Attachment 21 - AF Form 3000.pdf

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MATERIAL APPROVAL SUBMITTAL

(See Instructions on Reverse) Form Approved OMB No 9000-062 Expires May 31, 2005 Public reporting burden for this collection of information is estimated to average 20 minutes 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 this collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No 9000-0062, Washington D.C. 20593. Please DO NOT RETURN your form to either of the addresses Send your completed for to: SAF/AQCP, 1050 Air Force Pentagon, Washington, D.C. 20330

SUBMITTAL

TO BE COMPLETED BY CONTRACTOR

FOR GOVERNMENT USE ONLY

ITEM NO.

SPECIFICATION SECTION/PARA NO./DRAWING NO

DESCRIPTION OF MATERIAL

(Include Type, Model Number, Catalog Number, Mfg., etc.)

AP-PROVED

DISAP- PROVED

SEE REVERSE

INITIAL

BY COMPLETING THIS FORM, THE UNDERSIGNED CONTRACTOR CERTIFIES THAT

THE MATERIAL COMPLIES WITH ALL SPECIFICIFICATIONS OF SUBJECT CONTRACT

FOR GOVERNMENT USE ONLY

RECOMMEND

AF IMT 3000, 20030901, V1 PREVIOUS EDITION IS OBSOLETE

RESUBMITTAL ON DISAPPROVED ITEMS WITHIN ____ DAYS OF DATE SHOWN BELOW.

3. Item(s) to be approved will be clearly tabbed or identified. Data pertaining to items(s) to be approved will be clearly identified or tabbed, particularly where documents are voluminous, in order to properly evaluate the materials or articles to be incorporated in the work. Each attachment will be numbered to correspond with the item number shown on the face of the form.

4. Request submitted shall be numbered consecutively, by contract, in the space entitled “Submission No.”. This number, in addition to the Contract No., will be used to identify each Material Approval Submittal. Resubmissions will be indicated in the appropriate block and the insertion of previous submission number data in addition to a new submission number. A single submission should be used for all work of a section of the specifications, but in NO instance should the submission include work for more than (1) one contract. Submittals requiring priority handling will be submitted by separate submittal using the form and so marked across the face of the form.

5. This material Approval Submittal is not valid unless it is signed by the contracting officer. This approval is required as called for by the contracting officer under the terms of this contract.

INSTRUCTIONS TO CONTRACTORS

AF IMT 3000, 20030901, V1 (REVERSE)

11.0.1.20130826.2.901444.899636