P-2010-01051 INITIAL REQUEST

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 05577828
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 2
• Document Creation Date: March 9, 2023
• Document Release Date: December 8, 2021
• Case Number: F-2011-02160
• Publication Date: August 30, 2010

Approved for Release: 2021/11/10 C05577828
Information and Privacy Coordinator
Central Intelligence Agency
Washington, D.C. 20505
Dear Coordinator:
Under the Freedom of Information Act, 5, U.S.C. subsection 552 and the Privacy Act, 5 U.S.C.
section 552a, please furnish me with copies of all records about me indexed to my name.
To help identify information about me in your record systems, I am providing the following
required information:
DOB./
If you deny any or all of this request, please cite each specific exemption that forms the basis
of your refusal to release the information and notify me of appeal procedures available under
the law.
Please email me a copy of my records a
Sincerely,
f possible.
I swear under the threat of perjury that the above information is true and correct to the best of
my knowledge.
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Approved for Release: 2021/11/10 C05577828
Approved for Release: 2021/11/10 C05577828
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Recipient Information
To: Information and Privacy Coordinator
Company: Central Intelligence Agency
Fax #: [phone]
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Approved for Release: 2021/11/10 C05577828