RECORDS RETIREMENT REQUEST

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP90B00170R000200190031-9
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 3
• Document Creation Date: December 21, 2016
• Document Release Date: June 3, 2008
• Sequence Number: 31
• Publication Date: December 13, 1974
• Content Type: FORM

Approved For Release 2008/06/03: CIA-RDP90BOO170R000200190031-9
SECRET
(When Filled in)
ASSIGNEO-BY RECORDS CEj4TER
RECORDS RETIREMENT REQUEST
JOB NO.
7 4"
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 Form 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) DDS&T
OSA
RECORDS CENTER
BRANCH
SECTION
PERSONNEL
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,TRANING,PROCESSING,TRAVEL,CONTRACTS,SERVICES,
AND BENEFITS OF PERSONNEL INVOVLVED IN SPECIAL OPERATIONAL
ACTIVITIES OF OSA
^ SHELF LIST ATTACHED SHELF LIST INCLUDED IN TRANSFER
CLASSIFICATION OF RECORDS
FILE EQUIPMENT OCCUPIED BY RECORDS
^ LETTER El OTHER (Specify)
TS-B
fl LEGAL _ NUMBER OF DRAWERS
APPROXIMATE REFERENCE ACTIVITY PER MONTH
LOCATION OF RECORDS
BUILDING
ROOM
EXTENSION
DATE
SIGNATURE OF RECORDS CUSTODIAN
1D-08
12/13/74
25
X1
PART 11 (TO BE COMPLETED BY THE RECORDS ADMINISTRATION OFFICER)
TYPE OF MATERIAL
1 RECORD NON-RECORD
RESTRICTIONS ON USE OF RECORDS (if no restrictions write "None")
TO BE OPENED BYSOSA AND RECORDS CENTER PERSONNEL ONLY
DISPOSITION AUTHORIZATION
CITE SCHEDULE OR AUTHORITY SCHEDULED DESTRUCTION DATE
93-67-3 ITEM 6(3)A PERMANENT
25X1
BUILDING ROOM EXTENSION DATE
~ 25X1
1D-08" 12/13/7 1
FORM^ t AO USE PREVIOUS EDITIONS
Approved For Release 2008/06/03: CIA-RDP90B00170R000200190031-9 --- -- -- -__ - _. I
 Approved For Release 2008/06/03: CIA-RDP90B00170R000200190031-9
SECRET.
(When Filled In)
FOLD
HERE
PART III (TO BE COMPLETED BY t~IE R CORDS CENTER)
REFERENC
E ACTIVITY
YEAR
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
TOTAL
I J
STORAGE ,LOCATION
JOB NO.
75-B-378
AREA
ROW
SPACE
DISPOSAL ACTIVITY
OFFICE
75-B-378
OSA
DIVISION
BRANCH
SECTION
DISPOSAL DATE
PERM
AUTHORITY FOR DISPOSAL
SCHEDULE NO. (or List)
REMARKS
CUBIC FEET
2
PAGE ITEM
... 63A
RECEIPT PROCESSING
NO. OF CONTAINERS TYPE OF CONTAINERS DATE RECEIVED
2 RC 24 Dec 1Q
SECRET
FOLD
HERE
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