Appendix C to Part4b - Facsimile of Official Form for Inquiries and Requests


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  • EC20SE91.001 Special Noticefalse statements subject to criminal penaltiesThe Privacy Act of 1974 (Pub. L. 93-579), 5 U.S.C. 552a(i)(3), states:“Any person who knowingly and willfully requests or obtains any record concerning an individual from an agency under false pretenses shall be guilty of a misdemeanor and fined not more than $5,000.”