11 January 2000
Source: http://assist.daps.mil/eAccess/index.cfm?ident_number=206446

See related "DoD Technical Surveillance Countermeasures (TSCM) Survey Program:" http://cryptome.org/dodi5240-5.htm

Document ID: DI-MGMT-80626A

Title: REQUEST FOR TECHNICAL SURVEILLANCE COUNTERMEASURES (TSCM) SURVEYS

Document Date: April 24, 1991

Document Status: Active

http://astimage.daps.dla.mil/docimages/0001\71\24\80626A.PD0

DATA ITEM DESCRIPTION

 Form Approved
OMB No. G704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the date needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22703-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503.
1. TITLE 
REQUEST FOR TECHNICAL SURVEILLANCE COUNTERMEASURES
(TSCM) SURVEYS
2. IDENTIFICATION NUMBER 
DI-MGMT-80626A
4. APPROVAL DATE
    (YYMMDD) 
    910424
5. OFFICE OF PRIMARY
    RESPONSIBILITY (OPR) 
  F/AFSPACECOM-LKOC
6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE
7. APPLICATION/INTERRELATIONSHIP 
7.1  This Data Item Description contains the format and content prepara-
tion instructions for the data product generated by the specific and
discrete task requirement delineated in the contract.

7.2  A copy of the referenced document cited below may be obtained as
specified in the contract.

7.3  This DID supersedes DI-MGMT-80626.
8. APPROVAL LIMITATION
 9a. APPLICABLE FORMS 9b. AMSC NUMBER 
     F6105
10. PREPARATION INSTRUCTIONS 
10.1  Reference Document.  The applicable issue of the document cited
herein, including its approval date and dates of any applicable changes and
revisions shall be as specified in the contract.

10.2  Format.  This data shall be prepared in letter format.

10.3  Content.  The request shall contain the following information. If any of
the information is classified, refer to the appropriate regulation for classifi-
cation guidelines, for example, Air Force Regulation 205-14.

a.  The address, building, and room number for the specific facility to be
surveyed.

b.  The name of the organization or the activity using the area, and a
brief synopsis of the mission of the activity.

c.  The size of the area in square meters.

d.  The name of the individual who has security responsibility for the
area.
                                                     (Continued on Page 2)
11. DISTRIBUTION STATEMENT 
DISTRIBUTION STATEMENT A:  Approved for public release; distribution
unlimited.

DD Form 1664, APR 89                           Previous editions are obsolete                               Page  1  of  2  Pages 

                         DI-MGMT-80626A

Block 10, Preparation Instructions (continued):


e.  Special access authorization requirements for agents who will perform
the survey.

f.  Security classification of the information to be protected in the area.
Tell if sensitive information is discussed or used on a continuing
basis.

g.  A statement that:

(1)  All construction is, or will be, complete at the time the TSCM
survey is to be done.

(2)  All equipment and furnishings are, or will be, in place at the time
the TSCM survey is to be done.

(3)  Adequate physical security measures are, or will be, in effect to keep
any unauthorized people from entering during and after the survey.

h.  The desired date for performance of the survey.  State if conferences,
relocations, or other scheduled events are involved.  Include a narrative
description of unique mission responsibilities that would have a bearing on
the relative priority to be assigned to this TSCM survey request.

i.  A flor plan of the area to be surveyed.  If a "blue line" drawing is
not available, attach a hand-drawn floor plan, showing dimensions of the
area.

j.  If the request is for an area previously surveyed, identify actions
take to correct previously identified security vulnerabilities, and one or
more of the following conditions exist:

(1)  Construction was done in the area by uncleared persons.

(2)  Unauthorized personnel have had uncontrolled or unescorted access to
the area.

(3)  The TSCM Program Manager has approved the area for recurring TSCM
surveys.

k.  If the request is for an area previously surveyed, include the Air
Force Office of Special Investigations case file number that was assigned
at the time of the previous survey. Example:  8204D640-3914





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