Freedom of Information/Privcy Act Request

Freedom of Information/Privacy Act Request

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0102 can be found here:

Documents and Forms

Document Name Document Type
Form G-639 Freedom of Information/Privcy Act Request Form
G-639 Freedom of Information/Privacy Act Request G639-006-FRM-83C-OMBReview-10212022.pdf Form
G-639 Freedom of Information/Privacy Act Request G639-006-FRM-83C-OMBReview-10212022.pdf Form

Information Collection (IC) Details

IC Title:	Freedom of Information/Privcy Act Request	Agency IC Tracking Number:	G-639

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 103

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G-639	Freedom of Information/Privacy Act Request	G639-006-FRM-83C-OMBReview-10212022.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: FOIA/PA Records	FR Citation: 79 FR 6609

Number of Respondents: 123,425	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	123,425	0	123,425
Annual IC Time Burden (Hours)	82,695	0	82,695
Annual IC Cost Burden (Dollars)	1,548,983	-1	1,548,984

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.