RECORDS RETIREMENT REQUEST

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP86-00895R000100100020-1
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: December 16, 2016
• Document Release Date: April 14, 2005
• Sequence Number: 20
• Publication Date: August 22, 1980
• Content Type: FORM

Approved For Release 2005/05/16: CIA-RDP86-00895R000100100020-1
 Approved For Release 2005/05/16: CIA-RDP86-00895R000100100020-1
RECORDS- RETIREMENT, REQUEST
Submit original and 4 copies to Records Center. Two copies will be returned to the originat-
ing office. Additional copies may be prepared as indicated by your RMO.
For Reference Service on Records Transferred to
Storage Complete 'Form 490 and Refer to Above
Job Number.
PART I (To BE COMPLETED BY THE RECORDS CUSTODIAN)
FROM: DEPOSITING OFFICE(DIV/BR/SEC)
EXTENSION
DESCRIPTION OF FILE SERIES?IN DETAIL. DO NOT CITE RECORDS CONTROL SCHEDULE DESCRIPTION. USE
4034A.
l S 4..
CL ASSI FI CATION/CO DEWORD O F RECORDS
PART II TO BE COMPLETED BY THE RECORDS MANAGEMENT OFFICER)
CITE RESTRICTIONS ON USE OF RECORDS AND INC
(If rta restrictions write "None")
Er
SAME RESTRICTION ON BOX LABEL (FORM 14) FOR
SI GNATURE. RECO RDS-M ANAG EM EN.T
THE RECORDS DESCRIBED HEREON
AUDISPOSITION
~____.... _..._ --.. .. _.._
A7O1F0N-
HAS- BEEN MADE AS
FOLLOWS:
fDATE ACCESSIONED
-----PART III B (TO BE COMPLETED BY ARCHIVES),
DESTROYE^- BOXNOS.
TRANSFERRED-BOX NOS,
SEE REMARKS ON BACK
FORM 140 PREVIOUS E ITIONS 0 OF~OZ - .113-481
9 73 ~pprov9d r 2elease 2005/05/16 CIA-RDP86-00895R0001000100020-t;;.
 Approved F*Iease 2005/05/16: CIA-RDP86-008900100100020-1
RECORDS RETIREMENT REQUEST
JOB NO. ASSIGNED BY RECORDS CENTER
g r Ol rrip
F
f
S
R
T
Submit original and 4 copies to Records Center. Two copies will be returned to the original-
ervice on
ecords
or Re
erence
ransferred to
Storage Complete Form 490 and Refer to Above
ing office. Additional copies may be prepared as indicated by your RMO.
Job Number.
PART I (TO BE COMPLETED BY THE RECORDS CUSTODIAN)
TO:
Ag'c:ncy Archives v
FROM: DEPOSITING OFFICE(DIV/BR/SEC)
Office of Legislative
DATE
11112 August 1980
Records tenter
Counsel
ROOM BUILDING EXTENSION
6D15 I tea&,uarters
APPLICATION (5 MADE FOR RETIREMENT OF THE RECORDS DESCRIBED BELOW
DESCRIPTION OF FILE SERIES-IN DETAIL. DO NOT CITE RECORDS CONTROL SCHEDULE DESCRIPTION. USE FORM NO. 4034 (DDO) OR
4034 A.
Consists of all substantive paper doc ents and other materials created or reviewed
as the result of inquiries made of the CIA by the House Select Comiiittee on
Assassinations (f iSC:A) during its investigations into the deatiis of President Xennedy
and Martin Luther King. The collection includes all CLA files requested for review,
documents ene:rated by the iLS(A as the result of its reviews, correspondence
exchanged between the CIA and the i1SCA, and pertinent s4)porting documentation.
This is au. Agency-wise deposit... '11x- fil l portion of this collection is being
retired separately.
SHELF LIST INCLUDED IN TRANSFER
SCHEDULE NO.
ITEM(S) NO.
CLASSIFICATION/CODEWORD OF RECORDS
SIGNATURE OF RECORDS CUSTODIAN:
06 - 76
18
Si :Citu`T'
PART II (TO BE COMPLETED BY THE RECORDS MANAGEMENT OFFICER)
CITE RESTRICTIONS ON USE O F RE A D y~,I TH ST 1 I Q A 4 R p~
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written
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ermission of the LC
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,
DATE
SIGNATURE RECORDS MANAGEMENT OFFICER
PART III A (TO BE COMPLETED BY RECORDS CENTER)
DISPOSITION OF THE RECORDS DES.CRI BED HEREON HAS BEEN MADE AS FOLLOWS:
AUTHORI ZATION:
WHOLE JOB DISPOSITION
PARTIAL JOB DISPOSITION
DESTROYED
DESTROYED-BOX NOS.
TRANSFERRED-BOX NOS.
TRANSFERRED TO:
TO:
SEE ATTACHMENT(S)
SEE REMARKS ON BACK
DATE
SIGNATURE CHIEF, DISPOSITION, AGENCY RECORDS CENTER
PART III B (TO BE COMPLETED BY ARCHIVES)
DATE ACCESSIONED
SIGNATURE (Chief, Agency Archives)
FORM 140 PREVIOUS EDITIONS OBSOLETE
9-79
Approved For,Re-lease 2005/05/16 : -CIA-RDP86-00895R000100100020-1