RECORDS RETIREMENT REQUEST

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP90B00170R000200190013-9
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 3
• Document Creation Date: December 21, 2016
• Document Release Date: June 3, 2008
• Sequence Number: 13
• Content Type: FORM

Approved For Release 2008/06/03: CIA-RDP90BOO170R000200190013-9
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SECRET
(When Filled In)
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ASSIGNED BY RECORDS CENTER
RECORDS RETIREMENT REQUEST
JOB NO.
74-8-5'7.5
Submit original and 4.copies to Records Center. Two copies will be re-
For Reference Service on Records-Transferred to
turned to the originating office. Additional copies may be prepared as
Storage Complete Forin 490 and Refer to Above
indicated by your RAO.
Job Number.
PART I (TO BE COMPLETED BY THE RECORDS CUSTODIAN)
TO:
FROM:
DIVISION
CHIEF, ARCHIVES AND
(Office)
RECORDS CENTER
BRANCH
SECTION
SECURITY
APPLICATION IS MADE FOR RETIREMENT OF THE RECORDS DESCRIBED BELOW
DESCRIPTION OF FILE SERIES (Use description in Records Control Schedule and inclusive dates.) IF NECESSARY TO LIST RECORDS, USE FORM NO. 140a, RECORDS
SHELF LIST (Check appropriate box below.)
THESE FILES CONSIST OF PAPERS, DOCUMENTS, PERTAINING TO THE
ASSIGNMENT, TRAINING, PROCESSING, TRAVEL, CONTRACTS, SERVICES,
AND BENEFITS OF PERSONNEL INVOLVED IN SPECIAL OPERATIONAL
ACTIVITIES OF OSA. THESE FILES ARE MAINTAINED ALPHABETICALLY
BY NAME OF EMPLOYEE.
SHELF LIST ATTACHED _ SHELF LIST INCLUDED IN TRANSFER
CLASSIFICATION OF RECORDS
FILE EQUIPMENT OCCUPIED BY RECORDS
O LETTER ^ OTHER (Specify)
TS-B
LEGAL .~ NUMBER OF DRAWERS
APPROXIMATE REFERENCE ACTIVITY PER MONTH
LOCATION OF RECORDS - - -
BUILDING ROOM EX I N 'DATE SIGNATURE OF RECORDS CUSTODIAN
2
1-D-08 15 MAR. 74
PART II (TO BE COMPLETED BY THE RECORDS ADMINISTRATION OFFICER)
TYPE OF MATERIAL
RECORD - NON-RECORD -
RESTRICTIONS ON USE OF RECORDS (if no restrictions write 'None")
"TO BE OPENED BY D/OSA AND SECURITY/OSA PERSONNEL ONLY"
DISPOSITION AUTHORIZATION -
CITE SCHEDULE OR AUTHORITY
SCHEDULED DESTRUCTION DATE
93-67-3 ITEM 6 (3) (A)
PERMANENT
BUILDING ROOM EXTENSION DATE
2
1-D-08 15 -MAR.' 7
FORM IOUS EDITIONS
11.69 SECRET
25X1
X1-X1
Approved For Release 2008/06/03: CIA-RDP90BOO170R000200190013-9
 FOLD
HERE
Approved For Release 2008/06/03: CIA-RDP90BOO170R000200190013-9
SECRET
(When Filled In)
PART III (TO BE COMPLETED BY THE RECORDS CENTER)
REFERENCE ACTIVITY
YEAR
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
TOTAL
STORAGE LOCATION
JOB NO.
74-B-575
AREA
ROW
SPACE
FO
DISPOSAL ACTIVITY
HE
OFFICE
74?-B-575
OSA
DIVISION
BRANCH
SECTION
DISPOSAL DATE
PERM
AUTHORITY FOR DISPOSAL
SCHEDULE NO. (or List) PAGE ITEM
6 3A
REMARKS
RECEIPT PROCESSING
CUBIC FEET
NO. OF CONTAINERS
TYPE OF CONTAINERS
DATE RECEIVED RECEIVED BY
1
1
RC
20 March 1974
SECRET
LD
RE
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