The following is a Sample Form 9, note that not all of the individuals cited on this sample will be required for each AP, see DARS 7.9003 (b) for more information. The “Action” for the last name in the list should be Approve not Concur.
SUMMARY SHEET |
SUSPENSE DATE: (Date approval requested by) | ||||||||||||
TO |
ACTION |
TYPED NAME |
INIT |
DATE |
TO |
ACTION |
TYPED NAME |
INIT |
DATE | ||||
1. |
SDA |
Concur |
(Insert Name) |
11. |
HCA |
Concur |
(Insert Name) |
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2. |
PEO |
Concur |
(Insert Name) |
12. |
SPE |
Approve |
(Insert Name) |
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3. |
CAE or RO |
Concur |
(Insert Name) |
13. |
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4. |
SPI/CIO |
Concur |
(Insert Name) |
14. |
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5. |
CO |
Concur |
(Insert Name) |
15. |
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6. |
HCO |
Concur |
(Insert Name) |
16. |
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7. |
OSBP |
Concur |
(Insert Name) |
17. |
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8. |
GC |
Concur |
(Insert Name) |
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18. |
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9. |
PLA |
Concur |
(Insert Name) |
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19. |
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10. |
PLD |
Concur |
(Insert Name) |
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20. |
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ACTION OFFICER (Planner’s name) |
OPR CODE (Insert) |
PHONE NUMBER (Insert) |
SIGNATURE: (Planner’s Signature) |
DATE (Date of submittal) | |||||||||
SUBJECT: Acquisition Plan (Name of program) | |||||||||||||
SUMMARY 1. PURPOSE. (Description of program) – (PEO Joe intends to procure a flibbertigibbet to achieve necessary functional capabilities through reliable and accurate measurement of time/space continuum.) 2. ESSENTIAL CONSIDERATIONS. (Short basic summary of the action, description of the action, reasons for the action, cost of the action, and period of performance.) At a minimum include: What we are buying, How much it costs (e.g., ceiling), and period of performance. (The nature of the Joe mission is to guide the transformation of solar system travel via computer generated data feedback loops allowing for instantaneous recalculation of path and speed consumed in space travel. The intent of this acquisition is to integrate the flibbertigibbet into the dashboard to measure the time/space continuum. The resulting system, once implemented, will provide a real time, web based system of speed and location reports. This procurement will include software and hardware. The base period of performance is one year with 2 one-year option periods, for a total life cycle of 3 years. The total life cycle cost for this acquisition is estimated at $178,563,000.00 for the three-year period of performance. ) 3. RECOMMENDATION: Offices listed above, review and coordinate or approve on the attached Acquisition Plan (Tab A). 1 Enclosure: Tab A. Acquisition Plan w/ attachments |