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 |
TRACKING NUMBER | ||||||||||||
TO |
ACTION |
TYPED NAME |
CONCUR |
INITIALS |
DATE |
TO |
ACTION |
TYPED NAME |
CONCUR |
INITIALS |
DATE | ||
1. SDA |
Concur |
(Insert Name) |
11. HCA |
Concur |
(Insert Name) |
||||||||
2. PEO |
Concur |
(Insert Name) |
12. SPE |
Approve |
(Insert Name) |
||||||||
3. CAE or RO |
Concur |
(Insert Name) |
13. |
||||||||||
4. SPI/ CIO |
Concur |
(Insert Name) |
14. |
||||||||||
5. CO |
Concur |
(Insert Name) |
15. |
||||||||||
6. HCO |
Concur |
(Insert Name) |
16. |
||||||||||
7. OSBP |
Concur |
(Insert Name) |
17. |
||||||||||
8. GC |
Concur |
(Insert Name) |
18. |
||||||||||
9. PLA |
Concur |
(Insert Name) |
19. |
||||||||||
10. PLD |
Concur |
(Insert Name) |
20. |
||||||||||
SUBJECT Acquisition Plan (Name of program) |
SUSPENSE DATE: | ||||||||||||
Acquisition Plan (Tab A). 1 Enclosure: Tab A. Acquisition Plan w/ attachments | |||||||||||||
ACTION OFFICER (Planner’s name) |
OFFICE CODE (Insert) |
PHONE NUMBER (Insert) | |||||||||||
SIGNATURE (Planner’s signature) |
DATE PREPARED (Date of submittal) |