| Item Name | Form Printed |
| National Item Identification Number (NIIN) | 01-351-9169 (013519169) |
| NCB Code | USA (01) |
| Manufacturer | Superintendent Of Documents, General Services Administration Inc |
| MRC | Criteria | Characteristic |
|---|---|---|
| AJKH | IDENTIFICATION DESIGNATOR | STANDARD FORM 3104-B |
| ALYQ | DOCUMENT TITLE | DOCUMENTATION AND ELECTIONS IN SUPPORT OF APPLICATION FOR DEATH BENEFITS WHEN DECEASED WAS AN EMPLOYEE |
| CBWW | MULTICOPY TRANSFER METHOD | AUTO-COPY |
| CHRG | INTERLEAVED W/CARBON PAPER FEATURE | NOT INCLUDED |
| CHRH | PUBLISHER IDENTIFYING NUMBER | SF 3104-B |
| CHRJ | SHEET WIDTH | 8.500 INCHES NOMINAL |
| CHRK | SHEET LENGTH | 11.000 INCHES NOMINAL |
| ENAC | ENVIRONMENTAL ATTRIBUTE CODE | COMPREHENSIVE PROCUREMENT GUIDELINE - PAPER AND PAPER PRODUCTS - PRINTING AND WRITING PAPERS |
| FEAT | SPECIAL FEATURES | 10 PART SNAPOUT, CARBONLESS, SHRINK WRAPPED |
| Relevant Components for NSN - 7540-01-351-9169, 7540013519169 | ||||
| 7510-01-545-3730 (7510015453730) | 7530-01-454-2121 (7530014542121) | 7530-01-163-3492 (7530011633492) | 7510-01-436-1934 (7510014361934) | |
| 7510-00-844-7519 (7510008447519) | 7520-01-137-9298 (7520011379298) | 7510-01-375-7095 (7510013757095) | 7530-01-153-7045 (7530011537045) | |
| 7530-01-535-6643 (7530015356643) | 7510-01-211-5196 (7510012115196) | 7520-00-935-7136 (7520009357136) | 7510-01-068-5800 (7510010685800) | |
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