DD Form 106 DoD Issuances Program Coordination Initiation

DD Form 106 - also known as the "Dod Issuances Program Coordination Initiation" - is a Military form issued and used by the United States Department of Defense.

The form - often incorrectly referred to as the DA form 106 - was last revised on April 1, 2018. Download an up-to-date fillable DD Form 106 down below in PDF-format or find it on the Department of Defense documentation website.

ADVERTISEMENT
DoD ISSUANCES PROGRAM COORDINATION INITIATION
1. DoD ISSUANCE TYPE AND NUMBER
2. ISSUANCE TITLE
6. FORMS
7. INTERNAL
3. ACTION TYPE
4. ISSUANCE CLASSIFICATION
5. DISTRIBUTION
PRESCRIBED?
COORDINATION
COMPLETE?
9. INFORMATION COLLECTION REQUIREMENTS
8. COORDINATION
(Select as applicable.)
SUSPENSE DATE
In accordance with this issuance, information will be collected from DoD or OSD Components or
In accordance with this issuance, information
other federal agencies. Costs of the DoD internal information collection must be provided below
The Directives Portal
will be collected and submitted to Congress.
for coordination.
System sets suspenses
In accordance with this issuance, information
automatically from the
Total cost of the collection to the requesting Component.
will be collected from the public.
date of posting on the
Portal in accordance with
Total cost of the collection to the responding Component.
DoDI 5025.01.
10. PURPOSE AND REMARKS
(Continue on second page if necessary.)
11. COORDINATING COMPONENTS
(Mark all that apply as primary (P) or collateral (C) coordinators. Primary coordinators are assigned responsibilities or otherwise have equity
in the issuance. Collateral coordinators receive the issuance for informational purposes only. "Other" coordinators do not have access to the Portal and should be contacted
directly by the action officer.)
a. MANDATORY COORDINATORS
M
M
Chief Management Officer of the Department of Defense
Inspector General of the Department of Defense
b. OSD AND DoD COMPONENT HEADS
(If the issuance assigns responsibilities to the "DoD Component heads," all in this section must be marked as at least collateral
coordinators.)
Assistant to the Secretary of Defense for Public Affairs
Under Secretary of Defense for Acquisition and Sustainment
Chairman of the Joint Chiefs of Staff
Under Secretary of Defense (Comptroller)/Chief Financial Officer, DoD
Chief, National Guard Bureau
Under Secretary of Defense for Intelligence
Department of Defense Chief Information Officer
Under Secretary of Defense for Personnel and Readiness
Secretary of the Air Force
Under Secretary of Defense for Policy
Secretary of the Army
Under Secretary of Defense for Research and Engineering
Secretary of the Navy
c. OTHER OSD COMPONENT HEADS AND OUTSIDE AGENCIES
(No authority over DoD Components; they coordinate if assigned specific responsibilities or have other
equity in the subject.)
Assistant Secretary of Defense for Legislative Affairs
Director of Operational Test and Evaluation
Commandant, United States Coast Guard
Identify Other:
Director of Cost Assessment and Program Evaluation
Identify Other:
Director, Net Assessment
Identify Other:
12. ACTION OFFICER INFORMATION
13. ORIGINATING AUTHORIZING OFFICIAL
(See instructions.)
a. NAME
a. NAME
b. OFFICE
b. POSITION TITLE
DESIGNATION
c. TELEPHONE
(include
c. DATE SIGNED
area code)
d. EMAIL ADDRESS
d. SIGNATURE
e. FAX
(include area code)
DD FORM 106, APR 2018
Page 1 of 3
REPLACES SD 106, PREVIOUS EDITION IS OBSOLETE.
LiveCycle Designer ES4
DoD ISSUANCES PROGRAM COORDINATION INITIATION
1. DoD ISSUANCE TYPE AND NUMBER
2. ISSUANCE TITLE
6. FORMS
7. INTERNAL
3. ACTION TYPE
4. ISSUANCE CLASSIFICATION
5. DISTRIBUTION
PRESCRIBED?
COORDINATION
COMPLETE?
9. INFORMATION COLLECTION REQUIREMENTS
8. COORDINATION
(Select as applicable.)
SUSPENSE DATE
In accordance with this issuance, information will be collected from DoD or OSD Components or
In accordance with this issuance, information
other federal agencies. Costs of the DoD internal information collection must be provided below
The Directives Portal
will be collected and submitted to Congress.
for coordination.
System sets suspenses
In accordance with this issuance, information
automatically from the
Total cost of the collection to the requesting Component.
will be collected from the public.
date of posting on the
Portal in accordance with
Total cost of the collection to the responding Component.
DoDI 5025.01.
10. PURPOSE AND REMARKS
(Continue on second page if necessary.)
11. COORDINATING COMPONENTS
(Mark all that apply as primary (P) or collateral (C) coordinators. Primary coordinators are assigned responsibilities or otherwise have equity
in the issuance. Collateral coordinators receive the issuance for informational purposes only. "Other" coordinators do not have access to the Portal and should be contacted
directly by the action officer.)
a. MANDATORY COORDINATORS
M
M
Chief Management Officer of the Department of Defense
Inspector General of the Department of Defense
b. OSD AND DoD COMPONENT HEADS
(If the issuance assigns responsibilities to the "DoD Component heads," all in this section must be marked as at least collateral
coordinators.)
Assistant to the Secretary of Defense for Public Affairs
Under Secretary of Defense for Acquisition and Sustainment
Chairman of the Joint Chiefs of Staff
Under Secretary of Defense (Comptroller)/Chief Financial Officer, DoD
Chief, National Guard Bureau
Under Secretary of Defense for Intelligence
Department of Defense Chief Information Officer
Under Secretary of Defense for Personnel and Readiness
Secretary of the Air Force
Under Secretary of Defense for Policy
Secretary of the Army
Under Secretary of Defense for Research and Engineering
Secretary of the Navy
c. OTHER OSD COMPONENT HEADS AND OUTSIDE AGENCIES
(No authority over DoD Components; they coordinate if assigned specific responsibilities or have other
equity in the subject.)
Assistant Secretary of Defense for Legislative Affairs
Director of Operational Test and Evaluation
Commandant, United States Coast Guard
Identify Other:
Director of Cost Assessment and Program Evaluation
Identify Other:
Director, Net Assessment
Identify Other:
12. ACTION OFFICER INFORMATION
13. ORIGINATING AUTHORIZING OFFICIAL
(See instructions.)
a. NAME
a. NAME
b. OFFICE
b. POSITION TITLE
DESIGNATION
c. TELEPHONE
(include
c. DATE SIGNED
area code)
d. EMAIL ADDRESS
d. SIGNATURE
e. FAX
(include area code)
DD FORM 106, APR 2018
Page 1 of 3
REPLACES SD 106, PREVIOUS EDITION IS OBSOLETE.
LiveCycle Designer ES4
10. PURPOSE AND REMARKS
(Continued.)
INSTRUCTIONS FOR COMPLETING THE DD FORM 106
ITEM 1. DoD ISSUANCE TYPE AND NUMBER. As stated. For a new
ITEM 10. PURPOSE AND REMARKS. Explain the purpose of the issuance
DoD issuance, enter the four digit number of the major subject group. See the
and provide background information. Use the purpose statement of the
DoD Issuance Numbering System document on the DoD Issuances Website at
issuance for a start. Include any issuances that are being incorporated and
http://www.esd.whs.mil/Portals/54/Documents/DD/iss_process/
cancelled by this issuance; any special circumstances like the need for
Issuance_Numbering.pdf for more information on the DoD issuance
accelerated formal coordination or special Deputy Secretary of Defense
numbering system. For a revision, change, or cancellation, enter the existing
interest, that this is a re-coordination, or other information the reviewers must
number of the issuance.
be aware of.
ITEM 2. TITLE. As stated. (No longer than two lines).
ITEM 11. COORDINATING COMPONENTS. Mandatory coordinators are the
IG DoD and the Chief Management Officer. Primary coordinators are
ITEM 3. ACTION TYPE. As stated.
Components who have equity or interest in the issuance. Response is
required; however, if no response is received by the suspense date, the
ITEM 4. ISSUANCE CLASSIFICATION. As stated.
issuance approval process will continue. Collateral coordinators are
Components who are provided the issuance for informational purposes only.
ITEM 5. DISTRIBUTION. Select “Cleared for Public Release” for an
No response is required, but comments received will be included. The action
unclassified issuance approved for public release. Select “Not Cleared for
officer is responsible for getting coordination from agencies not on the
Public Release” for an issuance that is accessible with a DoD PKI certificate
Directives Portal System (e.g., the Department of Homeland Security). Do
on the NIPRNET (e.g., those issuances that are for official use only) or
NOT include GC DoD as they review the issuance AFTER formal coordination
through controlled internet access on the SIPRNET. Select “Not Cleared for
is complete. Do not select your own component; internal coordination must be
Public Release” for issuances that must not be released on the Internet.
completed during issuance development.
Release must be approved by the originating Component. See review and
clearance requirements in DoD Directive (DoDD) 5230.9 and DoDI 5230.29 to
ITEM 12. ACTION OFFICER INFORMATION. As stated.
determine how the issuance should be released and distributed.
ITEM 13. ORIGINATING AUTHORIZING OFFICIAL. All fields in item 13 are
ITEM 6. FORMS PRESCRIBED. If yes, place an “X” in the box. See DoD
mandatory. Print or type the name of the official authorizing formal
7750.07-M for guidance on DoD forms.
coordination in block 13a. Enter the official's position title in block 13b and the
signature date in block 13c. Individuals with authority to start coordination are:
ITEM 7. INTERNAL COORDINATION COMPLETE. Coordination within the
for DoDDs and DoDIs: the OSD Component heads and their Deputies. For
originating OSD Component must be complete before submitting for
DoDMs and AIs: the OSD Component heads, their Deputies and the OSD
precoordination review.
Presidentially Appointed, Senate-Confirmed (PAS) officials. The OSD PAS
officials are the USDs and their Deputies; Chief Management Officer;
ITEM 8. COORDINATION SUSPENSE DATE. As stated.
Directors, Cost Assessment and Program Evaluation and Operational Test and
Evaluation; GC DoD; IG DoD; and the ASDs. Any delegation of signature
ITEM 9. INFORMATION COLLECTION REQUIREMENTS. Select the first
authority must be sent to the Office of the Director of Administration, OCMO, in
block and list ASD(LA) as a primary coordinator in Item 11 for issuances that
writing.
prescribe congressional information collections (see DoDI 5545.02). Select the
second block for issuances that prescribe public information collections and
require approval from the Office of Management and Budget and coordination
with the DoD Public Information Collections Officer (see DoD Manual 8910.01
Volume 2). Select the block in the second column for issuances that prescribe
DoD internal information collections. Components responding to DoD internal
information collections must be listed as collateral or primary coordinators in
Item 11. List the costs associated with the DoD internal information collection
from the DD Form 2936 (used to assign report control symbols to DoD internal
information collections). See the DoD Internal Information Collections Website
at http://www.esd.whs.mil/Directives/collections/ for guidance on DoD internal
information collections.
DD FORM 106, APR 2018
Page 2 of 3
REPLACES SD 106, PREVIOUS EDITION IS OBSOLETE.
LiveCycle Designer ES4
List of Department of Defense and Office of the Secretary of Defense (OSD) Components
For more information on coordinating with Components, see the coordination tab on the Writing DoD Issuances: Supporting Documents page of the DoD
Issuances Website. For more information on DoD and OSD Components, see the DoD and OSD Components PDF. See the DoD Issuances Website for a list
of Signature Authorities Approved for DoD Issuance Actions.
Assistant Secretary of Defense (ASD) for Legislative Affairs
Under Secretary of Defense for Intelligence
Includes: Principal Deputy Under Secretary of Defense
Assistant to the Secretary of Defense for Public Affairs
for Intelligence
Includes: Director, Defense Media Activity
Director, Defense Intelligence Agency
Director, Defense Security Service
Chairman of the Joint Chiefs of Staff
Director, National Geospatial-Intelligence Agency
Chief Information Officer of the Department of Defense
Director, National Reconnaissance Office
Includes: Director, Defense Information Systems
Agency
Director, National Security Agency/Chief, Central Security
Service
Chief Management Officer of the Department of Defense
Includes: Director, Pentagon Force Protection Agency
Under Secretary of Defense for Personnel and Readiness
Director, Washington Headquarters Service
Includes: Principal Deputy Under Secretary of Defense
for Personnel and Readiness
Chief, National Guard Bureau
ASD (Health Affairs)
ASD (Manpower and Reserve Affairs)
General Counsel of the Department of Defense
ASD (Readiness)
Includes: Director, Defense Legal Services Agency
Director, Defense Commissary Agency
Inspector General of the Department of Defense
Director, Department of Defense Education Activity
Director, Department of Defense Human Resources Activity
Director, Net Assessment
Director, Defense Health Agency
Director of Cost Assessment and Program Evaluation
Under Secretary of Defense for Policy
Includes: Principal Deputy Under Secretary of Defense
Director of Operational Test and Evaluation
for Policy
Director, Strategic Capabilities Office
ASD (Asian and Pacific Security Affairs)
ASD (Strategy, Plans, and Capabilities)
Secretary of the Air Force
ASD (Homeland Defense and Global Security)
ASD (International Security Affairs)
Secretary of the Army
ASD (Special Operations and Low Intensity Conflict)
Secretary of the Navy
Director, Defense Security Cooperation Agency
Director, Defense POW/MIA Accounting Agency
Under Secretary of Defense (Comptroller)/Chief Financial
Director, Defense Technology Security Administration
Officer, Department of Defense
Includes: Principal Deputy Under Secretary of Defense
Under Secretary of Defense for Research and Engineering
(Comptroller)
Includes: Deputy Under Secretary of Defense
Director, Defense Contract Audit Agency
for Research and Engineering
Director, Defense Finance and Accounting Service
Director, Defense Advanced Research Projects Agency
Director, Missile Defense Agency
Under Secretary of Defense for Acquisition and Sustainment
Director, Defense Technical Information Center
Includes: Deputy Under Secretary of Defense for
Director, DoD Test Resource Management Center
Acquisition and Sustainment
ASD (Acquisition)
ASD (Energy, Installations, and Environment)
ASD (Logistics and Materiel Readiness)
ASD (Nuclear, Chemical, and Biological Defense Programs)
Director, Defense Contract Management Agency
Director, Defense Logistics Agency
Director, Defense Threat Reduction Agency
Director, Office of Economic Adjustment
President, Defense Acquisition University
DD FORM 106, APR 2018
Page 3 of 3
REPLACES SD 106, PREVIOUS EDITION IS OBSOLETE.
LiveCycle Designer ES4
ADVERTISEMENT
Page of 3