Request for Individual Access to Records Protected under the Privacy Act and Consent for Disclosure of Records Protected under the Privacy Act.

ICR 202404-1505-001

OMB: 1505-0281

Federal Form Document

Forms and Documents

Document Name	Status
Consent for Disclosure of Records Protected under the Privacy Act Form and Instruction	New
Request for Individual Access to Records Protected Under the Privacy Act Form and Instruction	New
1505-NEW SS Individual Access to Privacy Records 2024-05-07.docx Supporting Statement A	2024-05-07

IC Document Collections

IC ID	Document Title	Status
267497	Consent for Disclosure of Records Protected under the Privacy Act Form and Instruction	New
267385	Request for Individual Access to Records Protected Under the Privacy Act Form and Instruction	New