Attachment 2 - CDRLs.pdf

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PREVIOUS EDITION MAY BE USED.

DD FORM 1423, FEB 2024

Page of

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

DD FORM 1423, FEB 2024

Page of

CONTRACT DATA REQUIREMENTS LIST

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

Reg

Repro

16. REMARKS

14. DISTRIBUTION

15.TOTAL

Image of arrow pointing towards totals

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 (e.g., Mission Design Series (MDS) designator).

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Name of preparer of CDRL.

Item H. Date CDRL was prepared and signature of preparer of CDRL.

Item I. Name of CDRL approval authority.

Item J. Date CDRL was approved and signature of CDRL approval authority.

Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.

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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.

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 delivering such data item to the Government.

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 rights to use the data shall be governed by the pertinent provisions of the contract.

9.0.0.2.20120627.2.874785

DD Form 1423, "Contract Data Requirements List"

Controlled by: USAF AFLCMC/HBDIA-AEWS PMO CUI Category: Controlled Technical Information Distribution/Dissemination Controls: CTI

POC: USAF AFLCMC/HBDIA

CurrentPage:

PageCount:

Select Classification from drop-down list.: 2

CUI Indicator Information:

Click on this button to attach a file(s).:

A. CONTRACT LINE ITEM NUMBER: 0001/1001/2001/3001/4001/5001

exhibit: A/B/C/D/E/F

C. CATEGORY: Select for "TDP.": 0

C. CATEGORY: Select for "TM.": 0

C. CATEGORY: Select for "OTHER.": 1

C. CATEGORY: Enter specification for "Other.": EMCS

System: FPS-117 Long Range Radar

ContractNum: TBD

Contractor: TBD

1. DATA ITEM NUMBER: A/B/C/D/E/F060

titleDataItem: TEMPEST Control Plan subtitle:

4. AUTHORITY (Data Acquisition Document Number): DI-EMCS-81687 contractRef: PWS Paragraph 4.1.60 reqOffice: AFLCMC/HBDI

7. DD 250 REQUIREMENT: LT

8. APPROVAL CODE : A

9. DISTRIBUTION STATEMENT REQUIRED: D

freq: See Block 16 asOfDate: See Block 16 dateFirstSub: See Block 16 dateSubseqSub: See Block 16

16. REMARKS: Contractor format is acceptable using Adobe Acrobat and Microsoft Office Products.

Shall be delivered As Required by new ECP and\or Task Order.

Blk 8: Submit initial plan within 30 cal days ARO. Government will respond within 30 cal days with comments/approval to the initial and subsequent responses. Subsequent response by Contractor due 15 DARC (cal). If no response from Government within required dates then report will be considered acceptable.

Blk 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors, Critical Technology, determined 1 February 2025. Other requests for a copy of this document shall be referred to AFLCMC/HBDI.

Warning: This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

The above Distribution Statement and Warning Notice shall be displayed or affixed to the data in a conspicuous position.

DESTRUCTION NOTICE – Follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.01M, Information Security Program, Vol 3, Protection of Classified Information.

BLOCK 7:

The letter of transmittal shall contain the System name, Contract Number, PCCN, SCC, PLISN(s) covered and Contact Information. The letter shall list each NSN* in PLISN order and specify whether submittal is partial, corrected or final.

Inspection/Acceptance shall be at Destination.

*Items which do not have an NSN assigned at time of submission shall be identified using the PLISN & Part Number.

Blk 10: ASREQ.

Blk 11: N/A Blk 12: Within 30 cal days ARO of new ECP/Task Order Blk 13: IAW PWS

Block 14. The Contractor shall submit electronic versions of all data deliverables in accordance with Block 14 of the individual DD 1423 forms, unless specified differently in Block 16. Any submittals by other means shall require FPS-117 Program Office approval prior to delivery of data. The Contractor shall electronically deliver all contractual data using the Lifecycle Management Process-Integrated Data Environment (LCMP-IDE) application or USG approved alternative application. The Contractor shall ensure that at least two (2) Contractor personnel have LCMP-IDE access throughout the period of performance. The Contractor shall complete LCMP-IDE training required by the USG.

Click to add continuation field for Remarks:

14. DISTRIBUTION - a. ADDRESSEE, new line: Lifecycle Management

14. DISTRIBUTION - a. ADDRESSEE, new line: Process Integrated Date

14. DISTRIBUTION - a. ADDRESSEE, new line: Environment

14. DISTRIBUTION - a. ADDRESSEE, new line: (LCMP-IDE)

14. DISTRIBUTION - a. ADDRESSEE, new line: https://members.lcmp.af.

14. DISTRIBUTION - a. ADDRESSEE, new line: mil/ltad

14. DISTRIBUTION - a. ADDRESSEE, new line: Or USG Approved Alt.

15.TOTAL - Total draft copies is automatically calculated.:

15.TOTAL - Total final regular copies is automatically calculated.: 1

15.TOTAL - Total final regular copies is automatically calculated.: 1

15.TOTAL - Total final reproducible copies is automatically calculated.:

priceGrp:

estTotalPrice:

remarks:

preparedBy: Alexandria Favela

J. SIGNATURE: H. SIGNED ON 20250421

J. SIGNATURE: J. SIGNED ON 20250718

J. SIGNATURE:

approvedBy: Dustin Seidl

Click to add additional data items.:

Click to delete additional data items.:

viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other

Page of

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

DD FORM 1423, FEB 2024

Page of

CONTRACT DATA REQUIREMENTS LIST

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

Reg

Repro

16. REMARKS

14. DISTRIBUTION

15.TOTAL

Image of arrow pointing towards totals

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 (e.g., Mission Design Series (MDS) designator).

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Name of preparer of CDRL.

Item H. Date CDRL was prepared and signature of preparer of CDRL.

Item I. Name of CDRL approval authority.

Item J. Date CDRL was approved and signature of CDRL approval authority.

Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.

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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.

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 delivering such data item to the Government.

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 rights to use the data shall be governed by the pertinent provisions of the contract.

9.0.0.2.20120627.2.874785

DD Form 1423, "Contract Data Requirements List"

Controlled by: USAF AFLCMC/HBDIA-AEWS PMO CUI Category: Controlled Technical Information Distribution/Dissemination Controls: CTI

POC: USAF AFLCMC/HBDIA

CurrentPage:

PageCount:

Select Classification from drop-down list.: 2

CUI Indicator Information:

Click on this button to attach a file(s).:

A. CONTRACT LINE ITEM NUMBER: 0001/1001/2001/3001/4001/5001

exhibit: A/B/C/D/E/F

C. CATEGORY: Select for "TDP.": 0

C. CATEGORY: Select for "TM.": 0

C. CATEGORY: Select for "OTHER.": 1

C. CATEGORY: Enter specification for "Other.": MGMT

System: FPS-117 Long Range Radar

ContractNum: TBD

Contractor: TBD

1. DATA ITEM NUMBER: A/B/C/D/E/F029

titleDataItem: Security Technical Implementation Guide (STIG) subtitle:

4. AUTHORITY (Data Acquisition Document Number): DI-MGMT-82192 contractRef: PWS Paragraph 3.3.13.1.3 reqOffice: AFLCMC/HBDI

7. DD 250 REQUIREMENT: LT

8. APPROVAL CODE : A

9. DISTRIBUTION STATEMENT REQUIRED: D

freq: See Block 16 asOfDate: See Block 16 dateFirstSub: See Block 16 dateSubseqSub: See Block 16

16. REMARKS: Contractor format is acceptable using Adobe Acrobat and Microsoft Office Products.

Shall be delivered As Required by new ECP and\or Task Order.

Blk 8: Submit initial report within 30 cal days ARO. Government will respond within 30 cal days with comments/approval to the initial and subsequent responses. Subsequent response by Contractor due 15 DARC (cal). If no response from Government within required dates then report will be considered acceptable.

Blk 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors only, Critical Technology, determined 1 February 2025. Other requests for a copy of this document shall be referred to AFLCMC/HBDI.

Warning: This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

The above Distribution Statement and Warning Notice shall be displayed or affixed to the data in a conspicuous position.

DESTRUCTION NOTICE – Follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.01M, Information Security Program, Vol 3, Protection of Classified Information.

BLOCK 7:

The letter of transmittal shall contain the System name, Contract Number, PCCN, SCC, PLISN(s) covered and Contact Information. The letter shall list each NSN* in PLISN order and specify whether submittal is partial, corrected or final.

Inspection/Acceptance shall be at Destination.

*Items which do not have an NSN assigned at time of submission shall be identified using the PLISN & Part Number.

Blk 10: ASREQ.

Blk 11: N/A Blk 12: Within 30 cal days ARO of new ECP/Task Order

Block 14. The Contractor shall submit electronic versions of all data deliverables in accordance with Block 14 of the individual DD 1423 forms, unless specified differently in Block 16. Any submittals by other means shall require FPS-117 Program Office approval prior to delivery of data. The Contractor shall electronically deliver all contractual data using the Lifecycle Management Process-Integrated Data Environment (LCMP-IDE) application or USG approved alternative application. The Contractor shall ensure that at least two (2) Contractor personnel have LCMP-IDE access throughout the period of performance. The Contractor shall complete LCMP-IDE training required by the USG.

Click to add continuation field for Remarks:

14. DISTRIBUTION - a. ADDRESSEE, new line: Lifecycle Management

14. DISTRIBUTION - a. ADDRESSEE, new line: Process Integrated Date

14. DISTRIBUTION - a. ADDRESSEE, new line: Environment

14. DISTRIBUTION - a. ADDRESSEE, new line: (LCMP-IDE)

14. DISTRIBUTION - a. ADDRESSEE, new line: https://members.lcmp.af.

14. DISTRIBUTION - a. ADDRESSEE, new line: mil/ltad

14. DISTRIBUTION - a. ADDRESSEE, new line: Or USG Approved Alt.

15.TOTAL - Total draft copies is automatically calculated.:

15.TOTAL - Total final regular copies is automatically calculated.: 1

15.TOTAL - Total final regular copies is automatically calculated.: 1

15.TOTAL - Total final reproducible copies is automatically calculated.:

priceGrp:

estTotalPrice:

remarks:

preparedBy: Alexandria Favela

J. SIGNATURE: H. SIGNED ON 20250421

J. SIGNATURE: J. SIGNED ON 20250718

J. SIGNATURE:

approvedBy: Dustin Seidl

Click to add additional data items.:

Click to delete additional data items.:

viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other

Page of

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

DD FORM 1423, FEB 2024

Page of

CONTRACT DATA REQUIREMENTS LIST

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

Reg

Repro

16. REMARKS

14. DISTRIBUTION

15.TOTAL

Image of arrow pointing towards totals

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 (e.g., Mission Design Series (MDS) designator).

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Name of preparer of CDRL.

Item H. Date CDRL was prepared and signature of preparer of CDRL.

Item I. Name of CDRL approval authority.

Item J. Date CDRL was approved and signature of CDRL approval authority.

Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.

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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.

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 delivering such data item to the Government.

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 rights to use the data shall be governed by the pertinent provisions of the contract.

9.0.0.2.20120627.2.874785

DD Form 1423, "Contract Data Requirements List"

Controlled by: USAF AFLCMC/HBDIA-AEWS PMO CUI Category: Controlled Technical Information Distribution/Dissemination Controls: CTI

POC: USAF AFLCMC/HBDIA

CurrentPage:

PageCount:

Select Classification from drop-down list.: 2

CUI Indicator Information:

Click on this button to attach a file(s).:

A. CONTRACT LINE ITEM NUMBER: 0001/1001/2001/3001/4001/5001

exhibit: A/B/C/D/E/F

C. CATEGORY: Select for "TDP.": 0

C. CATEGORY: Select for "TM.": 0

C. CATEGORY: Select for "OTHER.": 1

C. CATEGORY: Enter specification for "Other.": MGMT

System: FPS-117 Long Range Radar

ContractNum: TBD

Contractor: TBD

1. DATA ITEM NUMBER: A/B/C/D/E/F066

titleDataItem: Accident Incident Report subtitle:

4. AUTHORITY (Data Acquisition Document Number): DI-MGMT-82188 contractRef: PWS Paragraph 3.2.3.2 reqOffice: AFLCMC/HBDI

7. DD 250 REQUIREMENT: LT

8. APPROVAL CODE : A

9. DISTRIBUTION STATEMENT REQUIRED: D

freq: See Block 16 asOfDate: See Block 16 dateFirstSub: See Block 16 dateSubseqSub: See Block 16

16. REMARKS: Contractor format is acceptable using Adobe Acrobat and Microsoft Office Products.

Shall be delivered NO LATER THAN 3 workdays to the Government COR and CO after accidnet/incident occurs.

Blk 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors only,Critical Technology, determined 1 February 2025. Other requests for a copy of this document shall be referred to AFLCMC/HBDI.

Warning: This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

The above Distribution Statement and Warning Notice shall be displayed or affixed to the data in a conspicuous position.

DESTRUCTION NOTICE – Follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.01M, Information Security Program, Vol 3, Protection of Classified Information.

BLOCK 7:

The letter of transmittal shall contain the System name, Contract Number, PCCN, SCC, PLISN(s) covered and Contact Information. The letter shall list each NSN* in PLISN order and specify whether submittal is partial, corrected or final.

Inspection/Acceptance shall be at Destination.

*Items which do not have an NSN assigned at time of submission shall be identified using the PLISN & Part Number.

Blk 10: ASREQ.

Blk 11: N/A Blk 12: NO LATER THAN 3 workdays to the Government COR and CO after accidnet/incident occurs.

Blk 13: ASREQ.

Block 14. The Contractor shall submit electronic versions of all data deliverables in accordance with Block 14 of the individual DD 1423 forms, unless specified differently in Block 16. Any submittals by other means shall require FPS-117 Program Office approval prior to delivery of data. The Contractor shall electronically deliver all contractual data using the Lifecycle Management Process-Integrated Data Environment (LCMP-IDE) application or USG approved alternative application. The Contractor shall ensure that at least two (2) Contractor personnel have LCMP-IDE access throughout the period of performance. The Contractor shall complete LCMP-IDE training required by the USG.

Click to add continuation field for Remarks:

14. DISTRIBUTION - a. ADDRESSEE, new line: Lifecycle Management

14. DISTRIBUTION - a. ADDRESSEE, new line: Process Integrated Date

14. DISTRIBUTION - a. ADDRESSEE, new line: Environment

14. DISTRIBUTION - a. ADDRESSEE, new line: https://members.lcmp.af.

14. DISTRIBUTION - a. ADDRESSEE, new line: mil/ltad

14. DISTRIBUTION - a. ADDRESSEE, new line: Or USG Approved Alt.

15.TOTAL - Total draft copies is automatically calculated.:

15.TOTAL - Total final regular copies is automatically calculated.: 1

15.TOTAL - Total final regular copies is automatically calculated.: 1

15.TOTAL - Total final reproducible copies is automatically calculated.:

priceGrp:

estTotalPrice:

remarks:

preparedBy: Alexandria Favela

J. SIGNATURE: H. SIGNED ON 20250422

J. SIGNATURE: J. SIGNED ON 20250718

J. SIGNATURE:

approvedBy: Dustin Seidl

Click to add additional data items.:

Click to delete additional data items.:

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Page of

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

DD FORM 1423, FEB 2024

Page of

CONTRACT DATA REQUIREMENTS LIST

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

Reg

Repro

16. REMARKS

14. DISTRIBUTION

15.TOTAL

Image of arrow pointing towards totals

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 (e.g., Mission Design Series (MDS) designator).

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Name of preparer of CDRL.

Item H. Date CDRL was prepared and signature of preparer of CDRL.

Item I. Name of CDRL approval authority.

Item J. Date CDRL was approved and signature of CDRL approval authority.

Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.

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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.

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 delivering such data item to the Government.

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 rights to use the data shall be governed by the pertinent provisions of the contract.

9.0.0.2.20120627.2.874785

DD Form 1423, "Contract Data Requirements List"

Controlled by: USAF AFLCMC/HBDIA-AEWS PMO CUI Category: Controlled Technical Information Distribution/Dissemination Controls: CTI

POC: USAF AFLCMC/HBDIA

CurrentPage:

PageCount:

Select Classification from drop-down list.: 2

CUI Indicator Information:

Click on this button to attach a file(s).:

A. CONTRACT LINE ITEM NUMBER: 0001/1001/2001/3001/4001/5001

exhibit: A/B/C/D/E/F

C. CATEGORY: Select for "TDP.": 0

C. CATEGORY: Select for "TM.": 0

C. CATEGORY: Select for "OTHER.": 1

C. CATEGORY: Enter specification for "Other.": IPSC

System: FPS-117 Long Range Radar

ContractNum: TBD

Contractor: TBD

1. DATA ITEM NUMBER: A/B/C/D/E/F030

titleDataItem: Software Assurance Evaluation Report (SAER) subtitle:

4. AUTHORITY (Data Acquisition Document Number): DI-IPSC-82249A contractRef: PWS Paragraph 3.3.13.1.3 reqOffice: AFLCMC/HBDI

7. DD 250 REQUIREMENT: LT

8. APPROVAL CODE : A

9. DISTRIBUTION STATEMENT REQUIRED: D

freq: See Block 16 asOfDate: See Block 16 dateFirstSub: See Block 16 dateSubseqSub: See Block 16

16. REMARKS: Contractor format is acceptable using Adobe Acrobat and Microsoft Office Products.

Shall be delivered As Required by new ECP and\or Task Order.

Blk 8: Submit initial report within 30 cal days ARO. Government will respond within 30 cal days with comments/approval to the initial and subsequent responses. Subsequent response by Contractor due 15 DARC (cal). If no response from Government within required dates then report will be considered acceptable.

Blk 9: Distribution Statement D: Distribution authorized to Department of Defense (DoD) and U.S. DoD contractors only, Critical Technology, determined 1 February 2025. Other requests for a copy of this document shall be referred to AFLCMC/HBDI.

Warning: This document contains technical data whose export is restricted by the Arms Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control Reform Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25 and DoD Instruction 2040.02.

The above Distribution Statement and Warning Notice shall be displayed or affixed to the data in a conspicuous position.

DESTRUCTION NOTICE – Follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.01M, Information Security Program, Vol 3, Protection of Classified Information.

BLOCK 7:

The letter of transmittal shall contain the System name, Contract Number, PCCN, SCC, PLISN(s) covered and Contact Information. The letter shall list each NSN* in PLISN order and specify whether submittal is partial, corrected or final.

Inspection/Acceptance shall be at Destination.

*Items which do not have an NSN assigned at time of submission shall be identified using the PLISN & Part Number.

Blk 10: ASREQ.

Blk 11: N/A Blk 12: Within 30 cal days ARO of new ECP/Task Order

Block 14. The Contractor shall submit electronic versions of all data deliverables in accordance with Block 14 of the individual DD 1423 forms, unless specified differently in Block 16. Any submittals by other means shall require FPS-117 Program Office approval prior to delivery of data. The Contractor shall electronically deliver all contractual data using the Lifecycle Management Process-Integrated Data Environment (LCMP-IDE) application or USG approved alternative application. The Contractor shall ensure that at least two (2) Contractor personnel have LCMP-IDE access throughout the period of performance. The Contractor shall complete LCMP-IDE training required by the USG.

Click to add continuation field for Remarks:

14. DISTRIBUTION - a. ADDRESSEE, new line: Lifecycle Management

14. DISTRIBUTION - a. ADDRESSEE, new line: Process Integrated Date

14. DISTRIBUTION - a. ADDRESSEE, new line: Environment

14. DISTRIBUTION - a. ADDRESSEE, new line: (LCMP-IDE)

14. DISTRIBUTION - a. ADDRESSEE, new line: https://members.lcmp.af.

14. DISTRIBUTION - a. ADDRESSEE, new line: mil/ltad

14. DISTRIBUTION - a. ADDRESSEE, new line: Or USG Approved Alt.

15.TOTAL - Total draft copies is automatically calculated.:

15.TOTAL - Total final regular copies is automatically calculated.: 1

15.TOTAL - Total final regular copies is automatically calculated.: 1

15.TOTAL - Total final reproducible copies is automatically calculated.:

priceGrp:

estTotalPrice:

remarks:

preparedBy: Alexandria Favela

J. SIGNATURE: H. SIGNED ON 20250421

J. SIGNATURE: J. SIGNED ON 20250718

J. SIGNATURE:

approvedBy: Dustin Seidl

Click to add additional data items.:

Click to delete additional data items.:

viewer may not be able to display this type of document.

You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.

For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.

Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other

Page of

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoDM 5010.12 for detailed instructions.)

DD FORM 1423, FEB 2024

Page of

CONTRACT DATA REQUIREMENTS LIST

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

Reg

Repro

16. REMARKS

14. DISTRIBUTION

15.TOTAL

Image of arrow pointing towards totals

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 (e.g., Mission Design Series (MDS) designator).

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Name of preparer of CDRL.

Item H. Date CDRL was prepared and signature of preparer of CDRL.

Item I. Name of CDRL approval authority.

Item J. Date CDRL was approved and signature of CDRL approval authority.

Item 1. See DFARS Subpart 204.71 for proper numbering. To add or delete additional data items, point and click the plus or minus sign to the right of Block J.

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. Identify only one Data Acquisition Document No. If a single work task generates more than one deliverable data product, prepare a separate data item for each deliverable data product.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work/Performance Work Statement 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 and computer software, specify the contractor's requirement to mark the appropriate distribution statement on the technical data or computer software (ref. DoDI 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.

Identify for which data item additional remarks are provided. When tailoring the Data Acquisition Document invoked in Item 4, identify which portions of that Document are being tailored.

Identify any referenced attachments to the form. Attachments can be added using the button at the bottom of page 1.

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 delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating…