Attachment 2_Supplemental Information Form-_(CONUS USE).pdf

PDF 2 MB Posted Nov 21, 2024

Attached to: USSOCOM RFI TE 25-2 Collaborative Autonomy Integration
Solicitation number: USSOCOM_RFI_TE_25-2_Collaborative_Autonomy_Integration
Issued by: United States Special Operations Command

About this file

Written by GovTribe AI · Nov 21, 2024

This document is a Technical Experimentation Event Supplemental Information Sheet for CONUS (Continental United States) use. It is a form that must be completed and submitted along with a Scout Card for participation in a technical experimentation event.

The key details of the form include:

Providing information about the experiment, such as the name, event number, company name, and whether the company is a small business
Identifying the principal investigator and their contact information
Indicating preferences for indoor/outdoor space and whether the experiment will involve unmanned aerial systems (UAS), live fire, lasers, vehicles, power requirements, remote site needs, and plans for publishing results
Acknowledging understanding of safety, ITAR/EAR, and other requirements
Providing technical details about the experiment, such as communication frequencies, size, weight, and power draw

This form is directly related to the federal contract opportunity for USSOCOM RFI TE 25-2 Collaborative Autonomy Integration, which appears to be a request for information on collaborative autonomy integration for United States Special Operations Command.

View the file

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Attachment_1_RFI_USSOCOM_TE_Event_25-2.pdf	PDF	Nov 21, 2024
Attachment_3_USSOCOM_TE_Safety_Guide.pdf	PDF	Nov 21, 2024

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Technical Experimentation Event Supplemental Information Sheet Submission

If you have any questions or issues completing this form, please email: Tech_Exp@socom.mil

- All items with an asterisk “*” MUST BE COMPLETED. NOTE: There are TWO pages to this form!

- Failure to complete these items & submit this form with your Scout Card may result in non-selection for this event!

- DO NOT submit Tech Briefings or White Papers in lieu of this form as an attachment to your Scout Card in Vulcan!

*1. Experiment Name:

- Brief Experiment Name.

*2. Event Number:

*3. Company Name:

*4. Are you a small business?:

*5. Principle Investigator/PI:

*6. PI Telephone Number:

*7. PI Email Address:

10. USSOCOM/SOF POC (If Applicable):

11. USSOCOM/SOF POC Telephone Number: (If Applicable)

12. USSOCOM/SOF POC Email Address: (If Applicable)

16. Safety: - Other potential safety issues, e.g. explosives, pyrotechnics, hazardous chemical substances, or other occupational hazards.

14b. Do you have a current Cyber Vulnerability Assessment?

14d. Is there a COA for your platform at the event site?

Version 20241101 All other forms are obsolete

14c. Is your platform a Program of Record (POR)?

14e. Do you hold a current AWR, IFC, or ASR for the event site?

*13. Do you prefer an inside and/or Outside Space: Please specify limiting environmental factors

*14. Will you bring an Unmanned Aerial Systems/UAS:

14a. UAS Make, Model and Quantity

*17: Live fire: -Does your experiment include live (Select One); fire/kinetic/energetic operations?

17a - *Live fire type: - List caliber, quantity of rounds or type & quantity of explosives?

Caliber & Type

Qty of Rounds

Explosives Type

Qty of Explosives

*18. Laser: - Does your experiment involve the use of lasers, to include eye safe lasers?

18a:. Laser Class: 18b:. Has your laser/device received a military service verification/validation?

- Laser wavelength: (in nanometers)

- Output power in watts

- Mode of operation (continuous wave or pulsed)

- Beam diameter (FWHM) at the output

- Horizontal and vertical divergence, in degrees

15. Responsibilities: - Participant Names/Responsibilities.

All respondents wishing to conduct experiments of a kinetic or energetic nature are responsible for ammunition and/or explosive shipments to include and Interim Hazard Classification (IHC) or final Hazard Classification (FHC) and coordination for receipt and storage at each venue. Initial the box to verify understanding.

mcgowat Cross-Out

23a. Please specify voltage and amperage draw:

-Total Voltage:

-Total Amps:

- All items with an asterisk “*” MUST BE COMPLETED

- Failure to complete this information sheet, in its ENTIRETY may result in non-consideration by the government for this event.

- Check form for accuracy before submission.

- DO NOT attach tech briefs or White Papers in lieu of this form!

CONUS USE ONLY: Version 20241101. All other forms are obsolete

FCC ID#:

21a. - Frequency Band:

- Antenna type:

- Power transmitted: (Specify watts or dBm)

*22. Size and Weight:

- What is the weight of your technology solution? Please specify units. If this is not applicable, type in N/A.

- What are the physical dimensions of your technology solution? - If this is not applicable, type in N/A.

*23. Power: - Is there a power requirement for your technology solution?

*27. International Traffic in Arms (ITAR) or Export Administration Regulations (EAR):

*24. Remote Site: - If a remote site is needed (e.g. experiment cannot take place at the main building), what support is required?

*25. Remote Power: - Is remote power required?

*25a.

- Do you anticipate publishing the results of your experiment?

- Any published information may require prior USSOCOM Public Affairs approval. Initial for agreement.

- Publish Location: (which publication?)

*26. Publish:

*20. Night Operations: -Does your experiment require operating during the hours of darkness?

* NOTE: All efforts will be made to accommodate, however, resources for night ops may be limited.

*21. Communication Frequency: - Are frequencies required:

*19. Vehicles: - Does your experiment require vehicles, ATVs, trucks, etc. as part of the actual experiment?

19a. - Vehicle Use: List vehicle type and use. (250 Character Limit)

Technical Experimentation supplemental form. CONUS USE ONLY: Version 20241101. All other forms are obsolete

Technical Experimentation Event Supplemental Information Sheet Submission, pg 2 ronald.langhans No ITAR

Untitled

21:

Communication Frequency: [Select One]

Brief Experiment Name:

1b:

Brief Experiment Name:

Event Number: [Select One]

Company Name:

10:

USSOCOMSOF POC If Applicable:

11:

USSOCOMSOF POC Telephone Number If Applicable:

12:

USSOCOMSOF POC Email Address If Applicable:

14:

UAS: [YES, Proceed to 14a]

g: [Select One]

h: [Select One]

i: [Select One]

j: [Select One]

14a:

UAS Type: []

14b:

Quantity: [Select]

14c:

UAS Type: []

14d:

Quantity: [Select]

14e:

UAS Type: []

14f:

Quantity: [Select]

16:

Safety:

17:

Live Fire: [Select One]

17b:

List Caliber:

17c:

List Caliber:

17d:

List Caliber:

17e:

List Caliber:

17f:

Qty of Rounds:

17g:

Qty of Rounds:

17h:

Qty of Rounds:

17i:

Qty of Rounds:

17j:

Explosive Type:

17k:

Explosive Type:

17l:

Explosive Type:

17m:

Explosive Type:

17n:

Explosive Type:

17o:

Explosive Type:

17p:

Explosive Type:

17q:

Explosive Type:

18:

Laser: [Select One]

f Beam Diameter:

g H-Divergence:

h H-Divergence:

18a:

Laser Class: [Select One]

18c:

Select One: [Select One]

18b:

Laser wavelength in nanometers:

18d:

Output Power:

18e:

Mode of Operation: [Select One]

21a:

Frequency Band:

21b:

Antenna Type:

21c:

Power/ Watts or dbm:

21d:

FCC ID#:

22:

Weight:

22a:

Dimensions:

23:

Power: [Select One]

23a:

Voltage Draw:

23b:

Amperage Draw:

24:

Remote Site:

25:

remote Power: [Select One]

25a:

Remote Power:

26b:

Publish Location:

26a:

Publishing: [Select One]

Proceed to Page 2: Proceed to Page 2

Small Business: [Select One]

Principle Investigator/PI:

PI Telephone Number:

PI Email Address:

13:

Inside and/or Outside Space:

15:

Responsibilities:

17aa:

Initials:

27:

ITAR: [Select One]

20:

Night Operations: [Select One]

19a:

Vehical Use:

19:

Vehicles: [Select One]

File details come from the government source that posted it. Updated Nov 21, 2024.