WAIVER FORMS (COMSEC)

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP75-00399R000100090178-2
• Release Decision: RIPPUB
• Original Classification: C
• Document Page Count: 1
• Document Creation Date: December 20, 2016
• Document Release Date: May 11, 2006
• Sequence Number: 178
• Publication Date: October 1, 1970
• Content Type: FORM

Approved For Relea 2006/11113 .CIA RDP 75-0 399R000100090178-2
REPORTS I:t'ETMRY
EPAPE f w 'L0ATE
TITLE OF iEPGT (if a Yifi-in report inc.fuce Forr: No.J
2. TYPE
yver Fcr;: s S 1'C)
1
Cr
F yE
zEPWi T
PERSONNEL
1;1Ni:i'G
AO atfd C. Ft 7`A?
-d I
j, FUNCTIONAL RRc.
LCGtSTC~
=~ i
' (sn ca ~,
OTHER
y
~L"
'.l ll. Jrd
ftO. OF COPIES PRiPAft ED
;. FaE~UE CY w ckiy~ month ly~ qu:rt:rty,
ctc.
_
u. DISTRIBUTION { ~. o: cc pmt:ur;ts ~rQ~~,
nuwber of C. .1(3tj
2
As required
2
7. =u . AT (ncmorz7~dui:,, fore
Se ADP PMCCE~ fr:~
~. DIRECTIVE AUT iO:tTY RE Iej.r. %: Ri JRT
cor.,pui r print-out, etc)
_
YE3 F YES GIVE ADP PROCESS f NC NO.
Y,~~
()-LM 14
X ISO
D
OC-CS Docur-n`
!04 PREPARifa C O..LPONJENT (include lowest .:Vet lie FEEDER REPORTS (State total nuno r and dentHfy by Titic,
contributinJ information to report) i orra No., or no enclaturz. Attach :??ep~.r~ia :. ~i~t t i ni:GLam.: :if. j
Comma Area None
12, OO $ T ^'AAC TORS
t?+
A. 11,12,1,1UA1 PRKPATA''TDN AND RPV'EW COSTS
HOURLY HOURS PER COST PER TIMES ,,DE RATE INEPORT REPOI ' PREPARED COST r ;: EAR
'GS-13-14
58.86
I
$3.86
8
$70.68
-.-74
$7.05
1
$7.05
8
$56.40
I sj
B. COSTS OF COXPUTER +'RGDUCED REPORTS
l,C
$127.28
CDn:PL.ETE DETAILEC JUST;F CATION FOR THIS REPORT _ddiciort to directive or authority cued in it(- j); it O
INCLUDE DATE REPORT ':SAS FIRST STARTED AF CO*ON T W;HO ESTAELtSNED REEQUtREMENT.
cu
Report ;rovi. es ln'iorraatxon concernLn toc nl.ca1 cnd physical
d i?'1.CiOflC~?~ ,^. n iomwimicaL10i-,i'ai L i is . I' rt of coat:inuou:-,
Ct1T'j_t~/ J r?titi l ^i S In corre tivc 3ci:l-on.