CATALOG ACTION REQUEST
SECTION A - INITIATING ACTIVITY
1. FROM:
2.
ACTIVITY CONTROL NUMBER
MILITARY SERVICE
DPSC
3. ITEM DESCRIPTION
4. ACTION REQUESTED
PHRASE
PHRASE
5.
NSN
REFERENCED/PHRASE RELATED
NSN
REFERENCED/PHRASE RELATED
CODE
CODE
6. UNIT OF ISSUE (U/I)
7. ESTIMATED PRICE
9. SOURCE OF SUPPLY CODE
8. RECOMMENDED ACQUISITION ADVICE CODE
NEW/CURRENT ITEM
REPLACED ITEM
10. REMARKS/NOTES
11. TYPED NAME AND TITLE
12. SIGNATURE
13. DATE
SECTION B - TECHNICAL AND QUALITY ASSURANCE COMMODITY BRANCH
15. QTY UNIT
16. U/I QUANTITATIVE
17. REPARA-
18. CONSUMABILITY
19. REMARKS
14. SHELF
PACK
EXPRESSION
BILITY
CODE
LIFE
(Case Lot)
CODE
20. TYPED NAME AND TITLE
21. SIGNATURE
22. DATE
SECTION C - SUPPLY OPERATIONS DIVISION/COMPTROLLER
23. USING SERVICES
26. STOCKAGE
27. NORMAL METHOD
28. TEXTILE CONVER-
29. FIA
24. REDUCED
25.
SUPPLY STATUS CODE
STATUS CODE
OF ACQUISITION
SION CODE
BILLING
NEW/ CURRENT
REPLACED ITEM
CODE
CODE
ITEM
31. EST / STD PRICE
33. U/ I CONVERSION FACTOR
34. PHYSICAL SECURITY
30.
MAGIC NUMBER
32.
PRIORITY OF ISSUE
CODE
BASIC
SUB
NEW/CURRENT ITEM
REPLACED ITEM
35. REMARKS/NOTES
36. SOURCE OF
37. ACQUISITION ADVICE CODE
SUPPLY
NEW
OLD
40. DATE
38. TYPED NAME AND TITLE
39. SIGNATURE
SECTION D - CATALOG BRANCH AND STANDARDIZATION SECTION
41. THIS NSN IS:
ASSIGNED
CHANGED
DELETED
REINSTATED
LOGISTIC TRANSFER
45. EFFECTIVE DATE (CMDN)
42. NSN
43. MAGIC NUMBER
44. REFERENCE NUMBER
46. RAMAC
FORMAT CODE
EFFECTIVE DATE
47. REMARKS/ITEM DESCRIPTION (CATALOGING)
49. DELETION
50. REMARKS (STANDARDIZATION)
48. STANDARDIZATION STATUS CODE
REASON CODE
NEW/CURRENT ITEM
REPLACED ITEM
51. TYPED NAME AND TITLE (CATALOGING)
51 a . SIGNATURE (CATALOGING)
52. TYPED NAME AND TITLE (STANDARDIZATION)
52 a . SIGNATURE (STANDARDIZATION)
Adobe Professional X
DD FORM 1277, APR 75
EDITION OF 1 FEB 72 IS OBSOLETE.