OMB control number
Defense Counterintelligence and Security Agency (DCSA) Freedom of Information / Privacy Act Request for Adjudication Records
OMB 0704-0561 ยท DOD/DODDEP.
OMB 0704-0561
The information collection requirement is necessary to ensure needed information is collected to positively identify individuals who request records regarding themselves that are maintained by the DoD Consolidated Adjudications Facility.
The latest form for Defense Counterintelligence and Security Agency (DCSA) Freedom of Information / Privacy Act Request for Adjudication Records expires 2026-07-31 and is listed under ICR 202301-0704-003.
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All Historical Document Collections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 |