Information Collection

Freedom of Information/Privcy Act Request

IC 21021 under ICR 200808-1615-008 · OMB 1615-0102.

⚠️ Notice: This information collection may be referencing outdated material.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 Form G-639 Freedom of Information/Privcy Act Request Form and Instruction
Form G-639 Freedom of Information/Privcy Act Request G-639 Form and Instr.pdf Form and Instruction

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 and Instruction	Form G-639	Freedom of Information/Privcy Act Request	G-639 Form and Instr.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

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.