Freedom of Information Act (FOIA) Request for Assistance and Consent

Forms and Documents

Document	Type	Status	Availability
Form NA Form 10003 Consent to Make Inquiries and Release of Information and Records	Form and Instruction	Unchanged	Available
SupportingStatement for 3095-0068 FINAL.docx	Supporting Statement A	Uploaded 2022-11-10	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
194856	Freedom of Information Act (FOIA) Request for Assistance and Consent	Form and Instruction	Unchanged	Consent to Make Inquiries and Release of Information and Records

ICR Details

OMB Control No: 3095-0068	ICR Reference No: 202606-3095-002
Status: Received in OIRA	Previous ICR Reference No: 202211-3095-001
Agency/Subagency: NARA	Agency Tracking No:
Title: Freedom of Information Act (FOIA) Request for Assistance and Consent
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/30/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	3,676	0
Time Burden (Hours)	609	0
Cost Burden (Dollars)	0	0

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Abstract: In order to fulfill its government-wide statutory mission, the Office of Government Information Services (OGIS) provides varying types of assistance to its customers, which requires communicating with government departments and agencies regarding the customers’ FOIA/Privacy Act request/appeal. Handling requests for OGIS Assistance must conform to the legal requirements of the Freedom of Information Act (FOIA) and the Privacy Act of 1974. Authority for the requirements set forth in this form is also contained in 5 U.S.C. 552a(b). OGIS will use the information submitted in the form to provide the requested assistance. Without the information submitted in this form, OGIS would be unable to fulfill its mission.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 16755	04/02/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 36882	06/18/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Freedom of Information Act (FOIA) Request for Assistance and Consent	NA Form 10003	Consent to Make Inquiries and Release of Information and Records

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	3,676	0	0	0	0	3,676
Annual Time Burden (Hours)	609	0	0	0	0	609
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/30/2026

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