Appendix E
C-175 Interagency Clearance Sheet
Department of State
Bureau of Oceans and International Environmental and Scientific Affairs
Circular 175 Interagency Clearance Sheet
Name of Proposed International Agreement:
Please check the option below:
____ I clear the attached document.
____ I clear with changes/comments below/attached.
____ I do not clear for the reasons below/attached.
____ I recommend additional clearances-see below/attached.
____ The proposed agreement is not relevant to my agency.
Comments:
_________________________ ____________________________
Signature Department/Agency/Office
_________________________ ____________________________
Name Title
_________________________ ____________________________
Date Phone Number
Please return by close of business on:
Attention:
Fax: 202-647-2746 or 4229
[End.]