P-2010-00871 SPR - POB CIT STATEMENT

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 05556694
• 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: July 8, 2010

Approved for Release: 2021/11/10 C05556694
Central Intelligence Agency
Washington, D.C. 20505
July 13, 2010
Reference: P-2010-00871
Dear
We received your 8 July 2010 facsimile requesting information on you. For identification
purposes we have assigned your request the number referenced above.
The Privacy Act requires federal agencies to safeguard personally identifiable information
about an individual. CIA's Privacy Regulations, Title 32 C.F.R. � 1901.13, establish the criteria
below:
An individual seeking access to or amendment of records about himself
shall provide in the letter of request his full (legal) name, address, date
and place of birth, and current citizenship status together with a
statement that such information is true under penalty of perjury or a
notarized statement swearing to or affirming his identity. In the case of
an individual who is an alien lawfully admitted for permanent residence,
said individual shall provide his or her alien registration number and the
date that status was acquired.
Although you have provided some of the required information, you must send us a
statement providing us with your place of birth and citizenship status. You must have your
statement notarized, or sign it under penalty of perjury (28 U.S.C. � 1746), and verify that you are a
U.S. citizen or a legal permanent resident. If you are a legal permanent resident (LPR), you must
provide your LPR number and the date that status was acquired. If you have become a U.S.
citizen, you must provide your naturalization number and the date that status was acquired. You
may submit any additional information you wish to help us ensure that our search is as
comprehensive and accurate as possible.
We will hold your request for 45 days from the date of this letter pending your reply.
Please use the reference number above when communicating with us so that we can easily identify
your request. If you would prefer to fax in your information, our fax number is 703-613-3007. If
we do not hear from you within that time, we will close your request.
Sincerely,
CD,t-10-teiv bC
A44,
Delores M. Nelson
Information and Privacy Coordinator
Approved for Release: 2021/11/10 C05556694
Approved for Release: 2021/11/10 C05556694
IMS/IRRG/PIPD
8 JULY 10
Distribution:
Orig - Adse
1 - PIPD/P-2010-00871 SPR - 45 DAYS (POB Cit Statement)
PRIVACY\00871
Approved for Release: 2021/11/10 C05556694