P-2010-01006 INITIAL REQUEST

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 05567805
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 4
• Document Creation Date: March 9, 2023
• Document Release Date: December 8, 2021
• Case Number: F-2011-02160
• Publication Date: August 11, 2010

Approved for Release: 2021/11/10 C05567805
August 4, 2010
Information and Privacy Coordinator
Central Intelligence Agency
Washington, DC 20505
FREEDOM OF INFORMATION ACT! PRIVACY ACT REQUEST
Dear Sir or Madam:
This is a request for records under the provisions of the Freedom of Information Act and
the Privacy Act. Please process this request under both statutes to release the
maximum number of records.
I request copies of all files, correspondence, or other records concerning myself. To
assist you with this search I am providing the following information about myself:
My full name
Other names used: N/A
My date of birth
My place of birth:
My Social Security number:
I am enclosing a copy of my driver's license or other state-issued photo ID.
Please search both your automated indices and the older general (manual) indices.
This is an individual request for research and study purposes, and I agree that I will pay
up to $30 for fees, if necessary.
Please notify me in advance if fees are expected to exceed that amount. If the file is
likely to result in more than 50 pages, I would appreciate receiving a digital copy of the
file on a CD-ROM rather than in paper form.
If you have any questions, please call me at
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Under penalty of perjury, I hereby declare that I am the person named above and I
understand that any falsification of this statement is punishable under the provisions of
Title 18, United States Code (U.S.C.), Section 1001 by a fine of not more than $10,000
or by imprisonment of not more than five years, or both; and that requesting or obtaining
any record(s) under false pretenses is punishable under the provisions of Title 5,
U.S.C., Section 552a(i)(3) as a misdemeanor and by a fine of not more than $5,000.
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Information and Privacy Coordinator
Central Intelligence Agency
Washington, DC 20505
Approved for Release: 2021/11/10 C05567805