The memo deals with the reorganization of political control and of the "command chain" with respect to NATO's nuclear deterrent (opinions of the UK and France, Italian and German criticism).
There are 3 attachments: 1) Multilateral Nuclear Force. Italian stance with regards to British proposals (2 pages); 2) British position on Multilateral Force - Message from Washington on 4th December (5 pages); 3) Reorganization of the Atlantic nuclear deterrent (12 pages).

Despite new information that the Soviet Union was deploying anti-ballistic missile defenses around Moscow, the United States had not yet decided to deploy its own ABM defenses (although a decision would be made later in the year) and there was some hope that U.S.-Soviet talks would prevent an ABM race. If, however, talks failed, some NATO allies worried about the “adverse consequences” of an ABM race, especially whether having an ABM system might incline Washington toward risk taking.

Concerns about the credibility of US nuclear deterrence generated Supreme Allied Commander Europe (SACEUR) General Lauris Norstad’s proposal for a NATO-controlled medium-range ballistic missile (MRBM) force. This lengthy report represented INR’s assessment of “present and future European interest in national or multinational nuclear weapons capabilities,” including the MRBM proposal, and the extent to which an “enhancement of NATO's nuclear role” could “deter national or multinational European nuclear weapons programs.”