datamatters24/research-document-archive huggingface dataset:
Approved For Release 2004/12/17
: CIA-RDP96-00788R001 100440080-5
CONFIDENTIAL
INFORMATION PAPER
DAMI-ISH
12 January 1982
SUBJECT:
GRILL FLAME
(U)
ISSUE:
DOD
- Army General Counsel debate
re applicability
of Procedure
18,
DOD Reg
5240. 1-R
(Human Use)
to GRILL FLAME
(U)
FACTS.
1.
(U)
Army obtained Secretary
of
the Army approval
to conduct INSC0M GRILL
FLAME operations
14 Jan
81.
Army General Counsel advised ACSI that
separate
approval was required for joint Army
- DIA GRILL FLAME activities.
2.
(U)
(U)
From Feb
- Apr
81,
representatives
from the Army and
the DOD
General Counsel
1 s Offices were unable
to agree
that GRILL FLAME required their
respective Secretariat
level review and coordination.
3.
(C)
Faced with
the need
to commit FY
81 money,
the Army General Counsel
in May
81 advised ACSI
to submit
the necessary paperwork
to
seek Secretariat
approval
for Army contracting through the DIA for Stanford Research Institute
(SRI)
GRILL FLAME support.
Secretariat approval was obtained on 14 May
for joint Army
- DIA contracting activities.
The SA emphasized
to ACSI
that
GRILL FLAME activities be directed against
"an important
foreign intelligence
or counterintelligence purpose".
He also directed
the ACSI "monitor
the joint
(DIA
- Army)
research program to assure
that
such purpose
is
served".
4.
(U)
From May
- Nov
81,
the Army General Counsel continued
to seek DOD
General Counsel agreement that GRILL FLAME involved human use and should be
reviewed and coordinated with the DOD Secretariat.
5.
(U)
On
17 Nov 81,
the DOD General Counsel finally agreed with
the Army
General Counsel.
He directed DIA to
seek DOD Secretariat review and coordina-
tion of GRILL FLAME activities UP Procedure
18,
DOD Regulation 5240. 1-R.
The
DepSecDef reviewed and coordinated the DIA/Army participation
in GRILL FLAME
on
11 Dec
81.
MAJ 0
! Keefe/50114
mm
(i)
CLASSIFIED
BY DIAM
58-11
,
00788R0WM)^ftMk.lZ^hLMte
SEAS:
2-310o
DOD
5200.1-R(3)
fee 2004/12/17
: CIA-RDP96-I
FOIABS Approved For Release 2004/12/17 : CIA-RDP96-00788R001100440080-5 Approved For Release 2004/12/17 : CIA-RDP96-00788R001100440080-5
dec enema ration jira ao ¢ Gea - Approved For Release 2004/12/17 : CIA-RDP96-00788R001100440080-5 DEPARTMENT OF THE ARMY OFFICE OF THE ASSISTANT CHIEF OF STAFF FOR INTELLIGENCE WASIUNGTON, D.C. 20319 4 oe i DAMI-ISH #4 DEC 1980 4 Coo gO MEMORANDUM THRU VICE CHIEL OF siasp—aemy aa. PATRICK M. Hugues a FOR UNDER-SEERETARY OF THE ARMY ees pate SUBJECT: GRILL FLAME (U) ~- DECISTON MEMORANDUM 1. (8) Army General Counsel has determined that GRILL FLAME activities constitute experimentation on human subjects under Procedure 18, BOD Directive 5240. [-R. Section 4 of Procedure 18 requires the approval of Under Secretary of Army in order for Army Intelligence to continue its GRILL FLAME activities. 2. (S/NOFORN) Army INSCOM GRILL FLAME activities meet or exceed the requirements of Section 3 of Procedure 18. important foreign intelli- gence and counterintelligence purposes are garved by GRILL FLAME exper- imentation. Informed consent of all subjects is obtained in writing and only in accordance with guidelines issued by Department of Health Education and Welfare setting conditions that safeguard the welfare of the subjects. 3, (S) Request the Under Secretary approve our participation in GRILL FLAME activities under Procedure 18. ER. THOMPSON Major General, USA ACofS for Intelligence 14 Jan 81 APPROVED - Under Secretary of "la the Army PT SEE TQ ne, GS Oi uevividbAsse to the Directs of the Army Straft drch es M. HUGHES Approved For Release 2004/12/17 : CIA-RDP96-0078HIRODTT daaasbd, . 2000 la oe. gge = ROD §200.1-R (3}
- - a Approved For Release oe tal -RDP96-00788R001100480001-8 INFORMATION PAPER DAMI-ISH 4 Feb 83 SUBJECT: GRILL FLAME (U) ISSUE: (C) To update the Secretary of the Army about recent events impacting on Army GRILL FLAME. FACTS; 1. (S/NOFORN) On 20 Aug 82 OACSI, DA was informed that Congressional budget authorization committee conferees had agreed to curtail all operational activities conducted by Army GRILL FLAME in the Nation Foreign Intelligence Program at the end of fiscal year 1982. The conferees agreed to retain $0.3M for DIA to complete the third year of a three year research project. . . Further funding, if any, of this parapsychological research and experimentation activity was to be budgeted outside of NFIP. . 2. (S) In keeping with the Congressional decision, Army GRILL FLAME ceased operational activity as of 30 Sep 82. Commander, Intelligence and Security Command decided to conduct a similar program within the Army Counterintelligence and Operational Security Program. 3. (S/NOFORN) As a result of the efforts of the Director, General Defense Intelligence Program, the Under Secretary of Defense for Research and Engineering has authorized the use in FY 83 of Program 6 resources to maintain current Army INSCOM capabi- lity and supplement as necessary the FY 83 Defense Intelligence Agency evaluation effort. The USDRE memorandum was accompanied by a very gratifying Flag Note from Director, DIA (Incl 1). We, fully intend to capitalize on the opportunity presented by the USDRE decision and will be briefing both the Assistant Secretary of the Army (Research, Development and Acquisition) and the Deputy Chief of Staff for Research, Development and Acquisition in the near future. Classified by DIAM 58-11 Declassify on: OADR : WAR I: NOT ROLEACASLE TO GRILL FIL" mL) Sree FOREIGN NATIONALS CLOSE [1 laphtbvsd FOARAase 2001/04/02 : CIA-RDP96-00788R001100480001-8
Approved For Release 2001/04/02 : CIA-RDP96-00788R001100480001-8 2 el Wi ildig he Approved For Release 2001/04/02 : CIA-RDP96-00788R001100480001-8
Approved For Release 2001/0-
P96-00788R001 1 00480001 -8
INFORMATION PAPER
SUBJECT:
GRILL FLAME
(U)
DAMI-ISH
4 Feb 83
ISSUE:
(C)
To update
the Secretary of
the Army about recent
events
impacting on Army GRILL FLAME.
FACTS
1.
(S/NOFORN)
On
20 Aug 82 OACSI ,
DA was
informed
that
Congressional budget authorization committee conferees had agreed
to curtail all operational activities conducted by Army GRILL
FLAME
in
the Nation Foreign Intelligence Program at
the
end of
fiscal year 1982.
The conferees agreed
to retain $0.3M for DIA
to complete
the
third year of
a
three year research project.
.
Further funding,
if any,
of this parapsychological research and
experimentation activity was
to be budgeted outside of NFIP.
2.
(S)
In keeping with
the Congressional decision.
Army GRILL
FLAME ceased operational activity as of 30 Sep 82.
Commander,
Intelligence and Security Command decided
to conduct a similar
program within the Army Counterintelligence and Operational
Security Program.
3.
(S/NOFORN)
As
a result of
the efforts of the Director,
General Defense Intelligence Program,
the Under Secretary of
Defense
for Research and Engineering has authorized
the use
in FY
83 of Program
6 resources
to maintain current Army INSCOM capabi-
lity and supplement
as necessary
the FY 83 Defense Intelligence
Agency evaluation effort.
The USDRE memorandum was accompanied
by
a very gratifying Flag Note
from Director,
DIA (Incl
1).
We^
fully intend
to capitalize on
the opportunity presented by the
USDRE decision and will be briefing both
the Assistant Secretary
of the Army (Research,
Development and Acquisition)
and
the
Deputy Chief of Staff
for Research,
Development and Acquisition
in
the near
future.
Classified by DIAM 58-11
Declassify on:
OADR
q-p
NOT RTLEASASLE TO
FOREIGN NATIONALS
IA-RDP96-00788R001 1 00480001 -8
Approved ^or Release 2001/04/02
: CIA-RDP96-00788R001 100480001 -8
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Approved For Release 2001/04/02
: CIA-RDP96-00788R001 100480001 -8
For use of this form, see AR 340-15; the proponent agancy is TAGO. REFERENCE OR OFFICE SYMBOL SUBJECT TASP Purchase of Training Equipment TO LTC Robert. Jachim FROM  Cmd Psychologist DATE13 June 1983 « LTc Hartzell /cc/5126 1. Request the following biofeedback equicment be purchased for use in training in pilot testing: Special Order GSA Quantity Ttem EEG Feedback Units and Accessories No. Prices 2 2-10(M) Autogen 120a Encephalograph Analyzer Al20 2,309.20ea EMG Feedback Units and Accessories Autogen 1700 Myograph Analyzer (includes two standard EMG electrode assemblies) A1L700 Feedback Dermograph Units and Accessories Autogen 3400 Feedback Dermograph (includes both standard and optional dermograph electrodes) A3400 Feedback Thermometer Units and Accessories Autogen 2000b Feedback Thermometer with research grade thermistors A2000r 1,780. Digital Data Acquisition Systems Autogen 5800 Multi-Channel Data Acquisition Center A5800 4,071. Autogen P5000 Alpha/Numeric Digital Printer (for use with A5500/A5800) P5000 887. Autogen 19000 Analog Isolation Modules (One required for each channel of A5500/A5800 for artifact rejection). General Accessories T 2-11(M) Stereo Headphones G-1 27.60ea - 1 2-11(M) High Efficiency Speaker/Custom Cable G-2 27.60ea GSA approved number - V797P2342B SUBTOTAL $26,468.40 Autogenic Systems, Inc. 809 Aliston Way ; Berkeley, CA 94710 , wc Machi (415) 548-6056 TCHARD E. HAREZELL LIC MSC Command Psychologist Approved For Release 2000/08/07 : CIA-RDP96-00788R001100500001-5 nA FORM. 9A06 . PREVIOUS EDITIONS WILL BE USED
Approved For Release 2003/09/09 : CIA-RDP96- ROUTING AND TRANSMITTAL SLIP . TO: (Name, office symbol, room number, uilding, Agency / Post) y, MAT Clark 3,BG Williams 3. MAT SToVeEY 4 g SUBJECT: GRILL FLAME (U) potion —_{] fie —____|.] Note and Return Approval | | For Clearance |_| Per Conversation Mead ~~ [ter aration Prepare Reply Circulate | | For Your information | [See Me Comment | |investigate [Signature Coordination | J sustify REMARKS Sir, At RED SIGNAL in attached CIA Studies In Intelligence is the article you wished to reread, “a “f Ht ; Fe DO NOT use this form as a RECORD of approvals, concurrences, disposals, clearances, and similar actions FROM: (Name, org. symbol, Agency/Post) YLLIAM L. STONER MAL Gs Room No.——Bidg. Phone No. xX~ S-D#*B $041~202 OPTIONAL FORM 41 (Rev. 7-76) Appréveer For Relexse 2003/09/09 : CAFR 860 SERVO 1 100540002- 0 —m
stjmn
001100500001-5
For use of this form, see AR 340-15; the proponent agBncy
Is TAGO.
REFERENCE OR OFFICE SYMBOL
I SUBJECT
IASP
to LTC Robert Jachim
Purchase of Training Equipment
from
Cmd Psychologist
date 13 June 1983
.
LTC Hartzell/cc/5126
1.
Request the following biofeedback equirament be purchased for use in training in pilot
testing:
Quantity
EEG Feedback Units and Accessories
Order
No.
GSA
Prices
2-10 (M)
Autoaen 120a Encephalograph Analyzer
A120
2,309.20ea
EMG Feedback Units and Accessories
2-10 (M)
Autogen 1700 Myograph Analyzer
(includes two
standard EMG electrode assemblies)
A1700
2,070.00ea
Feedback Dermograph Units and Accessories
2-10 (M)
Autogen 3400 Feedback Dermograph
(includes both
standard and optional dermograph
electrodes)
A3400
1 , 688 . 20ea
Feedback Thermometer Units and Accessories
2-10 (M)
Autogen 2000b Feedback Thermometer with
research grade thermistors
A2000r l,780.20ea
Digital Data Acquisition Systems
2-10 (M)
Autogen 5800 Multi-Channel Data Acquisition Center
A5800
4,071.00ea
2-10 (M)
Autogen P5000 Alpha/Numeric Digital Printer
(for use with A5500/A5800)
P5000
887.80ea
2-10 (M)
Autogen 19000 Analog Isolation Modules
(One required
for each channel of A5500/A5800 for
artifact rejection).
19000
266.80ea
General Accessories
2-11 (M)
Stereo Headphones
27.60ea
2-11 (M)
High Efficiency Speaker/Custom Cable
27.60ea
GSA approved number - V797P2342B
Autogenic Systems ,
Inc
.
809 Allston Way
Berkeley, CA 94710
(415)
548-6056
SUBTOTAL
$26,468.40
(? 4^^ku
JRICHARD E. HARDSELL
LTC
MSC
Command Psychologist
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 100500001 -5
DA
ZSZt, 7A9R
PREVIOUS EDITIONS WILL BE USED
Approved For Release 2000/08/07 : CIA-RDP96-00788R001100500002-4 Date 7 ‘ROUTING AND TRANSMITTAL SLIP Sf (] ¥3 70: (Nene ‘office symbol, room number, | pe Date --builging, Agency/Past) 2 “ | Action. idiiFile ~~ Note and Return Approval. | |ForClearance __'|_(| Per Conversation “Circulate For Your Information | [See Me * Tkeomment | |tnvestigate [Signature Coordination | [Justify REMARKS o«.2 490 NOT use this form as a RECORD of approvals, concurrences, disposals, ; a ; -- glearances, and similar actions . FROM: (Name, org. symbol, Agency /Post) . Room No.—Bldg. ~  *  *F Bhone No. 8R001100500002-4 | OPTIONAL FORM 41 (Rev. 7~76) ; ; - Prescribed by GSA on. tan) AW. 847-879 (134) PMR (41 crR) 101-11.206 Approved For Release 2000/08/07 : CIA-RDP96-0078 6041-102
DO NOT use
this form as a RECORD of approvals, concurrences,
disposals,
clearances, and similar actions
FROM: (Name, org. symbol, Agency/Post)
Room No.—Bldg.
Phone No.
Approved For Release 2000/08/07
: CIA-RDP96-00788R001 1 00500002-4
5041-102
OPTIONAL FORM 41
(Rev. 7-76)
Prescribed by GSA
FPMR (41 CFR) 101-1 1.206
Approved ForReTeaseltf^bd/od
: ciiA-R5^96-(®gSR60
:H0TJ5JiTJ002-O
ROUTING AND TRANSMITTAL SUP
?3 Aug
TO: (Name, office symbol, room number,
building, Agency/Post)
1 . MAJ Clark
.
BG Williams
Initials
Date
3. HAS STbUe*
(J_
4.
g. SUBJECT:
GRILL FLAME
(U)
Action
File
Note and Return
Approval
For Clearance
Per Conversation
As Requested
For Correction
Prepare Reply
Circulate
For Your Information
See Me
Comment
Investigate
Signature
Coordination
Justify
REMARKS
Sir,
At RED SIGNAL
in attached CIA Studies
In Intelligence
is
the article you wished
to reread
,
~
DO NOT use this form as a RECORD of approvals, concurrences,
disposals,
clearances, and similar actions
FROM: (Name, org. symbol, Agency/Post)
r'LLIAML STONER
Room No.—Bldg.
n^Gs
....
//y/VTW-
Phone No.
/ £/( (—J/ s
^ S-fbS&
M41-102
OPTIONAL FORM 41
(Rev. 7-76)
Prescribed by GSA
Appr6WF8FRS1fem 2dtnJ/USW9
: CIA^M«WMK»6l 1 00540002-0
Approved Fork el6ase 2001/04/02 : CIA-RDP96-00788R001200010003-6 a | wt rare Std) GRILL FLAME SECURITY AGREEMENT * ve I, ALBERT FI: BAR) _.... understand that the highly sensitive and classified information I have, or are about to receive as part cf the GRILL FLAME Program belongs to the ' United States Government. I understand that the disclosure of this information is punishable under Title 18, Section oo, 798,'°U.S.C., "Disclosure of Classified Information," June 1948, as amended. I do solemnly swear that I will never divulge, publish, or reveal by word, conduct, or by any other means such classified information or knowledge, except in the performance of my official duties, and as specifically authorized in writing in each case by the appropriate agency of the United States Government. - I-understand that no change in my assignment or employment will relieve me of my obligation under this agreement and that the provisions of this agreement will remain. binding ‘upon me even after the termination of my services with the United States Government. 'Itake this obligation of my own: free will, without any mental, . reservation or purpose of evasion. DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 u.S.C.. 552a) 1. Authority: National Records Act, 44 U.S.C. 3102; E.O. $397, Numbering System for Federal Accounts Relating to Individual Personsl, November 22, 1943. 2. Principal Purpose: To maintain a record of those individ- uals who have or have had access to GRILL FLAME information - through the use of their name and/or Social Security Number. 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 2001/04/02 : CIA-RDP96-00788R001200010003-6
2 NE ane ym MEME em a mie NaS Tp Te uw GF Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010003-6 GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE > pare S47 J f/ WITNESS: NAMES RANE RANR7GRADE _RperapS Moe esioal Evicenn GRILL EL ame Proyect ; Maw - ONvfurn POSITION ~ — Sa ten cial ® inn | UNIT/ORGANI ZATION PE EO IO = Re eE Ee SIGNED: GS-L3 nem, CALM NAME, K/GRADE USAOG, Ft Prtade., Pro. en ee) Coat POSITION a Re od Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010003-6
Approved For>.l^l^£fe 2001/04/02
: CIA-RDP96-00788R001 20001 0003-6
?///
^
DATE
GRILL FLAME SECURITY AGREEMENT
I#
^ ^
,_j
understand that the highly
sensitive and classified *Tn format ion
I have, or are about to
receive as part of the GRILL FLAME Program belongs to the
United States Government.
I understand that the disclosure
of this information
is punishable under Title
18,
Section
798, 'U.S.C.
,
"Disclosure of Classified Information," June
1948,
as amended.
I do solemnly swear that
I will never divulge,
publish, or
reveal by word,
conduct,
or by any other means such classified
information or knowledge,
except in the performance of my
official duties,
and as specifically authorized in writing
in each case by the appropriate agency of the United States
Government.
I understand that no change
in my assignment or employment
will relieve me of my obligation under this agreement and
that the provisions of this agreement will remain binding
upon me even after the termination of my services with the
United States Government.
I
take this obligation of my own free will, without any mental,
reservation or purpose of evasion.
DATA REQUIRED BY THE PRIVACY ACT OF 1974
(5 U.S.C.
552a)
1.
Authority:
National Records Act,
44 U.S.C.
3102;
E.O.
9397,
Numbering System for Federal Accounts Relating to
Individual Persons! ,
November
22,
1943.
2.
Principal Purpose:
To maintain
a record of those individ-
uals who have or have had access
to GRILL FLAME information
through the use of their name and/or Social Security Number.
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 2001/04/02
: CIA-RDP96-00788R001 20001 0003-6
if
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0003-6
V
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
WITNESS
:
NAME,
RANK/GRADE
1^
TPOSCS^
UNIT/ORGANIZATION
~
CriliLC Rw ProjL&h
/V\Aa/<V$£/?
CTr\
POSITION
SIGNED:
NAME,
RMk7g'RADE
Uj>AOt]r
?ybUc^./
,
UNIT/O^GAN I ZATI ON
“
v-fffrri -»» »«t»sc
w-f
•m'
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 0003-6
eee eee eee a a Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010015-3 “ ohana eee non aR pe Ra oer GRILL FLAME SECURITY AGREEMENT I, Ydu bw CAMER ov _, understand that the highly sensitive and classified information I have, or are about to receive as part of the GRILL FLAME Program belongs to the United States Government. I understand that the disclosure of this information is punishable under Title 18, Section . 798, U.S.C., "Disclosure of Classified Information," June 1948, as amended. I do solemnly swear that I will never divulge, publish, or reveal. by word, conduct, or by any other means such classified information or knowledge, except in the performance of my official duties, and as specifically authorized in writing in each case by the appropriate agency of the United States Government. I-understand that no change in my assignment or employment will relieve me of my obligation under this agreement and that the provisions of this agreement will remain. binding upon me even after the termination of my services with the United States Government. 'I take this obligation of my own free will, without any mental, . reservation or purpose of evasion. DATA REQUIRED BY THE PRIVACY ACT OF 1974 (5 U.S.C... 552a) 1. Authority: National Records Act, 44 U.S.C. 3102; E.O. 9397, Numbering System for Federal Accounts Relating to Individual Personsl, November 22, 1943. 2. Principal Purpose: To maintain a record of those individ- uals who have or have had access to GRILL FLAME information - through the use of their name and/or Social Security Number. 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. Foote mmeper ee nam one gene ne came Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010015-3
: Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010015-3 - \ GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE DATE (SJOL 19? | _ eremaamimnaad WITNESS: heal ) Meron Wed re. CA ER &r/ Vu, bey wp ATE NAME, RANK/GRADE - NAME, RANK/GRADE Oe MCL EI, - AA OG fi mete mb UNIT/ORGANIZATION —_ UNIT/ORGANIZATION Tam GRicl Eline © Reasect Manatet__ POSITION POST TION 2 Approved For Release 2001/04/02 : CIA-RDP96-00788R001200010015-3
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 001 5-3
PATE
GRILL FLAME SECURITY AGREEMENT
I#
(/
Q y\J
,
understand that the highly
s ensitive
and. classffTed ~Tn format ion
I have,
or are about
to
receive as part of the GRILL FLAME Program belongs to the
United States Government.
I understand that the disclosure
of this information
is punishable under Title
18,
Section
798,
U.S.C.,
"Disclosure of Classified Information," June
1948
as amended.
I do solemnly swear that
I will never divulge,
publish, or
reveal by word,
conduct,
or by any other means such classified
information or knowledge,
except in the performance of my
official duties,
and as specifically authorized in writing
in each case by the appropriate agency of the United States
Government.
I -understand that no change in my assignment or employment
will relieve me of my obligation under this agreement and
that the provisions of this agreement will remain binding
upon me even after the termination of my services with the
United States Government.
I
take this obligation of my awn free will, without any mental
reservation or purpose of evasion.
DATA REQUIRED BY THE PRIVACY ACT OF
.1974
(5
U.S.C.
552a)
1.
Authority:
National Records Act,
44 U.S.C.
3102;
E.O.
9397, Numbering System for Federal Accounts Relating to
Individual Personsl,
November
22,
1943.
2.
Principal Purpose:
To maintain
a record of those individ-
uals who have or have had access
to GRILL FLAME information
through the use of their name and/or Social Security Number.
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 2001/04/02
: CIA-RDP96-00788R001 20001 001 5-3
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 001 5-3
GRILL FLAME SECURITY AGREEMENT CONTINUATION PAGE
DATE
fS'-Rj L-
19?
(
WITNESS:
NAME,
M) 6 hrtff
't/T'
.
. USA
i Ki&uy\~
UNiT7M^YZATTON
”~“
(rfLXLL
•
(f* (Lo^ exJc
POSITION
~~
/}
<9^ $
fT *Wz
A/?
unit/organi ZATI on
POSITION
Approved For Release 2001/04/02
: CIA-RDP96-00788R001 20001 001 5-3