Attachment 5 DDForm 1664.pdf

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Synchronous Hydraulic Lift System
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W911KF-21-Q-0006
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Form Approved OMB No. 0704-0188

Page ___ of _____ Pages Designed using Perform Pro, WHS/DIOR, Aug 96

PREVIOUS EDITION MAY BE USED.DD FORM 1664, AUG 96 (EG)

DATA ITEM DESCRIPTION

1. TITLE 2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

4. APPROVAL DATE

(YYYYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR) 6a. DTIC APPLICABLE 6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

8. APPROVAL LIMITATION 9a. APPLICABLE FORMS 9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

11. DISTRIBUTION STATEMENT

The public reporting burden for this collection of information is estimated to average 110 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 this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 FORM TO THE ABOVE ADDRESS.

1 TITLE:
2 IDENTIFICATION NUMBER:
3 DESCRIPTIONPURPOSE:
4 APPROVAL DATE YYYYMMDD:
5 OFFICE OF PRIMARY RESPONSIBILITY OPR:
6a DTIC APPLICABLE:
6b GIDEP APPLICABLE:
7 APPLICATIONINTERRELATIONSHIP:
8 APPROVAL LIMITATION:
9a APPLICABLE FORMS:
9b AMSC NUMBER: A4320
10 PREPARATION INSTRUCTIONS:
11 DISTRIBUTION STATEMENT:
of:

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