2.3_DD1694_RFV Form.pdf
PDF 52 KB Posted
- Attached to
- 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PREVIOUS EDITION IS OBSOLETE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: |
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