QUESTIONNAIRE

• Document Type: CREST
• Collection: STARGATE
• Document Number (FOIA) /ESDN (CREST): CIA-RDP96-00788R000500030009-6
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 3
• Document Creation Date: November 4, 2016
• Document Release Date: June 10, 1998
• Sequence Number: 9
• Publication Date: May 15, 1981
• Content Type: FORM

Approved For Release 2000/08/07.. C , ~'~-00788R0005dO03$b-e
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.Taskin! Responses*
Does information provided satisfy
your intelligence collection require-
ment? YES IN PART 1 NO,
Accuracy
Geographical location (terrain, water,
river, etc.) 1 YES IN PART ti NO.
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.)
p YES IN PART t3 NO
R YES IN PART NO
13 YES IN PART 3 NO
Activity (nuclear testing, CBR, SIGINT
monitoring, etc.) 13 YES IN PART 13 NO
Personality (Physical, plans, actions,
traits, etc.) E YES IN PART 1 NO 13 xj,h
Utility
Please check which best describes the VERY USEFUL
utility of the information provided (in
view of what is known at this time, un- t USEFUL
derstanding that additional information
could raise or lower such an interim ass- 1 MARGINAL
essment at a later date)
NONE
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 CIA-RDP96-00788R000500030009-6
 AppardNBIe 2000/08/07 : LKvFt~l-007MFM0500030"W R
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
Sealed envelope 1a. #66 None 15 May 8 Summary a. 151200 Ma 81:
session against same targe
. Given sealed envelope
w/mtns to NE
2) big circular shape
RVer not told act-`to give RVer. in middle
TM coord. jd. Told envelope had UTM
but not told it against
by this RVer
DATE PROJECT NUMBER CLOSED:
TASKING AGENCY:
Approved For Release 2000/08/07 : CIA-RDP96-00788R00050003
3) small complex of
shapes like a remote
b. 291200 May 81:
antennae and dish
energy decline
porarily over with.
CLASSIFIED BY:O{G30Z JUL 78
MSG, HQDA (DAMI-ISH)
REVIEW ON: June 2001
RILL FLAME
 App?omadffiwERele@@2000/08107: ? 49-1481Q00500030
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:
TASKING AGENCY: INSCOM ITAC CRD
Approved For Release 2000/08/07 : CIA-RDP96-00788R0005
CLASSIFIED BY: (6302 JUL 78
MSG, HQDA (DAMI-ISH)
REVIEW ON: June 2001
GRILL r^LAMP