AUG 26 '94 01:09PM UVW P.23
 Approved For Release 2001/04/02 : CIA-RDP96-00792ROO0500870014-3
 F(EeO'R*D OF FREEDOM                                                        
 OF INFORMATION                                                            
 (F01) PROCESSING                                                          
 COST                                                                      
 Please read instructions                                                        
 on reverse before                                                         
 completing form.                                                          
                                                                           

 1. REQUEST NUMBER        2.                         3.                    
                          TYPE                       DATE                  
                          OF                         COMPLETED                 
                          REQUEST                       (YYMMDO)                 
                          (Xone)                                             
                                                                           

                          I   a.           b. APPEAL                       
                              INITIAL                                       
                                                                           

 4. CLERICAL HOURS                         TOTAL HOURSHOURLY            COST   
 (E-9165-8 and                                       RATE                  
 below)                                              (2)                   
                                                                           

 a.SEARCH                                                                  
                                                                           

 b- REVIEW/EXCISING                                                        
                                                                           

 c. CORRESPONDENCC                                   x    $12.00           
 AND FORMS PREPARATION                                                        
                                                                           

 d. OTHER ACTIVITY                                                         
                                                                           

 5. PROFESSIONAL                           TOTAL HOURSHOURLY            COST   
 HOURS (0-1 -0-61GS-9                                  RATE             (3)   
 - OSIC;1144S)                                                             
                                                                           

 a.SEARCH                                                                  
                                                                           

 @. REVIEWYEXCISING                                       $2               
                                                                           

                                                     x    5.00             
 c. COORDINATION                                                           
 /APPROVAL/ DENIAL                                                         
                                                                           

 d. OTHER ACTIVITY                                                         
                                                                           

                                           TOTAL HOURSFiOURLY            COST   
 6. EXECUTIVE HOURS                        M         RATC                  
 (0-71GSIGM-161ES                                                          
 I andabove)                                                               
                                                                           

 a.SEARCH                                                                  
                                                                           

 b. REVIEW/ EXCISING                                  x    $45.00           
                                                                           

 c, COORDINATION                                                           
 /APPROVAL/ DENIAL                                                         
                                                                           

 7. COMPUTER SEARCH                        TOTAL HOURSHOURLY            COST   
                                                     RATE                  
                                                                           

 a. MACHINE HOURS                                                          
                                                                           

 b. PROGRAMMER /OPERATOR                                  x                     
 TIMC                                      @nqw".                          
                                           @'n s.;                         
                                                                           

 (1) Clerical                                             $12.00           
                                                                           

 (2) Professional                                         $25-00           
                                                                           

 S. OFFICE COPY                            NUMBER    RATE             COST   
 REPRODUCTION                                                              
                                                                           

 a. PAGES REPRODUCED                                  x                     
                                                                           

 9. MICROFICHE REPRODUCTION                        NUMBER    RATE             COST   
                                                                           

 a. MICROFICHE REPRODUCED                                  X                     
                                                                           

                                           TOTAL PAGESRATE             COST   
 10, PRINTED RECORDS                                                   W    
                                                                           

 a, FORMS                                                                  
                                                                           

 b. PUBLICATIONS                                     X                     
                                                          1E               
                                                                           

 c. REPORTS                                                                
                                                                           

 1111. COMPUTER                            NUMBER    ACTUAL            COST   
 COPY                                      (1)       COST                  
                                                     (2)                   
                                                                           

 a. TAPE                                                                   
                                                                           

 b. PRINTOUT                                         x                     
                                                                           

 14 AUDIOVISUAL                            NUMBER    ACTUAL            COST   
 MATERIALS                                           COST             (3)   
                                                                           

 a. -MATERIALS RCPRODUCED                                  x                     
                                                                           

 13. For FOI Office                                                        
 Use Only                                                                  
                                                                           

                                                                           
                                                                           

 a, SEARCH FEES                     f.                                     
 PAID                               TOTAL                                   
                                    COLLECTABLE                                   
                                    COSTS                                   
                                                                           

 b, REVIEW FEES                     g.                                     
 PAID                               TOTAL                                   
                                    PROCESSING                                   
                                    COSTS                                   
                                                                           

 COPY FEES PAID                     h.                                     
                                    TOTAL                                   
                                    CHARGED                                   
                                                                           

 d. TOTAL PAID                                                             
                                    L                           [   yes     
                                    FEES                        J   I      
                                    WAIVEDIREDUCED                                   
                                    (xOne)                                   
                                                                           

 e. DATE PAID (YYMMDD)                 _                                      
                                    ChaftjWble                                   
                                    to                                     
                                    all                                    
                                    requesters                                   
                                    after                                   
                                    application                                   
                                    of                                     
                                    aft                                    
                                    waiver                                   
                                                                           

 Ar%r%rf%wiar]     Pf%r             4109                                   
                   Pialionein          JU14                                   
                   9=10                                                    
                                                                           

 








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 99 Previous editions are obsolete.