FOIA Request Form



Fields marked with an asterisk (*) are required.
   
   
(Providing an email address allows DOI and its bureaus/offices to communicate with you electronically when appropriate. It will also ensure that receive an email confirmation of our receipt of your request.)

   
   
Please select which bureau or office you would like to receive your request.

Please indicate your desired record format.

   
   
You MUST provide a justification statement that explains in detail 1) how your request meets one or both of the criteria above (see 43 C.F.R. 2.20(a)) and 2) certifies that your explanation is true and correct to the best of your knowledge and belief if you have requested expedited processing.

I certify that the above statement(s) concerning expedited processing are true and correct to the best of my knowledge and belief.

If the bureau processing your request finds that the actual cost will exceed the amount you specified above, the bureau will stop processing the request and consult with you (see 43 C.F.R. 2.49(d)).

   
   
   
   
   
   
Please explain why your request for a waiver of fees or a reduction in fees is justified.

 
 

Note: Privacy Act requests must be submitted in writing in accordance with instructions in the Privacy Act notice. The Privacy Act Officer may require you to submit a signed and notarized statement indicating that you are the individual to whom the records pertain and that you understand it is a misdemeanor punishable by a fine up to $5,000 to knowingly and willfully seek or obtain records about another individual under false pretenses.

PRIVACY ACT ADVISORY

Regulations at 43 CFR, Part 2 authorize the collection of this information.  It is protected by Privacy Act Systems of Records Notice DOI—71: "Freedom of Information Request Files System—Interior" (57 FR 58817-58819). 

The information you provide is used by Bureau/Office FOIA Offices to respond to your request for agency documents.  Disclosures of this information within the Department may be made to program offices within the Bureau/Office to locate the documents you are seeking, to legal counsel, others within the agency to review the Bureau's/Office's proposed response to your request, and to any other parties within the agency with a need-to-know interest in your FOIA request. 

Disclosures of this information may also be made outside the Department to parties for purposes detailed in the Routine Uses section of Privacy Act System of Records Notice DOI—71.