+-----------------------------------+------------+---------------------+
| **AGREEMENT TO TRANSFER RECORDS   |            | 1\. INTERIM CONTROL |
| TO**                              |            | NO. *(NARA Use      |
|                                   |            | Only)*              |
| **THE NATIONAL ARCHIVES OF THE    |            |                     |
| UNITED STATES**                   |            |                     |
+-----------------------------------+------------+---------------------+
| TERMS OF                          | AGREEMENT  |                     |
|                                   |            |                     |
| The records described below and   | re         |                     |
| on the attached \_\_\_\_ pages    | strictions |                     |
| are deposited in the National     | on the use |                     |
| Archives of the United States in  | of these   |                     |
| accordance with 44 U.S.C. 2107.   | records    |                     |
| The transferring agency certifies | will be    |                     |
| that any restrictions on the use  | imposed    |                     |
| of these records are in           | other than |                     |
| conformance with the requirements | the        |                     |
| of 5 U.S.C. 552.                  | general    |                     |
|                                   | and        |                     |
| In accordance with 44 U.S.C.      | specific   |                     |
| 2108, custody of these records    | re         |                     |
| becomes the responsibility of the | strictions |                     |
| Archivist of the United States at | on the use |                     |
| the time of transfer of the       | of records |                     |
| records. It is agreed that these  | in the     |                     |
| records will be administered in   | National   |                     |
| accordance with the provisions of | Archives   |                     |
| 44 U.S.C. Chapter 21, 36 CFR XII, | of the     |                     |
| 36 CFR Part 1256, and such other  | United     |                     |
| rules and regulations as may be   | States     |                     |
| prescribed by the Archivist of    | that have  |                     |
| the United States (The            | been       |                     |
| Archivist). Unless specified and  | published  |                     |
| justified below, no restrictions  | in 36 CFR  |                     |
| of the use of these records will  | Part 1256  |                     |
| be imposed other than the general | or in the  |                     |
| and specific                      | *Guide to  |                     |
|                                   | the        |                     |
| restriction                       | National   |                     |
|                                   | Archives   |                     |
|                                   | of the     |                     |
|                                   | United     |                     |
|                                   | States.*   |                     |
|                                   | The        |                     |
|                                   | Archivist  |                     |
|                                   | may        |                     |
|                                   | destroy,   |                     |
|                                   | donate, or |                     |
|                                   | otherwise  |                     |
|                                   | dispose of |                     |
|                                   | any        |                     |
|                                   | c          |                     |
|                                   | ontainers, |                     |
|                                   | duplicate  |                     |
|                                   | copies,    |                     |
|                                   | unused     |                     |
|                                   | forms,     |                     |
|                                   | blank      |                     |
|                                   | s          |                     |
|                                   | tationery, |                     |
|                                   | n          |                     |
|                                   | onarchival |                     |
|                                   | printed or |                     |
|                                   | processed  |                     |
|                                   | material,  |                     |
|                                   | or other   |                     |
|                                   | non-record |                     |
|                                   | material   |                     |
|                                   | in any     |                     |
|                                   | manner     |                     |
|                                   | authorized |                     |
|                                   | by law or  |                     |
|                                   | r          |                     |
|                                   | egulation. |                     |
|                                   | Without    |                     |
|                                   | further    |                     |
|                                   | consent,   |                     |
|                                   | the        |                     |
|                                   | Archivist  |                     |
|                                   | may        |                     |
|                                   | destroy    |                     |
|                                   | det        |                     |
|                                   | eriorating |                     |
|                                   | or damaged |                     |
|                                   | documents  |                     |
|                                   | after they |                     |
|                                   | have       |                     |
|                                   | copied in  |                     |
|                                   | a form     |                     |
|                                   | that       |                     |
|                                   | retains    |                     |
|                                   | all of the |                     |
|                                   | i          |                     |
|                                   | nformation |                     |
|                                   | in the     |                     |
|                                   | original   |                     |
|                                   | document.  |                     |
|                                   | The        |                     |
|                                   | Archivist  |                     |
|                                   | will use   |                     |
|                                   | the        |                     |
|                                   | General    |                     |
|                                   | Records    |                     |
|                                   | Schedule   |                     |
|                                   | and any    |                     |
|                                   | applicable |                     |
|                                   | records    |                     |
|                                   | d          |                     |
|                                   | isposition |                     |
|                                   | schedule   |                     |
|                                   | (SF 115)   |                     |
|                                   | of the     |                     |
|                                   | tr         |                     |
|                                   | ansferring |                     |
|                                   | agency to  |                     |
|                                   | dispose of |                     |
|                                   | n          |                     |
|                                   | onarchival |                     |
|                                   | materials  |                     |
|                                   | contained  |                     |
|                                   | in this    |                     |
|                                   | deposit.   |                     |
+-----------------------------------+------------+---------------------+
| 2A. AGENCY APPROVAL               | 3A. NARA   |                     |
|                                   | APPROVAL   |                     |
| Signature                         |            |                     |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\       | Signature  |                     |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | \_\_\_\_   |                     |
| Date                              | \_\_\_\_\_ |                     |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\     | \_\_\_\_\_ |                     |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | \_\_\_\_\_ |                     |
| Date                              | \_\_\_\_\_ |                     |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_    | \_\_\_\_\_ |                     |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_      | Date       |                     |
|                                   | \_\_\_\_\_ |                     |
|                                   | \_\_\_\_\_ |                     |
|                                   | \_\_\_\_\_ |                     |
+-----------------------------------+------------+---------------------+
| 2B. NAME, TITLE, MAILING ADDRESS  | 3B. NAME,  |                     |
|                                   | TITLE,     |                     |
| **8601 Adelphi Rd. College Park,  | MAILING    |                     |
| MD 20740** 8601 Adelphi Rd.       | ADDRESS    |                     |
| College Park, MD 20740            |            |                     |
|                                   | **8601     |                     |
|                                   | Adelphi    |                     |
|                                   | Rd.        |                     |
|                                   | College    |                     |
|                                   | Park, MD   |                     |
|                                   | 20740**    |                     |
|                                   | 8601       |                     |
|                                   | Adelphi    |                     |
|                                   | Rd.        |                     |
|                                   | College    |                     |
|                                   | Park, MD   |                     |
|                                   | 20740      |                     |
+-----------------------------------+------------+---------------------+
|                                   |            |                     |
+-----------------------------------+------------+---------------------+

**RECORDS INFORMATION**

+-----------------------------------+-----------------------------------+
| 4A. RECORDS SERIES TITLE          |                                   |
+-----------------------------------+-----------------------------------+
| 4B. DATE SPAN OF SERIES *(Attach  |                                   |
| any additional description)*      |                                   |
+-----------------------------------+-----------------------------------+
| 5A. AGENCY OR ESTABLISHMENT       | 9\. PHYSICAL FORMS                |
|                                   |                                   |
|                                   | \_\_\_ Paper Documents \_\_\_     |
|                                   | Posters                           |
|                                   |                                   |
|                                   | \_\_\_ Paper Publications \_\_\_  |
|                                   | Maps and Charts                   |
|                                   |                                   |
|                                   | \_\_\_ Microfilm/Microfiche       |
|                                   | \_\_\_ Arch/Eng Drawings          |
|                                   |                                   |
|                                   | \_\_\_ Electronic Records \_\_\_  |
|                                   | Motion/Sound/Video                |
|                                   |                                   |
|                                   | \_\_\_ Photographs \_\_\_ Other   |
|                                   | *(specify):*                      |
|                                   | \                                 |
|                                   | _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
+-----------------------------------+-----------------------------------+
| 5B. AGENCY MAJOR SUBDIVISION      |                                   |
|                                   |                                   |
| **Special Assistant to the        |                                   |
| Commissione fo for Congressional  |                                   |
| Liaison**                         |                                   |
+-----------------------------------+-----------------------------------+
| 5C. AGENCY MINOR SUBDIVISION      |                                   |
+-----------------------------------+-----------------------------------+
| 5D. UNIT THAT CREATED RECORDS     | 10\. VOLUME: CONTAINERS:          |
|                                   |                                   |
|                                   | Cu. Mtr.: Cu.Ft.: Number: Type:   |
+-----------------------------------+-----------------------------------+
| 5E. AGENCY PERSON WITH WHOM TO    | 1\. DATE RECORDS ELIGIBLE FOR     |
| CONFER ABOUT THE RECORDS          | TRANSFER TO THE ARCHIVES          |
|                                   |                                   |
| Name:                             |                                   |
|                                   |                                   |
| Telephone Number:                 |                                   |
+-----------------------------------+-----------------------------------+
|                                   | 12\. ARE RECORDS FULLY AVAILABLE  |
|                                   | FOR PUBLIC USE?                   |
|                                   |                                   |
|                                   | \_\_\_ YES \_\_\_ NO *(If no,     |
|                                   | attach limits on use and          |
|                                   | justification)*                   |
+-----------------------------------+-----------------------------------+
| 6\. DISPOSITION AUTHORITY:        |                                   |
+-----------------------------------+-----------------------------------+
| 7\. IS SECURITY CLASSIFIED        | 13\. ARE RECORDS SUBJECT TO THE   |
| INFORMATION PRESENT? \_\_\_\_\_NO | PRIVACY ACT?                      |
| \_\_\_\_\_YES                     |                                   |
|                                   | *(If yes, cite Agency System      |
| LEVEL: \_\_\_\_\_Confidential     | Number and Federal*               |
| \_\_\_\_\_Secret \_\_\_\_\_Top    |                                   |
| Secret                            | \_\_\_ YES \_\_\_ NO *Register    |
|                                   | volume and page number of most    |
| SPECIAL MARKINGS: \_\_\_\_ RD/FRD | recent*                           |
| \_\_\_\_\_ SCI \_\_\_\_\_ NATO    |                                   |
|                                   | *notice and attach a copy of this |
| \_\_\_\_ Other                    | notice.)*                         |
|                                   |                                   |
| INFORMATION STATUS: \_\_\_\_\_    |                                   |
| Segregated \_\_\_\_\_             |                                   |
| Declassified                      |                                   |
+-----------------------------------+-----------------------------------+
| 8\. CURRENT LOCATION OF RECORDS   |                                   |
|                                   |                                   |
| \_\_\_\_ Agency (Complete 8A      |                                   |
| only)                             |                                   |
|                                   |                                   |
| \_\_ \_\_\_ Federal Records       |                                   |
| Center (Complete 8B only)         |                                   |
+-----------------------------------+-----------------------------------+
|                                   | 14\. ATTACHMENTS                  |
|                                   |                                   |
|                                   | \_\_\_ Agency Manual Except       |
|                                   | \_\_\_ Listing of Records         |
|                                   | Transferred                       |
|                                   |                                   |
|                                   | \_\_\_ Additional Description     |
|                                   | \_\_\_ NA Form 14097 or           |
|                                   | Equivalent                        |
|                                   |                                   |
|                                   | \_\_\_ Privacy Act Notice \_\_\_  |
|                                   | Microform Inspection Report       |
|                                   |                                   |
|                                   | \_\_\_ Other *(specify):* \_\_\_  |
|                                   | SF(s) 135                         |
|                                   |                                   |
|                                   | \_\_\_\_\_\_\                     |
|                                   | _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ |
+-----------------------------------+-----------------------------------+
| 8A. [ADDRESS:]{.underline}        |                                   |
+-----------------------------------+-----------------------------------+
| 8B. FRC ACCESSION NUMBER          |                                   |
| CONTAINER NUMBERS FRC LOCATION    |                                   |
+-----------------------------------+-----------------------------------+

**NARA PROVIDES**

+-----------------------------------------------------+--------+--------+
| **15. SHIPPING INSTRUCTIONS TO AGENCIES/REMARKS     |        | **RG** |
| REGARDING DISPOSITION**                             |        |        |
+-----------------------------------------------------+--------+--------+
| **16. RECORDS ACCEPTED INTO THE NATIONAL ARCHIVES   | **17.  |        |
| OF THE UNITED STATES**                              | NA     |        |
|                                                     | TIONAL |        |
| **Signature                                         | AR     |        |
| \_                                                  | CHIVES |        |
| \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\ | ACC    |        |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | ESSION |        |
| Date                                                | NO.**  |        |
| \_\_\_\_\_\_\_\_\                                   |        |        |
| _\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** |        |        |
+-----------------------------------------------------+--------+--------+

***NATIONAL ARCHIVES AND RECORDS ADMINISTRATION* SF 258 (9/95)**

**Prescribed by NARA 36 CFR 1228**