P-2010-01038 INITIAL REQUEST

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 05570153
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 3
• Document Creation Date: March 9, 2023
• Document Release Date: December 8, 2021
• Case Number: F-2011-02160
• Publication Date: August 24, 2010

Approved for Release: 2021/11/10 C05570153
(b)(6)
August 17, 2010
Information and Privacy Coordinator
Centra; 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 mysel
My full name
Other names used:
My date of birth
My place of hi
My Social Seen
My citizenship:
I am enclosing a copy of my driver's license or other state-
sued photo ID.
This is an individual request or research and study purposes, and I agree that I will pay up to $30 for necessary.
Please notify me in advance if fees are expected to exceed that amount.
If you have any qu
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 55240(3) as a misdemeanor and by a
fine of not more than $5,000.
Sincerely,
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Approved for Release: 2021/11/10 C05570153
Approved for Release: 2021/11/10 C05570153
(b)(6)
Approved for Release: 2021/11/10 C05570153
Approved for Release: 2021/11/10 C05570153
(b)(6)
(b)(6)
Approved for Release 2021/11/10 C05570153