45 CFR Appendix A to Part 2507, Freedom of Information Act Request Letter (Sample)
Dear____: This is a request under the Freedom of Information Act.
I request that a copy of the following documents [or documents containing the following information] be provided to me: [identify the documents or information as specifically as possible].
- A representative of the news media affiliated with the ____ newspaper (magazine, television station, etc.) and this request is made as part of news gathering and not for commercial use.
- Affiliated with an educational or non-commercial scientific institution, and this request is not for commercial use.
- An individual seeking information for personal use and not for commercial use.
- Affiliated with a private corporation and am seeking information for use in the company's business.
[Optional] I am willing to pay fees for this request up to a maximum of $____. If you estimate that the fees will exceed this limit, please inform me first.
[Optional] I request a waiver of all fees for this request. Disclosure of the requested information to me is in the public interest because it is likely to contribute significantly to public understanding of the operations or activities of government and is not primarily in my commercial interest. [Include a specific explanation.]
In order to help you determine my status to assess fees, you should know that I am (insert a suitable description of the requester and the purpose of the request).
Thank you for your consideration of this request.