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CO online Form 5495: What You Should Know

Information Sharing Notice | Federal Register May 31, 2024 -- For some information-sharing programs, the “opt-out” feature is available from the time you submit your application at or before 11:59 p.m. (PST) on the last business day of the month in which you complete your Form 5495. There are several types of programs that provide individuals with the option to opt-out of sharing their personal information. If you wish to use the opt-out feature for a program where you are not eligible to make a choice, submit Form 5495, but if you are eligible to make a choice, attach a written statement with your application to say that you do not wish the Personal Information to be shared and that you will not give your information to “any governmental or other institution” that receives your information through the opt-out function. Request for Information Sharing Form 5495 May 31, 2024 — A person requesting information from a State or local government agency or political subdivision, or a court of any State or local government agency or political subdivision, or a Federal, State, or local political subdivision, on a matter or in any manner that would be prohibited under Sec. 706 of the Freedom of Information Act (5 U.S.C. 552) shall sign and date this form in duplicate and mail it to the requester. A copy of Form 5495 form submitted via Web Form shall be served on the requester electronically by the system provider. An electronic copy of this form received and accepted by a government or a court, or an electronic copy served on a government or court or the government or court itself, shall not be considered served.

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