Request for Individual Access to Records Protected Under the Privacy Act

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

Documents and Forms

Document Name Document Type
Request for Individual Access to Records Protected Under the Privacy Act Form and Instruction
Request for Individual Access to Records Protected under Request for Individual Access Form 2024.pdf Form and Instruction
Request for Individual Access to Records Protected under Request for Individual Access Form 2024.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Request for Individual Access to Records Protected Under the Privacy Act	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Request for Individual Access to Records Protected under the Privacy Act	Request for Individual Access Form 2024.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: Treasury .004 - Freedom of Information Act/Privacy Act Request Records	FR Citation: 81 FR 78266

Number of Respondents: 316	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	316	316
Annual IC Time Burden (Hours)	79	79
Annual IC Cost Burden (Dollars)	0	0

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.