DOPSR Rvw UAP Self Reporting Mechanism 12-11-2023 (FOIA 25-F-3452)

INSTRUCTIONS
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.
Examples: "Go-Between Circuits III - Total
Force in Action," and "Communications."
2. AUTHOR/SPEAKER.
*a. Name - Self explanatory.
*b. Rank - Self explanatory.
c. Title - Self explanatory.
d. Office - Self explanatory.
e. Agency - Self explanatory.
3. PRESENTATION/PUBLICATION DATA. Record
the forum of open presentation or publication.
4. POINT OF CONTACT
*a. Name - Self explanatory.
b. Telephone Number - Enter the office phone
number of the point of contact.
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.
Examples: Secretary of the Army;
Chairman of the Joint Chiefs of Staff; President,
National Defense University; etc.
*b. Clearance is requested by - Self
explanatory.
*c. Name - Entry must be typed or printed
and coincide with signatory official.
d. Title - Self explanatory.
e. Office - Self explanatory.
f. Agency - Self explanatory.
g. Signature - Mandatory.
*h. Date - Self explanatory.
DD FORM 1910 (BACK), APR 2016