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1. Date Proposel Received: 9 FEBPrARy /96

! 2. Name of Contractor:1 3. Title of Proposel: 4. Proposal Relates to Research Program:

5. Date Security Clearances Initiated:

6. Responsible Technical Officer:

7. Date Proposal Receipt Acknowledged: 7el 1l, 1966

8. Date of Initiai Review:

9. Requirement (Specify CIA Component):

10. Coordination a. CIA (Specify Component):

b. Other Government Agencies (Specify):-一

ll. Related Research:

a. CIA (Specify Component and Contract): 1

b. Other Goverrment Agencies (Specify):

12. TechnicalOfficer Recommendation (indicate reasons in separate memorandum to through the Support Reject

13. Date of Review: Approved: Disapproved

14. Date of Feview: Approved: Disapproved:

15. Date Proposal Fcrwarded to for processing:

16. Date Proposal Fcrvarded:

402

C00021850

(When Filled In) CONTRACT PROPOSAL ACTION LIST

(When Filled In)

SEP :983

RELEASE

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C00021850