OMB control number
Certification of Identity for Freedom of Information and Privacy Act Requests
OMB 0910-0832 · HHS/FDA.
In processing certain requests under the Freedom of Information Act (FOIA) and the Privacy Act, the agency must confirm that the individual making the request is the same person to whom the records pertain and will be released. Form FDA 3975 entitled “Certification of Identity” is used by FDA to identify an individual requesting a particular record under the FOIA and the Privacy Act. The form is required only if an individual makes a FOIA or Privacy Act request for their own records but has not provided sufficient assurance of identity in the incoming request.
The latest form for Certification of Identity for Freedom of Information and Privacy Act Requests expires 2026-06-30 and can be found here.
Document Name |
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Form and Instruction |
Supporting Statement A |
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Approved without change |
Extension without change of a currently approved collection | 2023-05-03 | |
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Approved without change |
Extension without change of a currently approved collection | 2020-05-11 | |
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Approved without change |
New collection (Request for a new OMB Control Number) | 2017-04-28 |