ADSSCDRLA009TestPlanDRAFT.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The publi c reporti ng burden for t hi s col l ection of i nf or mati on i s esti mat ed t o average 110 hours per response, i ncl udi ng the ti me for revi ewi ng i nstructi ons, searchi ng exi sti ng dat a sources, gatheri ng and mai ntai ni ng the dat a needed, and compl eti ng and revi ewi ng t he col l ecti on of i nf or mati on. Send comment s regar di ng t hi s burden esti mat e or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). 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 valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

ADSS

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Test Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80566A/T

5. CONTRACT REFERENCE

TBD

6. REQUIRING OFFICE

AFLCMC/HBZ

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

See Blk 16

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft

Final

Reg Repro

16. REMARKS

BLOCK 4: The data item description (DID) tailoring as follows:

Requirement 3. Contractor format acceptable and shall be delivered electronically.

BLOCK 10: TBD

BLOCK 14: Deliver Test Plan and submittal letters to the Range Threat Branch Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

15. TOTAL 0 0 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

Page of Pages Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

ADSS

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of PagesReset

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Ma rk (X) a ppro pria te ca te go ry: TDP - Te chni ca l Da ta Pa cka ge ; TM

- Te chni ca l Ma nua l; Othe r - othe r ca te gory of da ta , such a s "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Sel f-expla na tory (to be fill ed i n a fter contra ct a wa rd).

Item F. Sel f-expla na tory (to be fill ed i n a fter contra ct a wa rd).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter titl e as it appears on data acqui si ti on docu ment ci ted i n Item 4.

Item 3. Enter subtitl e of data item for further defi ni ti on of dat a item (optional entry).

Item 4. Enter Data Item Descripti on (DID) number, military speci fi cati on nu mber, or military standard number li sted i n DoD 5010. 12- L (AMS DL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter ref erence to taski ng i n contract that generat es requi rement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter techni cal offi ce responsi bl e for ensuri ng adequacy of the data item.

Item 7. Speci f y requi rement for inspecti on/accept ance of the data item by the Government.

Item 8. Speci f y requi rement for approval of a draft bef ore prepar ati on of the final data item.

Item 9. For techni cal dat a, speci fy requi rement for contract or to mar k the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Speci f y when subsequent submi ttal s are requi red, when applicable.

Item 14. Enter addressees and number of draft/fi nal copi es to be deli vered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for addi ti onal /cl ari fyi ng i nf or mati on for Items 1 through 15.

Exa mpl es are: Tail ori ng of docu ment s cited i n Item 4; Cl ari ficati on of submi ttal dat es i n Items 12 and 13; Expl anati on of reproduci bl e copi es i n Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Speci f y appropri ate price group from one of the fol l owi ng gr oups of eff ort i n devel opi ng esti mat ed pri ces for each dat a ite m listed on the DD Form 1423.

a. Gr oup I. Defi ni ti on - Data whi ch is not other wi se essenti al to the contract or' s perf or mance of the pri mary contract ed effort (producti on, devel opment, testi ng, and admi ni strati on) but whi ch i s required by DD Form 1423.

Esti mat ed Pri ce - Cost s to be i ncl uded under Group I are those appli cabl e to prepari ng and asse mbl i ng the dat a item in conf or mance wi t h Gover nment requi rement s, and the admi ni strati on and other expenses rel ated to repr oduci ng and delivering such data items to the Government.

b. Gr oup II. Defi ni ti on - Data whi ch i s essenti al to the perf or mance of the pri mary contract ed eff ort but the contract or i s requi red to perf or m addi ti onal work to conf or m to Gover nment requi rements wi t h regard to depth of cont ent, for mat, frequency of submittal, preparation, control, or quality of the data item.

Esti mat ed Pri ce - Cost s to be i ncl uded under Group II are those i ncurred over and above the cost of the essenti al dat a ite m wi t hout conf or mi ng to Gover nment requi rement s, and the admi ni strati ve and other expenses rel ated to repr oduci ng and delivering such data item to the Government.

c. Gr oup III. Defi ni ti on - Data whi ch the contract or must devel op for hi s i nternal use i n perf or mance of the pri mary contract ed eff ort and does not requi re any subst anti al change to conf or m to Gover nment requi rements wi t h regard to dept h of cont ent, for mat, frequency of submi ttal , preparation, control , and qual i ty of the dat a item.

Esti mat ed Pri ce - Cost s to be i ncl uded under Group III are the admi ni strati ve and other expenses rel ated to repr oduci ng and delivering such data item to the Government.

d. Gr oup IV. Defi ni ti on - Data whi ch i s devel oped by the contract or as part of hi s nor mal operati ng procedur es and hi s effort in supplying these data to the Government is minimal.

Esti mat ed Pri ce - Group IV items shoul d nor mal l y be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that porti on of the total pri ce whi ch i s esti mat ed to be attri but abl e to the pr oducti on or devel opment for the Gover nment of that item of data.

These esti mat ed dat a pri ces shall be devel oped onl y from those cost s whi ch wi ll be i ncurred as a di rect resul t of the requi rement to suppl y the dat a, over and above those cost s whi ch woul d ot her wi se be i ncurred i n perf ormance of the contract if no dat a wer e requi red. The esti mat ed dat a pri ces shal l not i ncl ude any a mount for ri ghts i n dat a. The Gover nment' s ri ght to use the dat a shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001