OMB control number
Request for Individual Access to Records Protected under the Privacy Act and Consent for Disclosure of Records Protected under the Privacy Act.
OMB 1505-0281 · TREAS/DO.
OMB 1505-0281
The Request for Individual Access to Records Protected under the Privacy Act and Consent for Disclosure of Records Protected under the Privacy Act, were developed in accordance with the Office of Management and Budget (OMB) Memorandum M-21-04, Modernizing Access to and Consent for Disclosure of Records Subject to the Privacy Act, which implements the requirements of the Creating Advanced Streamlined Electronic Services for Constituents Act of 2019 (“CASES Act”). These forms are based on the mandatory OMB M-21-04 templates for individuals to submit requests for accessing and consenting to the disclosure of records protected under the Privacy Act of 1974, as amended, 5 U.S.C. 552a.
The latest form for Request for Individual Access to Records Protected under the Privacy Act and Consent for Disclosure of Records Protected under the Privacy Act. expires 2027-06-30 and is listed under ICR 202404-1505-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
| Form and Instruction | |
| Form and Instruction | |
| Supporting Statement A | |
| Form and Instruction | |
| Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202404-1505-001 | New collection (Request for a new OMB Control Number) | 2024-05-07 | Approved without change |
OMB Details
Request for Individual Access to Records Protected Under the Privacy Act
Federal Enterprise Architecture: Workforce Management - Training and Employment
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form N/A | Request for Individual Access to Records Protected under the Privacy Act | Fillable Fileable Signable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.