RECORD OF FREEDOM OF INFORMATION (FOI) PROCESSING COST

Please read instructions on back before completing form.

1. REQUEST NUMBER 2. TYPE OF REQUEST (X one) 3. DATE COMPLETED (YYYYMMDD)

a. INITIAL b. APPEAL

5. CLERICAL HOURS (E-9/GS-8 and below) (1) TOTAL HOURS (2) HOURLY RATE (3) COST

a. SEARCH

b. REVIEW/EXCISING

c. OTHER ADMINISTRATIVE COSTS

6. PROFESSIONAL HOURS (O-1 - O-6/GS-9-GS-15)/CONTRACTOR

a. SEARCH

b. REVIEW/EXCISING

c. OTHER/COORDINATION/DENIAL

7. EXECUTIVE HOURS (O-7 - ES 1 and above)

a. SEARCH

b. REVIEW/EXCISING

c. OTHER/COORDINATION/DENIAL

8. COMPUTER SEARCH

a. MACHINE TIME (Not PC, desktop, laptop)

b. PROGRAMMER/OPERATOR TIME (Human)

 (1) Clerical Hours

 (2) Professional Hours

9. OFFICE MACHINE COPY REPRODUCTION

a. PAGES REPRODUCED FOR FILE COPY

10. PRE-PRINTED PUBLICATIONS

11. COMPUTER PRODUCT OUTPUT/ACTUAL COST CHARGES

a. TAPE/DISC/CD

b. PAPER PRINTOUT

X $20.00

=

(1) TOTAL HOURS (2) HOURLY RATE (3) COST

X = $44.00

(1) TOTAL HOURS (2) HOURLY RATE (3) COST

X $75.00 =

(1) TOTAL TIME (2) RATE (3) COST

$20.00/hr

X =

$44.00/hr

(1) NUMBER (2) RATE (3) COST

.15

X =

(1) TOTAL PAGES (2) RATE (3) COST

X = .02

(1) NUMBER (2) ACTUAL COST (3) COST

X =

a. TOTAL COLLECTABLE FEES

b. TOTAL PROCESSING FEES

c. TOTAL CHARGED

d. FEES WAIVED/REDUCED (X one)

e. FEES NOT APPLICABLE (X one)

Yes No

See Chapter 6, Fee Schedule, DoD 5400.7-R, to determine appropriate

assessment of fees.

DD FORM 2086, JAN 2003 PREVIOUS EDITION IS OBSOLETE.

16. FOR FOI OFFICE USE ONLY

 REPORT CONTROL

 SYMBOL

DD-DA&M(A)1365

FEE

CODE

1

2

3

1

2

3

1

2

3

4

1

1

3

5

6

3

a. PAGES PRINTED

FEE CODES

1 Chargeable to "commercial" requesters. Chargeable to "other"

 requesters after deducting 2 hours.

2 Chargeable to "commercial" requesters only.

3 Not chargeable to any fee category.

4 Chargeable to "commercial". Chargeable to "other" after

 deduction of the equivalent of 2 hours. (Example: deduct

 $88.00 professional rate.)

5 Chargeable to all fee categories after deduction of 100 pages

 (DOES NOT include "commercial").

6 Chargeable to all fee categories. No deductions.

12. OTHER ADMINISTRATIVE FEES (1) NUMBER (2) ACTUAL COST (3) COST

a. ALL POSTAGE/ADMINISTRATIVE (See instructions) 3 X =

13. AUDIOVISUAL MATERIALS (1) NUMBER (2) ACTUAL COST (3) COST

a. MATERIALS REPRODUCED 4 X =

14. SPECIAL SERVICES (1) NUMBER (2) ACTUAL COST (3) COST

a. ALL SPECIAL SERVICES (See instructions) 6 X =

4. ACTION OFFICE

Yes No

b. PAGES RELEASED 5 .15

15. MICROFICHE REPRODUCED 5 X = .25
INSTRUCTIONS FOR COMPLETING DD FORM 2086

This form is used to record costs associated with the processing of a Freedom of Information request.

1. REQUEST NUMBER - First two digits will

express Calendar Year followed by dash (-) and

Component's request number, i.e., 03-001.

2. TYPE OF REQUEST - Mark the appropriate

block to indicate initial request or appeal of a denial.

3. DATE COMPLETED - Enter year, month and

day, i.e., 20031001.

4. ACTION OFFICE - Enter the office processing

this request.

5. CLERICAL HOURS - For each applicable activity

category, enter time expended to the nearest 15

minutes in the total hours column. The activity

categories are:

 Search - Time spent in locating from the files

the requested information.

 Review/Excising - Time spent in reviewing the

document content and determining if the entire

document must retain its classification or segments

could be excised thereby permitting the remainder

of the document to be declassified. In reviews for

other than classification, FOI exemptions 2 through

9 should be considered.

 Other Administrative - Time spent in activity

other than above, such as hand carrying documents

to other locations, restoring files, etc.

 - Multiply the time in the total hours column of

each category by the hourly rate and enter the cost

figures for each category.

6. PROFESSIONAL HOURS - For each applicable

activity category, enter time expended to the

nearest 15 minutes in the total hours column. The

activity categories are:

 Search/Review/Excising/Other - See explanation

above.

 - Multiply the time in the total hours column of

each category by the hourly rate and enter the cost

figures for each category.

7. EXECUTIVE HOURS - For each applicable

activity category, enter the time expended to the

nearest 15 minutes in the total hours column. The

activity categories are:

 Search/Review/Excising/Other - See explanation

above.

 - Multiply the time in the total hours column of

each category by the hourly rate and enter the cost

figures for each category.

8. COMPUTER SEARCH - When the amount of government-owned

(not leased) computer processing machine time required to complete

a search is known, and accurate cost information for operation is

available, enter the time used and the rate. Then, calculate the total

cost which is fully chargeable to the requester.

 - Programmer and operator costs are calculated using the same

method as in Items 5 and 6. This cost is also fully chargeable to

requesters as computer search time.

9. OFFICE COPY REPRODUCTION - Enter the number of pages

reproduced and/or released. 

 - Multiply by the rate per copy and enter cost figures.

10. PRE-PRINTED PUBLICATIONS - Enter total pages.

 - Multiply the total number of pages by the rate per page and

enter cost figures.

11. COMPUTER COPY - Enter the total number of tapes and/or

printouts.

 - Multiply by the actual cost per tape or printout and

 enter cost figures.

12. OTHER ADMINISTRATIVE FEES - Covers postage (when

known), correspondence preparation, other non-billable charges not

covered under Items 5 - 7, etc.

13. AUDIOVISUAL MATERIALS - Duplication cost is the actual cost

of reproducing the material, including the wages of the person doing

the work.

14. SPECIAL SERVICES - Covers items outside of the FOIA such as

authenticating records at $5.20 per seal, overnight mail at cost, and

other services for which the requester agrees to reimburse the

agency.

15. MICROFICHE REPRODUCED - Enter the number of copies and

multiply by the rate per copy.

16. FOR FOI OFFICE USE ONLY -

 Total Collectable Fees - Add the blocks in the cost column and

enter total in the total collectable fees block. Apply the appropriate

waiver for the category of requester prior to inserting the final

figure. Further discussion of chargeable fees is contained in Chapter

VI of DoD Regulation 5400.7-R.

 Total Processing Fees - Add all blocks in the cost column and

enter total in the total processing fees block. The total processing

fees in most cases will exceed the total collectable fees.

 Total Charged - Enter the total amount that the requester was

charged, taking into account the fee waiver threshold and fee waiver

policy.

 Fees Waived/Reduced - Indicate if the cost of processing the

request was waived or reduced by placing an "X" in the "Yes" block

or the "No" block.

 Fees Not Applicable - Indicate if the cost of processing the

request was not applicable by placing an "X" in the "Yes" block or

the "No" block.

DD FORM 2086 (BACK), JAN 2003