Attachment 2 - Draft DD Form 1423-1 CDRL.pdf

ATTACHMENT 2:

CONTRACT DATA REQUIREMENTS LIST

SETS BAA CALL 001

PROGRAM NAME:

“GEOSPACE ENVIRONMENT TECHNOLOGIES AND SCIENCE”

Contract Data Requirements Lists (CDRLs) Summary

Item Title Delivery Schedule DID

A001 Scientific & Technical Reports Final Report – One Time DI-MISC-80711A

A002 Status Report Monthly DI-MGMT-80368A

A003 Computer Software Products As Required DI-IPSC-81488

A004 Presentation Material As Required DI-ADMN-81373

A005 Funds and Man-Hours Expenditure Report

Monthly

DI-FNCL-80331A

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approval OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: See Contract, Section B

B. EXHIBIT....................................: A

C. CATEGORY..............................: Other

D. SYSTEM/ITEM........: Insert Project Name E. CONTRACT/PR NO.: Insert Contract Number F. CONTRACTOR.........: Insert Contractor’s Name

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

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

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

4. AUTHORITY.............................: DI-MISC-80711A (http://quicksearch.dla.mil)

5. CONTRACT

REFERENCE......: Insert PWS/SOW paragraph

6. REQUIRING OFFICE..............: AFRL/RVBX

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

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

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: 1TIME

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

12. DATE OF FIRST SUBMISSION: See blk 16

13. DATE OF SUBSEQUENT SUBM.: See blk 16

14. DISTRIBUTION

A. ADDRESSEES

B. COPIES

Refer to Block 16 for additional distribution instructions.

LT – Letter of Transmittal 1TIME – One Time

DRAFT FINAL

AFRL/RVBX 2 1

AFRL/RVKB LT LT

ACO LT LT

15. TOTAL: 2 1

16. REMARKS

THE REPORT WILL BE PUBLISHED WITH THE DEFENSE TECHNICAL INFORMATION CENTER (DTIC) BY AFRL STINFO OFFICE.

Under no circumstances shall the contractor submit any version of the scientific and technical report to DTIC.

Blk. 4: GUIDANCE FOR PREPARATION OF THE REPORT: The Scientific and Technical Report shall be prepared I.A.W. the most current ANSI/NISO Standard Z39.18 or most current AFRL ANSI report preparation guidance. The contractor shall complete the most current SF 298:

Blocks 2-5a, 6, 7, 8 and 13 (if applicable), and 14-16c, and submit it with the report. Incomplete reports will be immediately returned to the contractor. Following AFRL technical and STINFO reviews, any revisions required will be returned to the contractor. NOTE: The report preparation guidance and SF 298 are available at: https://www.afrl.af.mil/RV/

The contractor shall deliver two editable electronic copies of the report. The electronic copies shall be an editable .pdf file and the most current version of Microsoft Word. Submission via unencrypted or unsecure email is not permitted. If encrypted email is not available, please use:

https://safe.apps.mil/.

Blk. 7: UPON NOTIFICATION OF ACCEPTANCE OF THE SCIENTIFIC AND TECHNICAL REPORT FROM THE PROGRAM OFFICE, the contractor shall submit the final Receiving Report (DD Form 250) in WAWF. In preparing the final DD Form 250, code the shipment number with a “Z.” Do not upload the Scientific and Technical Report into WAWF or DTIC. NOTE: SUBMITTAL OF THE DD FORM 250Z PRIOR TO ACCEPTANCE NOTIFICATION WILL RESULT IN REJECTION OF THE DD FORM 250Z FINAL RECEIVING REPORT.

Blk. 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RVB 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117- 5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT EXCEPT THE SF 298.)

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.

DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable, indecipherable, and unrecoverable.”

Blk. 10 - 13: The contractor shall deliver the Scientific and Technical Report, in final format, no later than the date specified in the Contract Schedule. The USAF will review and, if necessary, return the report with comments no later than the date specified in the Contract Schedule. If the report is returned to the contractor with comments, the contractor shall deliver the final copy of the report no later than the date specified in the Contract Schedule.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

G. PREPARED BY: I. APPROVED BY:

H. DATE: J. DATE:

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page x of x Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: See Contract, Section B

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Insert Project Name E. CONTRACT/PR NO.: Insert Contract Number F. CONTRACTOR.........: Insert Contractor’s Name

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

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

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

4. AUTHORITY.............................: DI-MGMT-80368A (http://quicksearch.dla.mil)

5. CONTRACT

REFERENCE......: Insert PWS/SOW paragraph

6. REQUIRING OFFICE..............: AFRL/RVBX

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

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

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: MTHLY

11. AS OF DATE........................................: N/A

12. DATE OF FIRST SUBMISSION: 45DAC

13. DATE OF SUBSEQUENT SUBM.: 15DARP

MTHLY – Monthly 45DAC – 45 Days after contract start 15DARP – 15 Days after reporting period

AFRL/RVBX 0 1

AFRL/RVKB 0 LT

ACO 0 LT

15. TOTAL: 0 1

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled, [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RVB 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF

EVERY PAGE OF THE REPORT EXCEPT THE SF 298.)

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.

DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable, indecipherable, and unrecoverable.”

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

G. PREPARED BY: I. APPROVED BY:

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page x of x Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: See Contract, Section B

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Insert Project Name E. CONTRACT/PR NO.: Insert Contract Number F. CONTRACTOR.........: Insert Contractor’s Name

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

2. TITLE OF DATA ITEM............: Computer Software Products

3. SUBTITLE..................................: Computer Software, Algorithms, Programs and Source Code

4. AUTHORITY.............................: DI-IPSC-81488 (http://quicksearch.dla.mil)

5. CONTRACT

REFERENCE......: Insert PWS/SOW paragraph

6. REQUIRING OFFICE..............: AFRL/RVBX

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

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

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: See blk 16

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

12. DATE OF FIRST SUBMISSION: See blk 16

Blk. 4: The contractor shall also provide appropriate data files for flight and/or ground software, including applicable software test environment/platform, and a description of the version and data products. An agreed upon format/platform will be defined at the start of Task Order as to how to deliver these data products (i.e. CD-ROM, Air Force approved file transfer system, etc.). Documentation shall be tailored per agreement between the contractor and the government.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RVB 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF

EVERY PAGE OF THE REPORT EXCEPT THE SF 298.)

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.

DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable, indecipherable, and unrecoverable.”

Blk. 10 - 13: Submitted once for each uniquely identified computer software product; within 30 calendar days of the first business day following completion of validation and acceptance of the software product.

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page x of x Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: See Contract, Section B

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Insert Project Name E. CONTRACT/PR NO.: Insert Contract Number F. CONTRACTOR.........: Insert Contractor’s Name

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

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

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

4. AUTHORITY.............................: DI-ADMN-81373 (http://quicksearch.dla.mil)

5. CONTRACT

REFERENCE......: Insert PWS/SOW paragraph

6. REQUIRING OFFICE..............: AFRL/RVBX

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

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

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: ASREQ

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

12. DATE OF FIRST SUBMISSION: ASREQ

ASREQ – As Required

AFRL/RVBX 1 1

15. TOTAL: 1 1

Blk 4: The government Program Manager will provide deliver format/platform of presentation material (i.e. CD-ROM, Air Force approved file transfer system, etc.). Documentation shall be tailored per agreement between the contractor and the government Program Manager.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RVB 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF

EVERY PAGE OF THE REPORT EXCEPT THE SF 298.)

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.

DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable, indecipherable, and unrecoverable.”

Blk. 10 - 13: Draft presentation material shall be delivered 5 business days before the scheduled review. Final presentation material will be delivered 5 business days after the review unless otherwise indicated.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

G. PREPARED BY: I. APPROVED BY:

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.: See Contract, Section B

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Insert Project Name E. CONTRACT/PR NO.: Insert Contract Number F. CONTRACTOR.........: Insert Contractor’s Name

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

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

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

4. AUTHORITY.............................: DI-FNCL-80331A (http://quicksearch.dla.mil)

5. CONTRACT

REFERENCE......: Insert PWS/SOW paragraph

6. REQUIRING OFFICE..............: AFRL/RVBX

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

8. APP CODE.................................: See blk 16

9. DIST. STATEMENT REQUIRED......: See blk 16

10. FREQUENCY......................................: MTHLY

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

12. DATE OF FIRST SUBMISSION: 45DAC

13. DATE OF SUBSEQUENT SUBM.: 15DARP

MTHLY – Monthly 45DAC – 45 Days after contract start 15DARP – 15 Days after reporting period

Blk 4: Funds and Man-hour data to be reported by ACRN and/or project and will be tailored per agreement between the contractor and the government Program Manager.

Blk 8: Approval of contractor format is required on initial submittal. All subsequent submittals shall be non-approval items.

Blk 9: All financial performance data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RVB 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF

EVERY PAGE OF THE REPORT EXCEPT THE SF 298.)

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.

DESTRUCTION NOTICE—CUI documents may be destroyed by means approved for destroying classified information or by any other means making it unreadable, indecipherable, and unrecoverable.”