REPORT SURVEY

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP70-00211R000300050086-8
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 19, 2016
• Document Release Date: September 26, 2005
• Sequence Number: 86
• Content Type: FORM

Approved For`elease 2005/11/21 : CIA-RDP70-0021ft00300050086-8
R
Y
O
S
1. DATE OF SURVEY
2. TYPE OF REPORT
EP
RT
URVE
REQUIRED PR
EPARED
3. P
ERSON TO CONTACT
NAME
COMPONENT
ROOM NO. AND BLDG.
PHONE
REGARDING REPORT
4.
REPORT TITLE
5.
AUTHORITIES OR DIRECTIVES REQUIRING THIS REPORT
6.
REPORTING FREQUENCY (Daily, weekly, monthly, as situa-
7. REPORT FORMAT (Form no., memorandum, machine tabula-
tions occur, etc.)
tion, etc.)
8.
DATE REPORT IS DUE
9. NUMBER OF REPORTS RECEIVED/PREPARED ANNUALLY IF REPORT
IS A "SITUATION" REPORT
10.
OFFICES OR ACTIVITIES REQUIRED TO SUBMIT THIS REPORT
11. DISTRIBUTION OF THIS REPORT
O R I G I N A L
COP I E S
12.
ESTIMATE OF THE NUMBER OF MAN HOURS REQUIRED TO PREPARE THIS REPORT ONE TIME. INCLUDE MAN
HOURS REQUIRED AT ALL LEVELS TO MAINTAIN RECORDS, COLLECT DATA, PREPARE FEEDER REPORTS, AND
COMPILE THE FINAL REPORT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.
COMPLETE THE FOLLOWING AS APPROPRIATE TO EITHER A "REQUIRED" OR "PREPARED" REPORT, OR BOTH. USING
YES
NO
SPACE 14 IF NECESSARY.
A. DOES THIS REPORT DUPLICATE IN WHOLE OR IN PART ANY OTHER REPORT? IF SO PLEASE EXPLAIN.
B. IS THE INFORMATION REPORTED IN MORE DETAIL. SUBMITTED MORE FREQUENTLY. OR GIVEN WIDER DISTRIBUTION
THAN IS CONSIDERED NECESSARY TO SERVE THE PURPOSES FOR WHICH THE REPORT WAS ESTABLISHED?
C. IS THIS REPORT THE RESULT OF AN ADMINISTRATIVE OR PROCEDURAL PROBLEM WHICH SHOULD BE CORRECTED
R A T H E R THAN R E P O R T E D 0 N?
D. COULD THE PURPOSES OF THIS REPORT BE SERVED BY DIRECT SUPERVISION OR INSPECTION. OR BY BRIEFINGS,
STAFF MEETINGS. ETC.?
E. HAS OFFICE ROUTINE EVER BEEN DISRUPTED OR HAS OVERTIME EVER BEEN RE0UI RED TO MEET THE SUBMISSION
DATE FOR THIS REPORT?
F. DO YOU RECOMMEND THAT THE FORM OR FORMAT OF THIS REPORT BE REVISED WITH RESPECT T0:
(I) SPACING? .
( 2) WEIGHT 0 F PAPER ? .
(3) POSSIBLE ELIMINATION OF TRANSMITTAL CORRESPONDENCE? . . . . . . . . . . . . . . . . . . . .
C. IF THE REPORT IS REPRODUCED BY MIMEOGRAPH. DITTO, MULTI LI TH. ETC.. 00 YOU RECOMMEND THE PROCURE.
MENT OF REPRODUCIBLE MASTERS WITH HEADINGS. LINES. ETC. PREPRINTED THEREON TO EXPEDITE PREPARATION
OF THE REPORT?
H. WOULD YOUR OFFICE DISCONTINUE:
(1 ) M A I N T A I N I N G .
( 2 ) COMP I L I N G .
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OV3R)
FORM NO
/ (22.36)
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 14. REMARKS (If you requ re this r rt, refly ~} po y s its continuance. State any
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contemp
ate
act
on
,
If you prepare this report, furnish a general opinion of its value. Cite any
evidence or lack of evidence that
the report is worth its cost. Recommend any improvements, including methods
for preparing and submitting the
report.)
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SIGNATURE
Approved For Release 2005/11/21 : CIA-RDP70-00211 R000300050086-8
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