Dd Form 2628 PDF Details

When navigating the world of defense contracting, the DD 2628 form emerges as a crucial tool for contractors looking to gain approval for their flight crewmembers. This form, officially known as the Request for Approval of Contractor Flight Crewmember, plays a significant role in ensuring that individuals are properly vetted and authorized to participate in various flight operations, including experimental, engineering, acceptance, production, functional, and support flights for the Department of Defense. With an expiration date that highlights its regular updates – the last noted being July 31, 2007 – it underscores the form’s relevance and the need for compliance within the stipulated time frames. The process of filling out the form is designed to be straightforward, an estimated average completion time of five minutes, aiming to minimize the reporting burden on the respondents. Yet, it entails a thorough collection of information, from the verification of the crewmember’s records by the Contractor’s Requesting Official (CRO) to the certification of proficiency by an Instructor Pilot/Flight Examiner (IP/FE), and ultimately, the approval or disapproval by the Government Flight Representative (GFR). Notably, the form also addresses concerns related to the collection of information, reassuring respondents that failure to comply, provided the form does not display a valid Office of Management and Budget (OMB) control number, will not subject them to penalties, reflecting a measure of flexibility and consideration for the parties involved.

QuestionAnswer
Form NameDd Form 2628
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesIP, APR, FormFlow, 2006

Form Preview Example

 

OMB No. 0704-0347

REQUEST FOR APPROVAL OF CONTRACTOR FLIGHT CREWMEMBER

OMB Approval Expires

 

Jul 31, 2007

 

 

The public reporting burden for this collection of information is estimated to average 5 minutes 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 (0704-0347). 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 FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE GOVERNMENT FLIGHT REPRESENTATIVE.

1. FROM (Name and Address of Contractor's Requesting Official)

2. TO (Name and Address of Government Flight Representative)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. CONTRACTOR'S REQUESTING OFFICIAL (CRO).

 

 

 

 

 

 

 

 

 

I have verified the records of (Crewmember's name)

 

 

 

 

and request that he/she be approved

as a (crew position)

 

 

 

 

 

 

 

 

for (Strike out all inapplicable) experimental/engineering/acceptance/

production/functional/support flights in

 

 

 

 

type aircraft.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. TYPED NAME (Last, First, Middle Initial)

 

B. SIGNATURE

 

 

 

 

C. DATE SIGNED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. INSTRUCTOR PILOT/FLIGHT EXAMINER (IP/FE)

 

 

 

 

 

 

 

 

 

I certify that the crewmember above has satisfactorily flown a proficiency flight check on (Date)

 

 

.

 

 

 

 

 

 

 

 

 

 

A. TYPED NAME (Last, First, Middle Initial)

 

B. SIGNATURE

 

 

 

 

C. DATE SIGNED

 

 

 

 

 

 

 

 

 

 

 

5. GOVERNMENT FLIGHT REPRESENTATIVE (GFR)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPROVED

 

A. TYPED NAME (Last, First, Middle Initial)

 

B. SIGNATURE

 

C. DATE SIGNED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DISAPPROVED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DD FORM 2628, APR 2006

 

PREVIOUS EDITION IS OBSOLETE.

FormFlow/Adobe Professional 7.0

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