QUESTIONNAIRE

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R000500030006-9
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 4
• Document Creation Date: November 4, 2016
• Document Release Date: June 10, 1998
• Sequence Number: 6
• Publication Date: May 1, 1981
• Content Type: FORM

Approved For Release 2000/08/07 : CAA-I D!
2CIC-a'7
88R000500030006-9 . ^ P - ' " '" / 9
YES IN PART t NO
Boxes are provided to the right of each question. Only one box should be
checked for each question asked. If you have any comments which you would
like to make emphasizing the accuracy of the information or with reference
to any information not generally covered in this format, please write them
on the reverse of this page.
Response to Tasking
Does information provided satisfy
your intelligence collection require-
Responses*
Accuracy
Geographical location (terrain, water,
river, etc.)
Large scale man-made objects (docks,
silos, buildings, etc.)
Small scale man-made objects (tanks,
computers,'antennas, etc.)..
Target ambience (research, production,
administration, troop movement, etc.)
Activity (nuclear testing, CBR, SIGINT
monitoring, etc.)
Personality (Physical, plans, actions,
traits, etc.)
Utility
Please check which best describes the
utility of the information provided (in
view of what is known at this time, un-
derstanding that additional information
could raise or lower such an interim ass-
essment at a later date)
!s!!ty~~t~xJ
1 YES IN PART U NO 13
C1 YES IN PART M NO (3
13 YES IN PART ? NO
YES IN PART 1 3 NO
[3 YES IN PART 13 NO E3
(3 YES IN PART 13 NO
13 VERY USEFUL
t3 USEFUL
13 MARGINAL
13 NONE
01, CANNOT BE DETERMINED AT
THIS TIME
*YES - indicates a full agreement with what is known to be fact about the
target. NO - indicates a total lack of agreement with what is known to be
fact about the target.
Approved For Release 2000/08/07: C.IA-RDP96-0O788R000500030006-9
 Approved For Release 2000/08/07 : CIA-RDP96-00788R000500030006-9
Additional tasking
Is additional tasking required?
(If yes, please write what that tasking
is on the back of the form)
Did the attached information add to
information. derived from other intell-
igence sources?
Did the attached information aid in tasking
other intelligence resources by providing
targeting information?
Q YES X NO
C1 YES NO 1W
(Signed) SIGNATURE
(Printed) NAME, GRADE
(Printed) TITLE, or OFFICE
Approved For Release 2000/08/07 : -RDP96-0.0788R000500030006-9
AYES Q NO
 Ap0FJ&0-Fclse 2
?,.
8/07 : CIA_RDQ(97 (Y0 8R00060 066-9
ASSETS USED TARGETING KNOWLEDGE PROVIDED TO
SESSION. SOURCE. MATERIAL UTILIZED . INTERVIEWER FOR SESSION
DATE PROJECT NUMBER CLOSED: o~ --rU ') G f
FEEDBACK TO SOURCE DATES KEY RESULTS PROVIDED ANALYST
FOLLOWING SESSION. SESSION .FORWARDED BY THE SOURCE COMMENTS
CLASSIFIED BY: 5I630Z JUL 78
MSC, HQDA (DANI-.ISH)
REVIEW ON: June 2001
W
Approved For Release 2000/08/07 :CIA-RDP96-007888000500030006-9 GRILL LAME
 Ap0i 'Pd'M IF se J08107 : CIA-RDe1Q6R40M80001A0%WQ0-9
ASSETS USED TARGETING KNOWLEDGE PROVIDED TO FEEDBACK TO SOURCE DATES KEY RESULTS PROVIDED ANALYST
SESSION SOURCE MATERIAL UTILIZED INTERVIEWER FOR SESSION, FOLLOWING SESSION, SESSION FORWARDED BY THE SOURCE COMMENTS
DATE PROJECT NUMBER CLOSED:
CLASSIFIED BY:"1630Z JUL 78
MSG, HQDA (DAMI-ISH)
REVIEW ON: June 2001
Approved For Release 2000/08/07 : CIA-RDP96-00788R000500030006-9
ff LGRILL FLT