DOI Access & Consent Forms

OMB 1093-0013

OMB 1093-0013

Latest Forms, Documents, and Supporting Material

Document Name
Form DI-4017 DI-4017, Consent for Disclosure of Records Protected under the Privacy Act Form
Form DI-4016 DI-4016, Request for Individual Access to Records Protected under the Privacy Act, Form
1093-NEW - Supporting Statement A (508)_Access and Consent Forms.docx Supporting Statement A
PUBLISHED ICR 1093-NEW (87 FR 64085).pdf Supplementary Document
SORN - FWS 5.pdf Supplementary Document
M-21-04.pdf Supplementary Document
PLAW-116publ50.pdf Supplementary Document
PUBLISHED ICR 1093-NEW (87 FR 25289).pdf Supplementary Document
DI-4017, Consent for Disclosure of Records Protected under the Privacy Act Form
DI-4016, Request for Individual Access to Records Protected under the Privacy Act, Form

All Historical Document Collections

202210-1093-001

Approved with change

Existing collection in use without an OMB Control Number

2022-10-21

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