Public reporting burden for,this collection is estimated to avera e 2 hours er response, includin the time for,reviewing
instructions searching existin data sources, gathering and main?ainin the tata needed, and compgeting and reviewing the
collection o+ information. Sen! comments regardin this burden estimaye or any other aspect of this col1ectio.n of information
includina suaaestions for reducina this burden. to BeDartrnent of Defense. Washinaton Headauarters Services. Directorate
1. DATE
(YYMMDD)
021010
for lnfoor'EnatiÖ?í Operations and Rëports 1215 'Jeffers'on Davis Hi hway Cuite 1204 Arlington' VA 22202-4301, and to the
Office of Mana ement and Bud et Paperwork Reduction Pro'ect 8704-6188 Washh ton DC'20503.
FORM TO THE GOVERNMENT ISSUING CONTRACTING OFFICER FOR THE CONTRACT/ PROCURING ACTIVITY
NUMBER LISTED IN ITEM 2 OF THIS FORM.