DA Form 7453 Facility Technical Threat Assessment (Ftta) Worksheet

DA Form 7453 or the "Facility Technical Threat Assessment (ftta) Worksheet" is a Department of the Army-issued form used by and within the United States Military.

The form - often incorrectly referred to as the DD form 7453 - was last revised on September 1, 2002. Download an up-to-date fillable DA Form 7453 down below in PDF-format or look it up on the Army Publishing Directorate website.

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CLASSIFIED WHEN FILLED-IN
FACILITY TECHNICAL THREAT ASSESSMENT (FTTA) WORKSHEET
For use of this form, see AR 381-14; the proponent agency is DCS, G-2.
(Instructions for completing this form are on the back).
2. PHYSICAL LOCATION OF FACILITY
1. FULL MILITARY/OFFICIAL MAILING ADDRESS
3. FACILITY IDENTIFICATION NUMBERS/SCIF ID
4. PRIMARY USE OF FACILITY, EQUIPMENT OR
5. SIZE OF FACILITY
SYSTEM
6. VOLUME AND SENSITIVITY OF INFORMATION
LEVEL OF DISCUSSION
HOURS/
% OF TOTAL
OR
% LONG TERM
% SHORT TERM
MONTH
PROCESSING
7. EQUIPMENT CONFIGURATION (additional items can be listed on the back)
b. Within 30 Meters (if
Name of Manufacturer
Model Number for the
Power Output
yes, complete block 7)
a. List of Equipment Used
for the Transmitter and
Transmitter and the
of the Transmitter
the Antenna
Antenna
Yes
No
c. For TSCM Only (List the manufacturer and model, of telephone switching equipment inside the facility
Number of
Model
Manufacturer
Telephones
8a. NAME OF POINT OF CONTACT
b. TITLE OF POINT OF CONTACT
c. MAILING ADDRESS OF POINT OF CONTACT
d. E-MAIL ADDRESS
9. SIGNATURE OF POINT OF CONTACT (Should be signed by the same person as the cover memorandum)
DATE (YYYYMMDD)
APD LC v1.02ES
DA FORM 7453, SEP 2002
CLASSIFIED WHEN FILLED-IN
CLASSIFIED WHEN FILLED-IN
FACILITY TECHNICAL THREAT ASSESSMENT (FTTA) WORKSHEET
For use of this form, see AR 381-14; the proponent agency is DCS, G-2.
(Instructions for completing this form are on the back).
2. PHYSICAL LOCATION OF FACILITY
1. FULL MILITARY/OFFICIAL MAILING ADDRESS
3. FACILITY IDENTIFICATION NUMBERS/SCIF ID
4. PRIMARY USE OF FACILITY, EQUIPMENT OR
5. SIZE OF FACILITY
SYSTEM
6. VOLUME AND SENSITIVITY OF INFORMATION
LEVEL OF DISCUSSION
HOURS/
% OF TOTAL
OR
% LONG TERM
% SHORT TERM
MONTH
PROCESSING
7. EQUIPMENT CONFIGURATION (additional items can be listed on the back)
b. Within 30 Meters (if
Name of Manufacturer
Model Number for the
Power Output
yes, complete block 7)
a. List of Equipment Used
for the Transmitter and
Transmitter and the
of the Transmitter
the Antenna
Antenna
Yes
No
c. For TSCM Only (List the manufacturer and model, of telephone switching equipment inside the facility
Number of
Model
Manufacturer
Telephones
8a. NAME OF POINT OF CONTACT
b. TITLE OF POINT OF CONTACT
c. MAILING ADDRESS OF POINT OF CONTACT
d. E-MAIL ADDRESS
9. SIGNATURE OF POINT OF CONTACT (Should be signed by the same person as the cover memorandum)
DATE (YYYYMMDD)
APD LC v1.02ES
DA FORM 7453, SEP 2002
CLASSIFIED WHEN FILLED-IN
CLASSIFIED WHEN FILLED-IN
ADDITIONAL SPACE IF NEEDED
INSTRUCTIONS FOR COMPLETION OF DA FORM 7453
1. Item 1. Full Military Official Mailing Address.
2. Item 2. Physical Location of Facility. Exact physical location of the activity, facility, building, equipment, or system for which support
is requested. Include building and room numbers, and street names. Indicate if the facility is on a US military base, or US government-
owned or leased facility that is occupied totally by US Government personnel. Attach a sketch of the facility's location and immediate
environment, denoting its IS.
3. Item 3. Facility Identification Numbers. Provide the Facility Identification Number (FIN), if one has been assigned. If the activity is a
Sensitive Compartmented Information Facility (SCIF), provide the SCIF number.
4. Item 4. Primary Use of the Facility Equipment, system, or area to be examined (i.e.., office, conference room, and
telecommunications center).
5. Item 5. Size of Facility. Size of facility in square feet of floor space within the targeted facility perimeter.
6. Item 6. Volume and Sensitivity of Information. Provide the information about the volume and sensitivity of the information processed.
Figures should be the monthly average. The percentages for long-term and short item at a given sensitivity level should add up to 100%
7. Item 7. Equipment Configuration.
a. Submit a list of all equipment used to process classified information by manufacturer and model number. Describe any networks
that exit the facility, whether processing classified or unclassified information.
b. If there is a transmitter or transmitting antenna of any type located within 30 meters of the equipment, system, or facility, provide the
name of the manufacturer and model number for the transmitter and the antenna, and the power output of the transmitter.
c. (For TSCM Only) Provide the manufacturer and model of telephone switching equipment inside the facility. List the number of
telephones, by model, located inside the facility.
8. Item 8. Name of Point of Contact. Point of contact for the request. Name, position title, mailing address, telephone number and if
available, a secure email address, of individual who has security responsibility for the area and who will act as the point of contact.
9. Item 9 Signature. Should be signed by the same person as the cover memorandum. The position title in the signature block should
clearly indicate that the signatory has authority to request TSCM (Commander, Security Officer, MACOM TSO, etc.)
APD LC v1.02ES
BACK, DA FORM 7453, SEP 2002
CLASSIFIED WHEN FILLED-IN

Download DA Form 7453 Facility Technical Threat Assessment (Ftta) Worksheet

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