PERSISTENT SURVEILLANCE SYSTEMS-TETHERED
LETTER OF REQUEST CHECKLIST
1
PSS-T FMS LOR Checklist
Rev: 08 June 2018
Aerostat Checklist:
a. Select Desired Procurement
i. FMS ____
Sole Source desired? Yes / No
If so, name of source: ____________________
ii. Pseudo FMS ____
iii. Lease ____
Term of Lease (60 months maximum): ___________ months
b. Desired materiel condition: New / Refurbished
c. Production Aerostat System
Note: Partner Nation peculiar system configuration requirements may necessitate a change to the
system Joint Electronics Type Designator (e.g., AN/DSY-X(V)X) and the National Stock
Number (NSN). The configurations listed below are for planning purposes only.
Nomenclature NSN Qty
AN/DSY-1(V)1 Surveillance System, Elevated Sensor 5895-01-627-0869 ___
AN/DSY-2(V)2 Surveillance System, Elevated Sensor 5895-01-654-3641 ___
Other: ______________________________________ ___
d. Desired Initial Operating Capability date (MM/YYYY): ______________
e. Locations requiring Aerostat systems:
______________________________ ______________________________
______________________________ ______________________________
______________________________ ______________________________
______________________________ ______________________________
______________________________ ______________________________
______________________________ ______________________________
f. Operations (Select one)
i. Contractor operated. Term: _______months
ii. Interim contractor operated transitioning to Partner Nation operated
iii. Partner Nation operated