Form BC-300 Certification of Identity OMB Memo

November 26, 2021
Mr. Dominic J. Mancini
Deputy Administrator
Office of Information and Regulatory Affairs
Office of Management and Budget
725 17th Street, NW
Washington, DC 20503
Subject: Certification of Identity (Form BC-300) – Request for Emergency Review and
Clearance
Dear Dr. Mancini:
Pursuant to Office of Management and Budget (OMB) procedures established at 5 CFR Part
1320, Controlling Paperwork Burdens on the Public, I request that the proposed information
collection, Certification of Identity (Form BC-300), be processed as an Emergency Request in
accordance with section 1320.13, Emergency Processing.
I have determined that the information must be collected prior to the expiration of time
periods established under Part 1320, and that the information collected with the Certification
of Identity (Form BC-300) is essential to the Census Bureau’s mission as the nation’s leading
source of data on the nation’s people and economy.
The information requested on the Certification of Identity (Form BC-300), and the associated
evidence, is collected under the Freedom of Information Act (FOIA), 5 U.S.C. § 552, and the
Privacy Act of 1974, 5 U.S.C. § 552a. Per 28 C.F.R. §16.41(d), the request for access to records
must contain a verification of identity, including the requestor’s full name, current address, and
date and place of birth, and be signed under penalty of perjury or notarized. The Certification
of Identity (Form BC-300) standardizes and streamlines Privacy Act requests for records.
Requests for the release of records will not be processed if the Census Bureau cannot confirm
identity based on the information provided. Therefore, this information collection is necessary
to prevent unauthorized disclosure of records of individuals maintained by the Census Bureau
and allows parties to disclose or release their records to an attorney, accredited representative,
qualified organization, or other third party. A 30-day Federal Register Notice will be published
for public comment.

census.gov

Mr. Dominic J. Mancini
In order to continue to process Privacy Act requests in a timely manner and ensure that the
records of individuals are not wrongfully disclosed, the Census Bureau cannot reasonably
comply with the normal clearance procedures. Therefore, I am requesting emergency
clearance of this information collection.
Sincerely,

Ron S. Jarmin
Acting Director

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