10 C.F.R. § 1017.21
(a) A person who is not eligible for routine access to specific UCNI under § 1017.20 may request limited access to such UCNI by sending a written request to the DOE Program Secretarial Officer or NNSA Deputy or Associate Administrator with cognizance over the information. The written request must include the following:
(4) Certification by the requester that he or she:
(b) The decision whether to grant the request for limited access is based on the following criteria: