FOIA Online Request-AboutSomeoneElse_Screen Mockups_OMB_05272022

Freedom of Information/Privacy Act Request

FOIA Online Request-AboutSomeoneElse_Screen Mockups_OMB_05272022

OMB: 1615-0102

Document [pdf]
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Request About Someone Else
Step 1 of 5: Details about the Third-Party Requestor

1

2

3

Representative Role to the Subject of Record?
What is the relationship of the subject of record to the third-party requestor?
I am an attorney or accredited representative, acting on behalf of the subject of record
I am requesting information about someone who is deceased
I am requesting information on behalf of my child or a minor for whom I am a legal guardian
Other (Explain):

If you are requesting information about a subject of record with whom you have no relationship:

4

5

In response to public comment, and in parity with the proposed
Form G-639, we are making the nature of requests more clear
while adding "other" as an option.
Responses here will determine the presence of other fields and
screens.
For example, when a user selects "I am requesting information
about someone who is deceased," we will not ask them to
provide the subject of record's contact information on page nine
of these example screens.
Made the following text change:
"If you are requesting information or amendment or correction of records
about a subject of record with whom you have no relationship:"

I am requesting as a member of the media
Other (Explain):

Parent/Guardian Information
If you are a parent/guardian requesting a minor child's records, you must submit the following:

Family name (last name) *

Given name (first name) *

Making a request on behalf of a child or a minor will add
additional fields below to be completed by a parent or guardian
requestor.
Otherwise, this section will not be shown.

Middle name (if applicable)

Country of Birth *

When was the Parent/Guardian born?

Month *

Day

Year *

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An official website of the United States government. Here's how you know

Submit Request

My Requests

Resources

Sign Out

Request About Someone Else
Step 3 of 5 - Details About the Subject of Record

1

2

3

4

5

Parents' Names for the Subject of Record
What is the Subject of Record father's name? - required

Family name (last name) *

Given name (first name) *

Middle name (if applicable)

Father's name is unknown

What is the Subject of Record mother's name? - required

Family name (last name) *

Given name (first name) *

Middle name (if applicable)

Mother's name is unknown

Information About Family Members that May Appear on Requested Records
For example, provide the requested information about a spouse or children.

Family name (last name)

Given name (first name)

Middle name (if applicable)

Add Name

Relationship

Content added in response to 30-Day
public comment

Avoiding Redaction of Records Mentioning Additional Persons

To protect the privacy of each person mentioned in records we release, we redact their information unless you provide:
• Their consent for us to release their information, either in a notarized document, or a document signed under penalty of perjury, or
• Proof they are deceased, with a death certificate, obituary, photograph of a funeral memorial or monument; or screen print from the Social Security Death Index;
or probate documents filed in court. This is not required if they were born more than 100 years before you submit this form.
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Back

Next

Contact USCIS
USCIS.gov
An official website of the U.S. Department of Homeland Security
About USCIS

FOIA Requests

Office of the Inspector General

Accessibility

No FEAR Act Data

The White House

Budget and Performance

Privacy and Legal Disclaimers

USA.gov

DHS Components

Site Map


File Typeapplication/pdf
File TitleG-639-005-REV_FOIA-FIRST_ScreenShots_30-Day_03232022.pdf
Authormrfrank
File Modified2022-05-27
File Created2022-03-23

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