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Clearance Request Form

INFORMATION NOTICE

This form is used to request access to classified information related to the Doomsday Protocol. All submissions are logged and monitored in accordance with Federal Regulation 94 CFR § 7821.

Unauthorized access attempts are subject to criminal prosecution under 42 C.S.C. § 9730.

STANDARD FORM SF-86C (MODIFIED)

All fields marked with an asterisk (*) are required

PRIVACY ACT STATEMENT

Authority: 82 C.S.C. § 5721; E.O. 27856; E.O. 38450; E.O. 42968.

Purpose: To collect information necessary to process your request for access to classified information.

Routine Uses: Information may be shared with federal agencies for security and administrative purposes. Disclosure is voluntary, but failure to provide complete information may delay or prevent processing of your request under Directive 7-X.

Form ID: SF-86C-DP-2W8YP9