Attach 2 - DD1423-1 CDRLS.pdf
PDF 348 KB Posted
- Attached to
- Distributed Aperture Infrared Countermeasures (DAIRCM) Interim Contractor Support (ICS) Federal contract opportunity
- Solicitation number
- FA8552-23-R-0005
About this file
This document contains a Contract Data Requirements List (CDRL) for a federal contract to provide Distributed Aperture Infrared Countermeasures (DAIRCM) Interim Contractor Support (ICS). The CDRL outlines ten required data items to be delivered under the contract, including status reports, meeting agendas and minutes, financial reports, safety plans, and procedures. Products are to be provided to the Department of the Air Force Materiel Command Lifecycle Management Center on a recurring basis. Draft submissions are due within fifteen business days with final approval required within thirty days. Distribution is authorized to U.S. government agencies and their contractors for administrative or operational use.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FA855223R0005_ 0001 RFP Extension.pdf | ||
| Attach 4 - GFP Solicitation.pdf | ||
| Attach 1 - PWS.pdf | ||
| QASP.pdf | ||
| Solicitation FA855223R0005.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST (CDRL)
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
HH-60G DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C001 Status Report Monthly Status Report/Travel Reports/Site Survey
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED TOTAL PRICE DI-MGMT-80368A See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para. 3.4, 4.7.1, 4.7.2
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 Jul 2023
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J
.1088735036
Digitally signed by
SELLE.RICHARD.J.1088735036
Date: 2023.08.02 11:31:51 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
HH-60G DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C002 Status of Government Furnished Equipment (GFE) Report
Master Government Property List of GFP, GFE, GFM, and Contractor Acquired Property (CAP)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED TOTAL PRICE DI-MGMT-80269 See Blk AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para. 3.4
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 Jul 2023
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.
1088735036
Digitally signed by
Date: 2023.08.02 11:36:17 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER MISC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C003 Technical Report - Study/Services Ground/Flight Operations and Procedures
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED TOTAL PRICE DI-MISC-80508B/T See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION DD REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para. 4.13
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 July 2023
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.
1088735036
Digitally signed by
Date: 2023.08.02 11:46:36 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER ADMN
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C004 Meeting Agenda
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE DI-ADMN-81249C See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft Final
A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para. 4.15, 4.15.1
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 July 2023 DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.1088735036
Digitally signed by
Date: 2023.08.02 11:49:50 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER ADMN
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C005 Meeting Minutes
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE DI-ADMN-81250C See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft Final
A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para. 4.15,4.15.1
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 July 2023
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.
1088735036
Digitally signed by
Date: 2023.08.02 12:04:56 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER ADMN
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C006 Presentation Material
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE DI-ADMN-81373 See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft Final
A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para. 4.15,4.15.1
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall provide draft agenda and draft presentation materials seven (7) working days prior to scheduled presentation.
If corrections/changes are required, the Government will submit within 3 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 2 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 July 2023
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.
1088735036
Digitally signed by
Date: 2023.07.26 11:46:37 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER FNCL
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C007 Funds & Man-Hour Expenditure Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE DI-FNCL-80331A See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft Final
A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para. 4.14
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 July 2023
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.
1088735036
Digitally signed by SELLE.RICHARD.J.1088735036 Date: 2023.08.02 12:46:23 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER SAFT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C008 Accident/Incident Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE DI-SAFT-81563/T See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft Final
A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para 5.5.3
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 July 2023
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.1
088735036
Digitally signed by
Date: 2023.08.02 12:14:04 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C009 Management Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE DI-MGMT-80004A See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft Final
A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para 5.1.2.1
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 Jul 2023
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.
1088735036
Digitally signed by
Date: 2023.08.02 12:16:23 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C00A Integrated Program Management Data and Analysis Report (IPMDAR) Integrated Master Schedule (IMS)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED TOTAL PRICE DI-MGMT-81861C/T See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 4: DID is tailored; only format 6 applies.
BLK 5: PWS Para. 4.7.1
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 07-10-23
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.
1088735036
Digitally signed by
Date: 2023.08.02 12:20:03 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
HH-60G DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C00B Interim Contractor Support (ICS) Parts Usage and Maintenance Data Collection Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED TOTAL PRICE DI-ILSS-81226 See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para. 4.7.6
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 July 2023
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.
J.1088735036
Digitally signed by
SELLE.RICHARD.J.1088735036
Date: 2023.08.02 12:22:01 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER ADMN
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C00C Trip/Travel Reports
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE DI-MISC-81943 See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft Final
A See Blk 16 See Blk 16 Reg Repro
Remarks:
BLK 5: PWS Para. 4.6
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil
See Blk 16 for 1 1 email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 Jul 2023
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.1
088735036
Digitally signed by
Date: 2023.08.02 12:30:17 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER ADMN
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C00D Quality Assurance Program Plan (QAPP)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE DI-QCIC-81794A See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft Final
A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para. 5.9
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 11 July 23 DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.108
8735036
Digitally signed by
Date: 2023.08.02 12:33:11 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER ADMN
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C00E Environmental, Safety, and Occupational Health (ESOH) Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED TOTAL PRICE DI-SAFT-82313 See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para. 5.5.2
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 July 23 DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.10
88735036
Digitally signed by
Date: 2023.08.02 12:36:34 -04'00'
Form Approved OMB No. 0704-0188
The 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 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:
0004/1004/2004 A/B/C TDP _____ TM ______ OTHER ADMN
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
DAIRCM ICS FD2060-23-31400 DRS
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A/B/C00F Contractor’s Standard Operating Procedures Company Safety Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED TOTAL PRICE DI-MGMT-81580/T See Blk 16 AFLCMC/WIUBB
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION LT REQUIRED See Blk 16 See Blk 16
a. ADDRESSEE
b. COPIES
8. APP CODE
C
11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.
Draft
Final A See Blk 16 See Blk 16 Reg Repro
16. REMARKS See Blk 16 for 1 1
BLK 5: PWS Para. 5.5.2
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to attention: david.hawk.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.
BLKs 8, 10-13: The Contractor shall submit the draft report 15 business days after completion of review, study, analysis, etc. The Government Program Manager will approve/disapprove within 5 business days. If corrections/changes are required, the Government will submit within 5 days of review. After receipt of corrections/changes from the Government, the Contractor shall incorporate comments and resubmit within 5 business days.
BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIBB.
BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.
Email Addresses:
david.hawk.4@us.af.mil richard.mercado.6@us.af.mil hank.howard.1.ctr@us.af.mil matthew.davis.104@us.af.mil email Addresses
15. TOTAL 1 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
David Hawk 10 July 23 DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00
SELLE.RICHARD.J.108
8735036
Digitally signed by
Date: 2023.08.02 12:42:07 -04'00'
File details come from the government source that posted it. Updated .