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Website:  http://foia.navy.mil   Date: 10/14/2004   Time:  10:32:51 PM

FOIA REQUEST FORM

NOTE:   Required responses are in red. boldface. and italics.
Requests for personal information require a signature and can not be processed through this online form. Instead, please follow the Privacy Act request instructions. (Personal information includes, but is not limited to, information about current or former service members and employees of the Department of the Navy.)

Dear FOIA Officer:

This is a request filed under the Freedom of Information Act. I request:

Tell what kind of record(s) you are requesting. Select one of these. (Required)
a copy of the following documents be provided to me:
documents containing the following information be provided to me:
all documents containing information regarding the following topic be provided to me:


Describe the records you are requesting: Describe the specific record(s) you seek with enough detail so that a knowledgeable official of the activity may locate the record with a reasonable amount of effort. Such detail should include descriptive information, time-frame to be searched, etc. Because most Navy records are not retained permanently, the more information provided, the better opportunity there is to determine if the records would still exist and where. The FOIA clearly states that records must exist at the time the request is submitted to be considered. (Required)


The records description area is limited to 800 characters.
You have 800 characters left




In order to help to determine my status to assess fees, you should know that I am:

Tell us the purpose of your request. Select one of these. (Required)

a representative of the news media affiliated with and this request is made as part of a news gathering effort and not for commercial use.
affiliated with an educational or noncommercial scientific institution, and this request is made for a scholarly or scientific purpose and not for commercial use.
an individual seeking information for personal use and not for commercial use.
affiliated with a private corporation and am seeking information for use in the company's business.


(Fee/Waiver - Select one of these. You must indicate your willingness to pay all fees or those up to a specified amount or provide a justification to support a fee waiver. Agreements to pay fees are considered to be up to $250, unless another amount is specified. Currently we charge search, review (for commercial requesters only), and duplication costs. The fee schedule is provided at enclosure (3) of SECNAVINST 5720.42F.)
I am willing to pay fees for this request up to a maximum of $. If you estimate that the fees will exceed this limit, please inform me first.
I request a waiver of all fees for this request. Disclosure of the requested information to me is in the public interest because it is likely to contribute significantly to public understanding of the operations or activities of the government and is not primarily in my commercial interest.


Fee/Waiver Justification: If you requested a fee waiver, explain why it is justified. Please hit return/enter at the end of each line.


The Fee/Waiver Justification area is limited to 800 characters.
You have 800 characters left

Thank you for your consideration of my request.

Sincerely,

Your Name. (Required)



How to Contact You: Our form does not automatically collect your e-mail address. You must either include your e-mail address or a mailing address, if you wish to receive a response from us.

Your E-mail Address (Optional)



Street Address. (Required)





City. (Required))



State or Country . (Required)



Zip or Postal Code. (Required)



Telephone Number (Optional))





PRIVACY ACT ADVISORY:

AUTHORITY: 5 U.S.C. 301, Departmental Regulations and 5 U.S.C. 552, Freedom of Information Act (FOIA).

PURPOSE: To allow individuals to file electronic FOIA requests; to track all FOIA requests from receipt to response to compile statistics for the Annual FOIA Report; to research and respond to FOIA requests; TO maintain case files to comply with records disposal requirements; and to maintain an administrative record to support any litigation.

ROUTINE USE: Requests are received in the DON's PA/FOIA Policy Branch, assigned a case number, filed in a case file, and routed to the appropriate office/organization for research and response. Requests that are transferred, receive a no records response, or granted in full are retained for 2 years and then destroyed. Requests that are denied in whole or in part are retained for 6 years and then destroyed.

DISCLOSURE: Voluntary. We seek your full name and postal mailing address so we may mail a response to you. Failure to provide this information may result in your request not being processed (this page does not capture email addresses). Your IP address (209.237.227.230) is appended to the message that you submit.

Information collected by this form is also used for trend analysis and may be shared with law enforcement personnel. Information submitted may be retained indefinitely.




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About this Site: This is an official Department of the Navy website provided as a public service of the Office of the General Counsel in cooperation with the SECNAV/CNO Freedom of Information Act Office (FOIA). The FOIA Office reports to the Director of Navy Staff. Registered with GILS as: Department of the Navy Freedom of Information Act Web Site. Before contacting us read our Privacy Policy.

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