Freedom of Information Act (FOIA) Request for Assistance and Consent

OMB 3095-0068

In order to fulfill its government-wide statutory mission, the Office of Government Information Services (OGIS) provides varying types of assistance to its customers, which requires communicating with government departments and agencies regarding the customers FOIA/Privacy Act request/appeal. Handling requests for OGIS Assistance must conform to the legal requirements of the Freedom of Information Act (FOIA) and the Privacy Act of 1974. Authority for the requirements set forth in this form is also contained in 5 U.S.C. 552a(b). OGIS will use the information submitted in the form to provide the requested assistance. Without the information submitted in this form, OGIS would be unable to fulfill its mission.

The latest form for Freedom of Information Act (FOIA) Request for Assistance and Consent expires 2022-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form NA Form 10003 Freedom of Information Act (FOIA) Request for Assistance and Consent Form and Instruction
SupportingStatement for 3095-0068 FINAL.docx Supporting Statement A
Freedom of Information Act (FOIA) Request for Assistance and Consent Form and Instruction

All Historical Document Collections

202211-3095-001 Approved without change	Revision of a currently approved collection	2022-11-10
201911-3095-002 Approved without change	Revision of a currently approved collection	2019-11-06
201609-3095-001 Approved without change	Revision of a currently approved collection	2016-09-22
201402-3095-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-02-12
201310-3095-001 Approved without change	Revision of a currently approved collection	2013-10-31
201105-3095-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-05-04
201010-3095-001 Approved without change	New collection (Request for a new OMB Control Number)	2010-10-15