Approved For Release 2000/08/07~01~MVP09M;p~t(A,i
   7~'4 RA -7
   Boxes are provided to the right of each question. Only one box--ahould 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 covored in this formatt please write them
   on the reverse of this page.
   Response to Taskinq.
        Does information provided satisfy
   your intelligence collection require-
   ment?
   LC C -Ur 8 cy-
   Geographical location (terrain, water,
   river, etc.)
   Large scale man-made objects (docks,
   silos, buildings, etc.)
   Small scale man-made objects (Lanks,
   computers,'antennas, etc.)
   Target ambience (research, production,
   administration, troop movement, etc.)
   Activity (nuclear testing, CBR, SIGINT
   monitoring, etc.)
   Personality (Physical, plans~ actions,
   traits, etc.)
   Please check which best describes the
   utility of the information provided (in
   view of what is known at this time, un-
   depstanding that additional information
   could raise or lower such an interim ass-
   essment at a later date)
   RopI122ses*
   YES IN PART r1 NO
                    Of
   YES IN PART t3 NO
   YES IN PARI NO
   13 YES IN PART NO 13
   YES IN PART NO
   YES IN PART 13 NO
   YES IN PART El NO
   13 VERY USEFUL
   USEFUL.
   MARGINAL
   NONE
   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 agreemeTt with what is known to be
   fact, about the target.
   Approved For Release 2000/08/07 : CIA-RDP96 007 R000500690002-1

 Approved For Release 2000/08/07 : CIA-RDP96-00788ROO0500690002-1
 Additional taskinc
 Is additional tasking required? 13 YES JM NO
 (If yes, please write what that tasking
 is on the back of the form)
 Did the attached information add to 13 YES -$tNO
 information.derived from other intell-
 igence sources?
 Did the attached information aid in tasking YES 9f NO
 other intelligence resources by providing
 targeting information?
 (Signed) SIGNATURE
                     -13
 (Printed)-NAME, GRADE
 &ZICIA-le00-1 ZIS,~910 47
 (Printed) TITLE, or OFFICE
 Approved For Release 2000/08/07 CIA-RDP96-00788ROO0500690002-1

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           SECURITY CLASSIFICATION 0
      -Halo'
      ved For Release 20(0/08107: CIAR[IP
      Ad*7
       7~177 71.-'. J
      continueo)
      17. FOREIGN DI
           A. EVALUATORS RECOMMIENDATION
      (select one only)
           B. FOREIGN DISCLOSURF AUTHORITY DECISION
      (select one only)
           ]W'RELLASABLE EVALUATION NOT REQUESTED H"EVALUATION IS NOT RELEASABLE
      EVALUATION 15 NOT RELEASABLE NON-CAVEATED POR'TIONS OF IHIS EVAL, AS
      PARA(S)_ ABOVE, IS /ARL INDICATW, MAY BE REL TO THE AUTH REPS
      RELENSABLE TO THE GOVT(S) 017- OF THE GOVT (S) OF
      AT THE DISCRETION TTL T-HE ORIGINATOR.
      16. ELVALUATOR'S NAMIE 9. EVALUATOR'S 01-FICF-120. SECURITY INSTRUCTIONS
                          SYMBOL (DOWNIGRADING, DECLASSIFICATION,
      14 17/96 - 412P AND SPECIAL M,",RKIINGS)
      21. DATE
      22. ORIG11
      YEAR MONTH DAY
      /0 23. (Siqnature of cvoluatui-)
                                          Approved For Release 2000/08/07: CIA-RDP96-00788ROO 00690002-1
      SITIM~Tly