OGE Form 201 Onlin REQUEST TO INSPECT OR RECEIVE COPIES OF EXECUTIVE BRANCH

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Request an Individual's Ethics
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Government
WARNING: This request for access to a public financial disclosure report
is an official Government form (OGE Form 201). In completing this OGE
Form 201, any intentionally false or misleading statement, certification,
or response provided in this form is a violation of law punishable by a
fine or imprisonment, or both, under 18 U.S.C. § 1001. Pursuant to
section 105(c) of the Ethics in Government Act of 1978 and 5 C.F.R. §
2634.603(f) of the implementing OGE regulation, it is unlawful for any
person to obtain or use a report:
1. for any unlawful purpose:
2. for any commercial purpose, other than by news and
communications media for dissemination to the general public;
3. for determining or establishing the credit rating of any individual;
or
4. for use, directly or indirectly, in the solicitation of money for any
political, charitable, or other purpose.
The U.S. Attorney General may bring a civil action against any person
who obtains or uses a report for any such prohibited purpose as set
forth above. The court may assess against such a person a penalty in
any amount not to exceed $20,489. Such remedy shall be in addition to
any other remedy available under statutory or common law.

I am aware of the above statutes and regulations. (required)
Submit Request

Other Covered Records:
In addition to requests for access to public OGE Form 278/SF 278
reports, this form can also be used to request access to certain other
agency records which are covered under the access procedures of
section 105 of the Ethics Act and the implementing OGE ("covered
records").
Privacy Act Statement
Sections 105 and 402(b)(1) of the Ethics in Government Act, as amended
(5 U.S.C. app. 101) and 5 C.F.R. § 2634.603 authorize the solicitation of
the information requested in this form. The primary use of the
information on this form is to permit officials of the recipient agency to
consider and process requests for inspection or receipt of copies of the
OGE Form 278e Executive Branch Personnel Public Financial Disclosure
Report and the OGE Form 278-T Periodic Transaction Report, or other
covered records to which you seek access. Furnishing the requested

information is voluntary. However, failure to furnish this information will
result in the recipient agency’s inability to allow access to, or to provide
a copy/copies of, the financial disclosure report(s) or other record(s)
requested. Information on the form itself may be publicly disclosed
pursuant to a proper request under section 105(b) of the Ethics in
Government Act or as otherwise authorized by law.
Additional disclosures of the information on this form may be made
pursuant to the routine uses set forth in the OGE/GOVT-1 Privacy Act
system of records:
1. to any requesting person, subject to the limitation contained in
section 208(d)(1) of title 18, any determination granting an
exemption pursuant to sections 208(b)(1) and 208(b)(3) of title 18;
2. to a Federal, State, or local law enforcement agency if the
disclosing agency becomes aware of violations or potential
violations of law or regulation;
3. to a source when necessary to obtain information relevant to a
conflict of interest investigation or determination;
4. to the National Archives and Records Administration or the
General Services Administration in records management
inspections;
5. to the Office of Management and Budget during legislative
coordination on private relief legislation;
6. when the disclosing agency determines that that the records are
arguably relevant to a proceeding before a court, grand jury, or
administrative or adjudicative body; or in a proceeding before an
administrative or adjudicative body when the adjudicator
determines the records to be relevant to the proceeding;
7. to reviewing officials in a new office, department or agency when
an employee transfers or is detailed from one covered position to
another;
8. to a Member of Congress or a congressional office in response to
an inquiry made on behalf of, and at the request of, an individual
who is the subject of the record;
9. to contractors and other non-Government employees working on
a contract, service, or assignment for the Federal Government
when necessary to accomplish a function related to this OGE
Governmentwide system of records;
10. on the OGE Website and to any person, department or agency,
any written ethics agreements filed with OGE by an individual
nominated by the President to a position requiring Senate
confirmation;
11. on the OGE website and to otherwise disclose to any person,
including other departments and agencies, any certificate of
divestiture issued by the Office of Government Ethics, pursuant to
26 U.S.C. 1043;
12. on the OGE website and to otherwise disclose to any person,
including other departments and agencies, any waiver issued by
the President or the President’s designee of the restrictions
contained in Executive Order 13770 “Ethics Commitments by
Executive Branch Appointees” (January 28, 2017) or any
superseding Executive order;
13. to appropriate agencies, entities, and persons when: (1) the
agency maintaining the records suspects or has confirmed that
there has been a breach of the system of records; (2) the agency
maintaining the records has determined that as a result of the
suspected or confirmed breach there is a risk of harm to
individuals, the agency (including its information systems,
programs, and operations), the Federal Government, or national
security; and (3) the disclosure made to such agencies, entities,
and persons is reasonably necessary to assist in connection with
the agency's efforts to respond to the suspected or confirmed
breach or to prevent, minimize, or remedy such harm; and
14. to another Federal agency or Federal entity, when the agency
maintaining the record determines that information from this
system of records is reasonably necessary to assist the recipient
agency or entity in (1) responding to a suspected or confirmed
breach or (2) preventing, minimizing, or remedying the risk of
harm to individuals, the recipient agency or entity (including its
information systems, programs, and operations), the Federal
Government, or national security, resulting from a suspected or
confirmed breach.

See also the Privacy Act system of records OGE/GOVT-1 Executive
Branch Personnel Public Financial Disclosure Reports and Other
Name-Retrieved Ethics Program Records.
Public Burden Information

Public burden reporting for this collection of information is estimated to
take approximately ten minutes per response, including time for
reviewing instructions, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send
comments regarding the burden estimate or any other aspect of this
collection of information, including suggestions for reducing this
burden, to Program Counsel, U.S. Office of Government Ethics, Suite
500, 1201 New York Avenue, NW., Washington DC 20005-3917.
Pursuant
to the Paperwork Reduction Act, as amended, an agency may not
conduct or sponsor, and no person is required to respond to, a
collection of information unless it displays a currently valid OMB control
number. That number, 3209-0002, is displayed below.
Form Approved OMB No. 3209-0002

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