Per 28 C.F.R. §16.41(d), the request for access to records must contain a verification of identity, including the requestor’s full name, current address, and date and place of birth, and be signed under penalty of perjury or notarized. Requests for the release of records will not be processed if NOAA cannot confirm identity based on the information provided. Therefore, this information collection is necessary to prevent unauthorized disclosure of records of individuals maintained by NOAA and allows parties to disclose or release their records to an attorney, accredited representative, qualified organization, or other third party.
None
$0
Adrienne Thomas 828 257-3148 adrienne.thomas@noaa.gov
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Total Request
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
30
0
0
30
0
0
Annual Time Burden (Hours)
3
0
0
3
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Yes
Miscellaneous Actions
No
NOAA is requesting authorization to use this common form for the Certification of Identity in Privacy Act requests.