Attachment 2 CDRL Combined OSBP Support.pdf
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- Attached to
- Office of Small Business Programs Support Services - Amend 7 Federal contract opportunity
- Solicitation number
- HT001125RE003
- Issued by
- Defense Health Agency
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DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
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. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
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 title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark 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. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered 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 additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423-1 (BACK), FEB 2001
data_item: 10 title: Staffing Plan and Reports sub:
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total_draft: 0 total_reg: 0 total_repro: 0 remarks: 5.8 Staffing Plan and Staffing Levels (Deliverable 10) – At contract award, the Contractor’s final proposed and Government approved staffing levels showing each CLIN, labor category, and respective labor categories will be reviewed for compliance. After contract award, the contractor shall provide an updated status report of the staffing plan on the 30th of each month. At a minimum, the staffing plan status report shall specify the following information: What positions were originally proposed at offering, the name of the person working in that position, if there are any upcoming or anticipated changes to that position/or change of employee working in that position, how many positions are staff and not staffed, the reason for not staffing of each position, how long each position has been vacant and details to include why each position is vacant and a detailed plan explaining how the contractor plans to fill the vacancy.
5.8.1 Staffing Levels – The contractor shall be required to maintain the staffing levels (labor categories and associated hours) in the Staffing Plan as incorporated into the contract award. The Contractor shall fill any vacant position within 30 days of the vacancy. A status update is required within 10 days, outlining recruitment efforts, and interim coverage. A final update confirming the new hire and start date is due within 30 days.
group:
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prep_name: Isaac L. Lewis line_item: TBD exhibit: N/A xtdp: Off xtm: Off othercat: X system: Services ctr_no: TBD contr: TBD remarksb:
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LEWIS.ISAAC.LINZY.1229281794
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AGYEI.MICHAEL.ASAMOAH.1239269857
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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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: 1A title: Transition In sub:
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total_draft: 0 total_reg: 0 total_repro: 0 remarks: The Government defines the transition-in period as the period concurrent with the incumbent’s transition-out period. The Government has scheduled a 30-day transition-in period. During the transition-in period, the Contractor shall prepare to meet all contract requirements and ensure incoming personnel are functionally trained and qualified on the full performance start date, which is the first day of the period of performance. The transition-in plan shall include, but is not limited to, the following:
• Demonstration of a reasonable and realistic approach for assuming full contractual responsibility without disruption or degradation of performance during the transition period
• Explanation how the offeror intends to plan for efficient collaboration coordination and communications, and show the offeror’s ability to lower and mitigate risks to minimize disruption of the Office of Small Business Administration programs
• Coordination with Government representatives
• Review, evaluation and transition of current support
• Transition of historic data as Government Furnished Property
• Government-approved training and certification process
• Transfer of all necessary business and/or technical documentation
• Orientation phase and program to introduce Government personnel, programs, and users to the Contractor’s team, tools, methodologies and business processes
• Applicable DHA briefings and personnel in-processing procedures,
• Coordinate with the Government to account for Government keys, ID access cards and security codes group:
total_price:
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app: Adobe Professional 8.0
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: 1B title: Transition Out sub:
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total_draft: 0 total_reg: 0 total_repro: 0 remarks: The Government has scheduled a 30-day Transition-out period. This 30-day period is concurrent to full performance of all PWS tasks. The outgoing contractor will provide the Government with a plan to transition out six months prior to the end of the contract. In accordance with the solicitation, the Contractor shall provide a plan for 30 business days for transitioning work from an active contract to a follow-on contract/order or Government entity. This transition may be to a Government entity, another Contractor, or to the incumbent Contractor under a new contract/order. In accordance with the Government-approved plan, the Contractor shall provide support to the Government in planning and implementing a complete transition from this contract and/or orders issued under this contract to a successful provider. This shall include formal coordination with Government staff and successor staff and management. It also shall include delivery of copies of existing policies and procedures, and delivery of required metrics and statistics. This transition-out plan shall include, but is not limited to:
o Coordination with Government representatives, o Review, evaluation, and transition of current support services, o Transition of historic data to new Contractor, o Government-approved training and certification process, o Transfer of all necessary business and/or technical documentation, o Orientation phase and program to introduce Government personnel, programs, and users to the Contractor's team, tools, methodologies, and business processes, management assistance, o Applicable Tactical Mission Assignment (TMA) debriefing and personnel out-processing procedures, o Turn-in of all government keys, ID/access cards, security codes, and parking passes (if appropriate).
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app_date:
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app: Adobe Professional 8.0
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: 2 title: Quality Control (QC) sub:
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total_draft: 0 total_reg: 0 total_repro: 0 remarks: Quality Control (QC): The contractor shall develop and maintain an effective quality control plan to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to proactively identify, prevent, and ensure nonrecurrence of defective services. The contractor’s quality control program is the means by which the work complies with stated requirements. The QC Plan shall be submitted within 30 days after contract award. When changes are required to the Quality Control Plan (QCP), they shall be submitted to the CO and COR within 5 working days of a change being made. After acceptance of the QCP the Contractor shall receive the COR’s acceptance in writing of any proposed change to his QC system.
1.10.2 Quality assurance: The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan provides a systematic method for the Government to evaluate performance and to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).
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LEWIS.ISAAC.LINZY.1229281794
prep_date: 07/28/2025 app_by:
2025-07-30T08:53:52-0500
AGYEI.MICHAEL.ASAMOAH.1239269857
app_date:
Page:
of_pages:
app: Adobe Professional 8.0
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: 3 title: Quality Control (QC) Assessment sub:
auth:
ref: PWS 1.10.3 req_ofc: DHA OSBP dd250:
appcode:
dist:
freq: Semi-annually asof: 20250930 firstsub: 20260401 subsub: N/A addressee1:
draft1:
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1.10.3. Semiannual assessment – The Contracting Officer (CO), Contracting Officer’s Representative and other Government personnel, as appropriate, shall meet semiannually with the Contractor to review the Contractor’s performance. At these meetings, the COR will apprise the Contractor of how the Government views the Contractor’s performance and the Contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues.
1.10.4 Following each meeting, the Contractor will briefly summarize (no more than 1-2 pages) meeting highlights, any issues identified with plans for corrective action and next steps with copy submitted to the COR three (3) days after the meeting. (Deliverable 3) group:
total_price:
prep_name: Isaac L. Lewis line_item: TBD exhibit: N/A xtdp: Off xtm: Off othercat: X system: Services ctr_no: TBD contr: TBD remarksb:
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Reset:
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LEWIS.ISAAC.LINZY.1229281794
prep_date: 07/28/2025 app_by:
2025-07-30T08:54:15-0500
AGYEI.MICHAEL.ASAMOAH.1239269857
app_date:
Page:
of_pages:
app: Adobe Professional 8.0
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: 4 title: Non-Disclosure Agreements sub:
auth:
ref: PWS 1.14.2 req_ofc: DHA OSBP dd250:
appcode:
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freq: See Block 16 asof: 20250930 firstsub: 20250930 subsub: N/A addressee1:
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total_draft: 0 total_reg: 0 total_repro: 0 remarks:
1.14.2 Non-Disclosure Agreement (NDA): All DHA Government Contractor personnel who will obtain access to proprietary, classified, or confidential information or any information release of which is protected or governed by law or regulation associated with DHA acquisitions shall be required to complete and sign a DHA Contractor NDA (DHA Form 49) prior to beginning work on the subject contract. The Contractor shall execute an NDA on behalf of the company and shall ensure that all staff assigned to, including all subcontractors and consultants, or other personnel performing on contract/Task order execute an NDA protecting the procurement sensitive information of the Government and the proprietary information of other contractors. The NDA shall be executed not later than first day of employment and to be renewed upon exercising a contract option period. Assignment of staff who has not executed this statement or failure to adhere to this statement shall constitute default on the part of the Contractor. The Contractor shall maintain originally signed NDAs of individual employees and provide copy of each to the COR.
group:
total_price:
prep_name: Isaac L. Lewis line_item: TBD exhibit: N/A xtdp: Off xtm: Off othercat: X system: Services ctr_no: TBD contr: TBD remarksb:
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Reset:
2025-07-28T12:20:15-0400
LEWIS.ISAAC.LINZY.1229281794
prep_date: 07/28/2025 app_by:
2025-07-30T08:54:36-0500
AGYEI.MICHAEL.ASAMOAH.1239269857
app_date:
Page:
of_pages:
app: Adobe Professional 8.0
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: 5 title: Progress Reports sub:
auth:
ref: PWS 1.14.4 req_ofc: DHA OSBP dd250:
appcode:
dist:
freq: Monthly asof: 20250930 firstsub: 20251001 subsub: N/A addressee1:
draft1:
reg1:
repro1:
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total_draft: 0 total_reg: 0 total_repro: 0 remarks:
1.14.4 Post award conference/periodic progress meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with FAR Subpart 42.5. The CO, COR, and other Government personnel, as appropriate, may meet periodically with the contractor to review the Contractor's performance. At these meetings the CO will apprise the Contractor of how the Government views the Contractor's performance and the Contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.
1.14.5 Progress Report: The Contractor shall ensure that a Monthly Progress Reports (MPR) is submitted to the COR outlining the expenditures, progress, status, and any problems/issues encountered in the performance of this contract.
group:
total_price:
prep_name: Isaac L. Lewis line_item: TBD exhibit: N/A xtdp: Off xtm: Off othercat: X system: Services ctr_no: TBD contr: TBD remarksb:
Page2:
Reset:
2025-07-28T12:21:22-0400
LEWIS.ISAAC.LINZY.1229281794
prep_date: 07/28/2025 app_by:
2025-07-30T08:55:25-0500
AGYEI.MICHAEL.ASAMOAH.1239269857
app_date:
Page:
of_pages:
app: Adobe Professional 8.0
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: 6 title: Weekly Reports sub:
auth:
ref: PWS 5.2.1.1 req_ofc: DHA OSBP dd250:
appcode:
dist:
freq: Weekly asof: 20250930 firstsub: 20251010 subsub: N/A addressee1:
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reg1:
repro1:
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total_draft: 0 total_reg: 0 total_repro: 0 remarks:
5.2.1.1 Program Execution – The Contractor shall support OSBP in the daily monitoring and distribution of communication from a variety of sources such as received via OSBP electronic mailboxes, public media, and internal and/or external Government sources and compile a listing of salient facts derived from such monitoring. Provide weekly small business achievement report of program execution.
group:
total_price:
prep_name: Isaac L. Lewis line_item: TBD exhibit: N/A xtdp: Off xtm: Off othercat: X system: Services ctr_no: TBD contr: TBD remarksb:
Page2:
Reset:
2025-07-28T12:21:43-0400
LEWIS.ISAAC.LINZY.1229281794
prep_date: 07/28/2025 app_by:
2025-07-30T08:55:57-0500
AGYEI.MICHAEL.ASAMOAH.1239269857
app_date:
Page:
of_pages:
app: Adobe Professional 8.0
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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: 7 title: Semi-Annual Report sub:
auth:
ref: PWS 5.2.1.1 req_ofc: DHA OSBP dd250:
appcode:
dist:
freq: Semi-annually asof: 20250930 firstsub: 20260415 subsub: N/A addressee1:
draft1:
reg1:
repro1:
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reg37:
repro37:
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draft38:
reg38x:
repro38:
total_draft: 0 total_reg: 0 total_repro: 0 remarks:
5.2.1.1 Provide semi-annual report of subcontracting achievements.
group:
total_price:
prep_name: Isaac L. Lewis line_item: TBD exhibit: N/A xtdp: Off x
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