3
Shared Docs
3
Same-Page
3 / 3
Mentions
of information Suggestions for reducing this burden may be sub=rted to the Office of Information and P,egulatory Affairs. Office of Management and Budget. Public Use Reports Project (1103-0016). Washington. DC 20503. Full Name of Requester 1 Citizenship Status 2 Cusrent Address Date of Birth Socia
tion is to ensure that the records of ugly:Muds who se the subject of U.S. Departroent of Justice systems of records are not wrongfully disclosed by the Department Requests will not be processed if this information is not unshed. False information on this form may subject the requester to criminal penalties under 18 I:
of information Suggestions for reducing this burden may be submitted to the Office of Information and Regulatory Affairs. Office of Management and Budget. Public Use Reports Project (1103-0016), Washington, DC 20503. Full Name of Requester Citizenship Status 2 Social Security Number 3 Cturent Addr
on is to ensure that the records of individuals who are the subject of U.S. Detainment of Justice systems of records are not wrongfully disclosed by the Department Requests will not be processed if this infonintion is not finished False information on this form may subject the requester to criminal penalties wider IS US
of information. Suggestions for reduCing this burden may be submitted to the Office of Information and Regulatory Affairs, Office of Management and Budget. Public Use Reports Proj Full Name of Requester I Citizenship Status 2 U .5 . eA. Social Security Number 3 Current Address all_LOSA. CA lope &
on is to ensure that the records of individuals who are the subject of U.S. Department of Justice systems of records are not wrongfully disclosed by the Department Requests will not be processed if this information is not furnished. False information on this form may subject the requester to criminal penalties under 18
Entities connected to both Budget and the Department Requests

Jeffrey Epstein
PERSON
Department of Justice
ORGANIZATION
United States
LOCATION
Prince Andrew
PERSON
Bill Clinton
PERSON
Ghislaine Maxwell
PERSONOffice of Management
ORGANIZATIONthe Office of Information and Regulatory Affairs
ORGANIZATIONMarcel Drive
LOCATION
Robertson
PERSON
United States Department of Justice
ORGANIZATIONELSUR
ORGANIZATIONFBI Headquarters
ORGANIZATIONFederal Government
ORGANIZATIONthe Explanation of Exemptions
ORGANIZATIONFOIA Public
ORGANIZATIONDispute Resolution Services
ORGANIZATIONFBI Records
ORGANIZATIONField Offices
ORGANIZATIONIndividual—Watch Lists
ORGANIZATION