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UNCLASSIFIED CONFIDENTIAL SECRET TOP SECRETINITIAL REVIEW FORMDocument Description:Document Located By:Document referred to DDO for review by:RECOMMEND:Release in full-textRelease in sanitized foraDeny in totoDefer decision toCoordination with __________ prior to above denial/release.EXEMPTIONS ARE BEING CLAIMED TO PROTECT THE FOLLOWING:|                                                             | FOIA   | PRIVACY                                               || ----------------------------------------------------------- | ------ | ----------------------------------------------------- || () Classification                                           | (b)(1) | (j)(1)                                                || () Information from a foreign liaison service               | (b)(3) | (j)(1)(b)(c)                                          || () Information pertaining to a foreign liaison relationship | (b)(3) | (j)(1)(b)(c)                                          || (Information which would/could identify the source          | (b)(3) | (j)(1)(b)                                             || () Information pertaining to a source                       | (b)(3) | (j)(1)(b)                                             || () Information pertaining to intelligence methods           | (b)(3) | (j)(1)(b)                                             || () Location of CIA overseas installation                    | (b)(3) | (j)(1)(b)                                             || () Location of unacknowledged domestic installation         | (b)(3) | (j)(1)(b).                                            || () Name of CIA employee                                     | (b)(3) | (j)(1)(e)                                             || ()File number                                               | (b)(2) | (j)(1)(b)                                             || () Pseudor.yn                                               | (b)(3) | (j)(1)(b)                                             || () Cryptonym                                                | (b)(3) | (j)(1)(b)                                             || () Internal organizational data                             | (b)(3) | (j)(1)(e)                                             || () Kaze of an FBI agent                                     | (b)(7) | (j)(1)(b)                                             || () FBI file number                                          | (b)(2) | (j)(1)(b)                                             || () Privacy of other individual                              | (b)(6) | (j)(1)(f)                                             || () Does not pertain to request                              | N/A    | "Exempted portions are not relevant to the requester" || () Information from another Covernment agency               | (b)(1) | (j)(1)(c)                                             || *() Ocher, specify:                                         |        |                                                       |*For further guidance regarding exemptions, please see DDA-75-5943, 16 December 1975 (Privacy Act) and HN-70-21, 14 February 1975 (ΙΟΙΑ).COMMENTS AND/OR SPECIAL INSTRUCTIONS:![signature of Revi officer & office]Document No.(To be completed by ISS/PICC).![OCD may 77]E 2 IMPDET CL BY:UNCLASSIFIED CONFIDENTIAL SECRET TOP SECRET