DEPARTMENT OF DEFENSE
OMB No. 0704-0055
APPLICATION FOR PRIORITY RATING FOR PRODUCTION
OMB approval expires
OR CONSTRUCTION EQUIPMENT
Feb 29, 2008
(Read Instructions on Page 4 before completing form.)
The public reporting burden for this collection of information is estimated to average 1 hour 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 (0704-0055). 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. SEE PAGE 4 FOR INSTRUCTIONS ON WHERE TO
FILE YOUR COMPLETED FORM.
1. TO (Name of Military Department or other DoD Component)
2. CASE NUMBER
4. APPLICATION DATE (YYYYMMDD)
3. APPLICANT DATA
a. NAME (Last, First, Middle Initial)
5. ADDRESS WHERE PRODUCTION EQUIPMENT WILL
b. ADDRESS:
BE INSTALLED
STREET
CITY
STATE
ZIP CODE
a. CITY
c. REFERENCE NUMBER (If applicable)
d. TELEPHONE NUMBER (Include area code)
b. STATE
c. ZIP CODE
6. PRODUCTION OR CONSTRUCTION EQUIPMENT FOR WHICH RATING AUTHORITY IS REQUESTED
NUMBER OF
MARK THE PRIORITY RATING OF
FOR GOVERNMENT
THE RATED ORDERS ON WHICH
NAME AND DESCRIPTION OF EQUIPMENT.
HOURS PER
USE ONLY
YOU WILL USE THE REQUESTED
ENTER STANDARD INDUSTRIAL CLASSIFICATION
QUANTITY
PURCHASE
REQUIRED
WEEK TO BE IN
EQUIPMENT ITEMS (X one)
(SIC) CODE IF AVAILABLE.
PRICE PER
DELIVERY
OPERATION ON
(DX=Highest National Priority)
QUANTITY
(Include make, model, and capacity.
(Number
UNIT
DATES
RATED
(DO=Highest Defense Priority)
Use Summary Purchase Order Description.)
of units)
(YYYYMMDD)
CONTRACTS
f.
(Number of units)
AND ORDERS
g.
(1) DX
(2) DO
a.
b.
c.
d.
e.
(1)
(2)
(3)
(4)
7. IS THE WORK YOU NEED THIS EQUIPMENT FOR NOW BEING SUBCONTRACTED? (X one)
a. YES
b. NO
8. IF NOT SUBCONTRACTED, HAVE YOU TRIED TO PLACE SUBCONTRACTS FOR THIS WORK? (X one)
a. YES
b. NO
9. IF THE WORK IS NOT SUITED FOR SUBCONTRACTING, PLEASE EXPLAIN
DD FORM 691, MAY 2005
PREVIOUS EDITION MAY BE USED.
Page 1 of 4 Pages
Reset
Adobe Professional 7.0
DEPARTMENT OF DEFENSE
OMB No. 0704-0055
APPLICATION FOR PRIORITY RATING FOR PRODUCTION
OMB approval expires
OR CONSTRUCTION EQUIPMENT
Feb 29, 2008
(Read Instructions on Page 4 before completing form.)
The public reporting burden for this collection of information is estimated to average 1 hour 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 (0704-0055). 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. SEE PAGE 4 FOR INSTRUCTIONS ON WHERE TO
FILE YOUR COMPLETED FORM.
1. TO (Name of Military Department or other DoD Component)
2. CASE NUMBER
4. APPLICATION DATE (YYYYMMDD)
3. APPLICANT DATA
a. NAME (Last, First, Middle Initial)
5. ADDRESS WHERE PRODUCTION EQUIPMENT WILL
b. ADDRESS:
BE INSTALLED
STREET
CITY
STATE
ZIP CODE
a. CITY
c. REFERENCE NUMBER (If applicable)
d. TELEPHONE NUMBER (Include area code)
b. STATE
c. ZIP CODE
6. PRODUCTION OR CONSTRUCTION EQUIPMENT FOR WHICH RATING AUTHORITY IS REQUESTED
NUMBER OF
MARK THE PRIORITY RATING OF
FOR GOVERNMENT
THE RATED ORDERS ON WHICH
NAME AND DESCRIPTION OF EQUIPMENT.
HOURS PER
USE ONLY
YOU WILL USE THE REQUESTED
ENTER STANDARD INDUSTRIAL CLASSIFICATION
QUANTITY
PURCHASE
REQUIRED
WEEK TO BE IN
EQUIPMENT ITEMS (X one)
(SIC) CODE IF AVAILABLE.
PRICE PER
DELIVERY
OPERATION ON
(DX=Highest National Priority)
QUANTITY
(Include make, model, and capacity.
(Number
UNIT
DATES
RATED
(DO=Highest Defense Priority)
Use Summary Purchase Order Description.)
of units)
(YYYYMMDD)
CONTRACTS
f.
(Number of units)
AND ORDERS
g.
(1) DX
(2) DO
a.
b.
c.
d.
e.
(1)
(2)
(3)
(4)
7. IS THE WORK YOU NEED THIS EQUIPMENT FOR NOW BEING SUBCONTRACTED? (X one)
a. YES
b. NO
8. IF NOT SUBCONTRACTED, HAVE YOU TRIED TO PLACE SUBCONTRACTS FOR THIS WORK? (X one)
a. YES
b. NO
9. IF THE WORK IS NOT SUITED FOR SUBCONTRACTING, PLEASE EXPLAIN
DD FORM 691, MAY 2005
PREVIOUS EDITION MAY BE USED.
Page 1 of 4 Pages
Reset
Adobe Professional 7.0
10. LIST NUMBERS OF THE RATED CONTRACT(S) ON WHICH YOU WILL USE THIS EQUIPMENT
11. IF THE REQUEST IS FOR METAL WORKING MACHINERY, COMPLETE THE FOLLOWING
a. NAME OF SERVICE GROUP WHICH PLACED OR SPONSORED PRIME OR SUBCONTRACT FOR WHICH THE METAL WORKING MACHINE WILL BE USED, AND
CLAIMANT AGENCY CODE NUMBER
b. NAME OF THE PRIME CONTRACTOR (If other than applicant)
c. NUMBER OF PRIME CONTRACT PURSUANT TO WHICH THE METAL
WORKING MACHINE WILL BE USED (If different from Item 10 above)
12. PRODUCTION OR CONSTRUCTION EQUIPMENT ON WHICH RATING IS REQUESTED (X one)
a. TO INCREASE CURRENT PLANT CAPACITY OR EXPAND PRESENT
d. TO EQUIP OR CONSTRUCT NEW PLANT FACILITIES
PLANT FACILITIES
b. TO CONVERT EXISTING PLANT FACILITY TO DEFENSE
e. THE EQUIPMENT WILL BE LEASED, NOT PURCHASED
PRODUCTION
c. TO REPLACE OR REBUILD DAMAGED OR OBSOLETE PLANT
f. OTHER, INCLUDING STAND-BY (Specify in Remarks)
EQUIPMENT OR FACILITIES
a. YES (If Yes, complete 13.c - 13.d.)
13. HAVE YOU TRIED TO OBTAIN NEW OR USED EQUIPMENT ON UNRATED ORDERS?
(X one)
b. NO
c. COMPANY CONTACTED
d. COMPANY CONTACTED
(1) COMPANY NAME
(1) COMPANY NAME
(2) ADDRESS:
(2) ADDRESS:
STREET
STREET
CITY
STATE
ZIP CODE
CITY
STATE
ZIP CODE
(3) RESULT
(3) RESULT
a. YES
14. IS THIS YOUR FIRST APPLICATION FOR AUTHORITY TO USE A RATING TO ACQUIRE
THE EQUIPMENT LISTED AND DESCRIBED? (X one)
b. NO (If No, complete 14.c - 14.f.)
DATE REQUESTED
NAME OF PERSON CONTACTED
f. ACTION TAKEN (X one)
(YYYYMMDD)
(Last, First, Middle Initial)
CASE NUMBER
(1) DENIED
(2) OTHER (Specify in Remarks)
c.
d.
e.
a. YES
15. ARE YOU NOW USING EQUIPMENT SIMILAR TO THAT FOR WHICH YOU ARE APPLYING,
TO FULLEST PRACTICAL USE? (X one)
b. NO (If No, explain in Remarks)
16. REMARKS
DD FORM 691, MAY 2005
Page 2 of 4 Pages
Reset
17. CERTIFICATION
THE UNDERSIGNED COMPANY AND THE OFFICIAL EXECUTING THIS CERTIFICATION ON ITS BEHALF, HEREBY CERTIFY THAT THE
INFORMATION CONTAINED IN THIS APPLICATION OR REPORT IS CORRECT AND COMPLETE TO THE BEST OF THEIR KNOWLEDGE AND
BELIEF. (Section 1001 of Title 18, U.S. Code, makes it a criminal offense to make a willfully false statement or representation to any
department or agency of the United States as to any matter within its jurisdiction.)
a. NAME OF COMPANY
b. PRINTED OR TYPED NAME OF AUTHORIZED OFFICIAL
c. TITLE
(Last, First, Middle Initial)
d. SIGNATURE OF AUTHORIZED OFFICIAL
e. DATE SIGNED
(YYYYMMDD)
18. RECOMMENDATION OF LOCAL CONTRACTING AUTHORITY
THE EQUIPMENT DESCRIBED IN ITEM 6.a. IS RECOMMENDED FOR APPROVAL IN THE QUANTITIES I HAVE ENTERED IN ITEM 6.g.
WHERE THE WORD "DENIED" IS ENTERED IN ITEM 6.g., DENIAL OF THE TOTAL NUMBER OF UNITS REQUESTED IS RECOMMENDED.
APPROVAL IN WHOLE OR IN PART WHERE INDICATED OR COMPLETE DENIAL IS RECOMMENDED FOR THE FOLLOWING:
a.
b.
c.
d.
e. SIGNATURE OF AUTHORIZED OFFICIAL
f. TITLE
g. DATE SIGNED
(YYYYMMDD)
19. (X one)
AUTHORIZED
DENIED
AUTHORITY TO USE THE PRIORITY RATING TO OBTAIN THE REQUESTED ITEMS IS GRANTED UNDER THE DEFENSE PRIORITIES AND
ALLOCATIONS SYSTEM (DPAS) REGULATION (15 CFR 700). TO OBTAIN A COPY OF THE DPAS, CONTACT THE NEAREST DEFENSE
CONTRACT MANAGEMENT AREA OPERATION OFFICE, DEPARTMENT OF DEFENSE (DOD) PROCUREMENT OFFICER, OR THE OFFICE OF
INDUSTRIAL RESOURCE ADMINISTRATION, ROOM 3B878, U.S. DEPARTMENT OF COMMERCE, WASHINGTON, DC 20230; REF. DPAS.
a. SIGNATURE OF PRIORITIES ALLOCATIONS OFFICER
b. DATE SIGNED
(YYYYMMDD)
DD FORM 691, MAY 2005
Page 3 of 4 Pages
Reset
GENERAL INSTRUCTIONS FOR COMPLETING DD FORM 691
1. Who Should File DD Form 691.
4. How to Use the Priority Rating on Approved
Requests.
Persons working on priority rated contracts and
orders who need production or construction equip-
You will receive a certified copy of your
ment to produce items covered by such orders.
application either approving in whole or in part or
This includes prime contractors who have received
denying authority to use the rating to obtain the
rated orders directly from a Government procuring
items requested. The extent of approval will be
agency or subcontractors working on rated orders
specified by the number of units entered in Item
that have been extended to them by their
6.g. for specified items in Item 6.a. You may use
customers. Rated orders will bear the priority
the rating only for the number of units of an item
rating.
shown in Item 6.g. If the word "Denied" has been
entered in Item 6.g. for an item specified in Item
2. Where to Obtain Copies of the Form.
6.a., you may not use the rating to obtain any of
Copies of DD Form 691 may be obtained on
the item.
request from local Defense Contract Management
Agency (DCMA) offices or procurement officers of
If the equipment supplier refuses to accept the
the military departments or other DoD components.
rated order or for any reason cannot achieve timely
delivery of the equipment, you should promptly
3. Where to File and Number of Copies.
seek the assistance of the nearest Defense
Contract Management Area Operation Office or
File an original and three (3) copies of DD Form
DoD Procurement Officer with cognizance over the
691 with the nearest DCMA office or procurement
orders you are working on.
officer of the military department or other DoD
component having jurisdiction over the orders you
5. Where to Find the Standard Industrial
are working on. If you have a number of orders
Classification (SIC) Codes.
belonging to more than one military department, file
your application with the nearest DCMA office or
Standard Industrial Classification (SIC) Codes
procurement officer of the military department or
other DoD component that has the majority interest
can be found in the SIC Codes manual published
in rated orders on hand and in process on which
annually by the Office of Management and Budget
you will use the requested equipment.
(OMB).
DEFINITIONS
PRODUCTION EQUIPMENT: Any item of capital equipment used in producing materials or furnishing services
that has a unit acquisition cost of $2,500 or more, and anticipated service life in excess of one year, and the
potential for maintaining its integrity as a capital item.
CONSTRUCTION EQUIPMENT: Any item of capital equipment used in the erection, addition, extension, or
alteration of any building, structure, or project that has a unit acquisition cost of $2,500 or more, and
anticipated service life in excess of one year, and the potential for maintaining its integrity as a capital item.
DD FORM 691, MAY 2005
Page 4 of 4 Pages
ADVERTISEMENT