Attachment 6 CDRLs Adaptive Technologies.pdf
PDF 11 MB Posted
- Attached to
- 1-Step Broad Agency Announcement for Adaptive Technologies for Force Readiness Federal contract opportunity
- Solicitation number
- FA8650-22-S-6279
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| BAA Solicitation - Adaptive Technologies for Force Readiness FINAL.pdf | ||
| Attachment 2 TO 01 FA8650-22-F-6405 SOO Final.pdf | ||
| Attachment 5 TO 04 FA8650-22-F-6408 SOO Final.pdf | ||
| Attachment 7 DD254 Solicitation Adaptive Technologies Final.pdf | ||
| Attachment 8 Base Support Letter Adaptive Technologies.pdf | ||
| Attachment 9 SOW Supplemental.pdf | ||
| Attachment 3 TO 02 FA8650-22-F-6406 SOO Final.pdf | ||
| Attachment 10 Potential Clauses.pdf | ||
| Force Readiness Industry Day Announcement.pdf | ||
| Attachment 1 Basic IDIQ SOO 2021 Final.pdf | ||
| Attachment 4 TO 03 FA8650-22-F-6407 SOO Final.pdf | ||
| Attachment 7 SCI ADDENDUM TO DD FORM Force Readiness.pdf | ||
| Attachment 11 Section L.pdf | ||
| Attachment 12 Section K.pdf |
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Text version
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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A001 SCIENTIFIC AND TECHNICAL REPORTS Final Report
DI-MISC-80711A/T BAA Proposal 711 HPW/RHW
XX
A D
ONE/R
End of Tech Effort
See Block 16*
See Block 16*
711 HPW/RHW 1 1 0
711 HPW/OMA 1 1 0
2 2 0
Block 4: Document format shall minimally conform to guidance described in the attached ANSI-based AFRL Format Guidelines. Include a completed Standard Form (SF) 298. If the Final Report contains data that is being delivered with less-than-unlimited rights, the data shall be appropriately marked within the Final Report.
NOTE: When the sensitivity of STINFO in draft and final deliverable documents meets the requirements of Controlled Unclassified Information (CUI) as dictated by EO 13556, "Controlled Unclassified Information," contractors must properly mark pages of their submitted documents with the acronym “CUI” at the top and bottom of each page and include the CUI designation indicator on the title page.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only; 5 February 2021. Refer other requests for this document to 711 HPW/RHW.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec 2778 et seq., as amended) or the Export Administration Act of 1979, as amended, Title 50, U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive... (continued on next page)
Kelly L. Kaleda 05-FEB-2021
1-A 56
711 HPW/RHW (937) 251-9543
(1 Data Item)
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
0001 A N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
5230.25.
DESTRUCTION NOTE - Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
NOTE: All digital files shall be encrypted or password protected in transmission;
passwords shall be provided in a separate communication.
Block 10: The contractor shall deliver the Scientific and Technical Report, in final format, no later than the date specified in the Schedule. USAF will review and, if necessary, return the report with comments no later than the date specified in the Schedule. If the report is returned to the contractor with comments, the contractor shall deliver the publication-ready copy of the report no later than the date specified in the Schedule.
Block 11: End of Technical Effort.
Block 12. 30 days from Block 11. Approval/disapproval by letter from the Air Force Program Manager within 30 days after receipt. Disapproval requires correction/resubmission within 30 days after receipt of Air Force comments.
The contractor shall deliver a draft of the final report IAW the ANSI-based AFRL Format Guidelines (attached), in editable MS Word format and editable PDF on appropriately labeled CD-ROM or DVD (label to include report title, contract number, CUI markings as required, distribution statement, and any data rights and/or export control notices) via approved postal delivery service, or as an attachment on a secure e-mail or sharing through other secure network systems such as DoD SAFE within 30 calendar days after completion of the technical effort. The AFRL Program Manager will take no more than 30 calendar days after delivery to review the draft final report and return technical and STINFO comments to the contractor. The contractor shall incorporate the combined STINFO and technical comments.
Block 13: End of Contract, 90 days from Block 11. The contractor shall deliver the final version of the report in publication-ready condition within 60 calendar days after the date of the draft submission (date in Block 12). The final report shall be delivered as described in the instruction in Block 12 above.
NOTE: Submittal of DD Form 250Z, Final Receiving Report or WAWF prior to acceptance notification will result in rejection of the Final Receiving Report. Hard date indicating when final tech report is due can be found in Section F in the contract.
The report will be published with the Defense Technical Information center (DTIC) by the AFRL STINFO officer.
Under no circumstances shall the contractor submit any version of the scientific and technical report to DTIC.
1-B 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A002 FUNDS AND MAN-HOUR EXPENDITURE REPORT
DI-FNCL-80331A/T BAA Proposal 711 HPW/RHW
LT
N/A B
MTHLY
/ACO 0 1 0
711 HPW/FM 0 1 0
AFRL/RAKHA 0 1 0
711 HPW/RHW 0 1 0
0 4 0
Tailored to allow contractor's format.
* At the close of the contractor's monthly accounting period.
** 25 days after Block 11 time.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: B: Distribution authorized to US Government agencies only.
Kelly L. Kaleda 05-FEB-2021
2 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A003 CONTRACT FUNDS STATUS REPORT (CFSR)
DI-MGMT-81468/T BAA Proposal 711 HPW/RHW
LT
N/A B
QRTLY
/ACO 0 1 0
711 HPW/FM 0 1 0
AFRL/RAKHA 0 1 0
711 HPW/RHW 0 1 0
0 4 0
Tailored so that the report contains forecasts by month for the next six months, by quarter for the remaining fiscal year, and by year for the remaining fiscal years. CFSR data shall be reconciled to the Governments fiscal year end at 30 September if the contractor's fiscal year end does not coincide with the Government's fiscal year end.
* The last day of the contractor's monthly accounting period nearest the end of the governments fiscal year quarter.
** The initial submission shall be within 25 calendar days after the close of the contractor's monthly accounting period nearest the end of the first government fiscal year quarter after contract award. Subsequent submissions shall be 25 calendar days after Block 11 time.
Kelly L. Kaleda 05-FEB-2021
3 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A004 CONTRACTOR'S PROGRESS, STATUS AND
MANAGEMENT REPORT
DI-MGMT-80227/T BAA Proposal 711 HPW/RHW
LT
N/A B
QRTLY
DCMA/ACO 0 1 0
711 HPW/FM 0 1 0
AFRL/RAKHA 0 1 0
711 HPW/RHW 0 1 0
0 4 0
Tailored to allow contractor's format and to delete Block 10 para 10.3.h, 10.3.i .
For 10.3.g document the actual cost for the reporting period and projected cost for the next following quarterly period.
* At the close of the contractor's quarterly accounting period.
** 25 days after Block 11 time.
Kelly L. Kaleda 05-FEB-2021
4 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A005 SCIENTIFIC AND TECHNICAL REPORTS Interim Report
DI-MISC-80711A/T BAA Proposal 711 HPW/RHW
LT
N/A D
ASREQ
711 HPW/RHW 0 1 0
0 1 0
Tailored to allow contractor's format, and Block 10 is clarified so that distribution to DTIC shall only be through Air Force distribution channels.
ASREQ means as required to give interim updates on progress of the effort as directed by the program manager.
* Submit as generated.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
5 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A006 TECHNICAL AND MANAGEMENT WORK PLAN
DI-MGMT-81117/T BAA Proposal 711 HPW/RHW
LT
N/A D
QRTLY
711 HPW/RHW 0 1 0
0 1 0
Tailored to allow contractor's format, and to delete paragraphs 10.2.1 and 10.2.2. Paragraph 10.2.6 contractor shall highlight any change in milestones from previous review.
* At the end of the contractor's quarterly accounting period.
** 25 days after Block 11 time.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
6 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A007 COMMERCIAL OFF-THE-SHELF (COTS) MANUAL AND
ASSOCIATED SUPPLEMENTAL DATA
DI-TMSS-80527C/T BAA Proposal 711 HPW/RHW
LT
N/A D
ASGEN
711 HPW/RHW 0 1 0
0 1 0
Tailored to allow contractor's format.
ASGEN means as procured through-out this effort.
* Submit as procured.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
7 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A008 SOFTWARE PRODUCT SPECIFICATION (SPS)
DI-IPSC-81441A/T BAA Proposal 711 HPW/RHW
LT
N/A D
ASREQ
711 HPW/RHW 0 1 0
0 1 0
Tailored to allow contractor's format.
ASREQ means as required to document the SPS for each task order under this effort.
* Submit electronically as generated.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
8 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A009 SYSTEM/SUBSYSTEM SPECIFICATION (SSS)
DI-IPSC-81431A/T BAA Proposal 711 HPW/RHW
LT
N/A D
ASREQ
711 HPW/RHW 0 1 0
0 1 0
Tailored to allow contractor's format.
ASREQ means s required to document the SSS for each task order under this effort.
*Submit electronically as generated.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
9 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A010 COMPUTER SOFTWARE PRODUCT Source Code
DI-IPSC-81488/T BAA Proposal 711 HPW/RHW
LT
N/A D
ASGEN
N/A
711 HPW/RHW 0 1 0
0 1 0
Tailored to allow contractor's format.
* Submit with software for this technical effort.
Delivery of Software shall be inclusive of software source code and executable.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
10 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A011 SOFTWARE USER MANUAL (SUM)
DI-IPSC-81443A/T BAA Proposal 711 HPW/RHW
LT
N/A D
ASREQ
711 HPW/RHW 0 1 1
0 1 1
Tailored to allow contractor's format.
ASREQ means as required to document the SUM as applicable for each task order under this effort.
* Submit electronically as generated.
Submit reproducible on media compatible with MS-Office for Windows.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
11 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A012 SOFTWARE DESIGN DESCRIPTION (SDD)
DI-IPSC-81435A/T BAA Proposal 711 HPW/RHW
LT
N/A B
ASREQ
711 HPW/RHW 0 1 0
0 1 0
Tailored to allow contractor's format.
ASREQ means as required to document the SDD on each applicable delivery order under this effort. To update and revise the SDD as needed.
*Submit electronically as generated.
Kelly L. Kaleda 05-FEB-2021
12 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A013 SOFTWARE REQUIREMENTS SPECIFICATION (SRS)
DI-IPSC-81433A/T BAA Proposal 711 HPW/RHW
LT
N/A D
ASREQ
711 HPW/RHW 0 1 0
0 1 0
Tailored to allow contractor's format.
ASREQ means as required to document the SRS as applicable for each task order under this effort. To document updates, changes or revisions.
* Submit electronically as generated.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
13 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A014 SYSTEM SAFETY HAZARD ANALYSIS REPORT
(SSHA)
DI-SAFT-80101B/T BAA Proposal 711 HPW/RHW
LT
A D
ONE/R
711 HPW/RHW 1 1 0
1 1 0
Tailored to allow contractor's format and to require only the [PHA, the SHA, the SSHA or the O&SHA] report.
* As required by each Task Order.
Approval/disapproval by letter from the Air Force Program Manager within 10 days after receipt.
**Disapproval requires correction/resubmission within 7 days after receipt of Air Force comments.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
14 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A015 SAFETY ASSESSMENT REPORT (SAR)
DI-SAFT-80102B/T BAA Proposal 711 HPW/RHW
LT
A D
ONE/R
711 HPW/RHW 1 1 0
1 1 0
Tailored to allow contractor's format.
Submit electronically.
* As required by each Task Order.
Approval/disapproval by letter from the Air Force Program Manager within 10 days after receipt.
** Disapproval requires correction/resubmission within 7 days after receipt of Air Force comments.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
15 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A016 TECHNICAL VIDEOTAPE PRESENTATION
DI-MISC-81275/T BAA Proposal 711 HPW/RHW
LT
A D
ASREQ
R/ASR
711 HPW/RHW 1 1 1
1 1 1
Tailored to allow contractor format.
ASREQ means as required to provivde videotape documentation of the progress of each Task Order.
* Submit as generated.
Approval/disapproval by letter from the Air Force Program Manager within 10 days after receipt.
Disapproval requires correction/resubmission within 15 days after receipt of Air Force comments.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
16 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A017 DIGITAL IMAGING
DI-MISC-81579/T BAA Proposal 711 HPW/RHW
LT
N/A D
ASGEN
N/A
711 HPW/RHW 0 1 0
0 1 0
Tailored to allow contractor's format.
* Submit as generated.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
17 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A018 SCIENTIFIC AND TECHNICAL REPORTS Data Management Plan
DI-MISC-80711A/T BAA Proposal 711 HPW/RHW
LT
A D
ASREQ
N/A
711 HPW/RHW 1 1 0
1 1 0
Tailored to allow contractor's format, and Block 10 is clarified so that distribution to DTIC shall only be through Air Force distribution channels.
ASREQ means as required by the program manager for each task order.
* First submittal at 4MAC and as changes/updates occur. Submit electronically as generated.
Approval/disapproval by letter from the Air Force Program Manager within 10 days after receipt.
**Disapproval requires correction/resubmission within 10 days after receipt of Air Force comments.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
18 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A019 SCIENTIFIC AND TECHNICAL REPORTS System Security Management Plan
DI-MISC-80711A/T BAA Proposal 711 HPW/RHW
LT
A D
ASREQ
N/A
711 HPW/RHW 1 1 0
1 1 0
Tailored to allow contractor's format, and Block 10 is clarified so that distribution to DTIC shall only be through Air Force distribution channels.
ASREQ means as required by the program manager for each task order.
* First submittal at 6MAC and as changes/updates occur. At a minimum of once a year. Submit electronically as generated.
Approval/disapproval by letter from the Air Force Program Manager within 60 days after receipt.
**Disapproval requires correction/resubmission within 30 days after receipt of Air Force comments.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
19 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A020 PRESENTATION MATERIAL
DI-ADMN-81373/T BAA Proposal 711 HPW/RHW
LT
N/A D
ASREQ
711 HPW/RHW 0 1 1
0 1 1
Tailored to require view graphs and hardcopy or computer generated file.
ASREQ means as required to document topics under discussion at briefings and reviews.
* Submit at each briefing or review as appropriate.
Maximum # of view graphs shall not exceed 200 for each delivery order.
Submit reproducible on media compatible with MS-Office for Windows.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
20 56
(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 and Communications 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
0001 A
N/A REF: DOD 5010.12-M
H12L FA8650-22-D-6400
A021 TECHNICAL REPORT-STUDY / SERVICES
DI-MISC-80508A/T BAA Proposal 711 HPW/RHW
LT
N/A D
ASREQ
711 HPW/RHW 0 1 0
0 1 0
Tailored to allow contractor's format.
ASREQ means as required by the program manager for documenting different study/services under each task order.
* Submit electronically as generated.
Submit electronically. Electronic submittals shall be encrypted or password protected.
BLOCK 9: D: Distribution authorized to DoD and US DoD contractors only.
Kelly L. Kaleda 05-FEB-2021
21 56
(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…
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