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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 this burden, to 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 (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| B |
| TDP ____TM____OTHER mgmt |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
WRM
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A-XXX |
| Daily Site Activity Schedule (RECOMPETE) |
| Monthly Pesticide & Herbicide Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MGMT-80721 |
| . |
| HQ ACC AMIC/PCE |
| 7. DD 250 REQ |
| 9.DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
lt
b. COPIES
| 8. APP CODE |
| C |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
A
| 16. REMARKS: |
| HQ ACC AMIC/PCE |
| 1 |
| 1 |
Block 4: Report shall be provided using MS Office suite and posted on contractor’s website. Contractor shall notify the Government via Email once report is posted.
Block 5: This report shall also include any pesticide/herbicide usage as a CM task with appropriate data fields as found in the DD form 1532.
Block 9: Distribution authorized to U.S. Government agencies only (administrative or operational data, 22 May 07). Other requests for this document shall be referred to HQ ACC AMIC/PKC.
Block 13: Report shall be submitted NLT 10 business days after end of the reporting period.
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |