Attachment_16_DD_Form_1921.xls

XLS spreadsheet 39 KB Posted

Attached to
P-8A Airframe and Engine Depot Maintenance Competition Federal contract opportunity
Solicitation number
N00019-15-R-2004
Issued by
Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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Section J Attachment 16

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Text version

SECURITY CLASSIFICATIONUnclassified
COST DATA SUMMARY REPORTForm Approved

OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 8 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 PROGRAMa. NAME:
b. PHASE/MILESTONE2. PRIME MISSION PRODUCT3. REPORTING ORGANIZATION TYPE4. NAME/ADDRESS (Include ZIP Code)5. APPROVED PLAN NUMBER
Pre-ABC-FRPPRIME / ASSOCIATE CONTRACTORDIRECT-REPORTING SUBCONTRACTORGOVERNMENTa. PERFORMING ORGANIZATIONb. DIVISION
AC-LRIPO&S
6. CUSTOMER (Direct-reporting subcontractor use only)7. CONTRACT TYPE8. CONTRACT PRICE9. CONTRACT CEILING10. TYPE ACTION
a. CONTRACT NO.:c. SOLICITATION NO.:e. TASK ORDER/DELIVERY ORDER/LOT NO.:
b. LATEST MODIFICATION:d. NAME:
11. PERIOD OF PERFORMANCE12. APPROPRIATION13. REPORT CYCLE14. SUBMISSION NUMBER15. RESUBMISSION NUMBER16. REPORT AS OF (YYYYMMDD)
a. START DATE (YYYYMMDD):RDT&EINITIAL
b. END DATE (YYYYMMDD):PROCUREMENTINTERIM
O&MFINAL
17. NAME (Last, First, Middle Initial)18. DEPARTMENT19. TELEPHONE NUMBER (Include Area Code)20. EMAIL ADDRESS21. DATE PREPARED (YYYYMMDD)
WBS

ELEMENT

CODE WBS REPORTING ELEMENTS NUMBER OF

UNITS

TO DATE COSTS INCURRED TO DATE (thousands of U.S. Dollars) NUMBER OF

UNITS AT

COMPLETIONCOSTS INCURRED AT COMPLETION (thousands of U.S. Dollars)
NONRECURRINGRECURRINGTOTALNONRECURRINGRECURRINGTOTAL
ABCDEFGHIJ
22. REMARKS
DD FORM 1921, MAY 2011PREVIOUS EDITION IS OBSOLETE.SECURITY CLASSIFICATIONUnclassified

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