P-2010-00905 INITIAL REQUEST

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 05562830
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 6
• Document Creation Date: March 9, 2023
• Document Release Date: December 8, 2021
• Case Number: F-2011-02160
• Publication Date: July 21, 2010

Approved for Release: 2021/11/10 C05562830
FAX NO,
ON 1 . 12 2210 32: 2EPti Pit
(b)(6)
Central Intelligence Agency
Information and Privacy Coordinator
Washington, DC 20505
Fax: [phone]
The Freedom of Information Act
Release of Information Request
Dear
e bog
7/12/2010
Under The Freedom of Act, 5 U.S.C, Subsection 552,
I am requesting information, or records ot as stated
above, as clearly and specifically as possible, and previously released
National Intelligence Estimates (Nils), on the former Soviet Union,
Please provide estimate, fees for searching, copying records.
If you deny my request, please cite each specific exemption
justifying refusal to release the information, and notify me of appeal
available under the law,
Social Security Nv
Date of Bin
1-4
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FROM :
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12 2010 2l225FM 02
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Department of Justice
Certification f Identity
Privacy Act Statement, in accordance with 22 CFR Section 16.41(d) personal daft sufficient to identil
by mail under the P6vacy Ace of 1974, 5 U.S.C. Section 552a, is required_ The purpose of this eolicitstiuuis to ensure
incli�jjaals wbo are the subject or U.S. Department oitnee systems orrecords are not wrongfully disclosed by the Deparu.nent. Fr
linarish this information will result in no action troing taken on We request. False information on this form may subject the requester to crim-
inal penances under 15 Section 1001 anchor 5 U.S.C. Section 5520(i)(3).
Public reporting burden Be this collection or information is estimated to agramgc 0.50 hours per response,
ing instructions, searching existing data sources, gathering and maintaining the data needed, and complaint, turd nrv.iewing the collection
of information. Suggestions for reducing this burden may be submitted to Director, Facilities and Atiminiatative Services Staff, Justice
Management Division, U.S. Department of Justice, Waskin.gton. DC 20530 and the Office of Infardation and Regulatory Atibits, Office
of Management and Budget, Public Use Reports Project (1103-0016), Washington, DC 20501
Full Name of Request
Citizeaship Status 2
Current Address
Date of Birth
Social Security Number 3
Place of 'Bird
declare under penalty of perjury under the laws of the United Skates of America that the foregoing correct, and that I am the
perscb. Ith mu! above, and 1 understand that any falsification of this statement hi punishable under
by a fine of net more than 5.10,000 or by mnprisoninenr of not more than live years or both, and that rcquesttng or obtaining tiny recant-1(s)
under false pretenses is punishable under the provisions o15 U.S.C. 532a(i)(3) by a fine of not more than 135,000.
A.mhorization to Roles
This form is a.lso to he completed by a steaueer who is authorizing in
Further, purstarm to 5 U.S.C. Section 552a(b), I adoritre the U.S. Darsirtment oil
ideal who is th
2 In
admitted .
request pursuer T.J.S.C. F
latefigly admitted fUr permanent re
3 Providing your social security nun
identification of records relating to you.
pertaining to you.
4 Signature of individual who is th
FORM AFPROVEL) OMB NO, I 0,001
EXPIRES !EC; 1 ij
ting, no himselfor herself to be tel
0
U.S.C. Section 001
Print or Type Name
my,
Act or 1974 must be either d States or an Alien lawfully
Section 5520(6)(4 Requests willhe processed as Freedom of Information Act
n Privacy Act requests, for individuals who are not United States citizcns or aliens
tary, You are asked to provide yor social security number only to facilitate the
at your social security number, the Department may be unable so locate any or all records
ubjett of the record sought.:
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