OMB control number
Certification of Identity for Freedom of Information and Privacy Act Requests
OMB 0910-0832 · HHS/FDA.
OMB 0910-0832
In processing certain requests under the Freedom of Information Act (FOIA) and the Privacy Act, the agency must confirm that the individual making the request is the same person to whom the records pertain and will be released. Form FDA 3975 entitled “Certification of Identity” is used by FDA to identify an individual requesting a particular record under the FOIA and the Privacy Act. The form is required only if an individual makes a FOIA or Privacy Act request for their own records but has not provided sufficient assurance of identity in the incoming request.
The latest form for Certification of Identity for Freedom of Information and Privacy Act Requests expires 2026-07-31 and is listed under ICR 202210-0910-005.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form FDA 3975 Certification of Identify | Form and Instruction |
 0910-0832_Supporting Statement A_2026.docx | Supporting Statement A |
| 0832_Comment 2.pdf | Public Comments |
| 0832_Comment 1.pdf | Public Comments |
 Certification of Identity; Form FDA 3975 |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202606-0910-001 | Extension without change of a currently approved collection | 2026-06-30 | ||
| 202210-0910-005 | Extension without change of a currently approved collection | 2023-05-03 | Approved without change | |
| 202005-0910-001 | Extension without change of a currently approved collection | 2020-05-11 | Approved without change | |
| 201704-0910-012 | New collection (Request for a new OMB Control Number) | 2017-04-28 | Approved without change |