Office of Government Information Services (OGIS)

Privacy Consent Statement

Because the Privacy Act generally protects FOIA Case Files from disclosure, agencies must notify the public that OGIS can access these files before they share them with OGIS. Agencies do this by publishing a Privacy Act Systems of Records Notice (SORN) in the Federal Register that includes a routine use for OGIS.

The following agencies have published SORNs with routine use notices for OGIS.

If you seek assistance with a FOIA dispute involving any of the following agencies, you DO NOT need to provide OGIS with a privacy consent statement before we can contact the agency to discuss your case.

Board of Governors of the Federal Reserve System
Central Intelligence Agency
Consumer Financial Protection Bureau
Council of the Inspectors General on Integrity and Efficiency
Department of Agriculture
Department of Commerce
Department of Defense
Department of Education
Department of Health and Human Services
Department of Homeland Security
Department of Housing and Urban Development
Department of Justice
Department of Labor
Department of State
Department of the Interior
Department of the Treasury
Department of Transportation
Department of Veterans Affairs
Environmental Protection Agency
Equal Employment Opportunity Commission
Federal Communications Commission

Federal Energy Regulatory Commission
Federal Housing Finance Agency
Federal Labor Relations Authority
Federal Retirement Thrift Investment Board
Federal Trade Commission
General Services Administration
Merit Systems Board
National Endowment for the Humanities
National Science Foundation
Nuclear Regulatory Commission
Occupational Safety and Health Review Commission
Office of Special Counsel
Pension Benefit Guaranty Corporation
Privacy and Civil Liberties Oversight Board
Securities and Exchange Commission
Small Business Administration
Social Security Administration
U.S. Agency for International Development
U.S. Postal Service
U.S. Trade Representative

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.

Your may submit your consent statement as:

A separate declaration by the person requesting assistance, such as:

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.

or
A completed NA 10003 (Consent to Make Inquiries and Release of Information and Records) Form

Click here to download a sample letter to OGIS that includes consent language.

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