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Get DD 1694 2017-2024

A. RECOMMENDATIONS 27. a. DISPOSITION Configuration Change Authority DD FORM 1694 MAR 2013 DISTRIBUTION STATEMENT Approval c. DATE SIGNED Approved Approval with Modification Disapproval d. 2. PROCURING ACTIVITY NUMBER PAN 1. DATE PREPARED REQUEST FOR VARIANCE RFV DD-MMM-YYYY OMB No* 0704-0188 3. RFV NUMBER 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 this collection of information including suggestions for reducing the burden to Department of Defense Washington Headquarters Services Executive Services Directorate Information Management 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 GOVERNMENT ISSUING CONTRACTING OFFICER FOR THE CONTRACT/PROCURING ACTIVITY NUMBER LISTED IN ITEM 2 OF THIS FORM. 4. TITLE OF VARIANCE 6. VARIANCE PRE-OR POST-PRODUCTION 5. RFV PRIORITY E - Emergency 8. SYSTEM INFORMATION U - Urgent R - Routine a* MODEL/TYPE DESIGNATION ex M-16 Pre-Production 7. BASELINE AFFECTED Functional b. SYSTEM/CONFIGURATION ITEM NOMENCLATURE ex. Rifle Allocated 9. AFFECTED ITEM NOMENCLATURE ex Bracket 10. PART NUMBER S. OF AFFECTED ITEM S 11. a* OTHER EXTERNAL SYSTEM AFFECTED b. IF BLOCK 11. a* IS YES LIST OTHER SYSTEMS OR CONFIGURATION ITEMS AFFECTED Yes Product c* END ITEM CAGE CODE No 12. CLASSIFICATION OF DEFECT S a* DEFECT CLASSIFICATION Critical Major Minor b. DEFECT NO. c* DOCUMENT DEFINING DEFECT CLASS 13. DESCRIPTION OF VARIANCE 14. NEED FOR VARIANCE 15. CORRECTIVE ACTION TAKEN 16. EFFECT ON PERFORMANCE FUNCTION RELIABILITY DURABILITY INTEGRATED LOGISTICS SUPPORT INTERFACE OR SOFTWARE 17. RECURRING VARIANCE 18. EFFECTIVITY Quantity affected Lot Number affected Serial Numbers Dates 19. PER UNIT COST IMPACT 20. TOTAL COST IMPACT 22. CONTRACT a* CONTRACTOR 23. CONTRACTING OFFICER a* NAME 24. ORIGINATOR c* RFV ORIGINATOR CAGE CODE 21. EFFECT ON DELIVERY SCHEDULE IF REJECTED b. CONTRACT NO. AND LINE ITEM b. TELEPHONE c* E-MAIL b. ADDRESS Street City State and ZIP Code e. E-MAIL 25. a* SUBMITTING ACTIVITY b. NAME AND TITLE c* AUTHORIZED SIGNATURE BELOW TO BE COMPLETED BY THE APPROVING ACTIVITY 26. 2. PROCURING ACTIVITY NUMBER PAN 1. DATE PREPARED REQUEST FOR VARIANCE RFV DD-MMM-YYYY OMB No* 0704-0188 3. RFV NUMBER 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 this collection of information including suggestions for reducing the burden to Department of Defense Washington Headquarters Services Executive Services Directorate Information Management Division 4800 Mark Center Drive Alexandria VA 22350-3100 0704-0188.

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