An;ro-A 11=^r D~1~~ 3nnntnatj j - f'IA-Dr'iDar,-nn7G'3Dnnnsznn7nnnl'3-'z RECORD OF FREEDOM OF INFORMATION (F00 PROCESSING COST Please read instructions on reverse before completing form. 1. REQUEST NUMBER 2. 3. TYPE DATE OF COMPLETED REQUEST (YYMMDD) (Xone) a. INITIAL b. APPEAL TOTAL HOURLY COST 4. CLERICAL HOURS HOURS RATE (3) (E-91GS-8 and below) (2) a.SEARCH b. REVIEW/EXCISING X $12.00 c. CORRESPONDENCE AND FORMS PREPARATION d. OTHER ACTIVITY 5. PROFESSIONAL TOTAL HOURLY COST HOURS (0-1 - 0-61GS-9 HOURS RATE (3) - GSIGM-15) (2) a.SEARCH b. REVIEW/EXCISING X $25 00 c. COORDINATION . /APPROVAL /DENIAL d. OTHER ACTIVITY TOTAL HOURLY COST 6. EXECUTIVE HOURS HOURS RATE (3) (0-71GSIGM- 161ES (2) I and above) a.SEARCH b. REVIEW/ EXCISING X $45.00 I c. COORDINATION /APPROVAL/ DENIAL TOTAL HOURLY COST 7. COMPUTER SEARCH HOURS RATE (3) (2) a. MACHINE HOURS b. PROGRAMMER/ OPERATOR X TIME (1) Clerical $12.00 (2) Professional $2500 8. OFFICE COPY REPRODUCTION NUMBER RATE COST (2) (3) a. PAGES REPRODUCED X F .15 NUMBER RATE COST 9. MICROFICHE REPRODUCTION (2) (3) a. MICROFICHE REPRODUCED x F--.25 --j TOTAL RATE COST 10. PRINTED RECORDS PAGES (2) (3) a. FORMS b. PUBLICATIONS X [ .02 c. REPORTS 11. COMPUTER COPY NUMBER ACTUAL COST COST (3) (2) a. TAPE F b. PRINTOUT - 12. AUDIOVISUAL NUMBER ACTUAL COST MATERIALS COST (3) (2) a. MATERIALS REPRODUCED x 13. For FOI Office Use Only a. SEARCH FEES PAID f. TOTAL COLLECTABLE COSTS b. REVIEW FEES PAID g. TOTAL PROCESSING COSTS c. COPY FEES PAID h. TOTAL - CHARGED d. TOTAL PAID i. Y, No FEES S WAIVED/REDUCED (Xone) e. DATE PAID (YYMMDD) Chargeable l to A R all d F 2000/08111 requesters ( after application of all waiver criteria. 'IA RDP96 O o r - U24%QPMP~9QA3,az~ciaI pprove e - requesters. ease m - DD Form 2086, JUN 89 Previous editions are obsolete. 101WINS