OMB control number

Privacy Act Administration

OMB 1910-1700 · DOE/DOEOA.

OMB 1910-1700

The Privacy Act Information Request form assists the Dept. of Energy in processing PA requests submitted by an individual or an authorized representative wherein he or she is requesting records the gov't may maintain on them. The Dept’s use of this form continues to contribute to the Dept’s PA process, including, but not limited to, providing for faster processing of PA info. requests by asking individuals or their authorized representative the pertinent information needed for record retrieval.

The latest form for Privacy Act Administration expires 2028-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DOE F 206.5 Public Citizens Form and Instruction
Form DOE F 206.5 Federal Government Employees Form and Instruction
1910-1700 -Supporting Statement A_Final 9.25.docx Supporting Statement A
Privacy Act of 1974 - FinalPASORNCompilation.1.8.09.pdf Supplementary Document
DOE Order 206.1A (approved 011924).pdf Supplementary Document
30-day FRN 080124.pdf Supplementary Document
60-day FRN 030124.pdf Supplementary Document
Public Citizens Form and Instruction
Federal Government Employees Form and Instruction

All Historical Document Collections

202408-1910-002	Extension without change of a currently approved collection	2024-09-25
202101-1910-001 Approved with change	Revision of a currently approved collection	2021-01-29
201710-1910-002 Approved with change	Revision of a currently approved collection	2017-10-31
201403-1910-002 Approved without change	Extension without change of a currently approved collection	2014-03-27
200810-1910-001 Approved with change	Reinstatement with change of a previously approved collection	2013-09-05
199212-1910-001 Approved without change	Reinstatement with change of a previously approved collection	1992-12-07
199208-1910-007 Disapproved	Reinstatement without change of a previously approved collection	1992-08-10
198905-1910-016 Approved without change	Revision of a currently approved collection	1989-05-11
198804-1910-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1988-04-08
198702-1910-011 Approved without change	Reinstatement with change of a previously approved collection	1987-02-10
198605-1910-002 Approved with change	No material or nonsubstantive change to a currently approved collection	1986-05-01
198509-1910-008 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-09-01
198402-1910-005 Approved without change	New collection (Request for a new OMB Control Number)	1984-02-29

OMB Details

Federal Government Employees

Federal Enterprise Architecture: General Government - Central Personnel

Form DOE F 206.5

Privacy Act Information Request

Fillable Fileable

Form and instruction

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