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This form is used when requesting information from the Office of Surface
Mining Reclamation and Enforcement. Complete and submit the FOIA Form
by mail or fax. If you are requesting other Government information,
visit
USA.gov. If you have questions about our FOIA process,
contact us at efoia@osmre.gov.
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By Mail:
Office of Surface Mining
Freedom of Information Act Officer
South Interior Building, Mail Stop 130
1951 Constitution Ave., N.W.
Washington, DC 20240 |
By Fax:
202-219-3092 |
Request a FOIA request form.
FOIA Request
Date:____________
To: FOIA Officer, Office of Surface Mining
Reclamation and Enforcement
Telephone: 202-208-2961
I am requesting, under the Freedom of Information Act (FOIA),
the following records from the Office of Surface Mining Reclamation and
Enforcement, U.S. Department of the Interior. (Describe the records you
want, where they might be located, time frame, author, recipient, type.,
i.e., reports, letters, memoranda, forms, E-mail, etc.)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Regarding fees: (Check one.)
___ I am willing to pay applicable fees for processing
my FOIA request. (Check applicable fee category; see Reference Guide for
help.)
__ Commercial use
__ Educational use
__ Non-commercial scientific institution
__ News media
__ Other (private use)
__ I am requesting a fee waiver. Justification for fee
waiver is attached. (Attach separate sheet; see Reference Guide for
help.)
Submitted by:
Name
________________________________________________
Address
________________________________________________
________________________________________________
________________________________________________
Telephone/FAX
________________________________________________
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