UNITED STATES DEPARTMENT OF EDUCATION 

OFFICE OF THE SECRETARY 

 Freedom of Information Act (FOIA) Service Center 

FOIA REQUEST FORM 

Use this form to request U.S. Department of Education records/information. Submit completed form and documentation via 

email: EDFOIAManager@ed.gov; fax 202-401-0920; or mail to U.S. Department of Education, Office of the Secretary, 400 

Maryland Avenue, SW, LBJ 7W106, Washington, DC 20202-0121, Attn: FOIA Public Liaison. 

REQUESTER INFORMATION 

Title First Name M.I. Last Name 

Business Name Title 

Address Bldg/Apt# 

City State Zipcode 

Phone Number Fax Number Email 

Requester Description 

An individual seeking information for personal use. 

Affiliated with a private corporation and seeking information for use in the company's business. 

A representative of the news media/press and this request is made as part of news gathering and not for commercial use. 

Affiliated with a public interest group and this request is not for commercial use. 

Affiliated with an educational or noncommercial scientific institution and this request is for a scholarly purposes. 

 Provide a description of the scholarly purpose the requested documents support.

 If the scholarly purpose is currently funded by the Department of Education, provide funding numbers and award name.

 If the documents requested are to increase the possibility of receiving a grant or contract to conduct a scholarly purpose,

then the purpose of the request is commercial.

Comments (i.g. media agency, description of scholarly purpose) 

Description of documents that are being requested. Be as specific as possible with regard to names, dates, places, events, 

subjects, etc. If known, you should include any file designations or descriptions for the records that you are requesting. 

ED-EMH-001.1 Rev. 09/2021 ED 151; SORN 18-04-01 

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FEES AND FEE WAIVERS 

I agree to pay all applicable fees. (To view the fee structure, visit: http://www2.ed.gov/policy/gen/leg/foia/fees.html) 

I request a waiver or reduction of fees. 

(To view the criteria for fee waivers, visit: http://www2.ed.gov/policy/gen/leg/foia/fee-waiver.html) 

Enter a specified amount which you agree to pay. I understand I will be notified if the estimated cost 

exceeds the specified amount I provided. (Note: The Department does not charge for request which total $25 or less.) 

EXPEDITED PROCESSING 

If you are requesting expedited processing, choose the appropriate rationale for your request below. 

Failure to obtain requested records could reasonably be expected to pose an imminent threat to the life or physical safety of 

an individual. Additionally, if immediate use of the FOIA is shown to be critical (as opposed to a mere allegation) to the 

preservation of a substantial right that fact may also be considered. 

Explain 

Request made by a person primarily engaged in disseminating information and there is an urgency to inform the public 

concerning actual or alleged Federal Government activity (this option available ONLY for requesters primarily engaged in 

disseminating information). 

Explain 

ADDITIONAL COMMENTS 

Additional Comments 

Privacy Act Statement: 

AUTHORITY: 5 U.S.C. 301, Departmental Regulations and 5 U.S.C. 552, Freedom of Information Act (FOIA). 

PURPOSE: to allow individuals to file electronic FOIA requests; to track all FOIA requests from receipt to response to compile statistics for the Annual FOIA Report; to 

research and respond to FOIA requests; to maintain case files to comply with records disposal requirements; and to maintain an administrative record to support any litigation. 

ROUTINE USE: Requests are received, assigned a case number, routed to the appropriate office or organization for research and response, and filed in a case file. Requests that 

are transferred, receive a no records response, or granted in full are retained for 2 years and then destroyed. Requests that are denied in whole or in part are retained for 6 years 

then destroyed. 

DISCLOSURE: Voluntary. We seek your full name and postal mailing address so we may mail a response to you. Failure to provide this information may result in your 

request not being processed (this page does not capture email addresses). 

Information collected by this form is also used for trend analysis and may be shared with law enforcement personnel. Information submitted may be retained indefinitely. 

ED-EMH-001.1 Rev. 09/2021 ED 151; SORN 18-04-01 

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