NSN 7540-01-351-9169
Part Details | PRINTED FORM
7540-01-351-9169 A printed or typed sheet form document with blank space or spaces for insertion of specific information. Excludes CARD, TABULATING, ELECTRIC ACCOUNTING MACHINE; PAPER, TABULATING MACHINE, CONTINUOUS FLAT FOLD; PAPER, GRAPH; INDICATING SLIP, DICTATING MACHINE; ENVELOPE (as modified); LABEL; CHART (as modified) and TAG (as modified).
Alternate Parts: SF 3104B, SF 3104-B, SF 3104B, SF 3104-B, 7540-01-351-9169, 01-351-9169, 7540013519169, 013519169
| Supply Group (FSG) | NSN Assigned | NIIN | Item Name Code (INC) |
|---|---|---|---|
| 75 | JAN 17, 1992 | 01-351-9169 | 05403 ( FORM, PRINTED ) |
REFERENCE DRAWINGS & PICTURES
Cross Reference | NSN 7540-01-351-9169
| Part Number | Cage Code | Manufacturer |
|---|---|---|
| SF 3104-B | 80244 | GENERAL SERVICES ADMINISTRATIONFEDERAL SUPPLY SERVICE |
| SF 3104-B | 81955 | SUPERINTENDENT OF DOCUMENTSGOVERNMENT PRINTING OFFICE |
Technical Data | NSN 7540-01-351-9169
| Characteristic | Specifications |
|---|---|
| DOCUMENT TITLE | DOCUMENTATION AND ELECTIONS IN SUPPORT OF APPLICATION FOR DEATH BENEFITS WHEN DECEASED WAS AN EMPLOYEE |
| IDENTIFICATION DESIGNATOR | STANDARD FORM 3104-B |
| INTERLEAVED W/CARBON PAPER FEATURE | NOT INCLUDED |
| PUBLISHER IDENTIFYING NUMBER | SF 3104-B |
| SHEET WIDTH | 8.500 INCHES NOMINAL |
| SHEET LENGTH | 11.000 INCHES NOMINAL |
| MULTICOPY TRANSFER METHOD | AUTO-COPY |
| SPECIAL FEATURES | 10 PART SNAPOUT, CARBONLESS, SHRINK WRAPPED |
| ENVIRONMENTAL ATTRIBUTE CODE | COMPREHENSIVE PROCUREMENT GUIDELINE - PAPER AND PAPER PRODUCTS - PRINTING AND WRITING PAPERS |