RECORDS RETIREMENT REQUEST

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP90B00170R000200190034-6
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 3
• Document Creation Date: December 21, 2016
• Document Release Date: June 3, 2008
• Sequence Number: 34
• Publication Date: October 11, 1974
• Content Type: FORM

Approved For Release 2008/06/03: CIA-RDP90BOO170R000200190034-6
SECRET
(When Filled In)
ASSIGNED BY RECORDS CENTER
RECORDS RETIREMENT REQUEST
JOB NO.
%L L
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Submit original and 4 copies to Records Center. Two copies will be re-
turned to the originating office. Additional copies may be prepared as
ransferre
o
>? cor
s
ce
eri'
S
For Reference
Storage Complete Form 490 and Refer to Above.
indicated by your RAO.
Job Number.
PART I (TO BE COMPLETED BY THE RECORDS CUSTODIAN)
T0:
FROM:
DDS jT
DIVISION
SS/DD
ARCHIVES AND
CHIEF
(Office)
OSA
,
RECORDS CENTER
BRANCH
SECTION
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.)
` hese files consist of papers, documents,pertai.ning to the
assi?nDtent,training,processing,travc,l,con tracts,services,
and benefits of personnel involved in special operational
activities of OSA. These files are r'ai.ntained alphabetically
by Warne of employee.
ILL
EGI
SHELF LIST ATTACHED
CLASSIFICATION OF RECORDS
FILE EQUIPMENT OCCUPIED BY RECORDS
LETTER 11 OTHER (Specify)
LEGAL _NUMBER OF DRAWERS
APPROXIMATE REFERENCE ACTIVITY PER MONTH
LOCATION OF RECORDS '
BUILDING
ROOM
EXTENSION
DATE
SIGNATURE OF RECORDS CUSTODIAN
PART II (TO BE COMPLETED BY THE RECORDS ADMINISTRATION OFFICER)
TYPE OF MATERIAL
RECORD NON-RECORD .
RESTRICTIONS ON USE OF RECORDS (If no restrictions write "None")
TO Pr O'13NI9D ;1Y THE D/08A;PD/C/SS DIVISIONf,; ONLY
DISPOSITION AUTHORIZATION
CITE SCHEDULE OR AUTHORITY SCHEDULED DESTRUCTION DATE
,93-67-3 ITE"'. 6 (3) (a) PETIIN.ANENT
25
B ROOM. XTENSION DATE
1 1) 09 l OCT 74
(13-46)
FORM
USE PREVIOUS EDITIONS
I I. 69140
SECRET
Approved For Release 2008/06/03: CIA-RDP90BOO170R000200190034-6
B
 FOLD
HERE
Approved For Release 2008/06/03: CIA-RDP90B00170R000200190034-6
SECRET
(When Filled In)
PART III (TO BE COMPLETED BY THE RECORDS CENTER)
REFERENCE ACTIVITY
YEAR
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
TOTAL
STORAGE LOCATION
JOB NO.
75-B-243
AREA
ROW
SPACE
FC
DISPOSAL ACTIVITY
HI
OFFICE
75-B- 243
OSA
DIVISION
BRANCH
SECTION
OISPOSAW4TE
~'r?-~'~
1- - 7
AUTHORITY FOR DISPOSAL
SCHEDULE NO. (or List) PAGE ITEM
3A
REMARKS
RECEIPT PROCESSING
CUBIC FEET
NO. OF CONTAINERS
TYPE OF CONTAINERS
DATE RECEIVED
RECEIVED BY
2
2
RC
16 Oct 1974
25X1
Approved For Release 2008/06/03: CIA-RDP90B00170R000200190034-6
 Approved For Release 2008/06/03: CIA-RDP90B00170R000200190034-6
Iq
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