Information Collection Request

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 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Consent for Disclosure of Records Protected under the Privacy Act	Form and Instruction	New	Repair queued
Request for Individual Access to Records Protected Under the Privacy Act	Form and Instruction	New	Repair queued
1505-NEW SS Individual Access to Privacy Records 2024-05-07.docx	Supporting Statement A	Uploaded 2024-05-07	Repair queued

Information collection document groups
IC ID	Collection	Type	Status	Form
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

Record metadata
Status	Received in OIRA
Agency/Subagency	TREAS/DO
OMB Control No	1505-0281
Type of Information Collection	New collection (Request for a new OMB Control Number)
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31