The FBI's acquisition, retention, and sharing of information submitted on this form is generally authorized under 28 USC 534 and 28 CFR 16.30-16.34. The purpose for requesting this information from you is to provide the FBI with a minimum of identifying data to permit an accurate and timely search of identity history identification records.
Providing this information (including your Social Security Account Number) is voluntary; however, failure to provide the correct information may affect the completion of your request.
The information reported on this form may be disclosed pursuant to your consent, and may also be disclosed by the FBI without your consent pursuant to the Privacy Act of 1974 and all applicable routine uses.
You may request a copy of your own Identity History Summary to review it or obtain a change, correction, or an update to the summary.
If you are not a US Citizen or a permanent resident, you must make your request directly to the FBI.
