Date

General Services Administration (6ADB)
Attn: Freedom of Information Act Officer
1500 E. Bannister Road, Room 1161
Kansas City, MO 64131-3088

Under the Freedom of Information Act, 5 U.S.C. subsection 552, I am requesting information on [identify the records you want in complete detail].

If there are any fees for searching or copying these records, please inform me before filling my request. [Or, Please send me the records without informing me of the cost unless the fees exceed $______, which I agree to pay.]

If you deny any or all of this request, please cite each specific exemption you feel justifies the refusal to release the information and notify me of appeal procedures available to me under the law.

[Optional: If you have any questions about this request, you may contact me by telephone at ______ (office phone) or _______ (cell/home phone).]

Sincerely,

Name
Address