B. RECURRING
SECURITY CLASSIFICATION
FUNCTIONAL COST-HOUR REPORT
Form Approved
OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 16 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 Department of Defense, Washington Headquarters Services, Executive Services 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 COMPLETED FORM TO THE ABOVE ORGANIZATION.
1. PROGRAM
a. MDAP:
b. PHASE:
2. PRIME MISSION PRODUCT 3. CONTRACTOR TYPE (X one)
PRIME/ASSOCIATE
DIRECT-REPORTING SUBCONTRACTOR
4. NAME/ADDRESS (Include ZIP Code)
5. APPROVED PLAN NUMBER 6. CUSTOMER (Direct-Reporting Subcontractor Use Only) 7. TYPE ACTION
a. CONTRACT NO.:
b. LATEST MODIFICATION:
c. SOLICITATION NO.:
d. NAME:
8. PERIOD OF PERFORMANCE
a. START DATE (YYYYMMDD): b. END DATE (YYYYMMDD):
21. APPROPRIATION
RDT&E
9. REPORT CYCLE (X one) 10. SUBMISSION NUMBER 11. RESUBMISSION NUMBER 12. REPORT AS OF (YYYYMMDD)
13. NAME (Last, First, Middle Initial) 14. DEPARTMENT 15. TELEPHONE NUMBER (Include Area Code) 16. EMAIL ADDRESS 17. DATE PREPARED (YYYYMMDD)
18. WBS ELEMENT CODE 19. WBS REPORTING ELEMENT 20. NUMBER OF UNITS
COSTS AND HOURS INCURRED TO DATE
A. NONRECURRING C. TOTAL
COSTS AND HOURS INCURRED AT COMPLETION
D. NONRECURRING E. RECURRING F. TOTAL
DD FORM 1921-1, APR 2007
PREVIOUS EDITION IS OBSOLETE.
SECURITY CLASSIFICATION
Adobe Professional 7.0
a. TO DATE: b. AT COMPLETION:
FUNCTIONAL DATA ELEMENTS
INITIAL
PROCUREMENT
ENGINEERING
(1) DIRECT ENGINEERING LABOR HOURS
(2) DIRECT ENGINEERING LABOR DOLLARS
(3) ENGINEERING OVERHEAD DOLLARS
(4) TOTAL ENGINEERING DOLLARS
MANUFACTURING OPERATIONS
(5) DIRECT TOOLING LABOR HOURS
(6) DIRECT TOOLING LABOR DOLLARS
(7) DIRECT TOOLING & EQUIPMENT DOLLARS
(8) DIRECT QUALITY CONTROL LABOR HOURS
(9) DIRECT QUALITY CONTROL LABOR DOLLARS
(10) DIRECT MANUFACTURING LABOR HOURS
(11) DIRECT MANUFACTURING LABOR DOLLARS
(12) MANUFACTURING OPERATIONS OVERHEAD DOLLARS (Including Tooling and Quality Control)
(13) TOTAL MANUFACTURING OPERATIONS DOLLARS (Sum of rows 6, 7, 9, 11, and 12)
MATERIALS
(14) RAW MATERIAL DOLLARS
(15) PURCHASED PARTS DOLLARS
(16) PURCHASED EQUIPMENT DOLLARS
(17) MATERIAL HANDLING/OVERHEAD DOLLARS
(18) TOTAL DIRECT-REPORTING SUBCONTRACTOR DOLLARS
(19) TOTAL MATERIAL DOLLARS
OTHER COSTS
(20) OTHER COSTS NOT SHOWN ELSEWHERE (Specify in Remarks)
SUMMARY
(21) TOTAL COST (Direct and Overhead)
O&M
INTERIM FINAL
22. REMARKS
