Public reporting burden for, this collection is estimated to average 2 hours er response, includin the time for, reviewing
instructions, search1n.g existing data sources, gathering and maintaining the &ta needed, and comjeting and reviewing the
collection of information. Send comments regardin this burden estimate or an other aspect of this collection of information,
including su gestions for reducing this burden to 8 T i m e n t of Defense Wadin ton Headquarters Services Directorate for
Informationa perations and Reports 121 5 Jefferson, avis Hi hwa , Suite '1,204A,r % ton VA 22202-4302,a nd' to the Office of
Mana ement and Bud et Papetwork Reduction Project 070$018i Washin ton D220503.
FORM TO THE GOVERNMENT ISSUING CONTRACTING OFFICER FOR THE CONTRACT/ PROCURING ACTIVITY
NUMBER LISTED IN ITEM 2 OF THIS FORM.