Attachment_10_DD_Form_1921-5.xlsx
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- Attached to
- P-8A Airframe and Engine Depot Maintenance Competition Federal contract opportunity
- Solicitation number
- N00019-15-R-2004
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1921-5
SECURITY CLASSIFICATION Unclassified
SUSTAINMENT FUNCTIONAL COST-HOUR REPORT Form Approved OMB No. 0704-0188
| The public reporting burden for this collection of information is estimated to average 16 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, Executive Services Directorate (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 THE ABOVE ORGANIZATION. | |||||||||||
| 1. MAJOR PROGRAM | a. NAME: | ||||||||||
| b. PHASE/MILESTONE | 2. PRIME MISSION PRODUCT | 3. REPORTING ORGANIZATION TYPE | 4. NAME/ADDRESS (Include Zip Code) | 5. APPROVED PLAN NUMBER | |||||||
| Pre-A | B | C-FRP | PRIME / ASSOCIATE CONTRACTOR | DIRECT-REPORTING SUBCONTRACTOR | GOVERNMENT | a. PERFORMING ORGANIZATION | b. DIVISION | ||||
| A | C-LRIP | O&S |
| 6. CUSTOMER (Direct-Reporting Subcontractor Use Only) | 7. TYPE ACTION | |||||||
| a. CONTRACT NO.: | c. SOLICITATION NO.: | e. TASK ORDER/DELIVERY ORDER/LOT NO.: | ||||||
| b. LATEST MODIFICATION: | d. NAME: | |||||||
| 8. PERIOD OF PERFORMANCE | 9. REPORT CYCLE | 10. SUBMISSION NUMBER | 11. RESUBMISSION NUMBER | 12. REPORT AS OF (YYYYMMDD) | ||||
| a. START DATE (YYYYMMDD): | INITIAL | |||||||
| b. END DATE (YYYYMMDD): | INTERIM | |||||||
| FINAL | ||||||||
| 13. NAME (Last, First, Middle Initial) | 14. DEPARTMENT | 15. TELEPHONE NO. (Include Area Code) | 16. EMAIL ADDRESS | 17. DATE PREPARED (YYYYMMDD) |
| 18. WBS ELEMENT CODE | 19. WBS REPORTING ELEMENT | 20. NUMBER OF UNITS | 21. APPROPRIATION | ||||
| a. TO DATE | b. AT COMPLETION | RDT&E | |||||
| PROCUREMENT | |||||||
| O&M | |||||||
| SUSTAINMENT FUNCTIONAL DATA ELEMENTS | COSTS AND HOURS INCURRED TO DATE | ||||||
| (thousands of U.S. Dollars or thousands of hours) | COSTS AND HOURS INCURRED AT COMPLETION |
(thousands of U.S. Dollars or thousands of hours)
| A. NONRECURRING | B. RECURRING | C. TOTAL | D. NONRECURRING | E. RECURRING | F.TOTAL | |
| ENGINEERING | ||||||
| (1) DIRECT ENGINEERING LABOR HOURS | ||||||
| (2) DIRECT ENGINEERING LABOR DOLLARS | ||||||
| (3) ENGINEERING OVERHEAD DOLLARS | ||||||
| (4) TOTAL ENGINEERING DOLLARS | ||||||
| PROGRAM MANAGEMENT | ||||||
| (5) DIRECT PROGRAM MANAGEMENT LABOR HOURS | ||||||
| (6) DIRECT PROGRAM MANAGEMENT LABOR DOLLARS | ||||||
| (7) PROGRAM MANAGEMENT OVERHEAD DOLLARS | ||||||
| (8) TOTAL PROGRAM MANAGMENT DOLLARS | ||||||
| MAINTENANCE OPERATIONS | ||||||
| (9) TOUCH MAINTENANCE LABOR HOURS | ||||||
| (10) TOUCH MAINTENANCE LABOR DOLLARS | ||||||
| (11) TOUCH MAINTENANCE OVERHEAD DOLLARS | ||||||
| (12) SUPPORT MAINTENANCE LABOR HOURS | ||||||
| (13) SUPPORT MAINTENANCE LABOR DOLLARS | ||||||
| (14) SUPPORT MAINTENANCE OVERHEAD DOLLARS | ||||||
| (15) TOTAL MAINTENANCE OPERATIONS DOLLARS | ||||||
| MATERIALS | ||||||
| (16) RAW MATERIAL DOLLARS | ||||||
| (17) PURCHASED PARTS DOLLARS | ||||||
| (18) PURCHASED EQUIPMENT DOLLARS | ||||||
| (19) MATERIAL HANDLING/OVERHEAD DOLLARS | ||||||
| (20) TOTAL DIRECT-REPORTING SUBCONTRACTOR DOLLARS | ||||||
| (21) TOTAL MATERIAL DOLLARS | ||||||
| OTHER COSTS | ||||||
| (22) OTHER COSTS NOT SHOWN ELSEWHERE (Specify in Remarks) | ||||||
| SUMMARY | ||||||
| (23) TOTAL COST (Direct and Overhead) | ||||||
| 22. REMARKS |
DD FORM 1921-5, MAY 2015 SECURITY CLASSIFICATION Unclassified
N00019-15-R-2004 Attachment 10
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