+-----------------------------------+---------+------------------------+
| AGREEMENT TO TRANSFER RECORDS TO  |         | 1\. INTERIM CONTROL    |
|                                   |         | NO. (NARA Use Only)    |
| THE NATIONAL ARCHIVES OF THE      |         |                        |
| UNITED STATES                     |         |                        |
+-----------------------------------+---------+------------------------+
| TERMS OF AGREEMENT                |         |                        |
+-----------------------------------+---------+------------------------+
| The records described below and   | In the  |                        |
| on the attached    pages are      | N       |                        |
| deposited in the National         | ational |                        |
| Archives of the United States in  | A       |                        |
| accordance with 44 U.S.C. 2107.   | rchives |                        |
| The transferring agency certifies | of the  |                        |
| that any restrictions on the use  | United  |                        |
| of these records are in           | States  |                        |
| conformance with the requirements | that    |                        |
| of 5 U.S.C. 552.                  | have    |                        |
|                                   | been    |                        |
| In accordance with 44 U.S.C.      | pu      |                        |
| 2108, custody of these records    | blished |                        |
| becomes the responsibility of the | in 36   |                        |
| Archivist of the United States at | CFR     |                        |
| the time of transfer of the       | Part    |                        |
| records. It is agreed that these  | 1256 or |                        |
| records will be administered in   | in the  |                        |
| accordance with the provisions of | Guide   |                        |
| 44 U.S.C. Chapter 21, 36 CFR XII, | to the  |                        |
| 36 CFR Part 1256 and such other   | N       |                        |
| rules and regulations as may be   | ational |                        |
| prescribed by the Archivist of    | Archive |                        |
| the United States (the            | of the  |                        |
| Archivist). Unless specified and  | United  |                        |
| justified below, no restrictions  | States. |                        |
| of these records will be imposed  | The     |                        |
| other than any general and        | Ar      |                        |
| specific restrictions on the use  | chivist |                        |
| of the records                    | may     |                        |
|                                   | d       |                        |
|                                   | estroy, |                        |
|                                   | donate, |                        |
|                                   | or      |                        |
|                                   | ot      |                        |
|                                   | herwise |                        |
|                                   | dispose |                        |
|                                   | of any  |                        |
|                                   | cont    |                        |
|                                   | ainers, |                        |
|                                   | du      |                        |
|                                   | plicate |                        |
|                                   | copies, |                        |
|                                   | unused  |                        |
|                                   | forms,  |                        |
|                                   | blank   |                        |
|                                   | stat    |                        |
|                                   | ionary, |                        |
|                                   | non-a   |                        |
|                                   | rchival |                        |
|                                   | printed |                        |
|                                   | or      |                        |
|                                   | pr      |                        |
|                                   | ocessed |                        |
|                                   | ma      |                        |
|                                   | terial, |                        |
|                                   | or      |                        |
|                                   | other   |                        |
|                                   | non     |                        |
|                                   | -record |                        |
|                                   | m       |                        |
|                                   | aterial |                        |
|                                   | in any  |                        |
|                                   | manner  |                        |
|                                   | aut     |                        |
|                                   | horized |                        |
|                                   | by law  |                        |
|                                   | or      |                        |
|                                   | regu    |                        |
|                                   | lation. |                        |
|                                   | Without |                        |
|                                   | further |                        |
|                                   | c       |                        |
|                                   | onsent, |                        |
|                                   | the     |                        |
|                                   | Ar      |                        |
|                                   | chivist |                        |
|                                   | may     |                        |
|                                   | destroy |                        |
|                                   | deteri  |                        |
|                                   | orating |                        |
|                                   | or      |                        |
|                                   | damaged |                        |
|                                   | do      |                        |
|                                   | cuments |                        |
|                                   | after   |                        |
|                                   | they    |                        |
|                                   | have    |                        |
|                                   | been    |                        |
|                                   | copied  |                        |
|                                   | in a    |                        |
|                                   | form    |                        |
|                                   | that    |                        |
|                                   | retains |                        |
|                                   | all of  |                        |
|                                   | the     |                        |
|                                   | info    |                        |
|                                   | rmation |                        |
|                                   | in the  |                        |
|                                   | o       |                        |
|                                   | riginal |                        |
|                                   | do      |                        |
|                                   | cument. |                        |
|                                   | The     |                        |
|                                   | Ar      |                        |
|                                   | chivist |                        |
|                                   | will    |                        |
|                                   | use the |                        |
|                                   | General |                        |
|                                   | Records |                        |
|                                   | S       |                        |
|                                   | chedule |                        |
|                                   | and any |                        |
|                                   | app     |                        |
|                                   | licable |                        |
|                                   | records |                        |
|                                   | disp    |                        |
|                                   | osition |                        |
|                                   | s       |                        |
|                                   | chedule |                        |
|                                   | (SF     |                        |
|                                   | 115) of |                        |
|                                   | the     |                        |
|                                   | trans   |                        |
|                                   | ferring |                        |
|                                   | agency  |                        |
|                                   | to      |                        |
|                                   | dispose |                        |
|                                   | of      |                        |
|                                   | non-a   |                        |
|                                   | rchival |                        |
|                                   | ma      |                        |
|                                   | terials |                        |
|                                   | co      |                        |
|                                   | ntained |                        |
|                                   | in      |                        |
|                                   | m       |                        |
|                                   | aterial |                        |
|                                   | in any  |                        |
|                                   | manner  |                        |
|                                   | aut     |                        |
|                                   | horized |                        |
|                                   | by law  |                        |
|                                   | or      |                        |
|                                   | regu    |                        |
|                                   | lation. |                        |
+-----------------------------------+---------+------------------------+
| 2A. AGENCY APPROVAL               | 2A.     |                        |
|                                   | NARA    |                        |
| Signatu                           | A       |                        |
| re­­­­­­­­­\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ | PPROVAL |                        |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |         |                        |
| Date \_\_\_\_\_\_\_\_\_\_         | Si      |                        |
|                                   | gnature |                        |
|                                   | \_\     |                        |
|                                   | _\_\_\_ |                        |
|                                   | \_\_\_\ |                        |
|                                   | _\_\_\_ |                        |
|                                   | \_\_\_\ |                        |
|                                   | _\_\_\_ |                        |
|                                   | \_\_\_\ |                        |
|                                   | _\_\_\_ |                        |
|                                   | \_\_\_\ |                        |
|                                   | _\_\_\_ |                        |
|                                   | Date    |                        |
|                                   | \_\_\_\ |                        |
|                                   | _\_\_\_ |                        |
+-----------------------------------+---------+------------------------+
| 2B. NAME, TITLE, MAILING ADDRESS  | 3B.     |                        |
|                                   | NAME,   |                        |
|      , Agency Records Officer     | TITLE,  |                        |
|                                   | MAILING |                        |
| Agency for International          | ADDRESS |                        |
| Development                       |         |                        |
+-----------------------------------+---------+------------------------+

**RECORDS INFORMATION**

+-------------------------------------+-----------------+-------------+
| 4A. RECORDS SERIES TITLE            |                 |             |
|                                     |                 |             |
|                                     |                 |             |
+-------------------------------------+-----------------+-------------+
| 4B. DATE SPAN OF SERIES             | (Attach any     |             |
|                                     | additional      |             |
|                                     | description.)   |             |
+-------------------------------------+-----------------+-------------+
| 5A. AGENCY OR ESTABLISHMENT         | 9\. PHYSICAL    | Posters     |
|                                     | FORMS           |             |
| AGENCY FOR INTERNATIONAL            |                 | Maps and    |
| DEVELOPMENT                         | Paper Documents | Charts      |
|                                     |                 |             |
|                                     | Paper           | Arch / Eng  |
|                                     | Publications    | Drawings    |
|                                     |                 |             |
|                                     | Microfilm /     | Motion /    |
|                                     | Microfiche      | Sound /     |
|                                     |                 | Video       |
|                                     | Electronic      |             |
|                                     | Records         | Other (Fill |
|                                     |                 | In)         |
|                                     | Photographs     |             |
+-------------------------------------+-----------------+-------------+
| 5B. AGENCY MAJOR SUBDIVISION        |                 |             |
|                                     |                 |             |
|                                     |                 |             |
+-------------------------------------+-----------------+-------------+
| 5C. AGENCY MINOR SUBDIVISION        |                 |             |
|                                     |                 |             |
|                                     |                 |             |
+-------------------------------------+-----------------+-------------+
| 5D. UNIT THAT CREATED RECORDS       | 10\. VOLUME:    | CONTAINERS: |
|                                     |                 |             |
|                                     | Cu. Mtr. \_\_   | Number      |
|                                     | (Cu. Ft.    )   |       Type  |
|                                     |                 |             |
+-------------------------------------+-----------------+-------------+
| 5E. AGENCY PERSON WITH WHOM TO      | 11. DATE        |             |
| CONFER ABOUT THE RECORDS            |     RECORDS     |             |
|                                     |     ELIGIBLE    |             |
| Name                                |     FOR         |             |
|                                     |     TRANSFER TO |             |
| Telephone Number:                   |     ARCHIVES    |             |
|                                     |                 |             |
|                                     |                 |             |
+-------------------------------------+-----------------+-------------+
| 6\. DISPOSITION AUTHORITY:          | 12\. ARE        |             |
|                                     | RECORDS FULLY   |             |
| Item \#                             | AVAILABLE FOR   |             |
|                                     | PUBLIC USE      |             |
|                                     |                 |             |
|                                     | YES NO (If no,  |             |
|                                     | attach limits   |             |
|                                     | on use and      |             |
|                                     | justification)  |             |
+-------------------------------------+-----------------+-------------+
| 7\. IS SECURITY CLASSIFICATION      | 13\. ARE        |             |
| INFORMATION PRESENT? NO \[YES       | RECORDS SUBJECT |             |
|                                     | TO THE PRIVACY  |             |
| LEVEL: CONFIDENTIAL SECRET TOP      | ACT?            |             |
| SECRET                              |                 |             |
|                                     | (If yes, cite   |             |
| SPECIAL MARKINGS: RD/FRD SCI NATO   | Agency System   |             |
|                                     | Number and YES  |             |
| Other (Specify)                     | NO Federal      |             |
|                                     | Register volume |             |
| INFORMATION: Segregated             | and page number |             |
| Unsegregated                        |                 |             |
|                                     | of most recent  |             |
|                                     | notice and      |             |
|                                     | attach a copy   |             |
|                                     | of this         |             |
|                                     | notice.)        |             |
+-------------------------------------+-----------------+-------------+
| 8\. CURRENT LOCATION OF RECORDS     | 14\.            | Listing of  |
|                                     | ATTACHMENTS     | Records     |
| Agency (Complete 8A only)           |                 | Transferred |
|                                     | Agency Manual   |             |
| Federal Records Center (Complete 8B | Excerpt         | NA Form     |
| only)                               |                 | 14097 or    |
|                                     | Additional      | Equivalent  |
|                                     | Description     |             |
|                                     |                 | Microform   |
|                                     | Privacy Act     | Inspection  |
|                                     | Notice          | Report      |
|                                     |                 |             |
|                                     | Other (specify) | SF(s) 135   |
|                                     |                 |             |
+-------------------------------------+-----------------+-------------+
| 8A. ADDRESS                         |                 |             |
|                                     |                 |             |
|                                     |                 |             |
+-------------------------------------+-----------------+-------------+
| 8B. FRC ACCESSION NUMBER            |                 |             |
| CONTAINER NUMBER(S)       FRC       |                 |             |
| LOCATION                            |                 |             |
+-------------------------------------+-----------------+-------------+

**NARA PROVIDES**

+----------------------------------------+-------+-----------+---------+
| 15\. SHIPPING INSTRUCTIONS TO AGENCIES |       |           | RG      |
| / REMARKS REGARDING DISPOSITION        |       |           |         |
|                                        |       |           |         |
|                                        |       |           |         |
+----------------------------------------+-------+-----------+---------+
| 16. RECORDS ACCEPTED INTO THE NATIONAL |       | 17.       |         |
|     ARCHIVES OF THE UNITED STATES      |       |  NATIONAL |         |
|                                        |       |           |         |
|                                        |       |  ARCHIVES |         |
|                                        |       |           |         |
|                                        |       | ACCESSION |         |
|                                        |       |     NO.   |         |
|                                        |       |           |         |
|                                        |       |           |         |
+----------------------------------------+-------+-----------+---------+
| NATIONAL ARCHIVES AND RECORDS          |       |           |         |
| ADMINISTRATION SF 258 (9/95)           |       |           |         |
+----------------------------------------+-------+-----------+---------+

**INSTRUCTIONS**

GENERAL This form may be initiated by the transferring agency or the
National Archives and Records Administration (NARA). Prepare a separate
SF 258 for each series or SF 115 item being transferred.

WHEN INITIATED BY AN AGENCY: The agency completes block 2 and 4 through
14 using the instructions below. Block 2 must be signed and dated. Send
the original to the appropriate address 60 days before the records ewe
to be transferred to the National Archives.

WHEN INITIATED BY NARA: NARA completes blocks 1 and 4 through 14 and
sends the original to the transferring agency\'s records officer. The
agency completes block 2 completes or corrects blocks 4 through 14.
Block 2 must be signed and dated. The agency sends the original to the
appropriate address 60 days before the records are to be transferred to
the National Archives.

MAILING ADDRESS: Mail the completed form to either the address below or
to the appropriate National Archives regional archives.

Accessions Control Staff (NN‑E)

Office of the National Archives

National Archives and Records Administration

8601 Adelphi Road

College Park MD 20740‑6001

If you do not know the address of the appropriate regional archives
telephone the Accessions Control Staff at 301‑713‑6655.

1\. INTERIM CONTROL NUMBER: Leave blank. NARA will fill in.

2\. AGENCY APPROVAL The agency records officer having the delegated
authority to transfer the records with NARA should sign and date the
form here (2A) and provide his/her name title and mailing address (2B).

3\. NARA APPROVAL When a proposal to transfer records to the National
Archives of the United States is approved the appropriate

NARA official completes 3A and 3B.

4A/B. RECORDS SERIES TITLE/DATE SPAN OF SERIES: The INFORMATION provided
should include a records series title, a statement of how the records
are arranged dates of coverage and sufficient detail to describe the
body of records being transferred. If access to the records is gained or
facilitated through an index box list or other finding aid, include it
with the records being transferred. Indicate the appropriate disposition
authority number if the index is scheduled separately. If the records
are in a Federal records center (FRC) attach each applicable SF 135
Records Transmittal and Receipt, For electronic records describe any
related documentation.

5\. Fully identify the unit (5D) that created or organized records.
Usually this is not the agency\'s records management office. Place the
creating unit within its organizational hierarchy (5A‑5C). For example
the responsible unit is a branch (5D) within a division (minor
subdivision) (5C) within an office (major subdivision) (5B) and within
the agency or major component oat a department (5A). Block 5A should be
the official or legal name of the agency or bureau as published in the
US. Government Manual. In block 5E include the name and telephone number
(include the area code) of a person who should be contacted if NARA has
any questions about the records. If the originating agency no longer
exists provide the name of the contact person at the successor agency.

6\. DISPOSITION AUTHORITY: This citation must be included. It can be
either the item number assigned to the records within a records
disposition schedule (SF 115) approved by NARA or the item number
assigned to the records within an agency records disposition manual
based on a NARA‑approved SF 11 5. If the agency manual number is used
attach a copy of the pertinent pages from the agency manual.

7\. IS SECURITY CLASSIFIED INFORMATION PRESENT? If the records contain
security classified information check \"Yes\" and indicate the highest
level of classification present. Indicate any additional applicable
national security special access restrictions (e.g. Sensitive)

Compartmented Information---SCI or North Atlantic Treaty Organization
---NATO). Restricted Data and Formerly Restricted Data --- RD/FRD ---
refers to information subject to the Atomic Energy Act of 1954. Check
\"Segregated\" to indicate that security classified records have been
segregated from other unclassified records or information subject to
special access restrictions has been segregated from other classified
information. Check \"Declassified\" to indicate whether any records have
been declassified, and provide both the authority for declassification
and description to the declassified records.

8\. CURRENT LOCATION OF RECORDS: Check the appropriate box for the
current location of the records. If the records currently are

in a Federal records center complete 8B. If the records are located in
the transferring agency or other location complete 8A.

8A For records located in the transferring agency or other location
provide a compete address.

8B. For records located in a Federal records center name, the center
provide the FRC accession number and container number(s) and the FRC
location.

9\. PHYSICAL FORM(S): Check all the boxes that apply to the records
included in the transfer.

10\. VOLUME: Include both the cubic feet of the records and the number
and type of containers holding the records For example:

Cu. ft. [15]{.underline}; Number [15]{.underline}; Type [FRC
box]{.underline}.

Provide separate volume figure for each physical type of records,
continuing on a separate sheet as necessary.

11\. DATE RECORDS ELIGIBLE FOR TRANSFER TO THE ARCHIVES: Indicate the
date the records are eligible for deposit in the National Archives. This
date is determined by the disposition instructions for each item in the
approved SF 115 or agency manual.

12\. ARE THE RECORDS FULLY AVAILABLE FOR PUBLIC USE? If the records are
exempt from release pursuant to the FOIA 5 U.S.C. 552(b)(1)‑(9) and
(c)(1)‑(3), this must be fully justified). Use all exemptions that
apply. If exemption (b)(1) Is cited complete block 7 accordingly. If
(b)(3) is cited, include the full citation for the relevant statute. If
the records are subject to copyright identify affected items and the
copyright holder.

13\. ARE THESE RECORDS SUBJECT TO THE PRIVACY ACT? The National Archives
is required to notify the public through the Federal Register, when it
takes custody of records subject to the provisions of the Privacy Act 5
U.S.C. 552a The originating agency should use the block to indicate
whether the records covered by this SF 258 are part of a Privacy Act
system of records and include a citation to and a copy of the Privacy
Act notice published by the agency for the system. NARA will use the
transferring agency\'s notice to inform the public through the Federal
Register, that the records have been transferred to the National
Archives and that no further modification of them b possible.

14\. ATTACHMENTS: Check the appropriate box(es) and indicate the
attachment(s) being submitted with this from.

15\. SHIPPING INSTRUCTIONS TO AGENCIES/REMARKS REGARDING DISPOSITION:
NARA uses this space to provide shipping instructions relating to
transfers.

16\. RECORDS ACCEPTED INTO THE NATIONAL ARCHIVES OF THE UNITED STATES:
The appropriate NARA representative signs block 16 after the records
have been received at a NARA facility and NARA has confirmed Fat the
records received are the records described in block 4. Transfers to NARA
are not final until NARA has signed block 18. NARA sends the agency a
copy of the competed form.

17\. NATIONAL ARCHIVES ACCESSION NO.: NARA assigns the unique permanent
control number to each transfer of records.

**NATIONAL ARCHIVES AND RECORDS ADMINISTRATION**

**SF 258 BACK (9/95)**