2.3_DD1694_RFV Form.pdf

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Columbia Bearing Support Structure
Solicitation number
N0016726RCLB1
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FORM WILL NOT WORK CORRECTLY WITHOUT JAVASCRIPT

** PLEASE ENABLE JAVASCRIPT **

PREVIOUS EDITION IS OBSOLETE

DD FORM 1694, APR 2017

Page of AEM LiveCycle Designer

REQUEST FOR VARIANCE

(RFV)

OMB No.

0704-0188 Exp 10/31/2019 The public reporting burden for this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of the collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE ACQUIRER ISSUING CONTRACTING OFFICER FOR THE CONTRACT/PROCURING ACTIVITY NUMBER LISTED IN BLOCK 22 OF THIS FORM.

5. VARIANCE PRE OR POST-PRODUCTION:

6. BASELINE AFFECTED:

7. SYSTEM INFORMATION

10.a. OTHER EXTERNAL SYSTEM AFFECTED?:

11. IDENTIFICATION OF VARIANCE

11.a. VARIANCE CLASSIFICATION:

16. RECURRENCE

16.a. RECURRING VARIANCE?:

21. CONTRACT INFORMATION

22. CONTRACTING OFFICER

23. ORIGINATING ACTIVITY

BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY

25.a. RECOMMENDATION:

26.a. DISPOSITION: (Configuration Approval Authority)

27. LIST OF ATTACHMENTS

9.0.0.2.20120627.2.874785 Distribution Statement D: Distribution authorized to DOD and DOD Contractors only; administrative or operational use, 9/8/2025. Other requests for this document shall be referred to SEA05P3.

List Of Attachments

CurrentPage:
PageCount:
Enter the date using the format DD-Mon-YYYY: 2025-09-08
rfvNumber:
procuringActNo:
distStatmt:
titleOfVar:
preProd:
postProd:
functional:
allocated:
product:
modelTypeDesign:
sysConfigItemNom:
endItemCageCode:
affectItemNom:
partNoAffectItems:
yes:
no:
block10b:
critical:
major:
minor:
defectNo:
docDefDefect:
descriptOfVar:
needForVar: Improved first pass yield and weld quality.
correctActTaken: N/A
effectOnPerform: No known impact to fit , form or function.
yes2: 1
no2: 0
provRationale:
block17effectivity:
perUnitCostImpact: 0.00000000
totalCostImpact: 0.00000000
effectOnSched: None
supplier:
contractNoLineNo:
nameContractOff: Kiersten Johnson
telephone: 3013123582
email: kiersten.m.johnson5.civ@us.navy.mil
nameOrigAct:
telephoneOrigAct:
cageCode: 50RQ8
emailOrigAct:
address: 9500 MacArthur Blvd, West Bethesda, MD, 20817
submitAuth: NSWCCD C808
nameTitle: , Project Engineer in APMO Branch
submitAuthSign:
approval:
approvalWithMod:
Disapproval:
recommendModDescript:
recommendSign:
Enter the date using the format DD-Mon-YYYY:
approved:
approvedWithMod:
Disapproved:
dispositionModDescript:
nameTitle2:
dispositionSign:
Enter the date using the format DD-Mon-YYYY:
attachmentsList:
AddAttachment:
ViewAttachment:
RemoveAttachment:

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