OMB control number
Defense Counterintelligence and Security Agency (DCSA) Freedom of Information / Privacy Act Request for Adjudication Records
OMB 0704-0561 · DOD/DODDEP.
OMB 0704-0561
The Freedom of Information and Privacy (FOIP) Office for Adjudications and Vetting, a component of the Defense Counterintelligence and Security Agency, is responsible for administering the provisions of the Freedom of Information Act and the Privacy Act. The collection of personal information in a standardized format is necessary to ensure that we have the necessary information to positively identify individuals who request records contained within DSCA national security systems of records. Additionally, it will help to reduce the risk of releasing highly sensitive information inadvertently to someone misidentified.
The latest form for Defense Counterintelligence and Security Agency (DCSA) Freedom of Information / Privacy Act Request for Adjudication Records expires 2029-08-31 and is listed under ICR 202603-0704-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DCSA Form 335 Freedom of Information / Privacy Act Request for Adjudication and Vetting Records | Form and Instruction |
 0704-0561_SSA_3.31.26.docx | Supporting Statement A |
| SSNJ_Memo_0704-0561.pdf | Supplementary Document |
 DCSA Form 335 |
Form and Instruction |
| DCSA Form 335 |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202603-0704-001 | Revision of a currently approved collection | 2026-03-31 | ||
| 202301-0704-003 | Extension without change of a currently approved collection | 2023-01-31 | Approved without change | |
| 201912-0704-002 | Extension without change of a currently approved collection | 2019-12-19 | Approved without change | |
| 201611-0704-002 | Existing collection in use without an OMB Control Number | 2016-11-18 | Approved without change |