DIA FORM 701-4 (4-89) REQUEST/RECEIPT FOR TRANSMISSION

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00789R002700090005-9
• Release Decision: RIPPUB
• Original Classification: K
• Document Page Count: 3
• Document Creation Date: November 4, 2016
• Document Release Date: November 7, 2002
• Sequence Number: 5
• Content Type: REQ

Approved For Release 2002/11/18 : CIA-RDP96-00789R00270
SG1 B
CONTROL NUMBER
SG1J
;UBJECT
TO BE COMPLETED BY REQUESTER
OFFICE/DESK.
'9/- 23&-o
:LASSIFICATION' ""lL=t zs
)ELIVERY INSTRUCTIONS
HOLD FOR NORMAL DUTY HOURS
SG1I
G11
TRANSMIT TO
SG1 B
SG 1 B
IGENCY
INDIVIDUALS NAME
OFFICE
ROOM NUMBER
PHONE NUMBEf
CODE J222
Building 51
JTF-5
SG1I
SG1I
PHONE NUMBER
DELIVER IMMEDIATELY
UTA FORM 701-4AperffpdRfgJL it?002F W18RAf1 40PS6-00789R002700090005-9
 Approved For Release 2002/11/18 : CIA-RDP96-00789R002700090005-9
SECRET
PROJECT NO.
DATE OF PROJECT
SG1J
The following is an evaluation f for the project you reviewed. Please
complete this form and return to Chief, Technology Assessment
t
ti
it
and Suppor
Ac
v
y.
A. Is the information accurate? (Circle resp
onse)
Categories Source
Source
Source
A
B
C
Yes (true) (1)
(1)
(1)
May be true (2)
(2)
(2)
Possibly true (3)
(3)
(3)
No (4)
(4)
(4)
Possibly not true (5)
(5)
(5)
Unsure (6)
(6)
(6)
B. What is value of the Source(s)' information?
(Circle response)
Major significance
(1)
(1)
(1)
High value
(2)
(2)
(2)
Of value
(3)
(3)
(3)
Low value
(4)
(4)
(4)
No value
(5)
(5)
(5)
SECRET
NOT RELEASABLE TO FOREIGN NATIONALS
LIMITED DISSEMINATION
Approved For Release 2002/111 Ci l P96-00789R002700090005-9 Enclosure 2
 Approved For Release 2002/11/18 : CIA-RDP96-00789R002700090005-9
SECRET
C. Rationale for source evaluation. Provide rationale/analysis which led
to your evaluation of responses provided above. Include confirmatory/new
confirmatory data and whether collection requirements are currently
validated/tasked to either obtain or verify such data. Please provide your
written evaluation by source.
NAME OFFICE/PHONE NUMBER
SECRET
NOT RELEASABLE TO FOREIGN NATIONALS
LIMITED DISSEMINATION
Approved For Release 2002/110196-00789R002700090005-9