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.
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 can be found here.
Document Name |
|---|
Form and Instruction |
Form and Instruction |
 1505-NEW SS Individual Access to Privacy Records 2024-05-07.docx (document unavailable)Supporting Statement A |
Request for Individual Access to Records Protected Under the Privacy Act
Consent for Disclosure of Records Protected under the Privacy Act |
Approved without change |
New collection (Request for a new OMB Control Number) | 2024-05-07 |
Request for Individual Access to Records Protected Under the Privacy Act
Federal Enterprise Architecture: Workforce Management - Training and Employment
| 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.