VITAL RECORDS PROTECTION STATUS REPORT

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP70-00211R000500100026-6
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 2
• Document Creation Date: December 19, 2016
• Document Release Date: September 27, 2005
• Sequence Number: 26
• Publication Date: June 30, 1965
• Content Type: FORM

GENERAL SERVICES ADMINISTRATION
1 , PROGRAM STATUS AS OF (Month, day, year)
NATIONAL ARCHIVES AND RECORDS SERVICE
VITAL RECORDS PROTECTION STATUS REPORT
is iwie , 65
(PART I - EMERGENCY OPERATING RECORDS)
INSTRUCTIONS
Please submit this report in duplicate to the address shown below. A separate report shall be prepared for each individually-
operated vital records program.
r
TO: General Services Administration
National Archives and Records Service
Office of Federal Records Centers
Washington, D. C. 20408
L
BUREAU, SERVICE OR OFFICE
2. DEPARTMENT OR AGENCY
#
Centre. I toli,t nn .4,y ay
4. REPORT COVERS
a, TOTAL ORGANIZATION ~b. HEADQUARTERS ONLY c. REGIONAL OR FIELD OFFICE
5? A DRESS OF REPORTING OFFICE (Number, street, city, State and code),
D
2050
C
Waenin u
2 ': r Stivet
1,114
,,
r
. o
.
,
6. PROGRAM STATUS-
PHASE (Check)
DESCRIPTION
COMPLETE
INCOMPLETE
(1)
(2)
a. DEFINITIVE PLANS PREPARED, REPRODUCED AND DISTRIBUTED TO KEY PERSONNEL
b. RECORDS SELECTED
y
+A
C. RECORDS POSITIONED AT LOCATION(S)
d. APPROPRIATE EQUIPMENT AVAILABLE AT LOCATION(S)
X
X
7. REASON(S) FOR UNCOMPLETED PROGRAM ACTIONS (Give brief explanation for each item. checked incomplete in item 6)
Not etp ,plicable
B. PROGRAM REVIEWED
a. ANNUALLY b, SEMIANNUALLY C. OTHER
(Specify)
9. LOCATION(S) OF PROTECTED RECORDS
a, CITY, STATE AND ZIP CODE
b, STREET ADDRESS
C. ROOM NO.
Classified. ItTormtlon
Approved For
elease 2005/11/21 CIA-RDP70-00211R0005001000
6-6
11 f
Approved For Release 200 /11 1l : CIA R P70-00211 R000500100 26-6
FORM
GSA JUNN64 2034
 ID Approved For Releagbsg F. ?- _
FILE RECORD SERIES, DOCUMENT, OR PUBLICATION TITLE (Example: Quarterly reports -
;1 vailable supplies of product X; h ester of technieionS qualified for emergency water testing)
R CORDING MEDIUM (Paper,
microfilm, pu ~ch-cards, etc.)
8 3 '~ w t2 E~~C m?.on
tUntr2,t voltwe of es r ' apex 1? , acor ea ter to
.erot :ci,
. e
r',
+
carry a m i the t z.eVion of this ~a
~
t
~ L
ii , an
Other a+
Qr:PQQTF=n Pt (Official responsible for Vital Records Program)
SIG NAME AND TITLE rint
STA
ref , Records Adzal at'Dutiofl staff
BR TELEPHONE NO. Or code) AND EXT.
STA
Approved For Release 2005/11/21 : CIA-RDP70-00211 R000500100026-6