FSIS 1450-1 (03/20/2024)a Page 1 of 3

U.S. DEPARTMENT OF AGRICULTURE 

FOOD SAFETY AND INSPECTION SERVICE 

FREEDOM OF INFORMATION (FOIA) RECORDS SEARCH REQUEST

FOIA Case Number: Date: (mm/dd/yyyy)

To:

Due Date: (Information required in the FOIA office):

The FOIA Office received a request from:

The requestor seeks:

If you have any questions, please call FOIA Specialist at: (202) 

Instructions from the FOIA Office: 

1. Search your files for responsive records as of the date of the search request. If records are located, forward ALL responsive records 

 to the FOIA Office. 

2. Record the time spent searching/reviewing and coordinating on the request and the number of pages copied on the attached billing 

 sheet. 

3. Returned this completed form, signed by the Division Director, along with the responsive records to the FOIA Office. Insert password protect 

 and encrypted language.

 Specialist Name: 

 We have located responsive records and have forwarded all responsive records to the FOIA Office. 

 We have located responsive records and have flagged certain records we recommend withholding for one or more of the following reasons:

 The records are part of an ongoing law enforcement investigation.

 The records contain opinions of staff that are pre-decisional/deliberative information.

 The records contain trade secrets/confidential business information.

 Other (Specify):

 NO RECORDS - Our search failed to locate any responsive record(s).

 Request is too broad: Suggest narrowing by:

 We believe other FSIS divisions or another agency may have records responsive to this request. We recommend that you contact:

Comments From FSIS Program Office: (Check all that apply)

The following statement must be signed by the appropriate Division Director or Section Chief. 

I certify that all appropriate files have been searched and all responsive records found, reviewed, copied and provided to the FOIA Office. 

Name/Title/Division: Work Phone: (1234567890) Date: (mm/dd/yyyy)

REMINDER: PASSWORD PROTECT OR ENCRYPT prior to transmitting records containing personally identifiable information (e.g. personnel related 

files, misconduct investigations, records with SSN, B/D, medical, home address and other personal information.)

(See attached FOIA request for further description) 
 FSIS 1450-1 (03/20/2024)a Page 2 of 3

FREEDOM OF INFORMATION (FOIA) RECORDS SEARCH REQUEST

 BILLING SHEET INCIDENT TO FOIA SEARCH REQUEST

Please conduct a search for the requested information and/or records and provide to this office by the date specified. Also, please complete the 

billing section, Section B and insert your division below.

A. SEARCH REQUEST

FOIA Case No: Requestor: Request Date:

mm/dd/yyyy

 Due Date:

mm/dd/yyyy

 B. BILLING DATA

GS Level and Time

Grade level of GS searcher/Hourly rate of 

Contractor 

Number of Hours

1.

2.

3.

4.

Computer Search/Machine time

Review

Grade level of GS searcher/Hourly rate of 

Contractor Number of Hours

1.

2.

Dates of Search: (mm/dd/yyyy)

Special Parameters

Systems searched (Outlook, PHIS, or 

 other):

Search Terms used:

Files Searched: Search Terms used:

 E-mail located: 

(check correct box) Yes No

Duplication

Type Number or pages of 

disc found

Number of pages 

pending search Comments

Paper

Disc/CD

 Indicate Division:

General Comments:

See Attached Request
 FSIS 1450-1 (03/20/2024)a Page 3 of 3

FREEDOM OF INFORMATION (FOIA) RECORDS SEARCH REQUEST

FOIA WORKSHEET: OPEN INVESTIGATION

FOIA Number: Requestor:

Request Description:

PROGRAM AREA INFORMATION

FSIS Program Area:

FOIA Exemption (a) 7 (b) Harm Statement: 

In this section explain why release of the responsive documents would cause harm to an ongoing/pending investigation.

DOCUMENT INFORMATION

Provide the Approximate Volume and Categories of Responsive Records Example: 

Five boxes of responsive records were located: 

· NRs 

· Internal E-mails 

· NOIEs 

 

Internal Memoranda: 

CERTIFICATION STATEMENT

The following statement must be signed by the appropriate Division Director, Regional Director or his/her designee:

Name/Title/Division: Date: (mm/dd/yyyy)

Work Phone: (1234567890) 

I certify that, to the best of my knowledge, a reasonable search has been conducted and that responsive records will be 

maintained in accordance with FSIS Directive 2620.1, FSIS Records Management Program and FSIS Directive 8010.3, 

Procedures For Evidence Collection, Safeguarding And Disposal records retention policy.