Dd Form 2737 - Industrial Capabilities Questionnaire
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7FOR OFFICIAL USE ONLY - BUSINESS SENSITIVE AND PROPRIETARY INFORMATION
OMB No. 0704-0377
REPORT CONTROL SYMBOL
INDUSTRIAL CAPABILITIES QUESTIONNAIRE
OMB approval expires
AT&L(AR)1993
Oct 31, 2009
The public reporting burden for this collection of information is estimated to average 12 hours 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 Directorate, Information Management Division, 1155 Defense Pentagon, Washington, DC 20301-1155
(0704-0377). 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 COMPLETED FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE GOVERNMENT
REPRESENTATIVE IDENTIFIED IN ITEM 4.
DATA DATE
SECTION I - FACILITY INFORMATION
1. COMPANY OR U.S. GOVERNMENT DEPARTMENT/FACILITY (Manufacturing Site)
a. SITE NAME
b. ADDRESS (1) STREET
(2) CITY
(3) STATE
(4) ZIP CODE
(5) COUNTRY
c. CAGE CODE
d. DUNS NUMBER
e. INTERNET ADDRESS
f. STATUS OF OWNERSHIP (X one)
(1) GOVERNMENT FACILITIES
(2) COMMERCIAL FACILITIES
(3) BUSINESS CLASSIFICATION
GOGO
PUBLICLY TRADED
FOREIGN
LARGE
GOCO
PRIVATELY HELD
% OWNERSHIP
SMALL
2. MANUFACTURING SITE POINT OF CONTACT
a. NAME (Last, First, Middle Initial)
b. TITLE
c. TELEPHONE NUMBER
d. FAX NUMBER
e. SIGNATURE
f. DATE SIGNED
g. E-MAIL ADDRESS
(Include area code)
(Include area code)
3. PARENT COMPANY OR GOVERNMENT HEADQUARTERS (If any)
a. NAME
b. ADDRESS (1) STREET
c. CAGE CODE
d. DUNS NUMBER
(2) CITY
(3) STATE
(4) ZIP CODE
(5) COUNTRY
e. INTERNET ADDRESS
4. REQUESTING GOVERNMENT REPRESENTATIVE
a. NAME (Last, First, Middle Initial)
b. TITLE
c. TELEPHONE NUMBER
d. FAX NUMBER
e. SIGNATURE
f. DATE SIGNED
g. E-MAIL ADDRESS
(Include area code)
(Include area code)
h. ADDRESS (1) STREET
(2) CITY
(3) STATE
(4) ZIP CODE
5. REMARKS
Page 1 of 7 Pages
DD FORM 2737, SEP 2007
PREVIOUS EDITION IS OBSOLETE.
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FOR OFFICIAL USE ONLY - BUSINESS SENSITIVE AND PROPRIETARY INFORMATION
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Parent category: Business