| SECURITY CLASSIFICATION | Unclassified | ||||||||||||||||
| COST DATA SUMMARY REPORT | OMB No. 0704-CSDR Expires: X/XX/XXXX | ||||||||||||||||
| 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 the Department of Defense, Washington Headquarters Services, at [email protected]. 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 PROGRAM | a. NAME: | ||||||||||||||||
| b. PHASE/MILESTONE | 2. PRIME MISSION PRODUCT | 3. REPORTING ORGANIZATION TYPE | 4. NAME/ADDRESS (Include ZIP Code) | 5. APPROVED PLAN NUMBER | |||||||||||||
| Pre-A | B | C-FRP | PRIME / ASSOCIATE CONTRACTOR | DIRECT-REPORTING SUBCONTRACTOR | GOVERNMENT | a. PERFORMING ORGANIZATION | b. DIVISION | ||||||||||
| A | C-LRIP | O&S | |||||||||||||||
| 6. CUSTOMER (Direct-reporting subcontractor use only) | 7. CONTRACT TYPE | 8. CONTRACT PRICE | 9. CONTRACT CEILING | 10. TYPE ACTION | |||||||||||||
| a. CONTRACT NO.: | c. SOLICITATION NO.: | e. TASK ORDER/DELIVERY ORDER/LOT NO.: | |||||||||||||||
| b. LATEST MODIFICATION: | d. NAME: | ||||||||||||||||
| 11. PERIOD OF PERFORMANCE | 12. APPROPRIATION | 13. REPORT CYCLE | 14. SUBMISSION NUMBER | 15. RESUBMISSION NUMBER | 16. REPORT AS OF (YYYYMMDD) | ||||||||||||
| a. START DATE (YYYYMMDD): | RDT&E | INITIAL | |||||||||||||||
| b. END DATE (YYYYMMDD): | PROCUREMENT | INTERIM | |||||||||||||||
| O&M | FINAL | ||||||||||||||||
| 17. NAME (Last, First, Middle Initial) | 18. DEPARTMENT | 19. TELEPHONE NUMBER (Include Area Code) | 20. EMAIL ADDRESS | 21. 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 COMPLETION |
COSTS INCURRED AT COMPLETION (thousands of U.S. Dollars) | ||||||||||||
| NONRECURRING | RECURRING | TOTAL | NONRECURRING | RECURRING | TOTAL | ||||||||||||
| A | B | C | D | E | F | G | H | I | J | ||||||||
| 22. REMARKS | |||||||||||||||||
| DD FORM 1921, MAY 2011 | PREVIOUS EDITION IS OBSOLETE. | SECURITY CLASSIFICATION | Unclassified | ||||||||||||||
| File Type | application/vnd.ms-excel |
| File Modified | 2023-02-22 |
| File Created | 2011-05-16 |