Privacy Act Statement

Collection of this information is authorized by the Freedom of Information Act and the Privacy Act, 5 U.S.C. § 552 and § 552a. The information will be used to process your request for information under the Freedom of Information Act or the Privacy Act. In order to do this, we may disclose your information consistent with the routine uses listed in the system of records for BGFRS-23, “FRB—Freedom of Information Act and Privacy Act Case Automation System” (available here at: https://www.federalreserve.gov/files/BGFRS-23-freedom-of-information-act-and-privacy-act-case-automation-system.pdf). Supplying this information is voluntary, but failure to provide all of the information may cause a delay in the processing of your request or may result in the Board's inability to process your request.

* Required field: The information provided to the Board on this form is used for responding to your request.

 Click for the Certification of Identity Freedom of Information or Privacy Act Request Form (PDF)