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Renewal of NA Form 10003 Consent for FOIA Dispute Mediation

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Summary

NARA is proposing to renew OMB approval for NA Form 10003, a consent form used by the Office of Government Information Services (OGIS) for FOIA dispute mediation. The form collects written consent required under the Privacy Act to permit federal agencies to share FOIA-related records with OGIS. Public comments are due May 31, 2026.

What changed

NARA is seeking public comment on renewing approval for NA Form 10003, the consent form used by OGIS (the FOIA Ombuds) when providing mediation services between agencies and FOIA requesters. The form collects written consent required by the Privacy Act of 1974 to allow federal agencies to share records related to FOIA requests and appeals with OGIS. The estimated annual burden is 1 hour across approximately 30 respondents. OMB Control Number 3095-0068.

OGIS is requesting comments on whether this information collection is necessary, the accuracy of burden estimates, ways to enhance clarity, minimize respondent burden, and effects on small businesses. Comments are due May 31, 2026. No new compliance obligations are created—this is a procedural renewal of an existing form used in voluntary mediation services.

What to do next

  1. Submit written comments on the proposed information collection to NARA by May 31, 2026
  2. Address one or more of the five PRA comment points: necessity, burden accuracy, utility, clarity, or minimization of burden
  3. Send comments to Paperwork Reduction Act Comments, NARA, 8601 Adelphi Road, College Park, MD 20740-6001 or email Forms@nara.gov

Source document (simplified)

Content

ACTION:

Notice.

SUMMARY:

NARA is proposing to request that the Office of Management and Budget (OMB) renew approval of a form used by the Office of
Government Information Services (OGIS): NA Form 10003, Consent to Make Inquiries and Release of Information and Records. Known as the “FOIA Ombuds,” OGIS, an office within NARA, provides mediation services to resolve disputes between agencies
and persons making Freedom of Information Act (FOIA) requests, and reviews agency FOIA policies, procedures, and compliance,
as part of its statutory mission. 5 U.S.C. 552(h). When customers contact OGIS seeking assistance with a particular FOIA request
and/or appeal, OGIS may need to contact agencies for further information regarding that FOIA request and/or appeal in order
to provide that assistance. The Privacy Act of 1974 requires prior written consent from an individual to permit federal agencies
to share records and information related to FOIA requests and appeals, unless the agency has a published routine use that
includes release to OGIS for that purpose. 5 U.S.C. 552a(b). OGIS uses NA Form 10003 to collect that written consent when
necessary, because it cannot currently collect it via online submission. OGIS is hopeful that once it is able to add online
submission technology to a future case management system, it will be able to collect intake information and consent forms
online.

DATES:

We must receive written comments on or before May 31, 2026.

ADDRESSES:

Send comments to Paperwork Reduction Act Comments (HS); National Archives and Records Administration, 8601 Adelphi Road, College
Park, MD 20740-6001, or email them to Forms@nara.gov.

FOR FURTHER INFORMATION CONTACT:

Contact Matthew Sutton by telephone at 301-837-1878 with requests for additional information or copies of the proposed information
collection and supporting statement.

SUPPLEMENTARY INFORMATION:

Pursuant to the Paperwork Reduction Act of 1995 (Pub. L. 104-13), we invite the public and other Federal agencies to comment
on proposed information collections. The comments and suggestions should address one or more of the following points: (a)
whether we need the proposed information collection to properly perform our agency functions; (b) our estimate of the burden
of the proposed information collection and its accuracy; (c) ways we could enhance the quality, utility, and clarity of the
information we collect; (d) ways we

  could minimize the burden on respondents of collecting the information, including through information technology; and (e)
  whether this collection affects small businesses. We will summarize any comments you submit and include the summary in our
  request for OMB approval. All comments will become a matter of public record. In this notice, we solicit comments concerning
  the following information collection:

Title: Consent to Make Inquiries and Release of Information and Records.

OMB number: 3095-0068.

Agency form number: NA Form 10003.

Type of review: Regular.

Affected public: Individuals or households, business or other for-profit, not-for-profit institutions, and Federal Government.

Estimated number of respondents: 30.

Estimated time per response: Two minutes.

Frequency of response: On occasion.

Estimated total annual burden hours: 1 hour.

Abstract: Known as the “FOIA Ombuds,” OGIS, an office within NARA, provides mediation services to resolve disputes between agencies
and persons making Freedom of Information Act (FOIA) requests, and reviews agency FOIA policies, procedures, and compliance
as part of its statutory mission. 5 U.S.C. 552(h). When customers contact OGIS requesting assistance, OGIS may need to contact
agencies for further information, in order to provide that assistance. The Privacy Act of 1974 requires prior written consent
from an individual to permit federal agencies to share records and information related to FOIA requests and appeals, unless
the agency has a published routine use that includes release to OGIS for that purpose. 5 U.S.C. 552a(b). OGIS uses NA Form
10003 to collect that written consent when necessary, because it cannot currently collect it via online submission.

NA Form 10003 is available online at OGIS's website in a fillable pdf form with electronic signature option, so customers
can submit signed copies of the consent form by email without printing first, or may print and mail it to OGIS. OGIS is hopeful
that once it is able to add online submission technology to a future case management system, it will be able to collect intake
information and consent forms online. The collected information is the minimum information OGIS needs to perform its statutory
mission and to aid requesters.

This information collection does not have a significant impact on small businesses.

Gulam Shakir, Chief Information Officer. [FR Doc. 2026-06424 Filed 4-1-26; 8:45 am] BILLING CODE 7515-01-P

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Named provisions

NA Form 10003 - Consent to Make Inquiries and Release of Information and Records 5 U.S.C. 552(h) - OGIS statutory mission 5 U.S.C. 552a(b) - Privacy Act consent requirement

Classification

Agency
NARA
Comment period closes
May 31st, 2026 (58 days)
Instrument
Consultation
Legal weight
Non-binding
Stage
Consultation
Change scope
Minor
Document ID
OMB No. 3095-0068
Docket
NARA_FRDOC_0001-1114

Who this affects

Applies to
Government agencies Individuals Nonprofits
Industry sector
9211 Government & Public Administration
Activity scope
FOIA Dispute Mediation Privacy Act Consent Collection Information Collection
Geographic scope
United States US

Taxonomy

Primary area
Judicial Administration
Operational domain
Legal
Topics
Data Privacy Government Administration

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