Attachment 9 - Contract Data Requirements List.pdf
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FA5641-21-R-0001
Attachment 9
United States Air Forces in Europe
United States Air Forces Africa
(USAFE-AFAFRICA)
Air Base Air Defense (ABAD)
Indefinite Delivery/Indefinite Quantity (ID/IQ)
Contract Data Requirements List (CDRL)
9 Dec 2020
EXPLANATION OF DD FORM 1423
Data items shall be prepared in accordance with the applicable Data Item Descriptions (DIDs) set forth in the DoD Index of Specifications and Standards (DoDISS). DIDs are available on the Acquisition Streamlining & Standardization Information System (ASSIST) CDRL search website: http://quicksearch.dla.mil.
DD Form 1423s provide instructions as to when and how (in what format, number of copies, address, etc.) data is to be delivered. The following are explanations of information required within DD Form 1423. Blocks not explained are self-explanatory.
Block 2: “Title of Data Item”. The title as it appears on the data acquisition document cited in Block 4 (i.e.
Monthly Status Report).
Block 3: “Subtitle”. Amplification of DD Title, if it requires further, more descriptive identification.
Block 4: “Authority”. Reflects the exact DID identification number as it appears on the DID. The final alpha character indicates a revision. If a modification is required to either limit the scope or clarify the usage of the Data Item Description (DID), a “/T” will follow the number to indicated tailoring and details will be explained in Block 16.
Block 5: “Contract Reference”. Performance Work Statement (PWS) paragraph which generates the data item.
Block 6: “Requiring Office”. This is the office responsible for advising as to the adequacy of the data unless the responsibility is delegated elsewhere in the contract.
Block 7: “DD Form 250 Required”. The activity to perform the inspection and/or acceptance is the office identified in Block 6.
Block 7 codes are as follows:
CODE INSPECTION ACCEPTANCE
SS Source (DD Form 250) Source (DD Form 250) DD Destination (DD Form 250) Destination (DD Form 250) SD Source (DD Form 250) Destination (DD Form 250) DS Destination (DD Form 250) Source (DD Form 250) LT Letter of Transmittal Only No No inspection or acceptance Required
CODE INSPECTION/ACCEPTANCE
XX Inspection and Acceptance requirements specified elsewhere in contract S Indicated at contractor’s facility D Normally indicates the primary distribution point
Block 8: “Approval Codes”. Items requiring advance written approval are identified by a “A” placed in this block.
CODE INSPECTION/ACCEPTANCE
A Use approval when the data is critical (such as specifications) or the contractor requires concurrence on the document to proceed to the next event. Most of these data require submission of a preliminary draft prior to publication of a final document.
Blank Approval is not required.
Block 9: “Distribution Statement Required”. This block indicates the specific distribution statement.
http://quicksearch.dla.mil/
Block 10: “Frequency”. The following are the codes used in this block:
DAILY Daily WEEKLY Weekly BI-WE Each 2 weeks MTHLY Monthly BI-MO Each 2 months QRTLY Quarterly ANNLY Annually SEMIA Each 6 months OTIME One time ONE/R One time and revisions R/ASR Revisions as required *ASREQ As required DFDEL Deferred delivery ONE/P One time preliminary draft 2TIME Two separate submittals
*When ASREQ is used in items 10, 11, 12, or 13, an explanation of the Requirement must be entered in Item 16.
Block 11: “As of Date”. If the data will be submitted only once, the “ASOF” date (cutoff date) is entered as follows:
Day/Month/Year. If the data are of a recurring type, the number of days prior to the end of the report is entered; for example, “15” places the “as of” date for this report at 15 days before the end of each month, quarter, or year depending upon the frequency established in Block 10, “0” places the “as of” date at the end of each month, quarter, etc. (Block 13 or 16 is used for further explanation).
Block 12: “Date of First Submission”. The date of submission is entered as follows: Day/month/year.
If data are constrained by a specific event or milestone, the constraint is entered. If contract start date is not known, the number of days after contract start is entered (example: “30 DAC”). If this date is not known or requires further clarification, Block 16 is used.
Block 13: “Date of Subsequent Submission”. If data are submitted more than once, the dates of subsequent submissions are entered. If data are constrained by a specific event, or milestone, this constraint is entered.
Block 14: “Distribution and Addresses”. Entered here or on the distribution matrix are the addresses and the number of copies (regular/reproducible) to be received by each). Office symbols and command initials are used.
The distribution matrix may be used where there is insufficient space in Block 14, and when many data items require extra space.
Block 15: Enter total number of copies (regular/reproducible) for one delivery; this number should be the sum of all copies specified in Block 14. If distribution fluctuates, use a Not to Exceed (NTE) number.
Block 16: “Remarks”. Use this Block to explain:
a. Tailored features of DID
b. Items 1 through 15; and
c. Any resubmitted schedule or special conditions involved in updating data submittal for Government approval
CONTRACT DATA REQUIREMENTS LIST (CDRL)
ABAD ID/IQ
Sequence DID Reference Title
A001
DI-MGMT-80368A/T
Status Report
A002
DI-MGMT-81453A/T
Data Accession List
A003
DI-SESS-80643D/T
Contract Funds Status Report (CFSR)
A004
DI-ADMN-81505/T
Report, Record of Meeting/Minutes
A005
DI-MISC-80508B/T
Technical Report – Study/Services
Project Report/Plans
A006
Frequency Clearance Memo/Request
A007
Obsolescence Management Plan
A008
Quality Control Plan (QCP)
A009
DI-MGMT-80269/T
Status of Government Furnished Equipment (GFE) Report
A010
DI-MISC-81943
Trip Report
A011
DI-ENVR-81375
Environmental Safety and Health Plan
Voluntary Protection Plan (VPP)
A012
DI-MGMT-8161/T
Integrated Program Management Report (IPMR)
A013
Software Assurance Report
A014
Transition Plan
A015
DI-MGMT-80934C
Operations Security (OPSEC) Plan
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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 tine 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.
TBD
B. EXHIBIT
A
C. CATEGORY
TDP ____ TM _____ OTHER MGMT
D. SYSTEM/ITEM
Air Base Air Defense (ABAD)
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Status Report
3. SUBTITLE
Monthly Status Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80368A/T
5. CONTRACT REFERENCE
ID/IQ PWS Sections 2.2.2.1.
6. REQUIRING OFFICE
764 ESS, USAFE-AFAFRICA A8I
7. DD 250 REQ
N/A
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
MTHLY
12. DATE OF FIRST
SUBMISSION
BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A, BLK 16
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
Draft
Final
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable.
BLK 8 – Approval Code A: The Government shall have ten (10) business days to approve or reject CDRL submittal. Failure of the Government to reject a CDRL within ten (10) business days of submission constitutes Government approval.
BLK 9 – Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 11 & 13 – Reporting period shall be the first day through the last day of each month with the report to be received no later than fifteen (15) calendar days after the end of the preceding reporting period.
BLK 12 – Initial report shall provide status from start of Contract/Task Order performance to the end of the first month. Contractor format shall be acceptable upon initial approval by the Government Contracting Officer Representative.
BLK 14 – The Contractor shall electronically distribute to addressees.
Contracting Officer Representative
Contracting Officer 1 Program Manager 1
15. TOTAL 3
G. PREPARED BY
H. DATE
I. APPROVED BY
//Signed//
J. DATE
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page __ of __ Pages
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
TBD
B. EXHIBIT
A
C. CATEGORY
TDP ____ TM _____ OTHER MGMT
D. SYSTEM/ITEM
ABAD ID/IQ
A002
Data Accession List (DAL)
ID/IQ PWS Section 2.2.4.
LT
QRTLY
12. DATE OF FIRST
SUBMISSION
BLK16
8. APP CODE
N/A
11. AS OF DATE
ASREQ
13. DATE OF SUBSEQUENT
ASREQ
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable. The Contractor shall develop and maintain the DAL. CDRL deliverables shall not be included on the list.
BLK 9 – Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 12 - DAL shall be submitted Quarterly after Contract Award.
Government Acceptance/rejection will occur no later than twenty (20) days after receipt.
BLK 14 – The Contractor shall electronically distribute to addressees.
Contracting Officer Representative
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
TBD
B. EXHIBIT
A
C. CATEGORY
TDP ____ TM _____ OTHER MGMT
D. SYSTEM/ITEM
ABAD ID/IQ
A003
Contract Funds Status Report (CFSR)
DI-MGMT-81468/T
ID/IQ PWS Section 2.2.5.
LT
MNTHLY
12. DATE OF FIRST
SUBMISSION
8. APP CODE
N/A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable. Contractor formats should be substituted whenever they contain all the required data elements at the specified reporting levels in a form suitable for DoD management. Supplemental instructions for DD FORM 1586:
1. Item 11 column a: Reporting shall be by each CLIN.
2. Item 11, column b: Enter appropriations, subhead, and project unit for each line item as specified on the contract appropriation data sheet.
3. Item 12 rows a, b, and c columns 2 through 9 shall include monthly projected amounts through the remainder of the contract.
4. Final report will be submitted at the end of each month during which the contractor effort is completed.
5. In Item 15 “remarks,” enter separately, if applicable, the amount of profit/fee, overrun/under run, and the cost sharing ratio.
BLK 9 – Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 11 – As of date shall be the close of the associated accounting month.
BLK 12 – First submission is due fourteen (14) calendar days after the end of the first complete accounting period following contract award.
BLK 13 – Subsequent submittals due fourteen (14) calendar days after the monthly accounting close. Final CPR is due within sixty (60) calendar days of the end of the Period of Performance, or 100% completion, whichever is sooner.
BLK 14 – The Contractor shall electronically distribute to addressees.
Contracting Officer Representative
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
TBD
B. EXHIBIT
A
C. CATEGORY
TDP ____ TM _____ OTHER ADMN
D. SYSTEM/ITEM
ABAD ID/IQ
E. CONTRACT/PR NO.
TBD
F. CONTRACTOR
A004
Report, Record of Meeting Minutes
DI-ADMN-81505/T
ID/IQ & TO 001 PWS Sections 2.5.3., 3.11.1.
LT
ASREQ
12. DATE OF FIRST
SUBMISSION
8. APP CODE
A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable.
Presentation material, as applicable, shall be an appendix to the minutes.
BLK 5 – The Contractor shall prepare appropriately subtitled meeting name/subject.
BLK 9 – Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 12 - Submittal of minutes shall occur five (5) calendar days after the first meeting. Acceptance/rejection of minutes by Contracting Officer Representative will occur within fifteen (15) calendar days after receipt. Non acceptance requires correction/resubmission within ten (10) calendar days following receipt of Government comments.
BLK 13 – The Contractor shall submit meeting minutes five (5) calendar days after each subsequent meeting. Acceptance/rejection of minutes by Contracting Officer Representative shall occur within fifteen (15) calendar days after receipt. Non-acceptance requires correction/resubmission within ten (10) calendar days following receipt of Government comments.
Employee incident reports shall be submitted in writing, within five (5) business days after an employee incident of misconduct occurs.
BLK 14 – The Contractor shall electronically distribute to addressees. The Contractor shall inform the Contracting Officer (verbally) within twenty four
(24) hours of occurence of employee incident of misconduct.
Contracting Officer Representative
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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
A
C. CATEGORY
TDP ____ TM _____ OTHER MISC
D. SYSTEM/ITEM
ABAD ID/IQ
1. DATA ITEM
NO.
A005
Project Report/Plan
ID/IQ PWS Section 3.4.2.
LT
ASREQ
12. DATE OF FIRST
SUBMISSION
8. APP CODE
A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable.
BLK 9 – Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 12 – Submittal of project report/plan shall occur seven (7) calendar days upon conclusion of project. Acceptance/rejection of report/plan by Contracting Officer Representative will occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within ten (10) calendar days following receipt of Government comments.
BLK 13 – Subsequent submissions are as required and defined in the specific TO PWS. Acceptance/rejection of report/plan by Contracting Officer Representative will occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within ten (10) calendar days following receipt of Government comments.
BLK 14 – The Contractor shall electronically distribute to addressees.
Contracting Officer Representative
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
C. CATEGORY
TDP ____ TM _____ OTHER MISC
D. SYSTEM/ITEM
ABAD ID/IQ
1. DATA ITEM
NO.
A006
Frequency Clearance Memo/Request
ID/IQ PWS Section 3.1.3.
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
BLK 12, 13
12. DATE OF FIRST
SUBMISSION
8. APP CODE
A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable.
BLK 9 – Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 12 – Submittal of clearance memo/request shall occur one hundred and fifty (150) calendar days after contract award. Acceptance/rejection of clearance memo/request by Contracting Officer will occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments. Follow-ups with the frequency approval office required every thirty (30) calendar days until approved by the frequency aproval office.
BLK 13 – Subsequent submissions are required as updates occur and no later than 90 calendar days prior to activity. Acceptance/rejection of report/plan by Contracting Officer Representative shall occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments. Follow-ups with the frequency approval office required every thirty (30) calendar days until approved by the frequency approval office. Notify the spectrum manager six (6) months in advance of any frequencey expiration.
BLK 14 – The Contractor shall electronically distribute to addressees.
Contracting Officer Representative
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
C. CATEGORY
TDP ____ TM _____ OTHER MISC
D. SYSTEM/ITEM
ABAD ID/IQ
A007
3. SUBTITLE|
Obsolescence Management Plan
ID/IQ PWS Section 3.1.6.
LT
ASREQ
12. DATE OF FIRST
SUBMISSION
8. APP CODE
A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable.
BLK 9 – Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 12 – Submittal shall occur one hundred and fifty (150) calendar days after contract award. Acceptance/rejection of report/plan by Contracting Officer Representative shall occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
BLK 13 – Subsequent submissions are required as updates occur and NLT 30 calandar days prior to an obsolescense. Acceptance/rejection of report/plan by Contracting Officer Representative will occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
BLK 14 – The Contractor shall electronically distribute to addressees.
Contracting Officer Representative
G. PREPARED BY H. DATE
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
C. CATEGORY
TDP ____ TM _____ OTHER MISC
D. SYSTEM/ITEM
ABAD ID/IQ
A008
Quality Control Plan (QCP)
ID/IQ PWS Section 4.6.
N/A
ASREQ
12. DATE OF FIRST
SUBMISSION
8. APP CODE
A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Tailored as followed:
The QCP shall demonstrate the Contractor’s documented processes and procedures to monitor and control:
- Objectives in the Services Summary
- Subcontractor relationships
- Contractor and subcontractor invoicing
- Non-conformances
- Contractor employee qualification and certification
BLK 9 – Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 12 – Submittal shall occur sixty (60) calendar days after the Post- Award Conference. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
BLK 13 – Subsequent submissions are required upon any changes made and NLT 10 working days after such changes. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
BLK 14 – The Contractor shall electronically distribute to addressees.
Contracting Officer Representative
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
C. CATEGORY
TDP ____ TM _____ OTHER MGMT
D. SYSTEM/ITEM
ABAD ID/IQ
A009
Status of GFE Report
DI-MGMT-80269/T
ID/IQ PWS Section 4.4.2.
LT
ASREQ
12. DATE OF FIRST
SUBMISSION
8. APP CODE
A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable.
BLK 9 - Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 12 – Submittal shall occur one hundred and fifty (150) calendar days after contract award. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
BLK 13 – Subsequent submissions are required upon any changes made and be submitted NLT 10 working days prior to the effective date of change.
The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
BLK 14 – The Contractor shall electronically distribute to addressees.
Contracting Officer Representative
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
C. CATEGORY
TDP ____ TM _____ OTHER MISC
D. SYSTEM/ITEM
ABAD ID/IQ
A010
DI-MISC-81943
ID/IQ PWS Section 2.7.3.
N/A
ASREQ
12. DATE OF FIRST
SUBMISSION
8. APP CODE
N/A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable.
BLK 9 - Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 12 – First submission shall occur within five (5) business days after return from first instance of travel by the Contractor.
BLK 13 – Subsequent submissions shall occur within five (5) business days after return from instance of travel by the Contractor.
BLK 14 – The Contractor shall electronically distribute to addressees.
Contracting Officer Representative
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
TBD
B. EXHIBIT
A
C. CATEGORY
TDP ____ TM _____ OTHER ENVR
D. SYSTEM/ITEM
Air Base Air Defense (ABAD)
A011
Environmental Safety and Health Plan
Voluntary Protection Program (VPP)
DI-ENVR-81375
ID/IQ PWS Section 4.1.2.1.
N/A
ANNLY
12. DATE OF FIRST
SUBMISSION
8. APP CODE
A, BLK 16
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable.
BLK 8 – Approval Code A: The Government shall have ten (10) business days to approve or reject CDRL submittal. Failure of the Government to reject a CDRL within ten (10) business days of submission constitutes Government approval.
BLK 9 - Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 11, 12, 13 – First submission shall consist of Safety and Health Plan and corresponding site safety checklist no later than one hundred and fifty
(150) calendar days after contract award. Subsequent submissions shall be required annually, no later than the 15th of January, to update and incorporate the required OSHA Form 300A.
BLK 14 – The Contractor shall electronically distribute to addressees.
Submittal shall be searchable, editable, and reproducible.
OSHA information/instructions located at the following:
http://www.osha.gov/recordkeeping/RKforms.html
Contracting Officer Representative http://www.osha.gov/recordkeeping/RKforms.html
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
TBD
B. EXHIBIT
A
C. CATEGORY
TDP ____ TM _____ OTHER MGMT
D. SYSTEM/ITEM
ABAD ID/IQ
A012
Integrated Program Management Report (IPMR)
ID/IQ PWS Section 3.2.4.
LT
ASREQ
12. DATE OF FIRST
SUBMISSION
8. APP CODE
N/A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable.
BLK 9 - Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 12 – Submittal shall occur sixty (60) calendar days after contract award. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
BLK 13 – Subsequent submissions are required NLT 15 calendar days after the end of the month. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
BLK 14 – The Contractor shall electronically distribute to addressees.
Contracting Officer Representative
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
TBD
B. EXHIBIT
A
C. CATEGORY
TDP ____ TM _____ OTHER MISC
D. SYSTEM/ITEM
ABAD ID/IQ
A013
Technical Report – Study/Service
Software Assurance Report
ID/IQ PWS Section 3.2.1.1.
LT
ASREQ
12. DATE OF FIRST
SUBMISSION
8. APP CODE
N/A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable.
BLK 9 - Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 12 – Submittal shall occur sixty (60) calendar days after contract award. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
BLK 13 – Subsequent submissions are required no later than 15 calendar days after any changes are made. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
BLK 14 – The Contractor shall electronically distribute to addressees.
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
TBD
B. EXHIBIT
A
C. CATEGORY
TDP ____ TM _____ OTHER MISC
D. SYSTEM/ITEM
ABAD ID/IQ
A014
Technical Report – Study/Service
Transition Plan
ID/IQ PWS Section 4.2.1.
N/A
ASREQ
12. DATE OF FIRST
SUBMISSION
8. APP CODE
A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
BLK 4 - DID provides guidance. Contractor format acceptable. The Transition Plan shall address the following tasks:
- Hiring, badging, and training personnel
- Gaining employee approval through DOCPER
- Gaining access to and becoming familiar with work sites
- Communication with the Government throughout transition period
BLK 9 - Distribution Statement B: Distribution authorized to U.S.
Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.
BLK 12 – Submittal shall occur thirty (30) calendar days after contract award. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
BLK 13 – Subsequent submissions are required no later than 15 calendar days after any changes are made. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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.
TBD
B. EXHIBIT
A
C. CATEGORY
TDP ____ TM _____ OTHER MGMT
D. SYSTEM/ITEM
ABAD ID/IQ
A015
Operations Security (OPSEC) Plan
DI-MGMT-80934C
ID/IQ PWS Section 4.7
N/A
F
OTIME
12. DATE OF FIRST
SUBMISSION
N/A
8. APP CODE
N/A
11. AS OF DATE
BLK 16
13. DATE OF SUBSEQUENT
N/A
Reg Repro
16. REMARKS
BLK 4 – OPSEC Plan shall include content in accordance with DI-MGMT-80934C authority attached.
BLK 9 - Distribution Statement F: Further dissemination only as directed by USAFE-AFAFRICA Contracting Officer.
BLK 12 – Submittal shall occur sixty (60) calendar days after contract award. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.
| CONTRACT DATA REQUIREMENTS LIST |
| OMB No. 0704-0188 |
| The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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. |
| C. CATEGORY |
| B. EXHIBIT |
| A. CONTRACT LINE ITEM NO. |
| F. CONTRACTOR |
| E. CONTRACT/PR NO. |
| D. SYSTEM/ITEM |
| 3. SUBTITLE |
| 2. TITLE OF DATA ITEM |
| 1. DATA ITEM NO. |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 6. REQUIRING OFFICE |
| 5. CONTRACT REFERENCE |
| 14. DISTRIBUTION |
| 12. DATE OF FIRST SUBMISSION |
| 10. FREQUENCY |
| 9. DIST STATEMENT REQUIRED |
| 7. DD 250 REQ |
| b. COPIES |
| Final |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| 11. AS OF DATE |
| 8. APP CODE |
| Draft |
| Repro |
| Reg |
| 16. REMARKS |
| 3 |
| 15. TOTAL |
| J. DATE |
| I. APPROVED BY |
| H. DATE |
| G. PREPARED BY |
| CONTRACT DATA REQUIREMENTS LIST |
| OMB No. 0704-0188 |
| The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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. |
| C. CATEGORY |
| B. EXHIBIT |
| A. CONTRACT LINE ITEM NO. |
| F. CONTRACTOR |
| E. CONTRACT/PR NO. |
| D. SYSTEM/ITEM |
| 3. SUBTITLE |
| 2. TITLE OF DATA ITEM |
| 1. DATA ITEM NO. |
| 6. REQUIRING OFFICE |
| 5. CONTRACT REFERENCE |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 14. DISTRIBUTION |
| 12. DATE OF FIRST SUBMISSION |
| 10. FREQUENCY |
| 9. DIST STATEMENT REQUIRED |
| 7. DD 250 REQ |
| b. COPIES |
| Final |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| 11. AS OF DATE |
| 8. APP CODE |
| Draft |
| Repro |
| Reg |
| 16. REMARKS |
| 3 |
| 15. TOTAL |
| J. DATE |
| I. APPROVED BY |
| H. DATE |
| G. PREPARED BY |
| CONTRACT DATA REQUIREMENTS LIST |
| Form Approved |
| OMB No. 0704-0188 |
| (1 Data Item) |
| The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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. |
| C. CATEGORY |
| B. EXHIBIT |
| A. CONTRACT LINE ITEM NO. |
| F. CONTRACTOR |
| E. CONTRACT/PR NO. |
| D. SYSTEM/ITEM |
| 3. SUBTITLE |
| 2. TITLE OF DATA ITEM |
| 1. DATA ITEM NO. |
| 6. REQUIRING OFFICE |
| 5. CONTRACT REFERENCE |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 14. DISTRIBUTION |
| 12. DATE OF FIRST SUBMISSION |
| 10. FREQUENCY |
| 9. DIST STATEMENT REQUIRED |
| 7. DD 250 REQ |
| b. COPIES |
| Final |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| 11. AS OF DATE |
| 8. APP CODE |
| Draft |
| Repro |
| Reg |
| 16. REMARKS |
| 3 |
| 15. TOTAL |
| J. DATE |
| I. APPROVED BY |
| H. DATE |
| G. PREPARED BY |
| CONTRACT DATA REQUIREMENTS LIST |
| OMB No. 0704-0188 |
| The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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. |
| C. CATEGORY |
| B. EXHIBIT |
| A. CONTRACT LINE ITEM NO. |
| F. CONTRACTOR |
| E. CONTRACT/PR NO. |
| D. SYSTEM/ITEM |
| 3. SUBTITLE |
| 2. TITLE OF DATA ITEM |
| 1. DATA ITEM NO. |
| 6. REQUIRING OFFICE |
| 5. CONTRACT REFERENCE |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 14. DISTRIBUTION |
| 12. DATE OF FIRST SUBMISSION |
| 10. FREQUENCY |
| 9. DIST STATEMENT REQUIRED |
| 7. DD 250 REQ |
| b. COPIES |
| Final |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| 11. AS OF DATE |
| 8. APP CODE |
| Draft |
| Repro |
| Reg |
| 16. REMARKS |
| 3 |
| 15. TOTAL |
| J. DATE |
| I. APPROVED BY |
| H. DATE |
| G. PREPARED BY |
| CONTRACT DATA REQUIREMENTS LIST |
| Form Approved |
| OMB No. 0704-0188 |
| (1 Data Item) |
| The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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. |
| C. CATEGORY |
| B. EXHIBIT |
| A. CONTRACT LINE ITEM NO. |
| F. CONTRACTOR |
| E. CONTRACT/PR NO. |
| D. SYSTEM/ITEM |
| 3. SUBTITLE |
| 2. TITLE OF DATA ITEM |
| 1. DATA ITEM NO. |
| 6. REQUIRING OFFICE |
| 5. CONTRACT REFERENCE |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 14. DISTRIBUTION |
| 12. DATE OF FIRST SUBMISSION |
| 10. FREQUENCY |
| 9. DIST STATEMENT REQUIRED |
| 7. DD 250 REQ |
| b. COPIES |
| Final |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| 11. AS OF DATE |
| 8. APP CODE |
| Draft |
| Repro |
| Reg |
| 16. REMARKS |
| 3 |
| 15. TOTAL |
| J. DATE |
| I. APPROVED BY |
| H. DATE |
| G. PREPARED BY |
| CONTRACT DATA REQUIREMENTS LIST |
| Form Approved |
| OMB No. 0704-0188 |
| (1 Data Item) |
| The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine 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. |
| C. CATEGORY |
| B. EXHIBIT |
| A. CONTRACT LINE ITEM NO. |
| F. CONTRACTOR |
| E. CONTRACT/PR NO. |
| D. SYSTEM/ITEM |
| 3. SUBTITLE |
| 2. TITLE OF DATA ITEM |
| 1. DATA ITEM NO. |
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