Agency: HSCA
Originator: HSCA
To: CIA
Document date: 00/00/0000
Document type: FORM

## Page 1

JFK Assassination System

Identification Form

Agency Information

AGENCY: HSCA

RECORD NUMBER :

180-10143-10311

RECORD SERIES: CIA SEGREGATED COLLECTION

AGENCY FILE NUMBER: 29-14-06B

Document Information

ORIGINATOR: HSCA

FROM:

CIA

TO:

TITLE :

DATE:

PAGES:

SUBJECTS :

00/00/0000

1

CIA, FILES

DOCUMENT TYPE :

FORM

CLASSIFICATION: Unclassified

RESTRICTIONS: Consulted

CURRENT STATUS:

Withhold

DATE OF LAST REVIEW:

08/16/1995

OPENING CRITERIA:

COMMENTS :

Box 20. DOCUMENT WITHHELD BY CIA

v9.1

HH 53090

DocId: 32272115

Page 1

Date:

3/28/201

Released under the John

F. Kennedy

Assassination Record

Collection Act of 1992

$44 USC 2107 Notel.

Case#:NW 53090 Date:

06-07-2017

---

## Page 2

CIA -- JFK COLLECTION

Document Withdrawal Notice

THIRD AGENCY COORDINATION

JFK Box/REE@#

29

Document #

11110353

Folder #

14

Date

Agency

FBI

Title/Description (U) MIKHAIL SOMARIN

Pages

ET AL (DUPE OF 1111 @181)

Page

15

22721

Release Delayed Pending Coordination

Doc

63090

HH

---