TE_M_DID_A012_HAZMAT.doc

DATA ITEM DESCRIPTION

Form Approved

OMB NO. 0704-0188

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.

1. TITLE

A012, Hazardous Materials Report

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

To provide a current inventory of all hazardous materials. This information is required by the Fort Hood Department of Public Works (DPW) who provides the database template that must be completed to meet the requirements of this DID.

4. APPROVAL DATE (YYMMDD)

120821

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)

USAOTC G4

6a. DTIC APPLICABLE

6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

This DID is applicable to the U.S. Army Operational Test Command and Fort Hood to collect information on hazardous material maintained by the contractor.

8. APPROVAL LIMITATION

9a. APPLICABLE FORMS

9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

10.1 The Government will provide a database to be completed by the contractor. The contractor shall provide a current Hazardous Material Inventory in the provided format. The inventory shall include the following information:

a. NSN

b. Nomenclature

c. Manufacturer

d. Unit of Issue

e. Quantity at the beginning of the month

f. Quantity received during the month

g. Quantity on hand at the end of the month

h. Material Safety Data Sheet (MSDS) number

i. Location of the hazardous material

11. DISTRIBUTION STATEMENT

DISTRIBUTION STATEMENT A: Approved for public release; distribution unlimited.

DD Form 1664, APR 89 Previous editions are obsolete