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CLEARANCE REQUEST FOR PUBLIC RELEASE OF DEPARTMENT OF (National Defense University)

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CLEARANCE REQUEST FOR PUBLIC RELEASE OF DEPARTMENT OF DEFENSE INFORMATION
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TO: 6HH1RWH Chief, Defense Office of Prepublication and Security Review, 1155 Defense Pentagon, Washington, DC 20301-1155
1. DOCUMENT DESCRIPTION
a. TYPE b. TITLE
c. PAGE COUNT d. SUBJECT AREA
2. AUTHOR/SPEAKER
a. NAME/DVW)LUVW0LGGOH,QLWLDO c. TITLE
d. OFFICE e. AGENCY
b. RANK
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b. OFFICE/AGENCY
6. REMARKS
7. RECOMMENDATION OF SUBMITTING OFFICE/AGENCY
a. THE ATTACHED MATERIAL HAS DEPARTMENT/OFFICE/AGENCY APPROVAL FOR PUBLIC RELEASE TXDOLILFDWLRQVLIDQ\DUHLQGLFDWHGLQ
5HPDUNVVHFWLRQ AND CLEARANCE FOR OPEN PUBLICATION IS RECOMMENDED UNDER PROVISIONS OF DODD 5230.09. I AM A
GOVERNMENT EMPLOYEE FLYLOLDQRUPLOLWDU\, AND NOT A CONTRACTOR, AUTHORIZED TO MAKE THIS RECOMMENDATION FOR
b. CLEARANCE IS REQUESTED BY <<<<00''
c. NAME /DVW)LUVW0LGGOH,QLWLDO d. TITLE
e. OFFICE f. AGENCY
g. SIGNATURE h. DATE SIGNED <<<<00''
DD FORM 1910, APR 2016
PREVIOUS EDITION IS OBSOLETE.
Note: Regular mail address shown above. For drop-off/next day delivery, use:
Room 2A534, 1155 Defense Pentagon, Washington, DC 20301-1155
Adobe Professional X
I
RELEASE ON BEHALF OF:
Manuscript
Doe, John
CIV
Visiting Fellow
Institute for National Strategic Studies, NDU
DoD
This manuscript is intended for publication as an article in Joint Force Quarterly 83 by National Defense University Press. Please execute a
security review of the attached document and return the results to NDU Press. If the review of this manuscript is delayed beyond the "Requested
By" date or raises concerns during its review, DOPSR should immediately contact NDU with specific information to advise NDU Press to ensure
the contracted publishing schedule of JFQ can be met on time.
Seich, Joanna E.
Please return to:
National Defense University
(Attn: William T. Eliason)
260 Fifth Ave., Bldg. 64, Room 2504
Fort McNair, Washington, DC 20319
Email: DOPSR@ndu.edu
NDU Control No: 16-209-2
President, National Defense University
Seich, Joanna E.
Program Director, NDU Press
National Defense University
DoD
click to sign
signature
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INSTRUCTIONS
DD FORM 1910 (BACK), APR 2016
GENERAL NOTE FOR PERSONNEL PROCESSING
THIS REPORT: Items marked with an asterisk (*)
have been registered in the DoD Data Element
Program.
1. DOCUMENT DESCRIPTION.
a. Type - Record nature of material
submitted; e.g., speech, article, manuscript,
study/thesis, brochure, news release,
advertisement, radio/television script, etc.
b. Title - Record the exact caption, headline,
name or label of the material.
c. Page Count - Enter the number of pages of
the document submitted.
d. Subject Area - Record major topic or
theme, whenever possible.
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2. AUTHOR/SPEAKER.
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3. PRESENTATION/PUBLICATION DATA. 5HFRUG
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4. POINT OF CONTACT
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5. PRIOR COORDINATION. Self explanatory.
6. REMARKS. Enter any additional pertinent
information.
7. RECOMMENDATION OF SUBMITTING OFFICE/
AGENCY. It is of paramount importance to components,
as large and complex as those which comprise the
Department of Defense, that coordinated and consistent
security and policy determinations are made; therefore,
Item 7 must be completed by an individual who is a
government employee (civilian or military), and
possesses the authority to communicate a particular
component's policies and recommendation.
Contractors may not sign this form.
a. Enter title of Component/Agency Head or
title of other individual ultimately responsible for
the substantive issues addressed.
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 Examples: Secretary of the Army;
Chairman of the Joint Chiefs of Staff; President,
National Defense University; etc.
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CLEARANCE REQUEST FOR PUBLIC RELEASE OF DEPARTMENT OF (National Defense University)

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Completed 24 July 2020

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