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

Latest forms, documents, and information collections
DocumentType
Consent for Disclosure of Records Protected under the Privacy ActForm and Instruction
Request for Individual Access to Records Protected Under the Privacy ActForm and Instruction
1505-NEW SS Individual Access to Privacy Records 2024-05-07.docx (document unavailable)Supporting Statement A
Consent for Disclosure of Records Protected under the Privacy Act Form and Instruction
Request for Individual Access to Records Protected Under the Privacy Act Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
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

Information collection instruments
FormNameElectronic accessType
Form N/ARequest for Individual Access to Records Protected under the Privacy ActFillable Fileable SignableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.