OMB Control No. 3095-0054

Expires 08-31-2009

+-----------+----------+---------+---+---------------------------------+
| ![](m     | **       |         |   |                                 |
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| 041666666 | **Ind    |         |   |                                 |
| 66667in"} | ependent |         |   |                                 |
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|           | App      |         |   |                                 |
|           | lication |         |   |                                 |
|           | Form**   |         |   |                                 |
|           |          |         |   |                                 |
|           | ***For   |         |   |                                 |
|           | Use at   |         |   |                                 |
|           | Regional |         |   |                                 |
|           | Records  |         |   |                                 |
|           | Services |         |   |                                 |
|           | and      |         |   |                                 |
|           | Was      |         |   |                                 |
|           | hington, |         |   |                                 |
|           | DC area  |         |   |                                 |
|           | facil    |         |   |                                 |
|           | ities*** |         |   |                                 |
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|           | S        |         |   |                                 |
|           | tatement |         |   |                                 |
|           | on the   |         |   |                                 |
|           | back*    |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| New       |          | Update  |   |                                 |
| Ap        |          | to      |   |                                 |
| plication |          | Current |   |                                 |
|           |          | Listing |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| **\*      |          |         | * |                                 |
| R         |          |         | * |                                 |
| esearcher |          |         | \ |                                 |
| or        |          |         | * |                                 |
| Company   |          |         | D |                                 |
| Name:**   |          |         | e |                                 |
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|           |          |         | * |                                 |
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+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| **\*      |          |         |   |                                 |
| Street    |          |         |   |                                 |
| and/or    |          |         |   |                                 |
| Post      |          |         |   |                                 |
| Office    |          |         |   |                                 |
| Box:**    |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| **\*      |          |         | * |                                 |
| City:**   |          |         | * |                                 |
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|           |          |         | * |                                 |
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+-----------+----------+---------+---+---------------------------------+
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+-----------+----------+---------+---+---------------------------------+
| **\*Zip   |          |         | * |                                 |
| Code +    |          |         | * |                                 |
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+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
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+-----------+----------+---------+---+---------------------------------+
| *         |          |         | * |                                 |
| *Customer |          |         | * |                                 |
| Service   |          |         | F |                                 |
| Telephone |          |         | a |                                 |
| Number:** |          |         | x |                                 |
|           |          |         | N |                                 |
|           |          |         | u |                                 |
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+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
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+-----------+----------+---------+---+---------------------------------+
| **E       |          |         | * |                                 |
| lectronic |          |         | * |                                 |
| Mailing   |          |         | W |                                 |
| A         |          |         | e |                                 |
| ddress:** |          |         | b |                                 |
|           |          |         | P |                                 |
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|           |          |         | * |                                 |
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+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
|           |          |         |   |                                 |
|           |          |         |   |                                 |
|           |          |         |   |                                 |
|           |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| **\*      |          |         |   |                                 |
| Contact   |          |         |   |                                 |
| Person:** |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
|           |          |         |   |                                 |
|           |          |         |   |                                 |
|           |          |         |   |                                 |
|           |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| **\       |          |         |   |                                 |
| *Research |          |         |   |                                 |
| Specialty |          |         |   |                                 |
| (may list |          |         |   |                                 |
| specific  |          |         |   |                                 |
| record    |          |         |   |                                 |
| groups,   |          |         |   |                                 |
| records   |          |         |   |                                 |
| media,    |          |         |   |                                 |
| series,   |          |         |   |                                 |
| subjects, |          |         |   |                                 |
| topics,   |          |         |   |                                 |
| etc.):**  |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| **\* NARA |          |         |   |                                 |
| f         |          |         |   |                                 |
| acilities |          |         |   |                                 |
| in which  |          |         |   |                                 |
| you       |          |         |   |                                 |
| perform   |          |         |   |                                 |
| research  |          |         |   |                                 |
| (please   |          |         |   |                                 |
| mark all  |          |         |   |                                 |
| that      |          |         |   |                                 |
| apply):** |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
| Northeast |          |         | P |                                 |
| Region    |          |         | a |                                 |
| (Boston)  |          |         | c |                                 |
|           |          |         | i |                                 |
|           |          |         | f |                                 |
|           |          |         | i |                                 |
|           |          |         | c |                                 |
|           |          |         | A |                                 |
|           |          |         | l |                                 |
|           |          |         | a |                                 |
|           |          |         | s |                                 |
|           |          |         | k |                                 |
|           |          |         | a |                                 |
|           |          |         | R |                                 |
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|           |          |         | g |                                 |
|           |          |         | i |                                 |
|           |          |         | o |                                 |
|           |          |         | n |                                 |
|           |          |         | ( |                                 |
|           |          |         | A |                                 |
|           |          |         | n |                                 |
|           |          |         | c |                                 |
|           |          |         | h |                                 |
|           |          |         | o |                                 |
|           |          |         | r |                                 |
|           |          |         | a |                                 |
|           |          |         | g |                                 |
|           |          |         | e |                                 |
|           |          |         | ) |                                 |
+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
| Northeast |          |         | P |                                 |
| Region    |          |         | a |                                 |
| (New York |          |         | c |                                 |
| City)     |          |         | i |                                 |
|           |          |         | f |                                 |
|           |          |         | i |                                 |
|           |          |         | c |                                 |
|           |          |         | A |                                 |
|           |          |         | l |                                 |
|           |          |         | a |                                 |
|           |          |         | s |                                 |
|           |          |         | k |                                 |
|           |          |         | a |                                 |
|           |          |         | R |                                 |
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|           |          |         | g |                                 |
|           |          |         | i |                                 |
|           |          |         | o |                                 |
|           |          |         | n |                                 |
|           |          |         | ( |                                 |
|           |          |         | S |                                 |
|           |          |         | e |                                 |
|           |          |         | a |                                 |
|           |          |         | t |                                 |
|           |          |         | t |                                 |
|           |          |         | l |                                 |
|           |          |         | e |                                 |
|           |          |         | ) |                                 |
+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
| Northeast |          |         | P |                                 |
| Region    |          |         | a |                                 |
| (Pi       |          |         | c |                                 |
| ttsfield) |          |         | i |                                 |
|           |          |         | f |                                 |
|           |          |         | i |                                 |
|           |          |         | c |                                 |
|           |          |         | A |                                 |
|           |          |         | l |                                 |
|           |          |         | a |                                 |
|           |          |         | s |                                 |
|           |          |         | k |                                 |
|           |          |         | a |                                 |
|           |          |         | R |                                 |
|           |          |         | e |                                 |
|           |          |         | g |                                 |
|           |          |         | i |                                 |
|           |          |         | o |                                 |
|           |          |         | n |                                 |
|           |          |         | ( |                                 |
|           |          |         | L |                                 |
|           |          |         | a |                                 |
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|           |          |         | u |                                 |
|           |          |         | n |                                 |
|           |          |         | a |                                 |
|           |          |         | N |                                 |
|           |          |         | i |                                 |
|           |          |         | g |                                 |
|           |          |         | u |                                 |
|           |          |         | e |                                 |
|           |          |         | l |                                 |
|           |          |         | ) |                                 |
+-----------+----------+---------+---+---------------------------------+
| Mid       |          |         |   |                                 |
| Atlantic  |          |         | P |                                 |
| Region    |          |         | a |                                 |
| (Center   |          |         | c |                                 |
| City      |          |         | i |                                 |
| Phil      |          |         | f |                                 |
| adelphia) |          |         | i |                                 |
|           |          |         | c |                                 |
|           |          |         | R |                                 |
|           |          |         | e |                                 |
|           |          |         | g |                                 |
|           |          |         | i |                                 |
|           |          |         | o |                                 |
|           |          |         | n |                                 |
|           |          |         | ( |                                 |
|           |          |         | S |                                 |
|           |          |         | a |                                 |
|           |          |         | n |                                 |
|           |          |         | F |                                 |
|           |          |         | r |                                 |
|           |          |         | a |                                 |
|           |          |         | n |                                 |
|           |          |         | c |                                 |
|           |          |         | i |                                 |
|           |          |         | s |                                 |
|           |          |         | c |                                 |
|           |          |         | o |                                 |
|           |          |         | ) |                                 |
+-----------+----------+---------+---+---------------------------------+
| Mid       |          |         |   |                                 |
| Atlantic  |          |         | P |                                 |
| Region    |          |         | a |                                 |
| (         |          |         | c |                                 |
| Northeast |          |         | i |                                 |
| Phil      |          |         | f |                                 |
| adelphia) |          |         | i |                                 |
|           |          |         | c |                                 |
|           |          |         | R |                                 |
|           |          |         | e |                                 |
|           |          |         | g |                                 |
|           |          |         | i |                                 |
|           |          |         | o |                                 |
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|           |          |         | ( |                                 |
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|           |          |         | r |                                 |
|           |          |         | i |                                 |
|           |          |         | s |                                 |
|           |          |         | ) |                                 |
+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
| Southeast |          |         | N |                                 |
| Region    |          |         | a |                                 |
| (Atlanta) |          |         | t |                                 |
|           |          |         | i |                                 |
|           |          |         | o |                                 |
|           |          |         | n |                                 |
|           |          |         | a |                                 |
|           |          |         | l |                                 |
|           |          |         | P |                                 |
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|           |          |         | o |                                 |
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|           |          |         | s |                                 |
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|           |          |         | C |                                 |
|           |          |         | i |                                 |
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|           |          |         | l |                                 |
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|           |          |         | a |                                 |
|           |          |         | n |                                 |
|           |          |         | ) |                                 |
+-----------+----------+---------+---+---------------------------------+
| Great     |          |         |   |                                 |
| Lakes     |          |         | N |                                 |
| Region    |          |         | a |                                 |
| (Chicago) |          |         | t |                                 |
|           |          |         | i |                                 |
|           |          |         | o |                                 |
|           |          |         | n |                                 |
|           |          |         | a |                                 |
|           |          |         | l |                                 |
|           |          |         | P |                                 |
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|           |          |         | c |                                 |
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|           |          |         | L |                                 |
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|           |          |         | - |                                 |
|           |          |         | M |                                 |
|           |          |         | i |                                 |
|           |          |         | l |                                 |
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|           |          |         | a |                                 |
|           |          |         | r |                                 |
|           |          |         | y |                                 |
|           |          |         | ) |                                 |
+-----------+----------+---------+---+---------------------------------+
| Great     |          |         |   |                                 |
| Lakes     |          |         | W |                                 |
| Region    |          |         | a |                                 |
| (Dayton)  |          |         | s |                                 |
|           |          |         | h |                                 |
|           |          |         | i |                                 |
|           |          |         | n |                                 |
|           |          |         | g |                                 |
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|           |          |         | o |                                 |
|           |          |         | n |                                 |
|           |          |         | N |                                 |
|           |          |         | a |                                 |
|           |          |         | t |                                 |
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|           |          |         | n |                                 |
|           |          |         | a |                                 |
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|           |          |         | e |                                 |
|           |          |         | c |                                 |
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|           |          |         | d |                                 |
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|           |          |         | C |                                 |
|           |          |         | e |                                 |
|           |          |         | n |                                 |
|           |          |         | t |                                 |
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|           |          |         | r |                                 |
|           |          |         | ( |                                 |
|           |          |         | S |                                 |
|           |          |         | u |                                 |
|           |          |         | i |                                 |
|           |          |         | t |                                 |
|           |          |         | l |                                 |
|           |          |         | a |                                 |
|           |          |         | n |                                 |
|           |          |         | d |                                 |
|           |          |         | ) |                                 |
+-----------+----------+---------+---+---------------------------------+
| Central   |          |         |   |                                 |
| Plains    |          |         | N |                                 |
| Region    |          |         | a |                                 |
| (Kansas   |          |         | t |                                 |
| City)     |          |         | i |                                 |
|           |          |         | o |                                 |
|           |          |         | n |                                 |
|           |          |         | a |                                 |
|           |          |         | l |                                 |
|           |          |         | A |                                 |
|           |          |         | r |                                 |
|           |          |         | c |                                 |
|           |          |         | h |                                 |
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|           |          |         | e |                                 |
|           |          |         | s |                                 |
|           |          |         | a |                                 |
|           |          |         | t |                                 |
|           |          |         | C |                                 |
|           |          |         | o |                                 |
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|           |          |         | l |                                 |
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|           |          |         | P |                                 |
|           |          |         | a |                                 |
|           |          |         | r |                                 |
|           |          |         | k |                                 |
|           |          |         | , |                                 |
|           |          |         | M |                                 |
|           |          |         | D |                                 |
+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
| Southwest |          |         | N |                                 |
| Region    |          |         | a |                                 |
| (Forth    |          |         | t |                                 |
| Worth)    |          |         | i |                                 |
|           |          |         | o |                                 |
| Rocky     |          |         | n |                                 |
| Mountain  |          |         | a |                                 |
| Region    |          |         | l |                                 |
| (Denver)  |          |         | A |                                 |
|           |          |         | r |                                 |
|           |          |         | c |                                 |
|           |          |         | h |                                 |
|           |          |         | i |                                 |
|           |          |         | v |                                 |
|           |          |         | e |                                 |
|           |          |         | s |                                 |
|           |          |         | B |                                 |
|           |          |         | u |                                 |
|           |          |         | i |                                 |
|           |          |         | l |                                 |
|           |          |         | d |                                 |
|           |          |         | i |                                 |
|           |          |         | n |                                 |
|           |          |         | g |                                 |
|           |          |         | , |                                 |
|           |          |         | D |                                 |
|           |          |         | C |                                 |
|           |          |         |   |                                 |
|           |          |         | O |                                 |
|           |          |         | t |                                 |
|           |          |         | h |                                 |
|           |          |         | e |                                 |
|           |          |         | r |                                 |
|           |          |         | ( |                                 |
|           |          |         | P |                                 |
|           |          |         | r |                                 |
|           |          |         | e |                                 |
|           |          |         | s |                                 |
|           |          |         | i |                                 |
|           |          |         | d |                                 |
|           |          |         | e |                                 |
|           |          |         | n |                                 |
|           |          |         | t |                                 |
|           |          |         | i |                                 |
|           |          |         | a |                                 |
|           |          |         | l |                                 |
|           |          |         | L |                                 |
|           |          |         | i |                                 |
|           |          |         | b |                                 |
|           |          |         | r |                                 |
|           |          |         | a |                                 |
|           |          |         | r |                                 |
|           |          |         | y |                                 |
|           |          |         | o |                                 |
|           |          |         | r |                                 |
|           |          |         | a |                                 |
|           |          |         | f |                                 |
|           |          |         | f |                                 |
|           |          |         | i |                                 |
|           |          |         | l |                                 |
|           |          |         | i |                                 |
|           |          |         | a |                                 |
|           |          |         | t |                                 |
|           |          |         | e |                                 |
|           |          |         | d |                                 |
|           |          |         | a |                                 |
|           |          |         | r |                                 |
|           |          |         | c |                                 |
|           |          |         | h |                                 |
|           |          |         | i |                                 |
|           |          |         | v |                                 |
|           |          |         | e |                                 |
|           |          |         | ) |                                 |
+-----------+----------+---------+---+---------------------------------+
| \* I      |          |         |   |                                 |
| hereby    |          |         |   |                                 |
| authorize |          |         |   |                                 |
| NARA to   |          |         |   |                                 |
| release   |          |         |   |                                 |
| to the    |          |         |   |                                 |
| public    |          |         |   |                                 |
| the       |          |         |   |                                 |
| in        |          |         |   |                                 |
| formation |          |         |   |                                 |
| contained |          |         |   |                                 |
| in this   |          |         |   |                                 |
| form for  |          |         |   |                                 |
| the       |          |         |   |                                 |
| purpose   |          |         |   |                                 |
| of        |          |         |   |                                 |
| providing |          |         |   |                                 |
|           |          |         |   |                                 |
| a listing |          |         |   |                                 |
| of        |          |         |   |                                 |
| in        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| re        |          |         |   |                                 |
| searchers |          |         |   |                                 |
| under the |          |         |   |                                 |
| c         |          |         |   |                                 |
| onditions |          |         |   |                                 |
| described |          |         |   |                                 |
| on the    |          |         |   |                                 |
| back of   |          |         |   |                                 |
| this      |          |         |   |                                 |
| form.     |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| \*        |          |         |   | \* Date                         |
| Signature |          |         |   |                                 |
|           |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| Completed |          |         |   |                                 |
| quest     |          |         |   |                                 |
| ionnaires |          |         |   |                                 |
| may be    |          |         |   |                                 |
| faxed to  |          |         |   |                                 |
| 301-      |          |         |   |                                 |
| 837-0459; |          |         |   |                                 |
| or sent   |          |         |   |                                 |
| via       |          |         |   |                                 |
| postal    |          |         |   |                                 |
| mail to   |          |         |   |                                 |
| the       |          |         |   |                                 |
| National  |          |         |   |                                 |
| Archives  |          |         |   |                                 |
| at        |          |         |   |                                 |
| College   |          |         |   |                                 |
| Park,     |          |         |   |                                 |
| NWCCA,    |          |         |   |                                 |
| Room      |          |         |   |                                 |
| 2380, RE: |          |         |   |                                 |
| In        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| R         |          |         |   |                                 |
| esearcher |          |         |   |                                 |
| Listing,  |          |         |   |                                 |
| 8601      |          |         |   |                                 |
| Adelphi   |          |         |   |                                 |
| Road,     |          |         |   |                                 |
| College   |          |         |   |                                 |
| Park, MD  |          |         |   |                                 |
| 20        |          |         |   |                                 |
| 740-6001; |          |         |   |                                 |
| for       |          |         |   |                                 |
| questions |          |         |   |                                 |
| and       |          |         |   |                                 |
| comments, |          |         |   |                                 |
| please    |          |         |   |                                 |
| feel free |          |         |   |                                 |
| to        |          |         |   |                                 |
| telephone |          |         |   |                                 |
| 301       |          |         |   |                                 |
| -837-2002 |          |         |   |                                 |
| or email  |          |         |   |                                 |
| alic@     |          |         |   |                                 |
| nara.gov. |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| **        |          |         |   |                                 |
| PAPERWORK |          |         |   |                                 |
| REDUCTION |          |         |   |                                 |
| ACT       |          |         |   |                                 |
| PUBLIC    |          |         |   |                                 |
| BURDEN    |          |         |   |                                 |
| ST        |          |         |   |                                 |
| ATEMENT** |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| **A       |          |         |   |                                 |
| Federal   |          |         |   |                                 |
| agency    |          |         |   |                                 |
| may not   |          |         |   |                                 |
| conduct   |          |         |   |                                 |
| or        |          |         |   |                                 |
| sponsor,  |          |         |   |                                 |
| and a     |          |         |   |                                 |
| person is |          |         |   |                                 |
| not       |          |         |   |                                 |
| required  |          |         |   |                                 |
| to        |          |         |   |                                 |
| respond   |          |         |   |                                 |
| to a      |          |         |   |                                 |
| c         |          |         |   |                                 |
| ollection |          |         |   |                                 |
| of        |          |         |   |                                 |
| in        |          |         |   |                                 |
| formation |          |         |   |                                 |
| unless it |          |         |   |                                 |
| displays  |          |         |   |                                 |
| a current |          |         |   |                                 |
| valid OMB |          |         |   |                                 |
| control   |          |         |   |                                 |
| number.   |          |         |   |                                 |
| The OMB   |          |         |   |                                 |
| Control   |          |         |   |                                 |
| No. for   |          |         |   |                                 |
| this      |          |         |   |                                 |
| in        |          |         |   |                                 |
| formation |          |         |   |                                 |
| c         |          |         |   |                                 |
| ollection |          |         |   |                                 |
| is        |          |         |   |                                 |
| 3         |          |         |   |                                 |
| 095-0054. |          |         |   |                                 |
| The       |          |         |   |                                 |
| in        |          |         |   |                                 |
| formation |          |         |   |                                 |
| requested |          |         |   |                                 |
| on this   |          |         |   |                                 |
| form is   |          |         |   |                                 |
| being     |          |         |   |                                 |
| collected |          |         |   |                                 |
| and       |          |         |   |                                 |
| dis       |          |         |   |                                 |
| seminated |          |         |   |                                 |
| by the    |          |         |   |                                 |
| National  |          |         |   |                                 |
| Archives  |          |         |   |                                 |
| and       |          |         |   |                                 |
| Records   |          |         |   |                                 |
| Admin     |          |         |   |                                 |
| istration |          |         |   |                                 |
| as a      |          |         |   |                                 |
| courtesy  |          |         |   |                                 |
| to the    |          |         |   |                                 |
| public.   |          |         |   |                                 |
| Public    |          |         |   |                                 |
| burden    |          |         |   |                                 |
| reporting |          |         |   |                                 |
| for this  |          |         |   |                                 |
| c         |          |         |   |                                 |
| ollection |          |         |   |                                 |
| of        |          |         |   |                                 |
| in        |          |         |   |                                 |
| formation |          |         |   |                                 |
| is        |          |         |   |                                 |
| estimated |          |         |   |                                 |
| to be ten |          |         |   |                                 |
| minutes   |          |         |   |                                 |
| per       |          |         |   |                                 |
| response, |          |         |   |                                 |
| including |          |         |   |                                 |
| time for  |          |         |   |                                 |
| reviewing |          |         |   |                                 |
| inst      |          |         |   |                                 |
| ructions, |          |         |   |                                 |
| and       |          |         |   |                                 |
| c         |          |         |   |                                 |
| ompleting |          |         |   |                                 |
| and       |          |         |   |                                 |
| reviewing |          |         |   |                                 |
| the       |          |         |   |                                 |
| c         |          |         |   |                                 |
| ollection |          |         |   |                                 |
| of        |          |         |   |                                 |
| inf       |          |         |   |                                 |
| ormation. |          |         |   |                                 |
| Send      |          |         |   |                                 |
| comments  |          |         |   |                                 |
| regarding |          |         |   |                                 |
| the       |          |         |   |                                 |
| burden    |          |         |   |                                 |
| estimate  |          |         |   |                                 |
| or any    |          |         |   |                                 |
| other     |          |         |   |                                 |
| aspect of |          |         |   |                                 |
| the       |          |         |   |                                 |
| c         |          |         |   |                                 |
| ollection |          |         |   |                                 |
| of        |          |         |   |                                 |
| inf       |          |         |   |                                 |
| ormation, |          |         |   |                                 |
| including |          |         |   |                                 |
| su        |          |         |   |                                 |
| ggestions |          |         |   |                                 |
| for       |          |         |   |                                 |
| reducing  |          |         |   |                                 |
| this      |          |         |   |                                 |
| burden,   |          |         |   |                                 |
| to the    |          |         |   |                                 |
| National  |          |         |   |                                 |
| Archives  |          |         |   |                                 |
| and       |          |         |   |                                 |
| Records   |          |         |   |                                 |
| Admin     |          |         |   |                                 |
| istration |          |         |   |                                 |
| (NHP),    |          |         |   |                                 |
| 8601      |          |         |   |                                 |
| Adelphi   |          |         |   |                                 |
| Road,     |          |         |   |                                 |
| College   |          |         |   |                                 |
| Park, MD  |          |         |   |                                 |
| 20        |          |         |   |                                 |
| 740-6001. |          |         |   |                                 |
| DO NOT    |          |         |   |                                 |
| SEND      |          |         |   |                                 |
| COMPLETED |          |         |   |                                 |
| FORMS TO  |          |         |   |                                 |
| THIS      |          |         |   |                                 |
| ADDRESS.  |          |         |   |                                 |
| PLEASE    |          |         |   |                                 |
| SEND      |          |         |   |                                 |
| COMPLETED |          |         |   |                                 |
| FORMS TO  |          |         |   |                                 |
| THE       |          |         |   |                                 |
| ADDRESS   |          |         |   |                                 |
| SHOWN     |          |         |   |                                 |
| BELOW.**  |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
|           |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| ***P      |          |         |   |                                 |
| rocedures |          |         |   |                                 |
| and       |          |         |   |                                 |
| C         |          |         |   |                                 |
| onditions |          |         |   |                                 |
| for       |          |         |   |                                 |
| Inclusion |          |         |   |                                 |
| in the    |          |         |   |                                 |
| In        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| R         |          |         |   |                                 |
| esearcher |          |         |   |                                 |
| Listing   |          |         |   |                                 |
| for       |          |         |   |                                 |
| NARA\'s   |          |         |   |                                 |
| Wa        |          |         |   |                                 |
| shington, |          |         |   |                                 |
| DC, area  |          |         |   |                                 |
| and       |          |         |   |                                 |
| Regional  |          |         |   |                                 |
| Records   |          |         |   |                                 |
| Services  |          |         |   |                                 |
| Faci      |          |         |   |                                 |
| lities*** |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 1\. Any   |          |         |   |                                 |
| in        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| r         |          |         |   |                                 |
| esearcher |          |         |   |                                 |
| who       |          |         |   |                                 |
| performs  |          |         |   |                                 |
| work at   |          |         |   |                                 |
| any NARA  |          |         |   |                                 |
| facility  |          |         |   |                                 |
| or        |          |         |   |                                 |
| NARA-a    |          |         |   |                                 |
| ffiliated |          |         |   |                                 |
| archives  |          |         |   |                                 |
| may       |          |         |   |                                 |
| complete  |          |         |   |                                 |
| the       |          |         |   |                                 |
| In        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| R         |          |         |   |                                 |
| esearcher |          |         |   |                                 |
| Listing   |          |         |   |                                 |
| Ap        |          |         |   |                                 |
| plication |          |         |   |                                 |
| Form.     |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 2\. The   |          |         |   |                                 |
| National  |          |         |   |                                 |
| Archives  |          |         |   |                                 |
| and       |          |         |   |                                 |
| Records   |          |         |   |                                 |
| Admin     |          |         |   |                                 |
| istration |          |         |   |                                 |
| (NARA)    |          |         |   |                                 |
| does not  |          |         |   |                                 |
| require a |          |         |   |                                 |
| fee for   |          |         |   |                                 |
| inclusion |          |         |   |                                 |
| on the    |          |         |   |                                 |
| list.     |          |         |   |                                 |
| However,  |          |         |   |                                 |
| all       |          |         |   |                                 |
| required  |          |         |   |                                 |
| fields    |          |         |   |                                 |
| noted on  |          |         |   |                                 |
| the form  |          |         |   |                                 |
| must be   |          |         |   |                                 |
| completed |          |         |   |                                 |
| for       |          |         |   |                                 |
| inclusion |          |         |   |                                 |
| on the    |          |         |   |                                 |
| listing.  |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 3\. The   |          |         |   |                                 |
| listing   |          |         |   |                                 |
| is        |          |         |   |                                 |
| compiled  |          |         |   |                                 |
| and       |          |         |   |                                 |
| dis       |          |         |   |                                 |
| seminated |          |         |   |                                 |
| as a      |          |         |   |                                 |
| service   |          |         |   |                                 |
| to the    |          |         |   |                                 |
| public.   |          |         |   |                                 |
| Copies of |          |         |   |                                 |
| the       |          |         |   |                                 |
| listing   |          |         |   |                                 |
| will be   |          |         |   |                                 |
| available |          |         |   |                                 |
| on        |          |         |   |                                 |
| NARA\'s   |          |         |   |                                 |
| web site  |          |         |   |                                 |
| and at    |          |         |   |                                 |
| all       |          |         |   |                                 |
| archival  |          |         |   |                                 |
| reference |          |         |   |                                 |
| units at  |          |         |   |                                 |
| the       |          |         |   |                                 |
| Wa        |          |         |   |                                 |
| shington, |          |         |   |                                 |
| DC;       |          |         |   |                                 |
| College   |          |         |   |                                 |
| Park, MD; |          |         |   |                                 |
| and       |          |         |   |                                 |
| Regional  |          |         |   |                                 |
| Records   |          |         |   |                                 |
| Services  |          |         |   |                                 |
| fa        |          |         |   |                                 |
| cilities; |          |         |   |                                 |
| and       |          |         |   |                                 |
| Pre       |          |         |   |                                 |
| sidential |          |         |   |                                 |
| l         |          |         |   |                                 |
| ibraries. |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 4\. Any   |          |         |   |                                 |
| change in |          |         |   |                                 |
| an        |          |         |   |                                 |
| indi      |          |         |   |                                 |
| vidual\'s |          |         |   |                                 |
| listed    |          |         |   |                                 |
| in        |          |         |   |                                 |
| formation |          |         |   |                                 |
| requires  |          |         |   |                                 |
| a         |          |         |   |                                 |
| res       |          |         |   |                                 |
| ubmission |          |         |   |                                 |
| of the    |          |         |   |                                 |
| form by   |          |         |   |                                 |
| the       |          |         |   |                                 |
| affected  |          |         |   |                                 |
| in        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| re        |          |         |   |                                 |
| searcher. |          |         |   |                                 |
| Updates   |          |         |   |                                 |
| will be   |          |         |   |                                 |
| made      |          |         |   |                                 |
| whenever  |          |         |   |                                 |
| new       |          |         |   |                                 |
| in        |          |         |   |                                 |
| formation |          |         |   |                                 |
| is        |          |         |   |                                 |
| s         |          |         |   |                                 |
| ubmitted. |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 5\. All   |          |         |   |                                 |
| in        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| re        |          |         |   |                                 |
| searchers |          |         |   |                                 |
| who wish  |          |         |   |                                 |
| to remain |          |         |   |                                 |
| on the    |          |         |   |                                 |
| listing   |          |         |   |                                 |
| are       |          |         |   |                                 |
| required  |          |         |   |                                 |
| to        |          |         |   |                                 |
| certify   |          |         |   |                                 |
| annually  |          |         |   |                                 |
| that the  |          |         |   |                                 |
| in        |          |         |   |                                 |
| formation |          |         |   |                                 |
| we        |          |         |   |                                 |
| publish   |          |         |   |                                 |
| is        |          |         |   |                                 |
| current   |          |         |   |                                 |
| and       |          |         |   |                                 |
| accurate. |          |         |   |                                 |
| Replies   |          |         |   |                                 |
| to our    |          |         |   |                                 |
| annual    |          |         |   |                                 |
| email     |          |         |   |                                 |
| notices   |          |         |   |                                 |
| must be   |          |         |   |                                 |
| received  |          |         |   |                                 |
| within 30 |          |         |   |                                 |
| days.     |          |         |   |                                 |
| Those     |          |         |   |                                 |
| in        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| re        |          |         |   |                                 |
| searchers |          |         |   |                                 |
| who do    |          |         |   |                                 |
| not reply |          |         |   |                                 |
| will be   |          |         |   |                                 |
| stricken  |          |         |   |                                 |
| from the  |          |         |   |                                 |
| listing   |          |         |   |                                 |
| without   |          |         |   |                                 |
| further   |          |         |   |                                 |
| noti      |          |         |   |                                 |
| fication. |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 6\. All   |          |         |   |                                 |
| in        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| re        |          |         |   |                                 |
| searchers |          |         |   |                                 |
| using     |          |         |   |                                 |
| NARA      |          |         |   |                                 |
| f         |          |         |   |                                 |
| acilities |          |         |   |                                 |
| and       |          |         |   |                                 |
| NARA-a    |          |         |   |                                 |
| ffiliated |          |         |   |                                 |
| archives  |          |         |   |                                 |
| are       |          |         |   |                                 |
| expected  |          |         |   |                                 |
| to comply |          |         |   |                                 |
| with      |          |         |   |                                 |
| es        |          |         |   |                                 |
| tablished |          |         |   |                                 |
| research  |          |         |   |                                 |
| room      |          |         |   |                                 |
| pr        |          |         |   |                                 |
| ocedures. |          |         |   |                                 |
| Those     |          |         |   |                                 |
| found to  |          |         |   |                                 |
| be in     |          |         |   |                                 |
| violation |          |         |   |                                 |
| of such   |          |         |   |                                 |
| p         |          |         |   |                                 |
| rocedures |          |         |   |                                 |
| will be   |          |         |   |                                 |
| stricken  |          |         |   |                                 |
| from the  |          |         |   |                                 |
| listing.  |          |         |   |                                 |
| Severe or |          |         |   |                                 |
| repeated  |          |         |   |                                 |
| v         |          |         |   |                                 |
| iolations |          |         |   |                                 |
| may also  |          |         |   |                                 |
| result in |          |         |   |                                 |
| s         |          |         |   |                                 |
| uspension |          |         |   |                                 |
| of        |          |         |   |                                 |
| research  |          |         |   |                                 |
| room      |          |         |   |                                 |
| p         |          |         |   |                                 |
| rivileges |          |         |   |                                 |
| in        |          |         |   |                                 |
| a         |          |         |   |                                 |
| ccordance |          |         |   |                                 |
| with 36   |          |         |   |                                 |
| CFR 1254, |          |         |   |                                 |
| subpart   |          |         |   |                                 |
| B.        |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 7\.       |          |         |   |                                 |
| So        |          |         |   |                                 |
| liciting, |          |         |   |                                 |
| vending,  |          |         |   |                                 |
| and debt  |          |         |   |                                 |
| c         |          |         |   |                                 |
| ollection |          |         |   |                                 |
| are       |          |         |   |                                 |
| p         |          |         |   |                                 |
| rohibited |          |         |   |                                 |
| on NARA   |          |         |   |                                 |
| property. |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 8\. Any   |          |         |   |                                 |
| comments  |          |         |   |                                 |
| or        |          |         |   |                                 |
| c         |          |         |   |                                 |
| omplaints |          |         |   |                                 |
| received  |          |         |   |                                 |
| by NARA   |          |         |   |                                 |
| regarding |          |         |   |                                 |
| any       |          |         |   |                                 |
| i         |          |         |   |                                 |
| ndividual |          |         |   |                                 |
| in        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| r         |          |         |   |                                 |
| esearcher |          |         |   |                                 |
| on the    |          |         |   |                                 |
| listing   |          |         |   |                                 |
| will be   |          |         |   |                                 |
| forwarded |          |         |   |                                 |
| to that   |          |         |   |                                 |
| r         |          |         |   |                                 |
| esearcher |          |         |   |                                 |
| for       |          |         |   |                                 |
| re        |          |         |   |                                 |
| solution. |          |         |   |                                 |
| However,  |          |         |   |                                 |
| c         |          |         |   |                                 |
| omplaints |          |         |   |                                 |
| received  |          |         |   |                                 |
| on a      |          |         |   |                                 |
| regular   |          |         |   |                                 |
| basis     |          |         |   |                                 |
| regarding |          |         |   |                                 |
| the       |          |         |   |                                 |
| business  |          |         |   |                                 |
| practices |          |         |   |                                 |
| of any    |          |         |   |                                 |
| in        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| r         |          |         |   |                                 |
| esearcher |          |         |   |                                 |
| can       |          |         |   |                                 |
| result in |          |         |   |                                 |
| removal   |          |         |   |                                 |
| from the  |          |         |   |                                 |
| listing.  |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 9\. NARA  |          |         |   |                                 |
| will not  |          |         |   |                                 |
| be        |          |         |   |                                 |
| re        |          |         |   |                                 |
| sponsible |          |         |   |                                 |
| for any   |          |         |   |                                 |
| research  |          |         |   |                                 |
| and/or    |          |         |   |                                 |
| rep       |          |         |   |                                 |
| roduction |          |         |   |                                 |
| arr       |          |         |   |                                 |
| angements |          |         |   |                                 |
| made      |          |         |   |                                 |
| between   |          |         |   |                                 |
| the       |          |         |   |                                 |
| in        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| r         |          |         |   |                                 |
| esearcher |          |         |   |                                 |
| and       |          |         |   |                                 |
| his/her   |          |         |   |                                 |
| c         |          |         |   |                                 |
| lientele. |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 10\.      |          |         |   |                                 |
| Inclusion |          |         |   |                                 |
| on the    |          |         |   |                                 |
| list may  |          |         |   |                                 |
| not be    |          |         |   |                                 |
| viewed or |          |         |   |                                 |
| a         |          |         |   |                                 |
| dvertised |          |         |   |                                 |
| as an     |          |         |   |                                 |
| en        |          |         |   |                                 |
| dorsement |          |         |   |                                 |
| by NARA.  |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 11\. This |          |         |   |                                 |
| listing   |          |         |   |                                 |
| is not    |          |         |   |                                 |
| c         |          |         |   |                                 |
| onsidered |          |         |   |                                 |
| part of   |          |         |   |                                 |
| the       |          |         |   |                                 |
| separate  |          |         |   |                                 |
| Vendor    |          |         |   |                                 |
| System    |          |         |   |                                 |
| used      |          |         |   |                                 |
| pred      |          |         |   |                                 |
| ominantly |          |         |   |                                 |
| by        |          |         |   |                                 |
| NARA\'s   |          |         |   |                                 |
| Special   |          |         |   |                                 |
| Media     |          |         |   |                                 |
| Archives  |          |         |   |                                 |
| Services  |          |         |   |                                 |
| Division  |          |         |   |                                 |
| at        |          |         |   |                                 |
| College   |          |         |   |                                 |
| Park, MD, |          |         |   |                                 |
| nor is it |          |         |   |                                 |
| part of   |          |         |   |                                 |
| any other |          |         |   |                                 |
| co        |          |         |   |                                 |
| ntractual |          |         |   |                                 |
| a         |          |         |   |                                 |
| greement. |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 12\. This |          |         |   |                                 |
| ap        |          |         |   |                                 |
| plication |          |         |   |                                 |
| form is   |          |         |   |                                 |
| available |          |         |   |                                 |
| on        |          |         |   |                                 |
| NARA\'s   |          |         |   |                                 |
| web site  |          |         |   |                                 |
| at        |          |         |   |                                 |
| [ww       |          |         |   |                                 |
| w.archive |          |         |   |                                 |
| s.gov]{.u |          |         |   |                                 |
| nderline} |          |         |   |                                 |
| or by     |          |         |   |                                 |
| mail      |          |         |   |                                 |
| from:     |          |         |   |                                 |
| National  |          |         |   |                                 |
| Archives  |          |         |   |                                 |
| at        |          |         |   |                                 |
| College   |          |         |   |                                 |
| Park,     |          |         |   |                                 |
| Archives  |          |         |   |                                 |
| Library   |          |         |   |                                 |
| In        |          |         |   |                                 |
| formation |          |         |   |                                 |
| Center    |          |         |   |                                 |
| (NWCCA),  |          |         |   |                                 |
| Room      |          |         |   |                                 |
| 2380, RE: |          |         |   |                                 |
| In        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| R         |          |         |   |                                 |
| esearcher |          |         |   |                                 |
| Listing,  |          |         |   |                                 |
| 8601      |          |         |   |                                 |
| Adelphi   |          |         |   |                                 |
| Road,     |          |         |   |                                 |
| College   |          |         |   |                                 |
| Park, MD  |          |         |   |                                 |
| 20        |          |         |   |                                 |
| 740-6001; |          |         |   |                                 |
| or you    |          |         |   |                                 |
| may fax   |          |         |   |                                 |
| your      |          |         |   |                                 |
| request   |          |         |   |                                 |
| for a     |          |         |   |                                 |
| form to   |          |         |   |                                 |
| 301-      |          |         |   |                                 |
| 837-0459. |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| 13\.      |          |         |   |                                 |
| Submit    |          |         |   |                                 |
| your      |          |         |   |                                 |
| completed |          |         |   |                                 |
| ap        |          |         |   |                                 |
| plication |          |         |   |                                 |
| form and  |          |         |   |                                 |
| updates   |          |         |   |                                 |
| to:       |          |         |   |                                 |
| National  |          |         |   |                                 |
| Archives  |          |         |   |                                 |
| at        |          |         |   |                                 |
| College   |          |         |   |                                 |
| Park,     |          |         |   |                                 |
| Archives  |          |         |   |                                 |
| Library   |          |         |   |                                 |
| In        |          |         |   |                                 |
| formation |          |         |   |                                 |
| Center    |          |         |   |                                 |
| (NWCCA),  |          |         |   |                                 |
| Room      |          |         |   |                                 |
| 2380, RE: |          |         |   |                                 |
| In        |          |         |   |                                 |
| dependent |          |         |   |                                 |
| R         |          |         |   |                                 |
| esearcher |          |         |   |                                 |
| Listing,  |          |         |   |                                 |
| 8601      |          |         |   |                                 |
| Adelphi   |          |         |   |                                 |
| Road,     |          |         |   |                                 |
| College   |          |         |   |                                 |
| Park, MD  |          |         |   |                                 |
| 20        |          |         |   |                                 |
| 740-6001; |          |         |   |                                 |
| or use    |          |         |   |                                 |
| our fax   |          |         |   |                                 |
| number:   |          |         |   |                                 |
| 301-      |          |         |   |                                 |
| 837-0459. |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+
| If you    |          |         |   |                                 |
| have      |          |         |   |                                 |
| further   |          |         |   |                                 |
| q         |          |         |   |                                 |
| uestions, |          |         |   |                                 |
| you may   |          |         |   |                                 |
| contact   |          |         |   |                                 |
| us by     |          |         |   |                                 |
| telephone |          |         |   |                                 |
| at        |          |         |   |                                 |
| 301-      |          |         |   |                                 |
| 837-2002; |          |         |   |                                 |
| or by     |          |         |   |                                 |
| e         |          |         |   |                                 |
| lectronic |          |         |   |                                 |
| mail at   |          |         |   |                                 |
| alic@     |          |         |   |                                 |
| nara.gov. |          |         |   |                                 |
+-----------+----------+---------+---+---------------------------------+