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Electronic Freedom of Information Act Request Form

To make an Electronic Freedom of Information Act (E-FOIA) request for the Office of Inspector General records, please fill in the following information:

Contact Information:

(Accurate information is required; OIG may be unable to respond to your FOIA request otherwise.)

Name:

Street Address:
City:
State:
Zip Code:
*Phone Number :**
*E-mail Address :**
*Fax Number :**
* Providing an e-mail address, phone number,or fax number allows OIG to communicate with you when appropriate. You will also receive an e-mail confirmation of this request.
Identify and describe the type of document that you are requesting (please enter a detailed description): Required

Fees Select the amount you agree to reimburse the Agency for fees incurred to process your request. Refer to the FOIA Reference Guide for complete details. Up to $25.00 Other Specified Amount We will contact you if the estimated costs will exceed your authorized amount. Please fill out the form if checked. Yes, I am requesting a fee waiver. In certain limited circumstances, individual requests are entitled to a fee waiver. The following factors must be met: If you wish to request a fee waiver include the following sections in your request: A clear statement whether subject of the requested records concerns “the operations or activities of the government.” Whether the disclosure is “likely to contribute” to an understanding of government operations or activities. The contribution to an understanding of the subject by the public is likely to result from disclosure: Whether disclosure of the requested information will contribute to “public understanding. The significance of the contribution to public understanding: Whether the disclosure is likely to contribute “significantly” to public understanding of government operations or activities. The existence and magnitude of a commercial interest: Whether the requester has a commercial interest that would be furthered by the requested disclosure. The primary interest in disclosure Please provide your justification if you request a waiver. Required
Expedited Processing Yes, I am requesting expedited processing. In certain LIMITED circumstances, individual requests are entitled to be moved ahead of other requests on an expedited basis. The following factors must be met and certified to be true and correct: Circumstances in which the lack of expedited treatment could reasonably be expected to pose an imminent threat to the life or physical safety of an individual; or An urgency to inform the public about an actual or alleged Federal government activity, if the information is requested by a person primarily engaged in disseminating information to the public. Please explain your reasons for requesting expedited processing. Required
Other Please indicate if any other EPA program office may have responsive records:
(Optional) Additional Comments:

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