Attachment 0004 - FORM 3002 - Clearance Tech Information for Public Release.pdf

CLEARANCE OF TECHNICAL INFORMATION FOR PUBLIC RELEASE

TITLE: PAO Log #

AUTHOR/PRODUCER (S): ADDRESS (IF APPLICABLE):

OFFICE SYMBOL:

PHONE/BLDG #:

AUTHOR/PRODUCER (S): COMPANY ADDRESS:

CONTRACT NUMBER:

NAME OF PICATINNY SPONSOR:

SPONSOR OFFICE SYMBOL:

SPONSOR PHONE/BLDG#: COMPANY PHONE:

PURPOSE OF RELEASE: Presentation Publication News Release Other

MEETING TITLE (If presentation,speech or conference paper):

PLACE: DATE(S): No Yes DoD Sponsored:

PUBLICATION (Magazine, journal, newspaper, proceeding):

Abstract

Yes No Solicited

REQUIRED APPROVALS: Signatures below certify that this material was reviewed for technical accuracy, classified information, security implications, proprietary information, competition-sensitive information and policy guidelines; that inventions have been previously submitted for patent review, and that the subject matter does not fall under the Militarily Critical Technology List.

CERTIFICATION: I certify that this material has not been copied substantially without written permission from the author/producer and does not contain any sensitive, potentially controversial, FOUO or classified information.

Author's/Producer's Signature

SIGNATURE Approve

Remarks:

A B C D E F

Yes No Date:

SIGNATURE (Patent/Legal) Approve

Remarks:

Recommend Distribution: A B C D E F

Yes No Date:

SIGNATURE (OPSEC) Approve

Remarks:

Recommend Distribution: A B C D E F

Yes No Date:

SIGNATURE (Center/Directorate/PM level) Approve

Remarks:

Recommend Distribution: A B C D E F

Yes No Date:

SIGNATURE (Division level) Approve

Remarks:

Recommend Distribution: A B C D E F

Yes No Date:

(Contracting Officer, if appropriate)

Recommend Distribution:

INME-PIC-IM Form 3002, 1 MAR 2011 Replaces AMSTA-AR Form 3002 Page 1 of 2

APPROVED

DISTRIBUTION:

CO

N

TR

A

CT

O

R

PI

CA

TI

N N

Y

TYPED NAME:

TYPED NAME:

DISPOSITION: BASED ON RECOMMENDATIONS PROVIDED ABOVE, CLEARANCE IS GRANTED FOR

PUBLIC RELEASE BASED ON THE APPROVED DISTRIBUTION CIRCLED BELOW

Picatinny Arsenal Public Affairs Office Date or higher authority)C

D E F

(DoD & DoD Contractors only)

(DoD Components only)

(Only as directed by

(Unlimited)

(U.S. Gov't only)

(U.S. Gov't & Contractor only)

A B

Text

CLEARANCE OF TECHNICAL INFORMATION FOR PUBLIC RELEASE

IF AUTHOR/PRODUCER IS PICATINNY-BASED:

Picatinny-based authors/producers are responsible for initiating the clearance process and ensuring that their material is approved for public release. This is accomplished by attaching one copy of the material (manuscript, photos, videotapes and any other material that requires clearance) to this form and obtaining the necessary signatures. When clearance is granted, the Picatinny Public Affairs Office (the last office in the clearance process) will forward one copy of this form along with the attached material to the Picatinny Information Center for archival purposes and provide another copy of this form to the author/producer. It is the author/producer's responsibility to notify all interested parties of the release approval and to make subsequent distribution.

IF AUTHOR/PRODUCER IS A CONTRACTOR:

A contractor initiates the clearance process by forwarding the material to a Picatinny sponsor, who in turn begins the clearance process in the same manner as a Picatinny-based request. When clearance is granted, the Picatinny Public Affairs Office (the last office in the clearance process) will forward one copy of this form along with the attached material to the Picatinny Information Center for archival purposes, and provide another copy of this form to the Picatinny sponsor. It is the Picatinny sponsor's responsibility to notify the contractor and any other interested parties of the release approval and to coordinate subsequent distribution with the contractor.

Because contractor-submitted videotape material requires clearance at the Defense Department level, recommend that these submissions be made at least 90 days prior to the projected public release date. Only Picatinny-related portions of multi-topic videotapes will be reviewed here.

RECOMMENDED DISTRIBUTION:

Each signator in the Required Approvals section recommends distribution based on the categories listed at the bottom of the form. The approved distribution is circled at the bottom of the form and will equal the most stringent distribution category selected by the signators.

For more information on the clearance process or this form, please contact the Picatinny Arsenal Public Affairs Office; DSN 880-6365; (973) 724-6365.

INSTRUCTIONS

COMMENTS

(Use this space, and additional pages as necessary, to make additional remarks or written changes to the submitted material. If changes are made directly on the material, a note to that effect in the Required Approvals section under "Remarks" is all that's necessary.)

INME-PIC-IM Form 3002, 1 MAR 2011 Replaces AMSTA-AR Form 3002 Page 2 of 2

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CLEARANCE OF TECHNICAL INFORMATION FOR PUBLIC RELEASE

TITLE:

PAO Log #

AUTHOR/PRODUCER (S):

ADDRESS (IF APPLICABLE):

OFFICE SYMBOL:

PHONE/BLDG #:

AUTHOR/PRODUCER (S):

COMPANY ADDRESS:

CONTRACT NUMBER:

NAME OF PICATINNY SPONSOR:

SPONSOR OFFICE SYMBOL:

SPONSOR PHONE/BLDG#:

COMPANY PHONE:

PURPOSE OF RELEASE:

Presentation Publication News Release Other MEETING TITLE (If presentation,speech or conference paper):

PLACE:

DATE(S):

No Yes DoD Sponsored:

PUBLICATION (Magazine, journal, newspaper, proceeding):

Abstract Yes No Solicited

REQUIRED APPROVALS:

Signatures below certify that this material was reviewed for technical accuracy, classified information, security implications, proprietary information, competition-sensitive information and policy guidelines; that inventions have been previously submitted for patent review, and that the subject matter does not fall under the Militarily Critical Technology List.

CERTIFICATION: I certify that this material has not been copied substantially without written permission from the author/producer and does not contain any sensitive, potentially controversial, FOUO or classified information.

Author's/Producer's Signature

SIGNATURE

Approve Remarks:

A B C D E F Yes No Date:

SIGNATURE (Patent/Legal) Approve Remarks:

Recommend Distribution:

A B C D E F Yes No Date:

SIGNATURE (OPSEC)

Approve Remarks:

Recommend Distribution:

A B C D E F Yes No Date:

SIGNATURE (Center/Directorate/PM level) Approve Remarks:

Recommend Distribution:

A B C D E F Yes No Date:

SIGNATURE (Division level) Approve Remarks:

Recommend Distribution:

A B C D E F Yes No Date:

(Contracting Officer, if appropriate) Recommend Distribution:

INME-PIC-IM Form 3002, 1 MAR 2011 Replaces AMSTA-AR Form 3002 Page 1 of 2

APPROVED

DISTRIBUTION:

CONTRACTOR PICATINNY

TYPED NAME:

TYPED NAME:

DISPOSITION:

BASED ON RECOMMENDATIONS PROVIDED ABOVE, CLEARANCE IS GRANTED FOR

PUBLIC RELEASE BASED ON THE APPROVED DISTRIBUTION CIRCLED BELOW

Picatinny Arsenal Public Affairs Office Date or higher authority) C D E F (DoD & DoD Contractors only) (DoD Components only) (Only as directed by (Unlimited) (U.S. Gov't only) (U.S. Gov't & Contractor only) A B Text

CLEARANCE OF TECHNICAL INFORMATION FOR PUBLIC RELEASE

IF AUTHOR/PRODUCER IS PICATINNY-BASED:

Picatinny-based authors/producers are responsible for initiating the clearance process and ensuring that their material is approved for public release. This is accomplished by attaching one copy of the material (manuscript, photos, videotapes and any other material that requires clearance) to this form and obtaining the necessary signatures. When clearance is granted, the Picatinny Public Affairs Office (the last office in the clearance process) will forward one copy of this form along with the attached material to the Picatinny Information Center for archival purposes and provide another copy of this form to the author/producer. It is the author/producer's responsibility to notify all interested parties of the release approval and to make subsequent distribution.

IF AUTHOR/PRODUCER IS A CONTRACTOR:

A contractor initiates the clearance process by forwarding the material to a Picatinny sponsor, who in turn begins the clearance process in the same manner as a Picatinny-based request. When clearance is granted, the Picatinny Public Affairs Office (the last office in the clearance process) will forward one copy of this form along with the attached material to the Picatinny Information Center for archival purposes, and provide another copy of this form to the Picatinny sponsor. It is the Picatinny sponsor's responsibility to notify the contractor and any other interested parties of the release approval and to coordinate subsequent distribution with the contractor.

Because contractor-submitted videotape material requires clearance at the Defense Department level, recommend that these submissions be made at least 90 days prior to the projected public release date. Only Picatinny-related portions of multi-topic videotapes will be reviewed here.

RECOMMENDED DISTRIBUTION:

Each signator in the Required Approvals section recommends distribution based on the categories listed at the bottom of the form. The approved distribution is circled at the bottom of the form and will equal the most stringent distribution category selected by the signators.

For more information on the clearance process or this form, please contact the Picatinny Arsenal Public Affairs Office; DSN 880-6365; (973) 724-6365.

INSTRUCTIONS

COMMENTS

(Use this space, and additional pages as necessary, to make additional remarks or written changes to the submitted material. If changes are made directly on the material, a note to that effect in the Required Approvals section under "Remarks" is all that's necessary.)

INME-PIC-IM Form 3002, 1 MAR 2011 Replaces AMSTA-AR Form 3002 Page 2 of 2