QUARTERLY SEPARATION BY S/CC

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP75-00399R000100160007-3
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: December 20, 2016
• Document Release Date: May 10, 2006
• Sequence Number: 7
• Publication Date: October 9, 1970
• Content Type: FORM

A~i'fi'+tion
AppM#f?oTftfj%ftj2006/11/13 : CIA-RDP75-00
160007-3
P'RE ARE IN DUPLICATE -
66031
I. ITLE OF REPORT if a fill-in report include Form No.)
2. TYPE
STATISTICAL
OF
NARRATIVE
" rX . 4 7'"'l'"?/E ! 1/ tit '
REPORT
2AC INE-NA;E LISTING
PERSONNEL
TRAINING
ADMIN. GENERAL
FUNCTIONAL AREA
LOGISTICS
SECURITY
OTHER specify
MEDICAL
FINANCE
NO. OF COPIES PREPARED
5. FRE;IUEHCY (weekly* monthy, quarterly, etc.
. DISTRIBUTION No. of components not
number of cop a)
r 7
( ,1
V
' ? FORUAT ?e orandum, form
8. ADP PROCESSING
9. DI
RECTIVE AUTHORITY RE'2UIRING REPORT
t
t
t
t
i
ompu
-ou
, e
n
c)
m
1
YES IF YES GIVE ADP PROCESSING NO.
_11~
i
R
F
F M
N
O
IEPARING COLPOIiIENT (include lowest level II. FEEDER REPORTS tats total number and Identify by m le,
contributing information to report) Form No., or nomenclature. Attach sepcrate sheet If necessary.)
OA /Ct /s
GrAac blsr , mloL4- u i
'U, 'COST W=
IiRADE
HOURLY X
RATE
HOURS PER COST PER
ORT
REPORT REP
TIMES _ COST PER YEAR
PREPARED
G
1-7-3,0
c
?;2 tai 33
P-q 1 3, 3-
B. COSTS
F C
PR
TOTAL COSTS PEER BEAR
NPLET D ETAI JUSTIFICATION FOR THIS REPORT to addition to directive or authority cited In Item g). IF KNOWN,
NCB' ATE WORT WAS FIRST STARTttDD AID COWONNENT 1140 ESTABLISHED REQUIREMENT.
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ff"g F UTUR8 IS
BY R NENT FOR THIS REPORT
ESTIMATED SAVINGS
RETAIN AS IS Q OTHER (explain)
MAN-HOURS
DOLLARS
CHAIi91E
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, -
'tax
TE OF INVENTORY
17. NAME AND TIT
18. EXTENSION
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as on
Approved For Release 2006/11/13 : CIA-RDP75-00399R000100160007-3
(22-36-43)