DD Form 2749 Technical Assistance for Public Participation (TAPP) App

Prescribed by: DoD Policy/Regulation/Authorizing Document
TECHNICAL ASSISTANCE FOR PUBLIC PARTICIPATION (TAPP) APPLICATION

OMB No. XXXX-XXXX
OMB approval expires
YYYYMMDD

The public reporting burden for this collection of information, 0704-0392, is estimated to average 4 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.

RETURN COMPLETED FORM TO INSTALLATION LISTED IN SECTION I, BLOCK 1.

SECTION I - TAPP REQUEST SOURCE IDENTIFICATION DATA
1. INSTALLATION
2. SOURCE OF TAPP REQUEST (Name of Restoration Advisory Board (RAB) or Technical Review Committee (TRC)

3. CERTIFICATION OF MAJORITY REQUEST

5. RAB POINT OF CONTACT
a. NAME (Last, First, Middle Initial)

4. DATE OF REQUEST
(YYYYMMDD)

b. ADDRESS (Street, Apt. or Suite Number, City, State, ZIP Code)

c. TELEPHONE NUMBER (Include Area Code)
SECTION II - TAPP PROJECT DESCRIPTION
6. PROJECT TITLE
7. PROJECT TYPE (Data Interpretation, Training, etc.)

NEEDS DD67

8. PROJECT PURPOSE AND DESCRIPTION (State anticipated goals of project and relate to increased understanding/participation in restoration
process at the installation. Include descriptions, locations, and timetables of products or services requested.)

9. STATEMENT OF ELIGIBILITY (Refer to eligibility criteria in 32 CFR Section 203.10 and 203.11 of TAPP rule. Note other sources that were
considered for this support and state reasons why these sources are inadequate.)

10. ADDITIONAL QUALIFICATIONS OR CRITERIA TO BE CONSIDERED (Additional qualifications (beyond those specified in Section 203.12) a
provider should demonstrate to perform the project to the satisfaction of the RAB/TRC. Attach separate statement, if necessary.)

SECTION III - INSTALLATION COMMANDER/DESIGNATED DECISION AUTHORITY APPROVAL
APPROVED

11. SIGNATURE

12. TITLE

13. DATE (YYYYMMDD)

NOT APPROVED

DD FORM 2749, DRAFT 20190411

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SECTION IV - PROPOSED PROVIDER DATA
14. PROPOSED PROVIDER
a. NAME

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c. TELEPHONE NUMBER,QFOXGH$UHD&RGH
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NEEDS DD67

16. ALTERNATE PROPOSED PROVIDER ,INQRZQ$WWDFKDGGLWLRQDOSDJHVDVUHTXLUHG
a. NAME
b. ADDRESS 6WUHHW$SWRU6XLWH1XPEHU&LW\6WDWH=,3&RGH

c. TELEPHONE NUMBER ,QFOXGH$UHD&RGH
17. ALTERNATE PROVIDER QUALIFICATIONS$WWDFKVHSDUDWHVWDWHPHQWLIQHFHVVDU\$VWDWHPHQWRITXDOLILFDWLRQVIURPWKHSURSRVHG
WHFKQLFDODVVLVWDQFHSURYLGHUZLOOEHDFFHSWDEOH

SECTION V - CONTRACTING OFFICE APPROVAL
18. SIGNATURE
APPROVED
NOT APPROVED

DD FORM 2749 (BACK), DRAFT 20190411

19. TITLE

20. DATE<<<<00''