Freedom of Information/Privcy Act Request

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0102 can be found here:

Documents and Forms

Document Name Document Type
Form G-639 Freedom of Information/Privcy Act Request Form
g-639instr.pdf Instruction
G-639 Freedom of Information/Privacy Act Request g-639form.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Freedom of Information/Privcy Act Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 103

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G-639	Freedom of Information/Privacy Act Request	g-639form.pdf		Yes	No	Fillable Printable
Instruction			g-639instr.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: FIOA/PA Records	FR Citation: 74 FR 55572

Number of Respondents: 100,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100,000	100,000
Annual IC Time Burden (Hours)	25,000	25,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.