ACCIDENT REPORT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP75-00399R000100130087-8
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: December 20, 2016
• Document Release Date: May 11, 2006
• Sequence Number: 87
• Publication Date: October 8, 1970
• Content Type: FORM

*ppi-eved Fe-- I t -00399 000100130087-8
REPORTS INVENTORY
1. TITLE OF REPORT (if a fill-in report include Form No.
Accident Report
7. FORMAT (memorandum, form
computer print-out, etc)
Form 2652a
4.67
IC. PREPARING C01JPOUENT (include lowest level II. FEEDER REPORTS
contributing information to report) ( iy by Title,
Form No
or n
.,
om e. ac ape.raatte e sheet if necessary.)
Administrative Office, PSD CA-1
12 COST FACTORS
GRADE HOURLY HOURS PER COST PER TIMES _
RATE X REPORT REPORT X PREPARED -
GS-7
TOTAL COSTS PER YEAR
AEDICAL FINANGE
5? FRE4UENCY weekly, monthly, quarterly, etc.
As they happen - 19 in 1969
jYES__jIF YES GIVE ADP PROCESSING NO.
10 min.
.7o
COSTS OF COMPUTER PRODUCED REPORTS
None
DD Lq r 2
2. TYPE STATISTICAL
OF ;NARRATIVE
REPORT
+1ACHINE-NA;;fE
LISTING
ADMIN. GENERAL
OTHER (specify)
. DISTRIBUTION No. of components no
number of copies)
. DIRECTIVE AUTHORITY REIUIRING REPORT
STAT
19
$ 13.30
pp 10 .3U
COMPLETE DETAILED JUSTIFICATION FOR THIS REPORT (in addition to directive or authority cited in item
INCLUDE DATE REPORT WAS FIRST STARTED AND COMPONENT WHO ESTABLISHED REQUIREMENT. 9) IF KNOWN,
Required by Headquarters Regulation.
(GOAL PROPOSED BY COMPONENT FOR THIS REPORT
]J4. FUTURE GOALS
RETAIN AS IS = OTHER (explain)
CHANGE
DISCONTINUE
. DATE OF INVENTORY 17.
OCT 1979 pp ove
None
ION
0399R0001001300818\T