Form 1100-1, Directory – Distribution Change Notice

FAA Form 1100-1, DIRECTORY - DISTRIBUTION CHANGE NOTICE

PREPARATION INSTRUCTIONS 1. REMOVE this instruction sheet from the form set. Use the reverse side of it as your work or draft copy.

2. TYPE all requested data.

3. SUBMIT copies 1 through 4 of the set intact (including carbons) to the appropriate regional headquarters to which you report. Within Southern and Pacific-Asia which you report. The overseas area offices initial in item 18b and forward the set intact to the regional headquarters. Preparing office or facility will retain Facility Copy 5. After review the regional office will retain Region HQs Copy 4 and FAA Directory Copy 3. For Distri- bution Requirements or Airway Facilities Direct Distribution purposes, forward set consisting of copies 1 and 2 and a copy of the facility issuance proofcard to AMS-110.

9. GSA Address Code is applicable to Directory and Airway ITEM COMPLETION: Facilities Direct Distribution. GENERAL - Always check type of action to be taken, i.e., DISCONTINUE, NEW, or CHANGE. If action is a request to discontinue distribution of issuances, fill in all items of Parts I and 10. Enter type of field office or facility acronym (e.g., GADO, III. If action is a request for establishment of new copy require- ACDO, ARTCC, etc.).

ments, fill in all items of Parts II and Ill. If action is a request to change an address or copy requirements, fill in all items of Parts I, 11. Symbol of region, center, area, or office, if applicable, having III, and those items in Part II to be changed. Field offices, which authority over submitting office or facility. (Use ''WA'' if the are combining or changing type of facility, complete Parts I, II, field office reports directly to Washington Headquarters.)

and Ill.

12. Distribution code (e.g., A-FAT-4, A-FFS-3, A-FAF-4, etc .).

1. Name of field office or facility (not initials) and routing All field office and facility codes are contained in Appendix 2 symbol if one is assigned. Name of metropolitan area (City of Order 1720.18A.

and State).

13. Number of copies of FAA issuances required for each type of 2. Name of facility chief or supervisor.

distribution; i.e., all supervisors, all employees, maximum, standard, and limited. A description of each type of distribu- 3. Physical location of field office (e.g., give name of airport if tion is in Appendix 2 of Order 1720.18A.

the field office is physically located at the airport, building name or number, room number, street address, town or city, 14. Attach label from last mailing received.

State, and ZIP code). AT Liaison Officers, Representatives, or Advisors include identity of military or other agency organiza- 15. Special remarks which may be required. The block may be tion with which associated.

used for submitting changes in distribution requirements for special items such as AIM, FAR's, special ''Z'' list publications 4. Complete mailing address when different from item 3, i.e., post and for clarification of other items.

office box, street and number, city, State, and ZIP code.

Department of State facilities are applicable to overseas offices.

16. Name and title of the office or facility chief. Mark the If mailing address is the same, mark box ''Same as item 3:'and appropriate box to indicate if the chief is also the Local enter ZIP code.

Coordinator.

5. Freight address when different from item 3, and show sea 17. Date change is effective.

transport freight address, if different from bulk shipment address. If freight address is same as mailing address or physical 18a. Routing symbol of overseas area office, if appropriate.

location, mark the appropriate box ''Same as item 3'' or ''Same as item 4.'' If inside delivery is necessary, indicate it 18b. Overseas area office in the Southern and Pacific-Asia Regions and show room and/or floor number.

(if appropriate), official initials change notices submitted through him before forwarding to the regional headquarters.

6. Commercial and FTS telephone numbers (access code, area code, number). If on-net or off-net, mark appropriate box.

19a. Name, routing symbol, and signature of approving authority at the regional headquarters (this would be the Distribution 7 . Office or facility organization cost center code (Order 1370.4).

Officer or alternate representative).

8. Applicable to Airway Facilities Direct Distribution. To be 19b. Routing symbol of regional headquarters.

completed by AF sector field office units to report cost center code of AF sector field office to which it reports (Order 1720-30B).

20,21, and 22. Self-Explanatory.

AVAILABILITY OF FORMS - FAA Form 1100-1 (2-80), Directory - Distribution Change Notice, supersedes FAA Form 1100-1 (10-73), Directory/Distribution Change Notice FAA Form 1100-4, National Field Office Directory, and FAA Form 1720-15, AF Direct Distribution System which will no longer be used. Copies of the new FAA Form 1100-1 will be available on or about 30 April 1980. An initial distribu- tion will be made to regions, centers, area offices, and all field offices and facilities. The form will be stocked in the FAA Depot and will be available through supply channels, NSN: 0052-00-609-5003, unit of issue: Set (6).

FAA Form 1100-1 (2-80) SUPERSEDES PREVIOUS EDITION Electronic Version (OmniForm) A. Control number

DIRECTORY - DISTRIBUTION

CHANGE NOTICE

B. Type of action - Mark ''X'' one box C H A N G E - Complete Parts I, ///, and NEW - Complete DISCONTINUE - Complete Items in Part // to be changed Parts II and /// Parts I and ///

NEW ADDRESS OR REQUIREMENTS Part II OLD ADDRESS OR REQUIREMENTS Part I -

-

1. Name of office 1. Name of office Routing symbol Routing symbol Metropolitan area - City and State Metropolitan area - City and State 2. Name of facility chief/supervisor 2. Name of facility chief/supervisor 3. Physical location - Airport/building, room number, street address, 3. Physical location - Airport/building, room number, street address, city, State, ZIP code city, State, ZIP code 4. Mailing address 4. Mailing address Same as "3" Enter ZIP code Same as "3" Enter ZIP code 5. Freight address Same as "3" Same as "4" 5. Freight address Same as "3" Same as "4" 6. Telephone numbers - Include area and access codes 6. Telephone numbers - Include area and access codes a. Commercial a. Commercial b. FTS b. FTS On-net On-net Off-net Off-net 8. Parent sector field office cost center code 7. Cost center code 8. Parent sector field office cost center code 7. Cost center code (Sector field office units only) (Sector field office units only) 9. GSA address code 10. Field office 9. GSA address code 10. Field office 11. Region 12. Distribution code 11. Region 12. Distribution code 13. Distribution - Enter number of copies required 13. Distribution - Enter number of copies required e. Limited d. Standard b. All empl. a. Supervisors c. Maximum e. Limited d. Standard b. All empl. a. Supervisors c. Maximum 14. ATTACH OLD MAILING LABEL 15. Remarks Part III - ROUTING AND APPROVAL Coordinator 17. Effective date 16. Facility chief /supervisor - Type name and sign 18a. Routing symbol THRU FROM Yes 18b. Area official's initials No 20. Approval date 19b. Routing symbol 19a. Regional distribution officer - Type name and sign TO 21. Washington distribution control officer -Signature 22. Date reviewed FAA Form 1100- 1 (2-80) SUPERSEDES PREVIOUS EDITION COPY - 1 DISTRIBUTION REQUIREMENTS COPY - 2 AF DISTRIBUTION COPY - 3 FAA DIRECTORY Electronic Version (OmniForm) COPY - 4 REGIONAL HEADQUARTERS COPY - 5 FACILITY