Sustainment Functional Cost-Hour Report

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Unclassified

SECURITY CLASSIFICATION

OMB No. 0704-0671
Expires: X/XX/XXXX

SUSTAINMENT FUNCTIONAL COST-HOUR REPORT

The public reporting burden for this collection of information is estimated to average 16 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
Pre-A

B

C-FRP

C-LRIP

O&S

A

2. PRIME MISSION
PRODUCT

3. REPORTING ORGANIZATION TYPE
PRIME / ASSOCIATE
DIRECT-REPORTING
CONTRACTOR
SUBCONTRACTOR

4. NAME/ADDRESS (Include Zip Code)
GOVERNMENT

a. PERFORMING ORGANIZATION

6. CUSTOMER (Direct-Reporting Subcontractor Use Only)

7. TYPE ACTION

8. PERIOD OF PERFORMANCE
a. START DATE (YYYYMMDD):
b. END DATE (YYYYMMDD):

c. SOLICITATION NO.:
a. CONTRACT NO.:
b. LATEST MODIFICATION:
d. NAME:
9. REPORT CYCLE
10. SUBMISSION NUMBER
INITIAL
INTERIM
FINAL
16. EMAIL ADDRESS
15. TELEPHONE NO. (Include Area Code)

13. NAME (Last, First, Middle Initial)

14. DEPARTMENT

18. WBS ELEMENT CODE

19. WBS REPORTING ELEMENT

SUSTAINMENT FUNCTIONAL DATA ELEMENTS

20. NUMBER OF UNITS
a. TO DATE

B. RECURRING

e. TASK ORDER/DELIVERY
ORDER/LOT NO.:
11. RESUBMISSION NUMBER

12. REPORT AS OF (YYYYMMDD)

17. DATE PREPARED (YYYYMMDD)

21. APPROPRIATION
RDT&E
PROCUREMENT
O&M

b. AT COMPLETION

COSTS AND HOURS INCURRED TO DATE
(thousands of U.S. Dollars or thousands of hours)
A. NONRECURRING

5. APPROVED
PLAN NUMBER

b. DIVISION

COSTS AND HOURS INCURRED AT COMPLETION
(thousands of U.S. Dollars or thousands of hours)
C. TOTAL

D. NONRECURRING

E. RECURRING

F.TOTAL

ENGINEERING

(1) DIRECT ENGINEERING LABOR HOURS
(2) DIRECT ENGINEERING LABOR DOLLARS
(3) ENGINEERING OVERHEAD DOLLARS
(4) TOTAL ENGINEERING DOLLARS
PROGRAM MANAGEMENT

(5) DIRECT PROGRAM MANAGEMENT LABOR HOURS
(6) DIRECT PROGRAM MANAGEMENT LABOR DOLLARS
(7) PROGRAM MANAGEMENT OVERHEAD DOLLARS
(8) TOTAL PROGRAM MANAGMENT DOLLARS
MAINTENANCE OPERATIONS

(9) TOUCH MAINTENANCE LABOR HOURS
(10) TOUCH MAINTENANCE LABOR DOLLARS
(11) TOUCH MAINTENANCE OVERHEAD DOLLARS
(12) SUPPORT MAINTENANCE LABOR HOURS
(13) SUPPORT MAINTENANCE LABOR DOLLARS
(14) SUPPORT MAINTENANCE OVERHEAD DOLLARS
(15) TOTAL MAINTENANCE OPERATIONS DOLLARS
MATERIALS

(16) RAW MATERIAL DOLLARS
(17) PURCHASED PARTS DOLLARS
(18) PURCHASED EQUIPMENT DOLLARS
(19) MATERIAL HANDLING/OVERHEAD DOLLARS
(20) TOTAL DIRECT-REPORTING SUBCONTRACTOR DOLLARS
(21) TOTAL MATERIAL DOLLARS
OTHER COSTS

(22) OTHER COSTS NOT SHOWN ELSEWHERE (Specify in Remarks)
SUMMARY

(23) TOTAL COST (Direct and Overhead)
22. REMARKS

DD FORM 1921-5, DEC 2015

SECURITY CLASSIFICATION

Unclassified