BAA_Atch_1_-_BCRD_CDRLS.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 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........: BEAM CONTROL RESEARCH AND DEVELOPMENT

E. CONTRACT/PR NO.: AFRL-RVKD-2016-0003

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

1. DATA ITEM NO........................: A001

2. TITLE OF DATA ITEM............: Technical and Management Work Plan

3. SUBTITLE..................................: Program Plan

4. AUTHORITY.............................: DI-MGMT-81117

5. CONTRACT REFERENCE......: SOW Para. TBD

6. REQUIRING OFFICE...................: HEL JTO

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

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

9. DIST. STATEMENT REQUIRED.......: C

10. FREQUENCY......................................: See Blk 16

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

DRAFT FINAL

HEL JTO 1 1

TECHNICAL REP 1 1

HEL JTO SUPPORT CONTRACTOR 1 1

AFRL/RVKDT PCO Ltr

ACO Ltr

15. TOTAL: 3 3

16. REMARKS

BLK 4:

a) Contractor format acceptable.

b) The most current version of the Data Item Description is to be used.

c) Include all Government Furnished Equipment and Facilities required and the date and duration they will be required. Include a cost chart depicting by month the estimated cost, including subcontractor costs, for each major task.

d) Draft and Final Program Plans shall be marked with the appropriate distribution statement and any restrictive legends that apply. If restrictive legends are not evident, the data will be treated as unrestricted.

e) An electric copy of the Program Plan shall be delivered to each recipient on one properly labeled CD-ROM or via the AMRDEC SAFE site

(https://safe.amrdec.army.mil/safe/).

f) The most commonly used version of MS Word shall be used.

BLK 9: All documentation shall be marked IAW DoDI 5230.24 with the following distribution statement: “DISTRIBUTION STATEMENT C. Distribution authorized to

US Government agencies and their contractors only; (reason), (date of determination). Other requests for this document shall be referred to the High Energy Laser Joint Technology Office (HEL JTO), 801 University Blvd, Ste 209, Albuquerque, NM 87106.” Contractor shall suggest reasons as appropriate for technology development;

more than one reason can be listed: Critical Technology; Export Controlled, Administrative or Operational User. Acceptance of suggested reasons for distribution statement are at the Government’s sole discretion.

EXPORT CONTROL WARNING: All technical data must be marked as follows if appropriate: “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. Dissemination in accordance with provisions of DoD Directive 5230.25.”

All technical data (including electronic media) shall be marked with the following statement: “DESTRUCTION NOTICE-For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked IAW DFARS 252.227-7013.

BLKS 10-13: The contractor shall deliver a draft Program Plan within 30 calendar days after contract award. The HEL JTO will review and return with comments no later than 15 days after receipt of the draft Program Plan. Upon receipt of the comments, the contractor shall incorporate all required changes and deliver the final version of the Program Plan within 15 days after receipt of HEL JTO comments. The plan shall be updated, as required, from the date of initial acceptance through technical completion.

BLK 14: The contractor shall distribute in accordance with BLK 14. When the addressee’s copy is identified by “Ltr,” send ONLY a copy of the transmittal letter to that addressee. The transmittal letter shall not include any restricted data and should therefore be sent via email.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

G. PREPARED BY: S. Dorato I. APPROVED BY: LEAH RANSOM

H. DATE: 16 June 2016 J. DATE: 8 SEP 2016

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 1 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 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........: BEAM CONTROL RESEARCH AND DEVELOPMENT

E. CONTRACT/PR NO.: AFRL-RVKD-2016-0003

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

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

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

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

4. AUTHORITY.............................: DI-ADMN-81373

5. CONTRACT REFERENCE......: SOW Para. TBD

6. REQUIRING OFFICE...................: HEL JTO

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

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

9. DIST. STATEMENT REQUIRED......: C

10. FREQUENCY......................................: See Blk 16

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

13. DATE OF SUBSEQUENT SUBM…...: See Blk 16

HEL JTO 1

TECHNICAL REP 1

HEL JTO SUPPORT CONTRACTOR 1

15. TOTAL: 3

BLK 4:

a) The most current version of the Data Item Description is to be used. Tailoring of DID requirements:

b) Paragraph 10.1: delete “with the exception that the government must approve the use of any contractor insignia, trade names or symbols.” The contractor is authorized to use contractor insignia, trade names or symbols so long as such markings do not indicate or imply that the government has less than unlimited rights in the data.

c) Presentation material shall be marked with the appropriate distribution statement and any restrictive legends that apply. If restrictive legends are not evident, the data will be treated as unrestricted.

d) An electronic copy of the materials shall be delivered to each recipient on one properly labeled CD-ROM or via the AMRDEC SAFE site

BLK 9: All documentation shall be marked IAW DoDI 5230.24 with the following distribution statement: “DISTRIBUTION STATEMENT C. Distribution authorized to US Government agencies and their contractors only; (reason), (date of determination). Other requests for this document shall be referred to the High Energy Laser Joint Technology Office (HEL JTO), 801 University Blvd, Ste 209, Albuquerque, NM 87106.” Contractor shall suggest reasons as appropriate for technology development; more than one reason can be listed: Critical Technology; Export Controlled, Administrative or Operational User. Acceptance of suggested reasons for distribution statement are at the Government’s sole discretion.

EXPORT CONTROL WARNING: All technical data must be marked as follows if appropriate: “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. Dissemination in accordance with provisions of DoD Directive 5230.25.”

All technical data (including electronic media) shall be marked with the following statement: “DESTRUCTION NOTICE-For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked IAW DFARS 252.227-7013.

BLKS 10-13: Paper copy to be provided to each attendee at each Technical Interchange Meeting, kick-off meeting, and final review. Presentation materials for the

HEL JTO Annual Review shall be submitted 14 days prior to HEL JTO Annual Review meeting in accordance with the distribution in BLK 14.

H. DATE: 16 Jun 2016 J. DATE: 8 SEP 2016

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 1 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 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........: BEAM CONTROL RESEARCH AND DEVELOPMENT

E. CONTRACT/PR NO.: AFRL-RVKD-2016-0003

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

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

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

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

4. AUTHORITY.............................: DI-MGMT-80368A/T

5. CONTRACT REFERENCE......: SOW Para. TBD

6. REQUIRING OFFICE..............: HEL JTO

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

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

9. DIST. STATEMENT REQUIRED......: C

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

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

13. DATE OF SUBSEQUENT SUBM……: See Blk 16

TECHNICAL REP 1

HEL JTO SUPPORT CONTRACTOR 1

AFRL/RVKDT PCO Ltr

ACO Ltr

a) The most current version of the Data Item Description is to be used. Tailoring of DID requirements:

b) Take 3.2.1g and separate into its own paragraph called “Issues” and put immediately after the information in paragraph 3.2.2.

c) Delete paragraph 3.2.3. as this information is included in the Funds and Man-Hours Expenditure Report.

d) Reports shall be marked with the appropriate distribution statement and any restrictive legends that apply. If restrictive legends are not evident, the data will be treated as unrestricted.

e) An electronic copy of the report shall be delivered to each recipient on one properly labeled CD-ROM or via the AMRDEC SAFE site

BLK 9: All documentation shall be marked IAW DoDI 5230.24 with the following distribution statement: “DISTRIBUTION STATEMENT C. Distribution authorized to US Government agencies and their contractors only; (reason), (date of determination). Other requests for this document shall be referred to the High Energy Laser Joint Technology Office (HEL JTO), 801 University Blvd, Ste 209, Albuquerque, NM 87106.” Contractor shall suggest reasons as appropriate for technology development; more than one reason can be listed: Critical Technology; Export Controlled, Administrative or Operational User. Acceptance of suggested

EXPORT CONTROL WARNING: All technical data must be marked as follows if appropriate: “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. Dissemination in accordance with provisions of DoD Directive 5230.25.”

All technical data (including electronic media) shall be marked with the following statement: “DESTRUCTION NOTICE-For unclassified, limited documents, destroy

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked IAW DFARS 252.227-7013.

BLKS 10-13: Provide monthly status reports NLT 15 calendar days following the close of the contractor’s monthly accounting period through completion of the technical period of performance. The first report is due after the first full month of performance.

BLK 14: The contractor shall distribute in accordance with BLK 14. When the addressee’s copy is identified by “Ltr,” send ONLY a copy of the transmittal letter to that addressee. The transmittal letter shall not include any restricted data and should therefore be sent via email.

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 1 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 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........: BEAM CONTROL RESEARCH AND DEVELOPMENT

E. CONTRACT/PR NO.: AFRL-RVKD-2016-0003

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

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

2. TITLE OF DATA ITEM............: Funds and Man-Hours Expenditure Report

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

4. AUTHORITY.............................: DI-FNCL-80331A

5. CONTRACT REFERENCE......: SOW Para. TBD

6. REQUIRING OFFICE..............: HEL JTO

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

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

9. DIST. STATEMENT REQUIRED......: C

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

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

13. DATE OF SUBSEQUENT SUBM……: See Blk 16

TECHNICAL REP 1

HEL JTO SUPPORT CONTRACTOR 1

AFRL/RVKDT PCO Ltr

ACO Ltr

a) The most current version of the Data Item Description is to be used. Tailoring of DID requirements:

b) The Funds and Man-Hours Expenditure Report shall be submitted with the Monthly Technical Status Report.

c) Reports shall be marked with the appropriate distribution statement and any restrictive legends that apply. If restrictive legends are not evident, the data will be treated as unrestricted.

d) An electronic copy of the report shall be delivered to each recipient on one properly labeled CD-ROM or via the AMRDEC SAFE site

BLK 9: All documentation shall be marked IAW DoDI 5230.24 with the following distribution statement: “DISTRIBUTION STATEMENT C. Distribution authorized to US Government agencies and their contractors only; (reason), (date of determination). Other requests for this document shall be referred to the High

Energy Laser Joint Technology Office (HEL JTO), 801 University Blvd, Ste 209, Albuquerque, NM 87106.” Contractor shall suggest reasons as appropriate for technology development; more than one reason can be listed: Critical Technology; Export Controlled, Administrative or Operational User. Acceptance of suggested

EXPORT CONTROL WARNING: All technical data must be marked as follows if appropriate: “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. Dissemination in accordance with provisions of DoD Directive 5230.25.”

All technical data (including electronic media) shall be marked with the following statement: “DESTRUCTION NOTICE-For unclassified, limited documents, destroy

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked IAW DFARS 252.227-7013.

BLKS 10-13: Provide monthly status reports NLT 15 calendar days following the close of the contractor’s monthly accounting period through completion of the technical period of performance. The first report is due after the first full month of performance.

BLK 14: The contractor shall distribute in accordance with BLK 14. When the addressee’s copy is identified by “Ltr,” send ONLY a copy of the transmittal letter to that addressee. The transmittal letter shall not include any restricted data and should therefore be sent via email.

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........: BEAM CONTROL RESEARCH AND DEVELOPMENT

E. CONTRACT/PR NO.: AFRL-RVKD-2016-0003

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

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

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

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

4. AUTHORITY.............................: DI-MISC-80711A

5. CONTRACT REFERENCE......: SOW Para. TBD

6. REQUIRING OFFICE..............: HEL JTO

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

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

9. DIST. STATEMENT REQUIRED......: C

10. FREQUENCY......................................: One Time

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

13. DATE OF SUBSEQUENT SUBM…….: See Blk 16

HEL JTO 1 1

TECHNICAL REP 1 1

HEL JTO SUPPORT CONTRACTOR 1 1

AFRL/RVKDT PCO Ltr

ACO Ltr

15. TOTAL: 3 3

16. REMARKS

THE CONTRACTOR SHALL NOT SUBMIT THE FINAL REPORT TO DEFENSE TECHNICAL INFORMATION CENTER (DTIC). Only HEL JTO will submit.

a) The most current version of the Data Item Description is to be used.

b) The contractor shall complete and submit an SF298 Report Documentation Page, with the final report. The SF 298 is available at http://dtic.mil/pdf/formsnguides/sf298.pdf. The contractor shall complete the following blocks of the SF298: Blocks 2-5a, 6, 7, and 13 (if applicable), 14 –

16c. Complete the following boxes as shown:

Block 9: HEL JTO, 801 University Blvd, Suite 209, Albuquerque, NM 87106 Block 10: HEL JTO

Block 11: Put your JTO Project # here

Block 12: Include Distribution Statement shown below (BLK 9) Block 19: Put your JTO POC Name and phone number here

c) An electronic copy shall be delivered for both the draft and final version of the report to each recipient on one properly labeled CD-ROM or via the

AMRDEC SAFE site (https://safe.amrdec.army.mil/safe/).

BLK 9: All documentation shall be marked IAW DoDI 5230.24 with the following distribution statement: “DISTRIBUTION STATEMENT C. Distribution authorized to US Government agencies and their contractors only; (reason), (date of determination). Other requests for this document shall be referred to the High Energy Laser Joint Technology Office (HEL JTO), 801 University Blvd, Ste 209, Albuquerque, NM 87106.” Contractor shall suggest reasons as appropriate for technology development; more than one reason can be listed: Critical Technology; Export Controlled, Administrative or Operational User. Acceptance of suggested

EXPORT CONTROL WARNING: All technical data must be marked as follows if appropriate: “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. Dissemination in accordance with provisions of DoD Directive 5230.25.”

All technical data (including electronic media) shall be marked with the following statement: “DESTRUCTION NOTICE-For unclassified, limited documents, destroy

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked IAW DFARS 252.227-7013.

BLKS 11-13: The contractor shall deliver the Final Report, in draft, within 30 calendar days after completion of the technical effort. Incomplete final reports will be immediately returned to the contractor. The HEL JTO and technical monitor(s) will review, edit and return the draft no later than 30 calendar days after receipt of the draft Final Report. Upon receipt of the reviewed and edited draft, the contractor shall incorporate all required changes and deliver the final version within 30 calendar days after receipt of government comments.

BLK 14: The contractor shall distribute in accordance with BLK 14. When the addressee’s copy is identified by “Ltr,” send ONLY a copy of the transmittal letter to that addressee. The transmittal letter shall not include any restricted data and should therefore be sent via email.

18. ESTIMATED TOTAL PRICE :

http://dtic.mil/pdf/formsnguides/sf298.pdf