Approved For Release 2000/08/07
: CIA-RDP96-p$788R000200560001-9
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 Taskinq
Responses*
Does information provided satisfy
your intelligence collection require-
ment?
Q
YES
IN PART Q
NO P
Accuracy
Geographical location
(terrain,
water,
river,
etc.)
YES
IN PART O
NO P
Large scale man-made objects
(docks,
silos,
buildings,
etc.)
D
YES
IN PART O
NO
Small scale man-made objects
(tanks,
computers, antennas,
etc.)
n
YES
IN PART
NO P
Target ambience
(research,
production,
administration,
troop movement,
etc.)
YES
IN PART O
NO P
Activity
(nuclear testing,
CBR,
SIGINT
monitoring,
etc.)
P
YES
IN PART
T3
NO a
Personality
(Physical,
plans,
actions,
traits,
etc.)
Q
YES
IN PART Q
NO a
Utility
Please check which best describes the
o
VERY USEFUL
utility of the information provided
(in
view
of what is known at this time,
un-
derstanding that additional information
USEFUL
could raise or lower such an interim ass-
D
MARGINAL
essment at
a later date)
o
NONE
XJ
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-RDP96-00788R000200560001-9
v v
Approved For Release 2000/08/07
: CIA-RDP96-0078il8R000200560001 -9
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?
Q
YES D
NO
P
YES
P
NO
O
YES
E3
Nq
(Signed)
SIGNATURE
(Printed)
NAME,
GRADE
(Printed)
TITLE,
or OFFICE
f
«
i i
Approved For Release 2000/08/07
: CIA-RDP96-00788R000200560001-9
SECURITY CLASSIFICATION
Approved For Release 2000/C
2.
INFORMATION REQUEST ED DATE
YEAR
MONTH
DAY
4.
PROJECT NUMBER
5.
SOURCE
NUMBER
6.
NUMBER REPORTS SUBMITTED
TOR PROJECT
7.
REPORT
IDENTIFICATION NUMBERS
8.
REFERENCES
P.
REASON FOR EVALUATION' (select
one!
A.
REQUIREMENTS
(CITE)
( 1CR/CIR/DIRM 3/D I RtfTi
B.
INITIATIVE
REPORT
A.
ICR RESPONSE
D
B.
COLLECTORS REQUEST
O
C.
SELECTED
BY ANALYST
10.
VALUE
OF
INFORMATION
(select one)
D
A.
Or MAJOR SIGNIFICANCE
D
0.
OF VALUE
C.
OF
NO VALUE
11.
TYPES
OF PRODUCTS
10 BENEFIT
FROM USE
OF REPORTED INFORMATION
O
A.
BASIC
INTELLIGENCE
0.
CURRENT
INTELLIGENCE
O
C. ESTIMATIVE
INTELLIGENCE
D.
S&T
INTELLIGENCE
12.
REASON INFORMATION
IS
OF
NO
VALUE
(select
one only)
13.
DEGREE
OF REQUIREMENT
SATISFACTION
(select one only)
A.
TOO FRAGMENTARY
B. DUPLICATIVE
C.
UNTIMELY
D
D.
NOT RESPONSIVE
TO
TASKING CITED
D
A.
COMPLETELY
SATISFIED
JO
B.
PARTIALLY SATISFIED
C.
NOT
SATISFIED
AT
ALL
14.
NAME
Or PRODUCT (S)
15.
COLLECTION GUIDANCE
(Mandatory unless
13A,
above,
is checked)
16.
REMARKS
(Optional)
Approved For Release 2000/08/07
: CIA-RDP96-00788R0002p0560001-9
urniiMTV n accrr tpa rmw
SECURITY CLASSIFICATION
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:
i ApjMpvjed For Release 2000/0 5/07
: CIA-RDP96-00788R000200560001-9
17.
FOREIGN DISCLOSURE DATA
A. EVALUATORS RECOMMENDATION
(select one only)
RELEASABLE EVALUATION NOT REQUESTED
EVALUATION
IS NOT
RELEASABLE
PARA(S)
ABOVE,
IS/ARL
RELEASABLE TO THE GOVT(S)
OF
B.
FOREIGN DISCLOSURE AUTHORITY DECISION
(select one only)
o
EVALUATION
IS NOT RELEASABLE
r-i
NON-CAVEATED PORTIONS OF
THIS EVAL,
AS
INDICATED,
MAY
BE
REL
TO THE AUTH REPS
OF
THE
COVT'(S)
OF
AT
THE DISCRETION OF
THE ORIGINATOR.
18.
EVALUATOR’S NAME
19.
EVALUATOR’S OFFICE
20.
SECURITY
INSTRUCTIONS
SYMBOL
(DOWNGRADING, DECLASSIFICATION,
AND SPECIAL MARKINGS)
21.
DATE EVALUATED
YEAR
!
MONTH
DAY
22.
ORIGINATOR OF REQUES
23.
(Signature of evaluator)
Approved For Release 2000/08/07
: CIA-RDP96-00788R0 >0200560001-9 f f"
SECURITY CLASSIFICATION