datamatters24/research-document-archive huggingface dataset:
Approved For Release 2003/05/15
: CIA-RDP96-00789R0026001 60007-0
SECRET
DEFENSE INTELLIGENCE AGENCY
WASHINGTON. D.C. 20340- 0001
S-64.027/PAG-TA
MEMORANDUM
FOR THE DIRECTOR,
ENVIRONMENTAL AND LIFE SCIENCES,
DIRECTOR,
DEFENSE RESEARCH AND ENGINEERING
OFFICE OF THE
SUBJECT:
Protection
of Human Subjects
in Research
(U)
Reference:
OAASD Memorandum,
February
1994,
subject
as
above.
(S/NF)
The Defense
Intelligence Agency has determined that only one of
its
program’s,
Project
STAR GATE,
falls within
the definition
of human
subject
research.
This
research
is conducted
in
two
areas:
in-house
investigations
conducted
by DIA civilian
personnel
and external
research
activities conducted
under DIA contract with
the Science Applications
International
Corporation
(SAIC)
2.
(C/NF)
Both the DIA and DoD General
Counsels
have determined that
the
STAR GATE
Project constitutes experimentation
on
human
subjects.
As required
by
Procedure
of DoD Directive
5240. 1-R,
approval
for project
activities
has
been granted
by the Deputy Secretary of Defense.
All
personnel
involved with
in-house
investigations
are required
to
sign
a Statement
of Consent
form
approved
by the DIA General
Counsel.
Assignment to this Project
is voluntary
and employees may temporarily choose not
to participate
in the project
at
specific
times,
or permanently discontinue participation
at
any time.
There
have
been
no demonstrated
risks
of permanent or temporary
injury
(including
physical
or psychological)
to project personnel
beyond risks
to which
they
would
ordinarily
be exposed
in their daily
lives.
(C/NF)
External
research conducted
by SAIC
as
required
by the current
act
is
in
full
compliance with
all
applicable
laws,
Federal
regulations
3.
contract
and
DoD
instructions,
specifically:
a.
CFR
46 Health
and Human Services
(HHS)
Regulation,
"Protection
of
Human
Subjects";
b.
U.S.C.
Section
980,
"Limitations
on
Use
of Humans
as
Experimental
Subjects"
;
c.
DoD Directive 3216.2
(January
2,
1983),
"Protection
of Human
Subjects
in DoD-supported
Research";
CLASSIFIED
BY MULTIPLE SOURCES
DECLASSIFY
ON OADR
WARNING NOTICE-INTELLIGENCE
SOURCES OR METHODS
INVOLVED
SECRET
Approved For
Approved For Release 2003/05/15
: ClA-RDP96-00789R002600 160007-0
SECRET
SGI J
SGI J
d.
Federal
Register
Part
II,
(June
18,
1991)
,
"Federal
Policy
for the
Protection
of Human
Subjects;
Notices
and Rules
.
(C/NF)
Formal
written assurance
of compliance with
the
above
has
been
provided
by SAIC
to
DIA.
In
addition,
all
research plans/activities
are
constantly monitored
by SAIC’s
Institutional
Review Board
to ensure that
all
applicable
Federal
laws,
directives,
and regulations
are
fully
and
consistently
implemented.
5.
(U)
The administrative package governing the protection of human
subjects
in research
should
be forwarded
to my point
of contact!
I
Chief,
Technology Assessment
and Suppo rt Activity
(PAG-TA),
Washington,
U.C.
20340.
;an
be contacted
at
WARNING NOTICE-INTELLIGENCE
SOURCES OR METHODS
INVOLVED
Approved ForWa^La
i»
1^%PWfcW(«»P26001 60007-0
SG1J
Approved For Release 2000/08/08 : CIA-RDP96-00789R002600160009-8 STATEMENT OF CONSENT INSCOM CENTER LANE PROJECT PARTICIPANT TAGPA-F-SD Date: 1. (S/CL-4/NOFORN) I, voluntarily accept assignment to the INSCOM CENTER LANE PROJECT CICLP) and fully understand that: a. (S/CL-1/NOFORN)) The Army General Counsel has determined that ICLP constitutes experimentation on human subjects. As required by Procedure 13 of DoD Directive 5240.1-R, approval for project activities has been granted by Secretary of the Army. b. (S/CL-3/NOFORN) ‘The aim of ICLP is to develop highly skilled personnel who are capable of conducting professional level intelligence/counter intelligence operations through use of psychoenergetic methodology. Development of ICLP personnel will be accomplished with special training based on mission requirements. c. (C/NOFORN) Assignments in ICLP are governed by the sensitivity and degree of expertise required for the position. I will be assigned in accordance with my capabilities and experience, regardless of my rank or previous position. Due to the nature of training involved, the duration of my participation is indefinite. Records of my involvement will be available to project personnel, but otherwise protected under project security measures. d. (C/NOFORN) ‘The primary consideration in any career development or assignment action will be ICLP mission and operational requirements. 1 understand that exemption, interruption, or delay in normal career development patterns--such as branch schooling and assignment opportunities--may prejudice future promotion and assignment potential. I have been assured, however, that every effort will be made to preclude the adverse effects listed above on my career. 2. (S/CL-3/NOFORN) PSYCHOENERGETICS (PE) include various processes by which individuals psychically interact with objects, locations, and organisms. a. (S/CL-1/NOFORN) I understand that while there is no demonstrated risk of permanent or temporary injury (including physical, psychological and/or damage to participants' reputation) to project personnel beyond risks to which they would ordinarily be exposed in their daily lives, the potential for injury during some training cannot be conclusively ruled out. WARNING NOTICE: CENTER LANE SPECIAL ACCESS PROGRAM RESTRICT DISSEMINATION TO THOSE WITH VERIFIED ACCESS CATEGORY CL-4 NOT RELEASEABLE TO FOREIGN NATIONALS CLASSIFIED BY: CDR, INSCOM DECL: OADR Approved For Release 2000/08/08 : CIA-RDP96-00789R002600160009-8
b. (S/NOFORN/WNINTEL) I may temporarily choose not to perform PE at specific times, or permanently discontinue participation without prejudicial effect. -Termination will be affected by notifying the DSSP Manager or in his absence, his designated acting DSSP Manager. 3. (S/NOFORN/WNINTEL) As a participant in DSSP, and IAW T consent to tape recording, monitoring and transcribing of all operational and training interviews in which I am involved as an integral part of the DSSP mission. I understand that these recordings are subject to being monitored and/or transcribed by third parties not otherwise involved in operations or training. I waive any claim or right of ownership to all tape recordings and transcripts made in conjunction with DSSP, with the understanding that these tape recordings and transcripts are property of the United States Government. 4.  (S/NOFORN/WNINTEL) I further “consent to participate in any nonintrusive biomonitoring activities that are necessary for project mission accomplishment. 5. (U) I hereby acknowledge receiving formal counseling concerning my assignment to DSSP. Basic operational and training procedures and their purposes, as well as attendant discomforts, risks, and benefits have been explained to me. I understand that I may at any time ask questions of project personnel relating to areas unclear to me. I further understand that my participation in DSSP is voluntary and that at my request I may at any time be reassigned without fear of adverse personnel action. 25X9A5 25X9A5_—s Signature: “Unit /Organization SIPQ_ ME QS) Goad ie ~ Position Approved For Release 2000/08/08 : z RO002600160014-2
Approved For Release 2000/08/08 : CIA-RDP96-00789R002600160009-8 b. (S/CL-1/NOFORN) I may temporarily choose not to perform PE at specific times, or permanently discontinue participation without prejudicial effect. Termination will be affected by notifying the ICLP Manager or in his absence, his designated acting ICLP Manager. 3, (S/CL-3/NOFORN) As a participant in ICLP, and IAW AR 381-17, I consent to tape recording, monitoring and transcribing of all operational and training interviews in which I am involved as an integral part of the ICLP mission. I understand that these recordings are subject to being monitored and/or transcribed by third parties not otherwise involved in operations or training. I waive any claim or right of ownership to all tape recordings and transcripts made in conjunction with ICLP, with the understanding that these tape recordings and transcripts are property of the United States Government. 4,  (S/CL-3/NOFORN) I further consent to participate in any nonintrusive biomonitoring activities that are necessary for project mission accomplishment. 5, (U) I hereby acknowledge receiving formal counseling concerning my assignment to ICLP. Basic operational and training procedures (both routine and experimental) and their purposes, as well as attendant discomforts, risks, and benefits have been explained to me. I understand that I may at any time ask questions of project personnel relating to areas unclear to me. I further understand that my participation in ICLP is voluntary and that at my request I may at any time be reassigned without fear of adverse personnel action. © Signature: Signature: me, Rank/Grade of Witness Name, Rank/Grade of Participant Social Security Number Social Security Number Unit/Organization Unit/Organization , Position Position Approved For Release 2000/08/08 : CIA-RDP96-00789R002600160009-8
moe Approved For Release 2080A08/08 6-00789R002600160016-0 b. (S/NOFORN/WNINTEL) I may temporarily choose not to perform PE at specific times, or permanently discontinue participation without prejudicial effect. Termination will be affected by notifying the DSSP Manager or in his absence, his designated acting DSSP Manager. 3. (S/NOFORN/WNINTEL) As a participant in DSSP, and IAW I consent to tape recording, monitoring and transcribing of all operational and training interviews in which I am involved as an integral part of the DSSP mission. I understand that these recordings are subject to being monitored and/or transcribed by third parties not otherwise involved in operations or training. I waive any claim or right of ownership to all tape recordings and transcripts made in conjunction with DSSP, with the understanding that these tape recordings and transcripts are property of the United States Government. 4. -(S/NOFORN/WNINTEL) I further “consent to participate in any nonintrusive biomonitoring activities that are necessary for project mission accomplishment. 5. (WU) 1 hereby acknowledge receiving formal counseling concerning my assignment to DSSP. Basic operational and training procedures and their purposes, as well as attendant discomforts, risks, and benefits have been explained to me. I understand that I may at any time ask questions of project personnel relating to areas unclear to me. 1 further understand that my participation in DSSP is voluntary and that at my request I may at any time be reassigned without fear SAECIAT Se personnel action. Position “Position Approved For Release 2000/08 soko’ | 9R002600160016-0
SGFOIA3 Approved For Release SMAGEE thie Kop9s-0079R0026001 60017-9 b. (S/NOFORN/WNINTEL) I may temporarily choose not to perform PE at specific times, or permanently discontinue participation without prejudicial effect. Termination will be affected by notifying the DSSP Manager or in his absence, his designated acting DSSP Manager. 3. (S/NOFORN/WNINTEL) As a participant in DSSP, and IAW I consent to tape recording, monitoring and transcribing of all operational and training interviews in which I am involved as an integral part of the DSSP mission. I understand that these recordings are subject to being monitored and/or transcribed by third parties not otherwise involved in operations or training. I waive any claim or right of ownership to all tape recordings and transcripts made in conjunction with DSSP, with the understanding that these tape recordings and transcripts are property of the United States Government. 4, (S/NOFORN/WNINTEL) I further “consent to participate in any nonintrusive biomonitoring activities that are necessary for project mission accomplishment. 5. (U) I hereby acknowledge receiving formal counseling concerning my assignment to DSSP. Basic operational and training procedures and their purposes, as well as attendant discomforts, risks, and benefits have been explained to me. I understand that I may at any time ask questions of project personnel relating to areas unclear to me. J further understand that my participation in DSSP is voluntary and that at my request I may at any time be reassigned without fear OB GEFOQIASe personnel action. Position ‘Position f\ » aa Approved For Release )P96-00789R002600160017-9 LE a eS SA EY RB RS NRRL EON LEP RAS tL SST PIE PR i IT a a
Approved For release ntott tba opes-00789R0026001 60013-3 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 U.S.C. 552a) 1. Authority: Title 10, U.S.C. Section 3012. 2. Principal Purpose: To maintain a record of those individuals who have executed statements of informed consent as participants in DSSP. 3. Routine Uses: The Social Security Number is to be used to identify the individual, and the information is to be retained strictly within the program. 4. Mandatory or Voluntary Disclosure: Information is disclosed on a voluntary basis, but withholding information will render it impossible to grant an individual access to or participation in the program. Approved For Release SSeS
Approved For Release sooo HAGE coroczs00160014-2 DEFENSE INTELLIGENCE AGENCY WASHINGTON, D.C. 20301-6111 STATEMENT OF CONSENT DIA SUN STREAK PROJECT PARTICIPANT 25X9A5 Date: 1. (S/NOFORN/WNINTEL accept assignment to understand that: voluntarily SSP) and fully a. (S/NOFORN/WNINTEL) The DIA and DoD General Counsels have determined that the DSSP constitutes experimentation on human subjects. As required by Procedure 13 of DoD Directive 5240.1-R, approval for project activities has been granted by the Deputy Secretary of Defense. b. (S/NOFORN/WNINTEL) The aim of the DSSP is to develop highly skilled personnel who are capable of conducting professional level intelligence/counterintelligence operations through use of psychoenergetic methodology. Development of DSSP personnel will be accomplished with special training based on mission requirements. Cc. (C/NOFORN) Assignments in DSSP are governed by the sensitivity and degree of expertise required for the position. I will be assigned in accordance with my capabilities and experience, regardless of my rank or previous position. Due to the nature of training involved, the duration of my participation is indefinite. Records of my involvement will be available to project personnel, but otherwise protected under project security measures. d. (C/NOFORN) The primary consideration in any career development or assignment action will he DSSP mission and operational requirements. I understand that exemption, interruption, or delay in normal career development patterns--such | as branch schooling and assignment opportunities~--may prejudice future promotion and assignment potential. I have been assured, however, that every effort will be made to preclude the adverse effects listed above on my career. 2. (U)  PSYCHOENERGETICS (PE) include various processes by which individuals psychically interact with objects, locations, and organisms. a. (U) I understand that while there is no demonstrated risk of permanent or temporary injury (including physical, psychological and/or damage to participants' reputation) to project personnel beyond risks to which they would ordinarily be exposed in their daily lives, the potential for injury during some training cannot be a | cat DECLAS: OADR Approved For Release 2000/08>o\S CHER’ eg b26 uN oF
° Approved For Release 2000708/US : CIA- 6-00789R002600160014-2 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 U.S.C. 552a) 1. Authority: Title 10, U.S.C. Section 3012. 2. Principal Purpose: To maintain a record of those individuals who have executed statements of informed consent as participants in DSSP. 3. Routine Uses: The Social Security Number is to be used to identify the individual, and the information is to be retained strictly within the program. 4, Mandatory or Voluntary Disclosure: Information is disclosed on a voluntary basis, but withholding information will render it impossible to grant an individual access to or participation in the program. Approved For Release 2000/08/03.: -BDP96- 002600160014-2
"7 Approved For Release 200 PERE TOEM: 002600160016-0 DEFENSE INTELLIGENCE AGENCY WASHINGTON, D.C. 20301-6111 STATEMENT OF CONSENT DIA SUN STREAK PROJECT PARTICIPANT SG1J Date: 29 Whar oe 1. (S/NOFORN/WNINTEL) I accept assignment to the understand that: voluntarily and fully a. (S/NOFORN/WNINTEL) The DIA and DoD General Counsels have determined that the DSSP constitutes experimentation on human subjects. As required by Procedure 13 of DoD Directive 5240.1-R, approval for project activities has been granted by the Deputy Secretary of Defense. b. (S/NOFORN/WNINTEL) The aim of the DSSP is to develop highly skilled personnel who are capable of conducting professional level intelligence/counterintelligence operations through use of psychoenergetic methodology. Development of DSSP personnel will be accomplished with special training based on mission requirements. Cc. (C/NOFORN) Assignments in DSSP are governed by the sensitivity and degree of expertise required for the position. I will be assigned in accordance with my capabilities and experience, regardless of my rank or previous position. Due to the nature of training involved, the duration of my participation is indefinite. Records of my involvement will be available to project personnel, but otherwise protected under project security measures. d. (C/NOFORN) The primary consideration in any career development or assignment action will be DSSP mission and operational requirements. I understand that exemption, interruption, or delay in normal career development patterns--such as branch schooling and assignment opportunities-~-may prejudice future promotion and assignment potential. I have been assured, however, that every effort will be made to preclude the adverse effects listed above on my career. 2, (U)  PSYCHOENERGETICS (PE) include various processes by which individuals psychically interact with objects, locations, and organisms. a. (U) I understand that while there is no demonstrated risk of permanent or temporary injury (including physical, psychological and/or damage to participants’ reputation) to project personnel beyond risks to which they would ordinarily be exposed in their daily lives, the potential for injury during some training cannot be conclusively ruled out. ee — CLASSIFIED BY: DIA, DT Vio RELBASABLE TO POREIGN NATIONS! DECLAS! OADR Approved For Release 2000/08/08. -BDP36- 002600160016-0 W i | N T E [
sane recente saca ca caaaaaaaaacasaaaasasaacamaaaaaaascaiaasacaaaasadmaaiaaascaaamm “5 Approved For ee ee 60016-0 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 U.S.C. 552a) 1. Authority: Title 10, U.S.C. Section 3012. 2. Principal Purpose: To maintain a record of those individuals who have executed statements of informed consent as participants in DSSP. 3. Routine Uses: The Social Security Number is to be used to identify the individual, and the information is to be retained strictly within the program. 4. Mandatory or Voluntary Disclosure: Information is disclosed on a voluntary basis, but withholding information will render it impossible to grant an individual access to or participation in the program. Approved For Release 2000/0 eye = 9R002600160016-0
Approved For Release oe PESTS 00729R002600160017-9 > wisn DEFENSE INTELLIGENCE AGENCY WASHINGTON, D.C. 20301-6111 STATEMENT OF CONSENT DIA SUN STREAK PROJECT PARTICIPANT SG1J Date: ag MA ads socet susigunent, to the he... red fully accept assignment to the D SP) and fully understand that: a. (S/NOFORN/WNINTEL) The DIA and DoD General Counsels have determined that the DSSP constitutes experimentation on human subjects. As required by Procedure 13 of DoD Directive 5240.1-R, approval for project activities has been granted by the Deputy Secretary of Defense. , b. (S/NOFORN/WNINTEL) The aim of the DSSP is to develop highly skilled personnel who are capable of conducting professional level intelligence/counterintelligence operations through use of psychoenergetic methodology. Development of DSSP personnel will be accomplished with special training based on mission requirements. Cc. (C/NOFORN) Assignments in DSSP are governed by the sensitivity and degree of expertise required for the position. I will be assigned in accordance with my capabilities and experience, regardless of my rank of previous position. Due to the nature of training involved, the duration of my participation is indefinite. Records of my involvement will be available to project personnel, but otherwise protected under project security measures. d. (C/NOFORN) The primary consideration in any career development or assignment action will be DSSP mission and operational requirements. I understand that exemption, interruption, or delay in normal career development patterns--such as branch schooling and assignment opportunities--may prejudice future promotion and assignment potential. I have been assured, however, that every effort will be made to preclude the adverse effects Listed above on my career. 2. (U) PSYCHOENERGETICS (PE) include various processes by which individuals psychically interact with objects, locations, and organisms. a. (U) I understand that while there is no demonstrated risk of permanent or temporary injury (including physical, psychological and/or damage to participants’ reputation) to project personnel beyond risks to which they would ordinarily be exposed in their daily lives, the potential for injury during some training cannot be conclusively ruled out. on i. CLASSIFIED BY: DIA, DT NQTBT a DECLAS: OADR Approved For Release 2000 ay 4 nO0789 0789R00260016001 | N | N T E [
° . Approved For neloa Sertrhonkie etlereenes6-00789R0026001 60017-9 DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 U.S.C. 552a) 1. Authority: Title 10, U.S.C. Section 3012. 2. Principal Purpose: To maintain a record of those individuals who have executed statements of informed consent as participants in DSSP. 3. Routine Uses: The Social Security Number is to be used to identify the individual, and the information is to be retained strictly within the program. 4. Mandatory or Voluntary Disclosure: Information is disclosed on a voluntary basis, but withholding information will render it impossible to grant an individual access to or participation in the program. Approved For Release 700 Peps oo7eoRo02600160017-9