Specific Cite to specific Justification Explanation why The name, address, submission and grounds in Iowa why evidence or disclosure of telephone, and email corresponding Code Chapter 22 information evidence or address of the individual page range for or other should be kept information would authorized by the person which questions applicable law in confidence not be in the best or party submitting such are being that support interest of the evidence or information answered treatment of the public to respond to inquiries evidence or concerning the information as confidential status of confidential such evidence or information Person must submit a public copy of the submission(s) from the confidential information has been excised. Iowa Admin. Code r. 8.5(7)(a)(5). The confidential material must be excised in such a way as to allow the public to determine the general nature of the evidence or information removed and to retain as much of the otherwise public information as possible. Check box when completed. This Form 22 must be signed by the individual who filed the notice of appeal pursuant to Iowa Administrative Code rules 129—8.5(1) & (2) or who submitted evidence or information pursuant to Iowa Administrative Code rule 129—8.5(3). Persons shall submit this Form 22 completed and signed along with any submission of evidence or information to OCIO as part of the appeals process and contested case process outlined in 129 Iowa Administrative Code chapter 8. A copy of this document shall also be included in all submissions, including the public copy. *Failure to provide the information required in this Form 22 may result in rejection of person’s request for confidentiality. ________________________________________ ___________________ Signature Date ________________________________________ Title
Specific submission and corresponding page range for which questions are being answered Cite to specific grounds in Iowa Code Chapter 22 or other applicable law that support treatment of the evidence or information as confidential Justification why evidence or information should be kept in confidence Explanation why disclosure of evidence or information would not be in the best interest of the public The name, address, telephone, and email address of the individual authorized by the person or party submitting such evidence or information to respond to inquiries concerning the confidential status of such evidence or information Person must submit a public copy of the submission(s) from the confidential information has been excised. Iowa Admin. Code r. 8.5(7)(a)(5). The confidential material must be excised in such a way as to allow the public to determine the general nature of the evidence or information removed and to retain as much of the otherwise public information as possible. Check box when completed. This Form 22 must be signed by the individual who filed the notice of appeal pursuant to Iowa Administrative Code rules 129—8.5(1) & (2) or who submitted evidence or information pursuant to Iowa Administrative Code rule 129—8.5(3). Persons shall submit this Form 22 completed and signed along with any submission of evidence or information to OCIO as part of the appeals process and contested case process outlined in 129 Iowa Administrative Code chapter 8. A copy of this document shall also be included in all submissions, including the public copy. *Failure to provide the information required in this Form 22 may result in rejection of person’s request for confidentiality. ________________________________________ ___________________ Signature Date ________________________________________ Title
official_broadband_-_form_22.docx