SUBJECT: LLLL

DO NOT WRITE ON THIS FORM

APPROVAL/ DISAPPROVAL
PRBS ROUTING SLIP CONCURRENCE OR SIMILAR
ACTION
CHECK ACTION
TIME REQUESTED (AR)
FROM TO AR DATE SENDERS NAME
IN OUT 1) APPROPRIATE ACTION
2) COMMENT
RECOMMENDATION
3) ATTN TO HWI INSIDE
4) RETYPE AS
CORRECTED
5) PASS THIS TO
6) NOTATION/
INFORMATION
7) PERUSAL

8) GUIDANCE

9) CALENDAR

10) REMIND ME

11) PREPARE DOCUMENTS

ADDITIONAL REMARKS: 12) APPROVAL

13) SIGNATURE

14) DISSEMINATION

15) DISPATCH

16) FILE

PLEASE DO NOT DETACH THIS ROUTING SLIP THROUGHOUT THE ENTIRE

PROCESSING OF THIS COMMUNICATION: