U.S. DOD Form dod-dd-610
Form Approved
OMB No. 0704-0188
GOVERNMENT FURNISHED EQUIPMENT REQUIREMENT SCHEDULE
The public reporting burden for this collection of information is estimated to average 30 minutes 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, Executive Services and
Communications Directorate (0704-0188). 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 FORM TO THE ABOVE ORGANIZATION.
1. CLASSIFICATION
2. FACILITY
4. CONTRACT/RFP NO.
5. SYSTEM AND SERIES
9. CONTRACT DATE
10. CONTRACT QUANTITY
11. REVISED NO.
12. DATE
3. LOCATION
PAGE
6. FISCAL YEAR 7. PREPARED BY
TO DATE
8. AUTHENTICATED BY
OF
(Signature and Title)
YEAR
MONTH
SEP
OCT
NOV
DEC
JAN
FEB
MAR
APR
MAY
JUN
JUL
13. SHOP COMPLETION SCHEDULE
14. SYSTEMS ACCEPTANCE SCHEDULE
15. ITEM OR
SIN NUMBER
DD FORM 610, AUG 96
16. NOUN NOMENCLATURE/
PART NUMBER/TYPE
PAGES
17. QTY
19. AUTH
18. EFFECPER
FOR
TIVITY
SYS
RQMT
20. TO
DATE
PREVIOUS EDITION MAY BE USED.
21. EQUIPMENT IS REQUIRED ON SYSTEMS MFGR DOCK BY LAST DAY OF MONTH
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