Information and Privacy Coordinator
Central Intelligence Agency
Washington, D.C. 20505
Under the Freedom of Information Act, 5 U.S.C. subsection 552 and the Privacy Act, 5 U.S.C. section 552a, please furnish me with copies of all about me indexed to my name.
To help identify information about me in your record systems, I am providing the following required information:
BORIS, ZDZISLAW SIELICKI-KORCZAK, AKA – BORIS KORCZAK
XXXX XXXXX XXXX
Optional: I worked as an Access Agent for the CIA in 1970’s in Denmark under Edward Gotchef, William Lofgren and Jack Arend. (Case officers).
If you deny all or any part of this request, please cite each specific exemption that forms the basis of your refusal to release the information and notify me of appeal procedures available under the law.
Optional: If you have any questions about handling this request, you may telephone me at 703.xxx.xxxx
Boris Z. S. Korczak