Document 35 - Attachment 1
Meeting Information Request Form
Thank you for your interest in meeting with U.S. Secretary of Energy. To ensure that the appropriate individual within the Department ofEnergy is meeting with you on a given matter and because the Office of the Secretary is committed to maintaining the highest ethical standards, we need the information requested below before we can agree to schedule a meeting'.
Please respond to the questions below and send your response to the.secretary@hg.doe.gov. If you have any questions you may contact the Secretary's Scheduling Office at 202-586-5534.
Requesting individual/organization: (Please identify the person(s) (name and affiliation) requesting the meeting, including any background information on the affiliated organization(s).)
Contact information (Name, Email, Phone):
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Please describe the action sought from the Office of the Secretary:
Meeting date (if date is flexible please
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indicate the range):
P lease explain any time sensitivity that impacts the date of the meeting, such as courtordered or statutory deadline:
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Proposed meeting location (City, State/C ou ntry) :
Describe the proposed meeting topic/ agenda, provide available briefing materials, and identifv desired outcome(s): Expected meeting participants (name, title, and organizational affiliation):
Are any expected meeting participants registered lobbyists or lobbying organizations, and/or registered under the Foreign Agents Registration Act? (If yes, please identify.)
Are any expected meeting participants a partisan political candidate, a representative of a political pa1iy or a registered political
Sierra Club v. Dept of Energy, 4:25-cv-5027
SC_EVERSPLIT0019701
action committee (PAC)? (If yes, please identify.)
Do any expected meeting participants seek or currently have any business interests with the Deparh11ent of Energy such as pe1mits, contracts, litigation, grants, etc.? (If yes, please identify.)
Will the meeting involve legislation, broad policy options, or other general matters that involve a large and diverse range of persons and interests? (If yes, please describe.)
Will the meeting involve regulations, rnles, or other matters that impact a specific industry, sector of the economy, or group of persons? (If yes, please describe.)
If any gifts (e.g., meals or refreshments, mementos or tokens ofappreciation, transportation, etc.) will be offered to the Secretary, please describe and provide their monetary value. If the Secretary is unable to meet, is a smrogate desired? If yes, who specifically?
Any additional notes or infon11ation?
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Sierra Club v. Dept of Energy, 4:25-cv-5027
SC_EVERSPLIT0019702