REQUEST FOR APPROVAL OF STUDENT ACTIVITY

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP84B00890R000800060002-4
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 4
• Document Creation Date: December 14, 2016
• Document Release Date: April 11, 2003
• Sequence Number: 2
• Publication Date: October 16, 1981
• Content Type: FORM

Approved For ReYease 2003/05/27 :CIA-RDP84B00890F'~'~0800060002-4
3
STAT
FORM 61 O USE PREVIOUS
I _79 EDITION
~pproved For Release 2003/05/27 :CIA-RDP84B00890R000800060002-4
ROUTING AND RECORD SHEET
SUBJECT: (Op~ionaq
~_ _
Request for Approval
-
_
of St
udent
Activit
y
V
FRO
EXTENSION
__ _ ______-- _
NO.
o icy ~ ans Group/
US
~
-_ _. __ _
4E-70, Hd s.
q
DATE
16 Octc:~l.~er s'~81
TC1: (Officer designation, room number, arm
DA
TE
building)
OFFICER'S
COMMENTS (Number eac, comrr:ant to show from whram
RECEIVED
FORWARDED
INITIALS
-o whom. Draw a line acraass co!.mr after each commenr.(
1. ecurity
2. _
_
-
3, e ica Services
1D-4054, Hdqs.
l
r
~(
'
n
`
~
j
4. _..
s. ata Processing
2D-0105, Hdqs.
6.
--;
'-
d/' ~~~. ~ ~~
..~~
Cam' ~D D A _
~
?,o~~
~~- ~"~A
.~
~ ~l
,
ti
e.
__
r'~ /~
~Q
~'~''
9. ~
_
10.
___
_
11.
12. _
__ _
13.
_
_.~.
14. _
15.
 Approved For Re1'~ase 2003/05/27: CIA-RDP84B00890R~080006000 -
~__.
16 October 1981
MEMORANDUM FOR: Deputy Director for Administration
SUBJECT Request for Approval of Student Activi~y
1. This memo requests your approval of a student
project under the auspices of the Office of Medical
Services.
2. I am currentl enrolled in m al class in an
M,B,A. program To fulfill
graduation requ remen s, mus do an original research
topic, I approached the Office of Medical Services and was
given a choice of several topics they wished to research. A
study of clinical effects of video display terminal (VUT)
usage was selected. OMS does not believe there are harmful
effects from VDT usage and has an immediate interest in
data that will be developed in this study.
3. This project will require a questionnaire survey
of DDA personnel, The questionnaire should take no more
than 5 minutes for employees to fill out and will be
submitted to your office for approval before its
distribution. The project will have no negative impact on
my current duties.
4. This project has been discussed with the Office of
Security's External Activities Branch, and they have given
me security guidance on procedures and what may and may not
be said in the final research paper. The research proposal
and the final report will be submitted to the Publications
Re~~Board for approval in accordance with provisions of
5. The project will be conducted in full compliance
with security safeguards to protect classified information
and with Agency policy governing publications. It will
contribute to development of data that will assist in a
scientific evaluation of a matter that is of direct interest
Approved For Release 2003/05/27: CIA-RDP84B00890R000800060002-4
 Approved For R~1'ease 2003/05/27: CIA-RDP84B008901~00800060002-4
to the ADP discipline and, in this context, has potential
value that transcends the immediate OMS interest. With