Agency: HSCA
Originator: HSCA
To: CIA
Document date: 5/1/78
Document type: FORM

## Page 1

JFK Assassination System

Identification Form

Agency Information

Date:

3/28/201

AGENCY:

HSCA

RECORD NUMBER :

180-10143-10352

RECORD SERIES:

CIA SEGREGATED COLLECTION

AGENCY FILE NUMBER : 29-19-06A

Document Information

ORIGINATOR:

FROM:

TO :

TITLE :

HSCA

CIA

DATE:

PAGES:

SUBJECTS :

05/01/1978

.4

Released under the John

F. Kennedy

Assassination Records

Collection Act of 1992

144 USC 2107 Note).

Cased:NIT 53090 Date:

06-07-2017

CIA, FILES

DOCUMENT TYPE :

FORM

CLASSIFICATION:

Unclassified

RESTRICTIONS: Consulted

CURRENT STATUS:

Withhold

DATE OF LAST REVIEW:

08/17/1995

OPENING CRITERIA :

COMMENTS :

Box 20 Document Withdrawal Form Pending FBI Coordination

v9.1

HH 53090

DooId: 32272156

Page 1

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## Page 2

53090

Doc:

32272156

P

age

CIA -- JFK COLLECTION

Document Withdrawal Notice

THIRD AGENCY COORDINATION

JFK

HSC A Box/Ree #

29

Document # 11110814-11110818

Folder #

19

Date

• MAY 1 1978

Agency

FBI

Title/Description (U) ISCA STAFF

Pages

PERSON NOTES FROM CIA FILES

Release Delayed Pending Coordination

---