RFV_69E49505G1.pdf

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DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only for administrative and operational use determined 7/16/20. Other requests for this document shall be referred to MMIII Systems Directorate, Hill AFB, UT. 84056.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401, et seq. Violation of these export-control laws is subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directive 5230.25.

DESTRUCTION: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

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PREVIOUS EDITION IS OBSOLETE

DD FORM 1694, APR 2017

Page of AEM LiveCycle Designer

REQUEST FOR VARIANCE

(RFV)

OMB No.

0704-0188 Exp 10/31/2019 The public reporting burden for this collection of information is estimated to average 2 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 the collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Executive Services Directorate, Directives Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (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 THIS ADDRESS. RETURN COMPLETED FORM TO THE ACQUIRER ISSUING CONTRACTING OFFICER FOR THE CONTRACT/PROCURING ACTIVITY NUMBER LISTED IN BLOCK 22 OF THIS FORM.

5. VARIANCE PRE OR POST-PRODUCTION:

6. BASELINE AFFECTED:

7. SYSTEM

INFORMATION

10.a. OTHER EXTERNAL SYSTEM AFFECTED?:

11. IDENTIFICATION

OF VARIANCE

11.a. VARIANCE CLASSIFICATION:

16. RECURRENCE

16.a. RECURRING VARIANCE?:

21. CONTRACT

INFORMATION

22. CONTRACTING

OFFICER

23. ORIGINATING

ACTIVITY

BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY

25.a. RECOMMENDATION:

26.a. DISPOSITION: (Configuration Approval Authority)

27. LIST OF ATTACHMENTS

9.0.0.2.20120627.2.874785 See Attachment List Of Attachments (1) Distribution Statement D 7-16-20.doc