RFV

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

(1 Data Item)

The 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY:

A-E

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

C5 TRUNNION BEARING

1. DATA ITEM NO.

A006

8. APP CODE

See Blk 16

F. CONTRACTOR

3. SUBTITLE

Request for Variance (RFV)

Deviation from Source Data

5. CONTRACT REFERENCE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

D

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

See Blk 16

See Blk 16

NSP

18. ESTIMATED

TOTAL PRICE

6. REQUIRING OFFICE

PWS Para 4.5.3

409 SCMS/GUMA

14.

DISTRIBUTION

See Blk 16

13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

a. ADDRESSEE

See Blk 16

16. REMARKS

Exhibit
A
B
C
D
E

17. PRICE GROUP

2. TITLE OF DATA ITEM

DI-SESS-80640E

See Blk 16

x

FD2060-27-00013

4. AUTHORITY (Data Acquisition Document No.)

7. DD 250 REQ

Final

Draft

Reg

PCO
PM

Data Item No Performance Period
A006
Base Year Period
B006
Ordering Period 1
C006
Ordering Period 2
D006
Ordering Period 3
E006
Ordering Period 4

Repro

DI-SESS-80640E, as reflected at https://quicksearch.dla.mil/qsSearch.aspx, shall be followed as appropriate.
Block 7 and Block 8: Inspection and Acceptance will occur at Destination. WAWF submission for this Data item is not required. A Letter of Transmission (LT) in the form of email correspondence, as detailed in Block 14, shall be utilized for Inspection and Acceptance proceedings. If DCMA is assigned to the contract, the Contractor shall coordinate the submission of the RFV with the assigned DCMA Office for review and recommendation,. Upon completion of DCMA