2-1
Approved For Release 2000/08/07
*77$f£:
Boxes are provided to the right of each question.
Only one box should be
checked for each question asked.
If you have
any comments which you would
like
to make emphasizing the accuracy of
the information or with reference
to any information not generally
covered in this format, please write them
on
the reverse of this page.
Response to Tasking
Does information provided satisfy
your intelligence collection require-
ment?
D
YES
IN PART a
NO
Accuracy
Geographical location
(terrain, water,
river,
etc.)
YES
IN PART a
NO#
Large scale man-made objects
(docks,
silos, buildings,
etc.)
P
YES
IN PART a
NO gf
Small scale man-made objects
(tanks,
computers, antennas,
etc.)
P
YES
IN PART 0
NO O
Target ambience
(research,
production,
administration,
troop movement,
etc.)
a
YES
IN PART 0
NO 0
Activity
(nuclear testing,
CBR,
SIGINT
monitoring,
etc.)
D
YES
IN
•+* -
•
PART
T3
NO JB
Personality
(Physical,
plans,
actions,
traits,
etc.)
a
YES
IN PART 0
NO
Utility
Please check which best describes the
utility of the information provided
(in
view of what is known at this
time,
un-
derstanding that additional information
could raise or lower such an interim ass-
essment at a later date)
Q
VERY USEFUL
P
USEFUL
ISf
MARGINAL
D
none
D
CANNOT
BE DETERMINED AT
THIS TIME
*YES - indicates
a full agreement with what
is known
to be fact about
the
target.
NO
- indicates
a total
lack of agreement with what is known to be
fact, about
the target.
Approved For Release 2000/08/07
: CIA-RDP96-00788R000500690002-1
Approved For Release 2000/08/07
: CIA-RDP96-00788R000500690002-1
Additional tasking
Is additional tasking required?
(If yes, please write what
that tasking
is on the back
of
the
form)
Did the attached information add
to
information, derived from other intell-
igence sources?
Did the attached information aid
in tasking
other intelligence resources by providing
targeting information?
O
YES
NO
a
YES
TEf
NO
a
YES
6^
N0
(Signed)
SIGNATURE
J.
6s-/3
(Printed), NAME,
GRADE
/)s/t &f£
(Printed)
TITLE,
or OFFICE
Approved For Release 2000/08/07
: CIA-RDP96-00788R000500690002-1
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SOURCE NUMBER
8.
REFERENCES
A.
REQUIREMENTS
(CITE)
„
UCR/CIR/DIRM
3/Dimi. 9)
B.
INITIATIVE REPORT
Af#
(yel^ct. one)
a
A.
OF MAJOR SIGNIFICANCE.
D
B.
OF VALUE
C.
OF
NO VALUE
12 .
REASON INFORMATION
IS
Of
NO
VALUE
(select one only)
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A.
TOO FRAGMENTARY
a
B. DUPLICATIVE
D
C.
UNTIMELY
n
i).
NOT RESPONSIVE
TO
TASKING CITED
14 .
NAME OE PRODUCT (S)
A.
ICR RESPONSE
SSC
B.
COLLECTORS REQUEST
;
D
C.
SELECTED BY ANALYST
~n7*TYPEs"0E PRODUCTS
TO BENEFIT
FROM USE
OF REPORTED
INI OR.TAT 10
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n
A.
BASIC
INTELLIGENCE
a
B.
CURRENT
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s'
C.
FST I MAT IVE
INTELLIGENCE
a
D.
S&T
INTELLIGENCE
....
or
-
REQU I REMENTISAT I SI ACTION
(select
one only^
j~i
A.
COMPLETELY SATISFIED
Cl
B.
PARTIALLY SATISFIED
^ C.
NOT
SATISFIED
AT
ALL
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EVALUATION
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PARA(S)
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B.
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EVALUATION
IS NOT
RELEASABLE
%
NON-CAVEATED PORTIONS
OF
1 HIS EVAL,
AS
INDICATED,
MAY
BE REL
TO THE AUTH REPS
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Tl. DATE EVALUATED
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ORIGINATOR
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23.
(Signature
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Approved For Release 2000/08/07
: CIA-RDP96-00788R000B00690002-1