Laserfiche WebLink
M.0914 <br />This application is: <br />NEW AMENDED <br />1. This is an application for temporary classification of data on individuals as: <br />PRIVATE CONFIDENTIAL <br />pursuant to Minnesota Statutes Section 13.06, subdivision 2. (Only one box may be checked. An <br />agency cannot apply for both types of classification on the same form. Separate applications must be <br />prepared when requesting both private and confidential temporary classifications.) <br />2. Name and address of requesting agency: <br />3. This application is for: (Check one) <br />this agency only. <br />all similar agencies. (If applying on behalf of other agencies, you must provide a list <br />identifying all such agencies. Indicate clearly that the agencies listed have agreed to <br />participate in the application and that they agree to be bound by the ruling.) <br />4. Name and title of Responsible Authority making the application: <br />Minnesota Statutes Section 13.06, subdivision. 1, states that only the Responsible Authority for an <br />agency or subdivision, as defined in Minnesota Statutes Section 13.02, subdivision 16, can submit <br />this application. <br />Describe all data or types of data to be covered by this classification. This description must be as <br />explicit and detailed as possible. Although item -by -item listings of data elements are not required, <br />general terms such as "all personnel records ,,• "all police records," etc., are not acceptable. Where <br />possible, specific file or record titles may be used. You may submit copies of the forms on which the <br />data are collected. <br />As part of your description you may exempt specific items that are public information. <br />N <br />