Privacy Act Request Form

OMB 1880-0546

OMB 1880-0546

The collection is necessary under 5 U.S.C. Section 552a(b) to collect information from individuals requesting information under the Privacy Act (PA). The Department will use the information to provide documents that are responsive to a Privacy Act or FOIA/Privacy Act request under the Freedom of Information Act.

The latest form for Privacy Act Request Form expires 2021-07-31 and can be found here.

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