2. CDRLs_LSD CBC .pdf

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approval OMB No. 0704-0188 Public reporting burden 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 this burden, to

Department of Defense, Washington Headquarters SeRDices, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Fiber Laser Module Evolution for Airborne Coherent

Beam Combined Laser with Ultra Light Thermal System

E. CONTRACT/PR NO.: FA9451-21-S-0001 Call 0009

F. CONTRACTOR.........: TBD

1. DATA ITEM

NO........................:

A001

2. TITLE OF DATA

ITEM............:

Contract Funds Status Report (CFSR)

3. SUBTITLE..................................:

4.

AUTHORITY.............................:

DI-MGMT-81468A (http://quicksearch.dla.mil)

5. CONTRACT

REFERENCE......:

TBD

6. REQUIRING OFFICE..............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: See blk 16

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: Monthly

11. AS OF DATE........................................: See blk 16

12. DATE OF FIRST SUBMISSION: See blk 16

13. DATE OF SUBSEQUENT SUBM.: See blk 16

14. DISTRIBUTION

A. ADDRESSEES

B. COPIES

Refer to Block 16 for additional distribution instructions.

DRAFT FINAL

AFRL/RDLA 0 1

AFRL/RDKL 0 1

ACO 0 LT

15. TOTAL: 0 2

16. REMARKS

Blk 8: Approval of contractor format is required on initial submittal. All subsequent submittals shall be non-approval items, and re-submittals may be required if contractor submits a delivery item that is unsatisfactory.

Blk 9: All financial performance data shall be marked I.A.W. DoDI 5230.24 with Distribution Statement E: Distribution authorized to DoD components only; Contractor Performance Evaluation, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RDLA, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.

EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22,U.S.C., Sec. 2751, et seq.) or the Export Administration

Action of 1979, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.”

“DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable, indecipherable, and unrecoverable.”

Blk 11: Prepared as of the end of each calendar month or contractor accounting period nearest the end of each month.

Blk 12: Submit within 10 business days after first full month following contract award.

Blk 13: Subsequent submissions shall be 10 business days after end of the reporting period.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

G. PREPARED BY: I. APPROVED BY:

H. DATE: J. DATE:

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 11 Page http://quicksearch.dla.mil/

Public reporting burden 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 this burden, to Department of Defense, Washington Headquarters SeRDices, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR

No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Fiber Laser Module Evolution for Airborne Coherent Beam

Combined Laser with Ultra Light Thermal System

E. CONTRACT/PR NO.: FA9451-21-S-0001 Call 0009

F. CONTRACTOR.........: TBD

1. DATA ITEM NO........................: A002

2. TITLE OF DATA ITEM............: Scientific and Technical Reports

3. SUBTITLE..................................: Final Report

4. AUTHORITY.............................: DI-MISC-80711A/T (http://quicksearch.dla.mil)

5. CONTRACT REFERENCE......: TBD

6. REQUIRING OFFICE..............: AFRL/RDLA

7. DD250 REQ................................: DD

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: See blk 16

11. AS OF DATE........................................: See blk 16

FINAL CRC

AFRL/RDLA 1 1

AFRL/RDKL 0 LT

15. TOTAL: 1 1

THE REPORT WILL BE PUBLISHED WITH THE DEFENSE TECHNICAL INFORMATION CENTER (DTIC) BY AFRL STINFO OFFICE. Under no circumstances shall the contractor submit any version of the scientific and technical report to DTIC.

Blk. 4: GUIDANCE FOR PREPARATION OF THE REPORT: The Scientific and Technical Report shall be prepared I.A.W. the most current ANSI/NISO

Standard Z39.18-2005, or most current AFRL ANSI report preparation guidance. The contractor shall complete the most current SF 298: Blocks 2-5a, 6, 7, 8 and 13 (if applicable), and 14-16c, and submit it with the report. Incomplete reports will be immediately returned to the contractor. Following AFRL technical and STINFO reviews, any revisions required will be returned to the contractor. NOTE: The report preparation guidance and SF 298 are available at:

https://www.kirtland.af.mil/Units/AFRL-Directed-Energy-Directorate/

The contractor shall deliver two editable electronic copies of the report. The electronic copies shall be an editable .pdf file and the most current version of Microsoft

Word. Submission via unencrypted or unsecure email is not permitted. If encrypted email is not available, please use: https://safe.apps.mil/.

Blk 7: UPON NOTIFICATION OF ACCEPTANCE OF THE SCIENTIFIC AND TECHNICAL REPORT FROM THE PROGRAM OFFICE, the contractor shall submit the final Receiving Report (DD Form 250) in WAWF. In preparing the final DD Form 250, code the shipment number with a “Z.” Do not upload the Scientific and Technical Report into WAWF or DTIC. NOTE: SUBMITTAL OF THE DD FORM 250Z PRIOR TO ACCEPTANCE NOTIFICATION WILL RESULT

IN REJECTION OF THE DD FORM 250Z FINAL RECEIVING REPORT.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and US DoD contractors only; Critical Technology, Export Controlled [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.” (ADD THIS ENTIRE

DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT EXCEPT THE SF 298.)

“WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec. 2751, et seq.) or the Export

Administration Act of 1979, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO THE BOTTOM OF EVERY PG OF THE

REPORT EXCEPT THE SF 298.)

“DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable, indecipherable, and unrecoverable.”

Blks 10 - 13: The contractor shall deliver the Scientific and Technical Report, in final format, no later than the date specified in the Schedule. The USAF will review and, if necessary, return the report with comments no later than the date specified in the Schedule. If the report is returned to the contractor with comments, the contractor shall deliver the final copy of the report no later than the date specified in the Schedule.

H. DATE: J. DATE:

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 2 of 11 Page http://quicksearch.dla.mil/ https://www.kirtland.af.mil/Units/AFRL-Directed-Energy-Directorate/ https://safe.apps.mil/

Public reporting burden 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 this burden, to Department of Defense, Washington Headquarters SeRDices, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR

No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Fiber Laser Module Evolution for Airborne Coherent Beam

Combined Laser with Ultra Light Thermal System

E. CONTRACT/PR NO.: FA9451-21-S-0001 Call 0009

F. CONTRACTOR.........: TBD

1. DATA ITEM NO........................: A003

2. TITLE OF DATA ITEM............: Status Report

3. SUBTITLE..................................: Monthly Status Report

4. AUTHORITY.............................: DI-MGMT-80368A/T (http://quicksearch.dla.mil)

5. CONTRACT REFERENCE......: TBD

6. REQUIRING OFFICE..............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: N

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: MTHLY

11. AS OF DATE........................................: See blk 16

AFRL/RDLA 0 1

AFRL/RDKL 0 1

15. TOTAL: 0 2

Blk 4: Tailor DID Requirements. The contractor shall report all activities at the WBS level identified by the Govt Program Manager.

Approval of contractor format is required on initial submission. An agreed upon format/platform will be defined at the start of contract as to how to deliver these data products (i.e. CD-ROM, Air Force approved file transfer system, etc.). Documentation shall be tailored per agreement between the contractor and the government.

Blk 9: All technical data shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D: Distribution authorized to the

Department of Defense and U.S. DoD contractors only; Critical Technology, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RDLA, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM

87117-5776.

Export control warning: All technical data shall be marked as follows: "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et. seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."

“DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable, indecipherable, and unrecoverable.”

Blk 11: Prepared as of the end of each reporting month.

Blk 12: The contractor shall deliver the first status report within 15 calendar days after completion of the first full contractor accounting month.

Blk 13: Subsequent submissions shall be 10 business days after end of the reporting period.

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 3 of 11 Page

Public reporting burden 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 this burden, to Department of Defense, Washington Headquarters SeRDices, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR

No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Fiber Laser Module Evolution for Airborne Coherent Beam

Combined Laser with Ultra Light Thermal System

E. CONTRACT/PR NO.: FA9451-21-S-0001 Call 0009

F. CONTRACTOR.........: TBD

1. DATA ITEM NO........................: A004

2. TITLE OF DATA ITEM............: Conceptual Design Drawings/Models

3. SUBTITLE..................................:

4. AUTHORITY.............................: DI-SESS-81001E (http://quicksearch.dla.mil)

5. CONTRACT REFERENCE......: TBD

6. REQUIRING OFFICE..............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: See blk 16

11. AS OF DATE........................................: See blk 16

AFRL/RDLA 1 1

Blk 9: All technical data shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D: Distribution authorized to the

Department of Defense and U.S. DoD contractors only; Critical Technology, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RDLA, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM

87117-5776.

Export control warning: All technical data shall be marked as follows: "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et. seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in

“DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any

Blk 10-13: The draft designs drawings/models shall be delivered at Preliminary Design Review (PDR) and an updated version at

Critical Design Review (CDR). The government will review and provide comments to the draft plan within 30 calendar days after receipt of the draft. Upon receipt of the comments, the contractor shall take no more than 15 calendar days to incorporate all required changes and deliver the final version.

H. DATE: J. DATE:

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 4 of 11 Page

Public reporting burden 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 this burden, to

Department of Defense, Washington Headquarters SeRDices, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Fiber Laser Module Evolution for Airborne Coherent Beam

Combined Laser with Ultra Light Thermal System

E. CONTRACT/PR NO.: FA9451-21-S-0001 Call 0009

F. CONTRACTOR.........: TBD

1. DATA ITEM NO........................: A005

2. TITLE OF DATA ITEM............: Computer Software Products

3. SUBTITLE..................................: Computer Software, Algorithms, Programs and Source Code

4. AUTHORITY.............................: DI-IPSC-81488 (http://quicksearch.dla.mil)

5. CONTRACT

REFERENCE......:

TBD

6. REQUIRING OFFICE..............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: N

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: See blk 16

11. AS OF DATE........................................: See blk 16

AFRL/RDLA 0 1

15. TOTAL: 0 1

Blk 4: The contractor shall provide appropriate data files, including applicable software test environment/platform, and a description of the version and data products. An agreed upon format/platform will be defined at the start of contract as to how to deliver these data products (i.e. CD-ROM, Air Force approved file transfer system, etc.). Documentation shall be tailored per agreement between the contractor and the government.

Blk 9: All technical data shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D: Distribution authorized to the

Department of Defense and U.S. DoD contractors only; Critical Technology, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RDLA, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.

Export control warning: All technical data shall be marked as follows: "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et. seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."

“DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any

Blk 10, 11, 12 & 13: Submitted once for each uniquely identified computer software product; within 30 calendar days of the first business day following completion of validation and acceptance of the software product.

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 5 of 11 Pages

Public reporting burden 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 this burden, to

Department of Defense, Washington Headquarters SeRDices, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Fiber Laser Module Evolution for Airborne Coherent Beam

Combined Laser with Ultra Light Thermal System

E. CONTRACT/PR NO.: FA9451-21-S-0001 Call 0009

F. CONTRACTOR.........: TBD

1. DATA ITEM NO........................: A006

2. TITLE OF DATA ITEM............: Software User’s Manual

3. SUBTITLE..................................:

4. AUTHORITY.............................: DI-IPSC-81443A (http://quicksearch.dla.mil)

5. CONTRACT

REFERENCE......:

TBD

6. REQUIRING OFFICE..............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: N

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: See blk 16

11. AS OF DATE........................................: See blk 16

AFRL/RDLA 0 1

15. TOTAL: 0 1

Blk 9: All technical data shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D: Distribution authorized to the

Department of Defense and U.S. DoD contractors only; Critical Technology, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RDLA, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.

Export control warning: All technical data shall be marked as follows: "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et. seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25."

“DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any

Blk 10, 11, 12 & 13: Submitted once for each uniquely identified computer software product; within 30 calendar days of the first business day following completion of validation and acceptance of the software product.

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 6 of 11 Pages

Public reporting burden 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 this burden, to Department of Defense, Washington Headquarters SeRDices, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR

No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Fiber Laser Module Evolution for Airborne Coherent Beam

Combined Laser with Ultra Light Thermal System

E. CONTRACT/PR NO.: FA9451-21-S-0001 Call 0009

F. CONTRACTOR.........: TBD

1. DATA ITEM NO........................: A007

2. TITLE OF DATA ITEM............: Presentation Material

3. SUBTITLE..................................:

4. AUTHORITY.............................: DI-ADMN-81373 (http://quicksearch.dla.mil)

5. CONTRACT REFERENCE......: TBD

6. REQUIRING OFFICE..............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: N

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: See blk 16

11. AS OF DATE........................................: See blk 16

AFRL/RDLA 1 1

Blk 9: All technical data shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D: Distribution authorized to the

Department of Defense and U.S. DoD contractors only; Critical Technology, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RDLA, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM

87117-5776.

Export control warning: All technical data shall be marked as follows: "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et. seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in

“DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any

Blks 10, 11, 12 & 13: The contractor will submit formal briefing presentation materials five working days after request from

Government Program Manager. No data item is required for informal briefings. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unencrypted or unsecure e-mail is not permitted.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

G. PREPARED BY: I. APPROVED BY:

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 7 of 11 Page

Public reporting burden 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 this burden, to

Department of Defense, Washington Headquarters SeRDices, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Fiber Laser Module Evolution for Airborne Coherent Beam

Combined Laser with Ultra Light Thermal System

E. CONTRACT/PR NO.: FA9451-21-S-0001 Call 0009

F. CONTRACTOR.........: TBD

1. DATA ITEM NO........................: A008

2. TITLE OF DATA ITEM............: Interface Control Document

3. SUBTITLE..................................:

4. AUTHORITY.............................: DI-SESS-81248B (http://quicksearch.dla.mil)

5. CONTRACT REFERENCE......: TBD

6. REQUIRING OFFICE..............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: See blk 16

11. AS OF DATE........................................: See blk 16

AFRL/RDLA 1 1

Blk 9: All technical data shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D: Distribution authorized to the

Department of Defense and U.S. DoD contractors only; Critical Technology, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RDLA, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.

Export control warning: All technical data shall be marked as follows: "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et. seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in

“DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any

Blk 10: Once with updates.

Blk 8, 11-12: The draft ICD shall be delivered within 60 calendar days after interface requirements development is complete and the initial requirements baseline is established. The government will review and provide comments to the draft ICD within 30 calendar days after receipt of the draft. Upon receipt of the comments, the contractor shall take no more than 15 calendar days to incorporate all required changes and deliver the final version of the ICD.

Blk 13: Updates shall be delivered within 30 calendar days after any substantive (non-administrative) changes are made to the interface.

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 8 of 11 Page

Public reporting burden 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 this burden, to

Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and

Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the

Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Fiber Laser Module Evolution for Airborne Coherent Beam

Combined Laser with Ultra Light Thermal System

E. CONTRACT/PR NO.: FA9451-21-S-0001 Call 0009

F. CONTRACTOR.........: TBD

1. DATA ITEM NO........................: A009

2. TITLE OF DATA

ITEM............:

Government Property Inventory Report

3. SUBTITLE..................................: Government Furnished Property (GFP) and Contractor Acquired Property (CAP)

4. AUTHORITY.............................: DI-MGMT-80441D (http://quicksearch.dla.mil)

5. CONTRACT

REFERENCE......:

FAR 52.245-1

6. REQUIRING OFFICE..............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED......: N/A

10. FREQUENCY......................................: ANNLY

11. AS OF DATE........................................: Blk. 16

12. DATE OF FIRST SUBMISSION: Blk. 16

13. DATE OF SUBSEQUENT SUBM.: Blk. 16

AFRL/RDLA 1 1

AFRL/RDKL 1 1

ACO 1 1

15. TOTAL: 3 3

Blk. 4: GFP/CAP Inventory Reports shall be in accordance with DFARS PGI 245.402-71. If government furnished property or equipment is provided, the list shall be in accordance with DFARS PGI 245.103-72. Abbreviations are not allowed. Deliver an electronic copy as a

Microsoft Excel document. A CD-ROM is acceptable media for submittal. Unclassified documents may be submitted by encrypted or password protected e-mail, or other secure file transfer method. E-mail encryption based on PGP platform is not acceptable.

Blk. 8: Ninety (90) days prior to the contract expiration date, the contractor shall deliver a “Draft” GFP/CAP Inventory Report in the format required by DFARS PGI 245.103-72, suitable for contract close-out purposes. Include the use/disposition recommendations for review and approval by the Government Program Manager, Contracting Officer, and/or the DCMA Property Administrator. The Government Program

Manager will review and if necessary, return the list with comments within 30 calendar days.

Blk. 11 & 12: The contractor shall deliver an initial Baseline GFP/CAP Inventory Report within 30 days of the first inclusion of GFE/CAP in the contract. After the baseline is established, the property inventory shall be submitted annually. Additional distributions may be requested by the

Government Program Manager or the Contracting Officer.

Blk. 13: Thirty (30) days prior to the contract expiration date, the contractor shall deliver the “Final” GFP/CAP Inventory Report, representing all property delivered in accordance with the contract.

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 9 of 11 Page

Public reporting burden 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 this burden, to Department of Defense, Washington Headquarters SeRDices, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR

No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Fiber Laser Module Evolution for Airborne Coherent Beam

Combined Laser with Ultra Light Thermal System

E. CONTRACT/PR NO.: FA9451-21-S-0001 Call 0009

F. CONTRACTOR.........: TBD

1. DATA ITEM NO........................: A010

2. TITLE OF DATA ITEM............: Developmental Design Drawings/Models and Associated Lists

3. SUBTITLE..................................: End Item Data Package (EIDP)

4. AUTHORITY.............................: DI-SESS-81002F (http://quicksearch.dla.mil)

5. CONTRACT REFERENCE......: TBD

6. REQUIRING OFFICE..............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: N

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: See blk 16

11. AS OF DATE........................................: See blk 16

AFRL/RDLA 1 1

Blk 9: All technical data shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D: Distribution authorized to the

Department of Defense and U.S. DoD contractors only; Critical Technology, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RDLA, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM

87117-5776.

Export control warning: All technical data shall be marked as follows: "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et. seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in

“DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any

Blk 10: Once.

Blk 11-13: The draft EIDP shall be delivered within 60 days prior to completion of the technical period of performance, and the final shall be 30 calendar days after completion of the technical period of performance.

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 10 of 11 Page

Public reporting burden 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 this burden, to Department of Defense, Washington Headquarters SeRDices, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR

No. listed in Block E.

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Fiber Laser Module Evolution for Airborne Coherent Beam

Combined Laser with Ultra Light Thermal System

E. CONTRACT/PR NO.: FA9451-21-S-0001 Call 0009

F. CONTRACTOR.........: TBD

1. DATA ITEM NO........................: A011

2. TITLE OF DATA ITEM............: Operation & Maintenance Instructions for R&D Equipment

3. SUBTITLE..................................:

4. AUTHORITY.............................: DI-MISC-81414A (http://quicksearch.dla.mil)

5. CONTRACT REFERENCE......: TBD

6. REQUIRING OFFICE..............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: N

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: See blk 16

11. AS OF DATE........................................: See blk 16

AFRL/RDLA 1 1

Blk 4: Tailoring of DID Requirements. The contractor shall submit a report that includes the complete operation and maintenance instructions of the devices developed under this contract. An agreed upon format/platform will be defined at the start of contract as to how to deliver these data products (i.e. CD-ROM, Air Force approved file transfer system, etc.). Documentation shall be tailored per agreement between the contractor and the government.

Blk 9: All technical data shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D: Distribution authorized to the

Department of Defense and U.S. DoD contractors only; Critical Technology, [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RDLA, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM

87117-5776.

Export control warning: All technical data shall be marked as follows: "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et. seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et. seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in

“DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any

Blk 10: Once.

Blk 11-13: The draft document shall be delivered within 60 days prior to completion of the technical period of performance, and the final shall be 30 calendar days after completion of the technical period of performance.

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 11 of 11 Pages