Privacy Consent Statement
The Consent Should State:
In accordance with the Privacy Act of 1974 as amended, I hereby authorize the Office of Government Information Services to make inquiries on my behalf, including the right to review all documentation that OGIS deems necessary regarding the Freedom of Information Act and/or Privacy Act request/administrative appeal that is the subject of my request for OGIS assistance. I understand that any documents I provide to OGIS, except those provided in confidence, may be copied and forwarded to agency officials as a part of the mediation/resolution process. I also authorize any Federal department, agency or component to release to OGIS information and records related to my Freedom of Information Act and/or Privacy Act request/administrative appeal.
Why We Need Your Signed Consent:
|Please see a sample
letter to OGIS.
[Word] [PDF ]
Your request for records under the Freedom of Information Act is maintained by federal agencies in a system of records governed by the Privacy Act of 1974. Therefore, OGIS needs your consent so that OGIS can work with the federal agency to which you made your request. OGIS will not be able to contact the agency, or attempt to begin resolving your dispute, until the consent is received.