CDRL PH BARBER COURSE 14SEP2009.doc

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

OMB No. 0704-0188

The public reporting burden for this for this collection of information is estimated to average 110 hours 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 valide OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

R&D

Shipboard Barber Training Courses at Pearl Harbor, HI

LT

8. APP CODE

SEE BLK 16

16. REMARKS

1. BLK 4: PARAGRAPH 10.3 B-P DOES NOT APPLY.

2. BLKS 12/13: SUBMISSIONS SHALL BE DUE WITHIN FIVE BUSINESS DAYS AFTER COURSE COMPLETION.

3. BLK 14: SUBMISSION SHALL BE BY ELECTRONIC MAIL IN A FORMAT THAT IS COMPATIBLE WITH MICROSOFT© OFFICE 2003.

4. THE GOVERNMENT SHALL HAVE 15 DAYS FOR REVIEW AND ACCEPTANCE/REJECTION OF EACH SUBMISSION.

5. ACCEPTANCE OF ANY REPORT THAT INCLUDES INFORMATION CONCERNING CHANGES IN CONTRACT REQUIREMENTS/STANDARDS/SPECIFICATIONS DOES NOT CONSTITUTE GOVERNMENT AGREEMENT TO THOSE CHANGES. ONLY BY DIRECTION OF THE CONTRACTING OFFICER CAN SUCH CHANGES BE MADE.

6. ALSO INCLUDE THE FOLLOWING INFORMATION IN THE REPORT:

· CONTRACT AND TASK ORDER NUMBER

· INVOICE NUMBER

· CLINs/SLIN COURSE TITLE

· PERIOD OF PERFORMANCE

· LOCATION OF SERVICE

· INSTRUCTOR NAME(S) PROVIDING TRAINING (PER CONVENING)

· STUDENT ROSTER WITH LAST 4 DIGITS OF THEIR SSN (PER CONVENING) AND INDICATING WHETHER PASSED OR FAILED TRAINING

· LIST ANY STUDENTS THAT REQUIRED REMEDIATION DURING TRAINING CONVENING

· INDICATE WHETHER STUDENT CRITIQUES WERE SUBMITTED TO COR WITHIN 3 DAYS OF COURSE COMPLETION

· LIST ANY GFE AND TRAINING EQUIPMENT ISSUES AND RESOLUTIONS OCCURRING DURING TRAINING CONVENING

NAWCTSD PJM

NAWCTSD PCO

TSD COR

CSS

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

OMB No. 0704-0188

The public reporting burden for this for this collection of information is estimated to average 110 hours 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 valide OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

R&D

Shipboard Barber Training Courses at Pearl Harbor, HI

LT

8. APP CODE

SEE BLK 16

16. REMARKS

1. BLK 4: PARAGRAPH 10.3 B-P DOES NOT APPLY.

2. BLKS 12/13: SUBMISSIONS SHALL BE DUE WITHIN FIVE BUSINESS DAYS AFTER CONTRACT AWARD.

3. BLK 14: SUBMISSION SHALL BE BY ELECTRONIC MAIL IN A FORMAT THAT IS COMPATIBLE WITH MICROSOFT© OFFICE 2003.

4. THE GOVERNMENT SHALL HAVE 15 DAYS FOR REVIEW AND ACCEPTANCE/REJECTION OF EACH SUBMISSION.

5. ACCEPTANCE OF ANY REPORT THAT INCLUDES INFORMATION CONCERNING CHANGES IN CONTRACT REQUIREMENTS/STANDARDS/SPECIFICATIONS DOES NOT CONSTITUTE GOVERNMENT AGREEMENT TO THOSE CHANGES. ONLY BY DIRECTION OF THE CONTRACTING OFFICER CAN SUCH CHANGES BE MADE.

6. INFORMATION REQUIRED;

CONTRACTOR TO PROVIDE THE FOLLOWING COPIES FOR EACH INSTRUCTOR:

· STATE LICENSES IN BARBERING AND/OR COSMETOLOGY

· TEACHING CERTIFICATES

· RESUMES

· CPR CERTIFICATION

NAWCTSD PJM

NAWCTSD PCO

DD FORM 1423-1, FEB 2001 Previous edition may be used. Page 1 of 3