Request and Consent Forms for Privacy Records

Request and Consent Forms for Privacy Records

OMB: 0503-0030

IC ID: 257943

Information Collection (IC) Details

View Information Collection (IC)

Request and Consent Forms for Privacy Records
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AD 3123 Privacy Act Consent Form AD-3123- Privacy Act Consent Form-AH 12 Jan 2023 FINAL.pdf Yes Yes Fillable Fileable
Form AD-3124 Privacy Act Request Form AD-3124 - Privacy Act Request Form-AH 12 Jan 2023 FINAL.pdf Yes Yes Fillable Fileable

Natural Resources Agricultural Innovation and Services

USDA/OCIO-01 - Freedom of Information Act Express  83 FR 14283

300 0
   
Individuals or Households
 
   0 %

  Approved 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 600 0 0 0 600 0
Annual IC Time Burden (Hours) 240 0 0 0 240 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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