CLASSIFICATION
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
PRODUCTION
Form Approved
other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate
PROGRESS REPORT
(0704-0250). 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
OMB No. 0704-0250
information if it does not display a currently valid OMB control number.
Expires Jan 31, 2003
(Continuation)
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM AS SET FORTH IN THE CONTRACT.
1. REPORT PERIOD
2. CONTRACT ADMINISTRATION OFFICE AND ADDRESS
3. PURCHASING OFFICE AND ADDRESS
(Include ZIP Code)
(Include ZIP Code)
4. REPORT NUMBER
5. NAME AND ADDRESS OF CONTRACTOR
6. NAME AND ADDRESS OF PLANT
(City, State, ZIP Code)
(City, State, ZIP Code)
NOTE: If final report, so indicate by placing
"F" after Report No.
7. PII (
NUMBER
Contract)
8. REMARKS
9. CONTRACTOR'S REPRESENTATIVE
10. GOVERNMENT REPRESENTATIVE
a. TYPED NAME (Last, First, Middle Initial)
a. TYPED NAME (Last, First, Middle Initial)
b. TITLE
b. TITLE
c. SIGNATURE
d. DATE SIGNED
c. SIGNATURE
d. DATE SIGNED
(YYYYMMDD)
(YYYYMMDD)
DD FORM 375C, MAR 2000
PREVIOUS EDITION MAY BE USED.
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CLASSIFICATION
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