy Act Records Request
Form and Instruction
2018 FOIA PAL Screen.docx
Other-Privacy Statement
AID 507-1 Freedom of Information/Privacy Act Record Request Form
AID 507-1-2014 7-23-14(31).doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Freedom of Information/Privacy Act Records Request
Agency IC Tracking Number:
Is this a Common Form?
Yes
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
22 CFR 215.4
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
AID 507-1
Freedom of Information/Privacy Act Record Request Form
AID 507-1-2014 7-23-14(31).doc
Yes
Yes
Fillable Fileable
Other-Privacy Statement
2018 FOIA PAL Screen.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Executive Functions
Privacy Act System of Records
Title:
Freedom of Information/Privacy Act Record Request
FR Citation:
79 FR 1
Number of Respondents:
0
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
0
0
-300
0
0
300
Annual IC Time Burden (Hours)
0
0
-150
0
0
150
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.