Functional Cost-Hour Report

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Unclassified

SECURITY CLASSIFICATION

OMB No. 0704-0671
X/XX/XXXX

FUNCTIONAL COST-HOUR REPORT

Expires:

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
b. PHASE/MILESTONE
Pre-A
A

a. NAME:
B

C-FRP

C-LRIP

O&S

2. PRIME MISSION
PRODUCT

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

GOVERNMENT

4. NAME/ADDRESS (Include Zip Code)
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
15. TELEPHONE NO. (Include Area Code)
16. EMAIL ADDRESS

13. NAME (Last, First, Middle Initial)

14. DEPARTMENT

18. WBS ELEMENT CODE

19. WBS REPORTING ELEMENT

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
MANUFACTURING OPERATIONS

(5) DIRECT TOOLING LABOR HOURS
(6) DIRECT TOOLING LABOR DOLLARS
(7) DIRECT TOOLING & EQUIPMENT DOLLARS
(8) DIRECT QUALITY CONTROL LABOR HOURS
(9) DIRECT QUALITY CONTROL LABOR DOLLARS
(10) DIRECT MANUFACTURING LABOR HOURS
(11) DIRECT MANUFACTURING LABOR DOLLARS
(12) MANUFACTURING OPERATIONS OVERHEAD DOLLARS (Including Tooling and Quality Control)
(13) TOTAL MANUFACTURING OPERATIONS DOLLARS (Sum of rows 6, 7, 9, 11, and 12)
MATERIALS

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

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

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

DD FORM 1921-1, MAY 2011

SECURITY CLASSIFICATION

Unclassified