Attachment No 3 ADRLs.pdf
PDF 440 KB Posted
- Attached to
- ENTERPRISE PROTOTYPE INITIATIVE CONSORTIUM (EPIC) Federal contract opportunity
- Solicitation number
- FA8750269R001
About this file
This document is an Agreement Data Requirements List (DD Form 1423-1) for a single Agreement Line Item (ALIN 0001) under Air Force Research Laboratory (AFRL) contract FA8750-27-9-B001 with performer PCSN E-7-1501 for the EPIC system.
The agreement establishes fourteen data items (A001-A014) that must be delivered throughout the performance period. Key deliverables include: monthly R&D Project Summary reports (A001) due 40 days after award and monthly thereafter; presentation materials (A002) submitted 3 days prior to presentations; bi-annual Technical Information Reports including Umbrella Summary Reports (A003), Non-R&D Summary Reports (A004), Project Level Performer Feedback Reports (A005), Umbrella Management Reports (A006) due 100 days after award then quarterly, and Lessons Learned Reports (A007) due 13 months after award then annually; Project Level Order Tracking reports (A008) within 5 days of request; Final Technical Reports for R&D Project Level Orders (A009) with unlimited rights data due 15 days after technical completion; a Security Plan (A010) due 15 days after award if required; annual R&R updates (A011) within 30 days of each 12-month performance anniversary; monthly Funds and Man-Hour Expenditure Reports (A012) and Quarterly Agreement Funds Status Reports (A013) to AFRL/RIF; and annual Government Property Inventory Reports (A014) for government-furnished and contractor-acquired property. Classified data up to SECRET level must be submitted via SIPRNET, and all submissions require the agreement number in subject lines. Electronic delivery in Microsoft Office-compatible formats, PDF, or RTF is preferred, with specific distribution requirements to AFRL/RFEBA, AFRL/RIF, and AFRL/RIOF depending on data item type.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FA8750269R001 Solicitation Questions and Answers_6 AUG 2026.pdf | ||
| FA8750269R001 Solicitation Questions and Answers_3 AUG 2026.pdf | ||
| Attachment No 2 EPIC Statement of Work Solicitation FA8750269R001.pdf | ||
| Attachment No 6 Reps and Certs.pdf | ||
| FA8750269R001 Solicitation Letter.pdf | ||
| Attachment No 4 Recommended Processes and Practices.pdf | ||
| Attachment No 1 ARTICLES.pdf | ||
| Attachment No 5 Instructions to Offerors and Eval Criteria.pdf |
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Text version
A G R E E M E N T D A T A R E Q U I R E M E N T S L I S T (1 Data Item)
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MISC
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
RESEARCH AND DEVELOPMENT (R&D) PROJECT
SUMMARY
3. SUBTITLE
AFRL PROGRAM MANAGEMENT REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81612B/T
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.8.1
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
N/A
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
REFERENCE BLOCK 4, TAILORING DID DI-MISC-81612B, DELETE THE
REQUIREMENTS FOR 1.1.3, 1.2 – 1.2.2.3, 1.2.2.5, 1.2.2.6, 2.3, 2.4-2.4.2, 2.5,
3.1.4, 3.1.6-3.1.6.3 & 3.2.2
PERFORMER FORMAT ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN
MS OFFICE COMPATIBLE FORMAT, RTF OR PDF AS COORDINATED WITH
THE AOR.
FOR DELIVERY VIA EMAIL, INCLUDE THE AGREEMENT NUMBER IN THE
SUBJECT LINE.
SUBMIT THE FIRST REPORT FORTY (40) DAYS AFTER AGREEMENT
AWARD AND MONTHLY THEREAFTER FOR THE PERIOD OF
PERFORMANCE.
SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE
SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE. ABOVE
SECRET AS SPECIFIED BY DD FORM 254 AGREEMENT SECURITY
CLASSIFICATION SPECIFICATION
SUBMIT EXPORT CONTROLLED DATA AS COORDINATED WITH THE
REQUIRING OFFICE.
PROVIDE ADDITIONAL DISTRIBUTION AS COORDINATED WITH THE
REQUIRING OFFICE.
OTA IDV AOR 1
OTA IDV AO 1
SEE BLOCK 16
15. TOTAL 2
G. PREPARED BY
DONALD R LUBECKI
H. DATE
I. APPROVED BY
MATTHEW P SHAVER
J. DATE
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 15 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER ADMN
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
PRESENTATION MATERIAL
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-ADMN-81373
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.8.2
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
PERFORMER FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY
IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, AS COORDINATED
WITH THE COTR.
FOR DELIVERY VIA EMAIL, INCLUDE THE AGREEMENT NUMBER
THE PERFORMER SHALL SUBMIT DRAFT PRESENTATION MATERIAL
THREE (3) DAYS PRIOR TO EACH PRESENTATION.
COORDINATE THE NUMBER OF COPIES AND DELIVERY MEDIA
REQUIRED FOR EACH PRESENTATION WITH THE REQUIRING OFFICE.
SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE
SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE. ABOVE
OTA IDV AOR 1 1 1
15. TOTAL 1 1 1
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 2 of 15 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MISC
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
TECHNICAL INFORMATION REPORT
3. SUBTITLE
UMBRELLA SUMMARY REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80652
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.8.3
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
PERFORMER FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY
IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, PDF OR RTF, AS
COORDINATED WITH THE AOR.
FOR DELIVERY VIA EMAIL, INCLUDE THE AGREEMENT NUMBER IN THE
SUBJECT LINE.
THE PERFORMER SHALL SUBMIT THIS DOCUMENT BI-ANNUAL AFTER
THE AWARD OF THE AGREEMNT.
THE GOVERNMENT WILL RETURN COMMENTS NOT LATER THAN
FIFTEEN (15) DAYS AFTER RECEIPT.
SUBMIT UPDATED DOCUMENT NOT LATER THAN FIFTEEN (15) DAYS
AFTER RECEIPT OF GOVERNMENT COMMENTS.
PROVIDE UPDATES AND SUPPLEMENTS TO THIS DOCUMENT, AS
APPROPRIATE, DURING THE PERIOD OF PERFORMANCE. IDENTIFY
CHANGES FROM PREVIOUS VERSIONS. PERMANENT CHANGE PAGES
SHALL CONFORM TO THE REQUIREMENTS, QUALITY, STYLE AND
FORMAT OF THE BASIC DOCUMENTATION.
SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE
SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE. ABOVE
15. TOTAL 1 1 1
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 3 of 15 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MISC
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
TECHNICAL INFORMATION REPORT
3. SUBTITLE
NON-R&D SUMMARY REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80652
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.8.4
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
PERFORMER FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY
IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, PDF OR RTF, AS
COORDINATED WITH THE AOR.
FOR DELIVERY VIA EMAIL, INCLUDE THE AGREEMENT NUMBER IN THE
SUBJECT LINE.
THE PERFORMER SHALL SUBMIT THIS DOCUMENT AT THE COMPLETION
OF EACH NON-R&D PROJECT LEVEL ORDER
THE GOVERNMENT WILL RETURN COMMENTS NOT LATER THAN
FIFTEEN (15) DAYS AFTER RECEIPT.
SUBMIT UPDATED DOCUMENT NOT LATER THAN FIFTEEN (15) DAYS
AFTER RECEIPT OF GOVERNMENT COMMENTS.
PROVIDE UPDATES AND SUPPLEMENTS TO THIS DOCUMENT, AS
APPROPRIATE, DURING THE PERIOD OF PERFORMANCE. IDENTIFY
CHANGES FROM PREVIOUS VERSIONS. PERMANENT CHANGE PAGES
SHALL CONFORM TO THE REQUIREMENTS, QUALITY, STYLE AND
FORMAT OF THE BASIC DOCUMENTATION.
SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE
SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE. ABOVE
SECRET AS SPECIFIED BY DD FORM 254 CONTRACT SECURITY
15. TOTAL 2 2 2
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 4 of 15 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MISC
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
TECHNICAL INFORMATION REPORT
3. SUBTITLE
PROJECT LEVEL PERFORMER FEEDBACK
REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80652
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.4.1
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
PERFORMER FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY
IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, PDF OR RTF, AS
COORDINATED WITH THE AOR.
FOR DELIVERY VIA EMAIL, INCLUDE THE AGREEMENT NUMBER IN THE
SUBJECT LINE.
THE PERFORMER SHALL SUBMIT THIS DOCUMENT AT THE COMPLETION
OF EACH PROJECT LEVEL ORDER
THE GOVERNMENT WILL RETURN COMMENTS NOT LATER THAN
FIFTEEN (15) DAYS AFTER RECEIPT.
SUBMIT UPDATED DOCUMENT NOT LATER THAN FIFTEEN (15) DAYS
AFTER RECEIPT OF GOVERNMENT COMMENTS.
PROVIDE UPDATES AND SUPPLEMENTS TO THIS DOCUMENT, AS
APPROPRIATE, DURING THE PERIOD OF PERFORMANCE. IDENTIFY
CHANGES FROM PREVIOUS VERSIONS. PERMANENT CHANGE PAGES
SHALL CONFORM TO THE REQUIREMENTS, QUALITY, STYLE AND
FORMAT OF THE BASIC DOCUMENTATION.
SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE
SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE. ABOVE
OTA IDV AO 1 1 1
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 5 of 15 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MISC
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
TECHNICAL INFORMATION REPORT
3. SUBTITLE
UMBRELLA MANAGEMENT REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80652
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.8.5
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
PERFORMER FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY
IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, PDF OR RTF, AS
COORDINATED WITH THE AOR.
FOR DELIVERY VIA EMAIL, INCLUDE THE AGREEMENT NUMBER IN THE
SUBJECT LINE.
THE PERFORMER SHALL SUBMIT THIS DOCUMENT ONE HUNDRED (100)
DAYS AFTER AGREEMENT AWARD AND QUARTERLY THEREAFTER.
THE GOVERNMENT WILL RETURN COMMENTS NOT LATER THAN
FIFTEEN (15) DAYS AFTER RECEIPT.
SUBMIT UPDATED DOCUMENT NOT LATER THAN FIFTEEN (15) DAYS
AFTER RECEIPT OF GOVERNMENT COMMENTS.
PROVIDE UPDATES AND SUPPLEMENTS TO THIS DOCUMENT, AS
APPROPRIATE, DURING THE PERIOD OF PERFORMANCE. IDENTIFY
CHANGES FROM PREVIOUS VERSIONS. PERMANENT CHANGE PAGES
SHALL CONFORM TO THE REQUIREMENTS, QUALITY, STYLE AND
FORMAT OF THE BASIC DOCUMENTATION.
SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE
SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE. ABOVE
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 6 of 15 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MISC
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
TECHNICAL INFORMATION REPORT
3. SUBTITLE
LESSONS LEARNED REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80652
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.8.3.2
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
PERFORMER FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY
IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, PDF OR RTF, AS
COORDINATED WITH THE AOR.
FOR DELIVERY VIA EMAIL, INCLUDE THE AGREEMENT NUMBER IN THE
SUBJECT LINE.
THE PERFORMER SHALL SUBMIT THIS DOCUMENT THIRTEEN (13)
MONTHS AFTER THE AWARD OF THE AGREEMENT AND YEARLY
THEREAFTER.
THE GOVERNMENT WILL RETURN COMMENTS NOT LATER THAN
FIFTEEN (15) DAYS AFTER RECEIPT.
SUBMIT UPDATED DOCUMENT NOT LATER THAN FIFTEEN (15) DAYS
AFTER RECEIPT OF GOVERNMENT COMMENTS.
PROVIDE UPDATES AND SUPPLEMENTS TO THIS DOCUMENT, AS
APPROPRIATE, DURING THE PERIOD OF PERFORMANCE. IDENTIFY
CHANGES FROM PREVIOUS VERSIONS. PERMANENT CHANGE PAGES
SHALL CONFORM TO THE REQUIREMENTS, QUALITY, STYLE AND
FORMAT OF THE BASIC DOCUMENTATION.
SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE
SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE. ABOVE
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 7 of 15 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MISC
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
TECHNICAL INFORMATION REPORT
3. SUBTITLE
PROJECT LEVEL ORDER (PLO) TRACKING
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80652
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.8.6
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
PERFORMER FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY
IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, PDF OR RTF, AS
COORDINATED WITH THE AOR.
FOR DELIVERY VIA EMAIL, INCLUDE THE AGREEMENT NUMBER IN THE
SUBJECT LINE.
THE PERFORMER SHALL SUBMIT THIS DOCUMENT WITHIN FIVE (5) DAYS
AFTER REQUESTED BY THE GOVERNMENT.
THE PERFORMER SHALL PROVIDE COMPLETE TRACK LISTING BY
OCTOBER 15TH EACH YEAR OF PERFORMANCE.
PROVIDE UPDATES AND SUPPLEMENTS TO THIS DOCUMENT, AS
APPROPRIATE, DURING THE PERIOD OF PERFORMANCE. IDENTIFY
CHANGES FROM PREVIOUS VERSIONS. PERMANENT CHANGE PAGES
SHALL CONFORM TO THE REQUIREMENTS, QUALITY, STYLE AND
FORMAT OF THE BASIC DOCUMENTATION.
SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE
SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE. ABOVE
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 8 of 15 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MISC
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM
SCIENTIFIC AND TECHNICAL REPORTS
FINAL TECHNICAL REPORT (R&D PLO)
DI-MISC-80711A/T
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.8.3.1
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
DD
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
BLOCK 4: REFERENCE DI-MISC-80711A/T AND
• ANSI/NISO Z39.18-2005 BASED AFRL FORMAT GUIDELINES
• STANDARD FORM 298
• FORMAT GUIDELINES CAN BE FOUND AT (https://www.afrl.af.mil/ri/)
NOTE 1: FOR UNCLASSIFIED ONLY, WHEN THERE IS NOT A DD254 ATTACHED TO
THE AGREEMENT: ATTACH TO SECURE EMAIL OR SEND VIA DOD SAFE SITE
(https://safe.apps.mil) IN COORDINATION WITH AOR; OR SEND VIA HARD-COPY
MAIL TO AFRL/RIOSI (STINFO), 26 ELECTRONIC PKWY, ROME NY 13441-4514 AND
AFRL/RF__ (AOR), 525 BROOKS RD, ROME NY 13441-4505. ***CITE AGREEMENT
NUMBER WITH SUBMISSION***.
NOTE 1A: FOR UNCLASSIFIED ONLY, WHEN A DD254 IS ATTACHED TO THE
AGREEMENT: SEND VIA HARD-COPY MAIL TO AFRL/RIOSI (STINFO), 26
ELECTRONIC PKWY, ROME NY 13441-4514 AND AFRL/RF__ (AOR), 525 BROOKS
RD, ROME NY 13441-4505. ***CITE AGREEMENT NUMBER WITH SUBMISSION***.
NOTE 2: FOR CLASSIFIED (UP TO AND INCLUDING SECRET): DELIVER
APPROPRIATELY MARKED VIA APPROVED MAIL SERVICE FOR CLASSIFIED, TO
AFRL/RIOSI, 26 ELECTRONIC PKWY, ROME NY 13441-4514 AND AFRL/RF__ (AOR),
525 BROOKS RD, ROME NY 13441-4505. ALL OTHER FTR CDRL CONDITIONS
APPLY.
NOTE 3: FOR ALL CLASSIFICATION LEVELS (INCLUDING UNCLASSIFIED) WHEN
DD 254 BLOCK 10.e.1 or 2 IS MARKED ‘YES’ DELIVER APPROPRIATELY MARKED
VIA PROPER CHANNELS TO AFRL/RFEE/SSO, 525 BROOKS RD, ROME, NY 13441-
4505 PER INSTRUCTIONS IN DD254. ALL OTHER FTR CDRL CONDITIONS APPLY.
SUBMIT NOTIFICATION OF SSO DELIVERY TO AFRL/RIOSI AND AOR VIA EMAIL.
CONTINUED ON NEXT PAGE
15. TOTAL
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 9 of 15 Pages https://www.afrl.af.mil/ri/ https://safe.apps.mil/
ALIN 0001 A FA8750-27-9-B001 PCSN: E-7-1501 A009 CONT’D
BLOCK 16 CONTINUED.
BLOCK 9: DISTRIBUTION STATEMENT F: FURTHER DISSEMINATION ONLY AS DIRECTED BY THE CONTROLLING
DOD OFFICE.
NOTE: THE ABOVE DISTRIBUTION STATEMENT IS PRELIMINARY ONLY. FINAL DISTRIBUTION STATEMENT
SHALL BE DETERMINED BY THE GOVERNMENT.
NOTE: WHEN THE SENSITIVITY OF STINFO IN DRAFT AND FINAL DELIVERABLE DOCUMENTS MEETS THE REQUIREMENTS OF CONTROLLED UNCLASSIFIED INFORMATION (CUI) AS DICTATED BY DODI 5200.48, "CONTROLLED UNCLASSIFIED INFORMATION," PERFORMER MUST PROPERLY MARK PAGES OF THEIR SUBMITTED DOCUMENTS WITH THE ACRONYM “CUI” IN BOLD BLACK TEXT AT THE TOP AND BOTTOM OF EACH PAGE AND INCLUDE THE CUI DESIGNATION INDICATOR ON THE TITLE PAGE. PORTION MARKINGS ARE OPTIONAL ON UNCLASSIFIED DOCUMENTS. HOWEVER, IF ANNOTATED, THEY MUST BE APPLIED TO ALL PORTIONS, TO INCLUDE SUBJECTS, TITLES, PARAGRAPHS, SUBPARAGRAPHS, BULLET POINTS, FIGURES, CHARTS, TABLES, ETC.
(IF APPLICABLE, INCLUDE) "WARNING - THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, USC, SEC 2751 ET SEQ) OR THE EXPORT ADMINISTRATION ACT OF 1979, AS AMENDED, TITLE 50, USC, APP 2401 ET SEQ. VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IAW THE PROVISIONS OF DOD
DIRECTIVE 5230.25."
BLOCK 11: COMPLETION OF TECHNICAL EFFORT, SEE ARTICLE II.
BLOCK 12: NOT LATER THAN FIFTEEN (15) CALENDAR DAYS AFTER COMPLETION OF THE TECHNICAL
EFFORT.
BLOCK 13: NOT LATER THAN FIFTEEN (15) CALENDAR DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS.
BLOCK 14: DELIVER THE FINAL TECHNICAL REPORT, AS ONE EDITABLE TEXT FORMAT (MS WORD) FILE, AS
SPECIFIED IN NOTE 1, 1A, 2 AND 3
THE GOVERNMENT WILL REVIEW, EDIT AND RETURN FOR CORRECTIONS IF REQUIRED NOT LATER THAN
THIRTY (30) CALENDAR DAYS AFTER RECEIPT.
UPON RECEIPT OF THE WRITTEN GOVERNMENT COMMENTS, AND IF APPLICABLE, ORCON REQUIREMENTS, THE PERFORMER SHALL INCORPORATE ALL REQUIRED CHANGES AND RESUBMIT THE REPORT, SF 298 AND ANNOTATED CHANGE PAGES TO THE CONTROLLING OFFICE, USING THE SAME DELIVERY METHOD AND
DESTINATION AS INITIAL SUBMISSION.
REPRODUCTION AND DISTRIBUTION OF THIS DOCUMENT IS THE RESPONSIBILITY OF CONTROLLING DOD OFFICE. SUBMISSION OF THE FINAL UPDATED REPORT SATISFIES THE REQUIREMENT AS SPECIFIED IN THE
AGREEMENT ASSERTIONS
DATA RIGHTS ASSERTIONS:
NOTE: THE PERFORMER SHALL NOT DELIVER ANY TECHNICAL DATA WITH RESTRICTIVE MARKINGS UNLESS THE TECHNICAL DATA ARE LISTED ON AN ATTACHMENT TO THIS AGREEMENT ENTITLED “IDENTIFICATION AND ASSERTION OF RESTRICTIONS ON THE GOVERNMENT’S USE, RELEASE OR DISCLOSURE OF TECHNICAL DATA OR COMPUTER SOFTWARE.” UNLESS WAIVED BY THE AFRL TECHNICAL DIRECTOR, IF THE FINAL REPORT CONTAINS DATA THAT IS DELIVERED WITH LESS-THAN-UNLIMITED RIGHTS (e.g. LIMITED RIGHTS, GOVERNMENT PURPOSE RIGHTS, SPECIFICALLY NEGOTIATED LICENSE RIGHTS), THE DATA WITH LESS- THAN-UNLIMITED RIGHTS SHALL BE DELIVERED IN AN APPROPRIATELY MARKED APPENDIX TO THE FINAL REPORT. THE FINAL REPORT WITHOUT THE APPENDIX SHALL BE CONSIDERED TO BE DELIVERED WITH UNLIMITED RIGHTS. THE REQUIREMENT FOR A SEPARATE APPENDIX IS MANDATORY AND CAN ONLY BE
WAIVED WITH WRITTEN APPROPRIATE AFRL TECHNICAL DIRECTOR APPROVAL.
Page ___10___ of ___15____ Pages
AGREEMENT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENTLINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MISC
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A010
2. TITLE OF DATA ITEM
TECHNICAL INFORMATION REPORT
3. SUBTITLE
SECURITY PLAN
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80652
5. AGREEMENTT REFERENCE
SOW PARAS 4.13.1.1, 4.13.2.1, AND
4.13.3.1
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
N
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
PERFORMER FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY
IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, PDF OR RTF, AS
COORDINATED WITH THE AOTR.
FOR DELIVERY VIA EMAIL, INCLUDE THE AGREEMENT NUMBER IN THE
SUBJECT LINE.
THE CONTRACTOR SHALL SUBMIT THIS DOCUMENT FIFTEEN (15) DAYS
AFTER AWARD OF CONTRACT IF REQUIRED BY THE GOVERNMENT.
THE GOVERNMENT WILL PROVIDE COMMENTS WITHIN FIFTEEN (15)
DAYS AFTER RECEIPT OF DRAFTS.
FINAL COPIES DUE FIFTEEN (15) DAYS AFTER RECEIPT OF
GOVERNMENT COMMENTS.
PROVIDE UPDATES AND SUPPLEMENTS TO THIS DOCUMENT, AS
APPROPRIATE, DURING THE PERIOD OF PERFORMANCE. IDENTIFY
CHANGES FROM PREVIOUS VERSIONS. PERMANENT CHANGE PAGES
SHALL CONFORM TO THE REQUIREMENTS, QUALITY, STYLE AND
FORMAT OF THE BASIC DOCUMENTATION.
SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE
SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE. ABOVE
SECRET AS SPECIFIED BY DD FORM 254 AGREEMENT SECURITY
CLASSIFICATION SPECIFICATION
AFRL/RIOF 1 1 1
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 11 of 15 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MISC
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A011
2. TITLE OF DATA ITEM
TECHNICAL INFORMATION REPORT
3. SUBTITLE
R&R ANNUAL UPDATE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80652
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.13.1.3
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
N
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
COMPLETE AFRL “RESEARCH AND RELATED SENIOR/KEY PERSON
PROFILE” TEMPLATE FOR DELIVERY VIA EMAIL, INCLUDE THE
AGREEMENT NUMBER IN THE SUBJECT LINE.
THE PERFORMER SHALL SUBMIT THIS DOCUMENT WITHIN THIRTY (30)
DAYS AFTER THE COMPLETION OF EVERY TWELVE (12) MONTHS OF
AGREEMENT PERFORMANCE.
PROVIDE UPDATES AND SUPPLEMENTS TO THIS DOCUMENT, AS
APPROPRIATE, DURING THE PERIOD OF PERFORMANCE. IDENTIFY
CHANGES FROM PREVIOUS VERSIONS. PERMANENT CHANGE PAGES
SHALL CONFORM TO THE REQUIREMENTS, QUALITY, STYLE AND
FORMAT OF THE BASIC DOCUMENTATION.
SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE
SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE.
OTA IDV AOR 1 1
AFRL/RIOF 1 1
15. TOTAL 2 2
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 12 of 15 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER FNCL
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A012
2. TITLE OF DATA ITEM
FUNDS AND MAN-HOUR EXPENDITURE REPORT
DI-FNCL-80331A
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.8.1.1
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
PREFER ELECTRONIC DELIVERY IN MICROSOFT OFFICE SUITE
COMPATIBLE FORMAT, RTF OR PDF.
SUBMIT THE FIRST REPORT FORTY (40) DAYS AFTER CONTRACT AWARD
AND MONTHLY THEREAFTER FOR THE PERIOD OF PERFORMANCE.
THIS DATA ITEM RELATES TO A001; DO NOT DUPLICATE REPORTING
REQUIREMENTS ESTABLISHED THEREIN.
FOR DELIVERY VIA EMAIL, INCLUDE THE CONTRACT NUMBER IN THE
SUBJECT LINE.
SUBMIT THIS REPORTING TO AFRL/RIF VIA EMAIL AT (AFRL.mbo-afrl.rifdc2@us.af.mil).
OTA IDV AOR 1
AFRL/RIF 1
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 13 of 15 Pages
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MGMT
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. CONTRACTOR
PCSN: E-7-1501
1. DATA ITEM NO.
A013
2. TITLE OF DATA ITEM
AGREEMENT FUNDS STATUS REPORT (AFSR)
DI-MGMT-81468A
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.8.1.1
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
NO
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
SEE BLOCK 16
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repro
16. REMARKS
COMPLETE AGREEMENT LINE ITEM OR APPROPRIATION REPORTING IN TOTAL
SHALL BE ACCOMPLISHED ON A QUARTERLY CALENDAR BASIS, AND ALSO BY
SEPARATE AGREEMENT LINE ITEM WHEN AN INDIVIDUAL AGREEMENT LINE ITEM
IS VALUED OVER $1,600,000.
PERFORMER FORMAT IS ACCEPTABLE PROVIDING ALL THE ELEMENTS
REQUIRED ARE INCLUDED AND ADDRESSED. PREFER ELECTRONIC DELIVERY IN
MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, PDF OR RTF.
COMPILE AND SUBMIT BLOCK 12 INFORMATION OF DD FORM 1586, “OPEN
COMMITMENTS” AND “ACCRUED EXPENDITURES” MONTHLY AS FOLLOWS:
ACTUAL TO DATE (CURRENT MONTH), NEXT MONTH PROJECTION, THE
FOLLOWING MONTH PROJECTION, THEN THE PROJECTION FOR EACH
REMAINING FISCAL QUARTER. ALL OF THE ABOVE ARE CUMULATIVE FIGURES.
ANY ADDITIONAL PROJECTIONS MAY BE ADDED BY THE PERFORMER SO LONG
AS THE ELEMENTS ARE CLEARLY IDENTIFIED.
PROVIDE MONTHLY ACCRUED VALUE FOR THE CURRENT PERIOD AND
PROJECTED ACCRUED EXPENDITURES FOR THE NEXT THREE (3) MONTHS
THROUGH AGREEMENT COMPLETION.
THIS DATA ITEM RELATES TO A001; DO NOT DUPLICATE REPORTING
REQUIREMENTS ESTABLISHED THEREIN.
EMAIL TO AFRL/RIF VIA EMAIL AT (AFRL.mbo-afrl.rifdc2@us.af.mil).
FOR DELIVERY VIA EMAIL, INCLUDE THE AGREEMENT NUMBER IN THE SUBJECT
LINE.
OTA IDV AOR 1
AFRL/RIF 1
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 14 of 15 Pages mailto:AFRL.mbo-afrl.rifdc2@us.af.mil
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Agreement Officer for the Agreement/PR No. listed in Block E.
A. AGREEMENT LINE ITEM NO.
ALIN 0001
B. EXHIBIT
A
C. CATEGORY
TDP TM- OTHER MGMT
D. SYSTEM/ITEM
EPIC
E. AGREEMENT/PR NO.
FA8750-27-9-B001
F. PERFORMER
PCSN: E-7-1501
1. DATA ITEM NO.
A014
2. TITLE OF DATA ITEM
GOVERNMENT PROPERTY INVENTORY REPORT
3. SUBTITLE
GOVERNMENT FURNISHED PROPERTY (GFP) AND
CONTRACTOR ACQUIRED PROPERTY (CAP)
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80441D
5. AGREEMENT REFERENCE
SOW PARAGRAPH 4.8.1.2
6. REQUIRING OFFICE
AFRL/RFEBA
7. DD250 REQ
LT
9. DIST
STATEMENT
REQUIRED
TBD
10. FREQUENCY
ANNUAL
12. DATE OF FIRST SUBMISSION
SEE BLOCK 16
14. DISTRIBUTION
b. COPIES
8. APP CODE
A
11. AS OF DATE
SEE BLOCK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLOCK 16
a. ADDRESSEE Draft
Final
Reg Repr o
16. REMARKS
Blk. 4: GFP/CAP Inventory Reports shall be in accordance with ARTICLE Title to and Disposition of Property – Government Property. If government furnished property is provided, the list shall be in accordance with the Article. If performer acquired property is required during performance, the list shall be in accordance with the data fields identified in DI-MGMT-80441D. In addition to the data fields identified, the performer shall include Commercial and Government Entity (CAGE) Code or Manufacturer Name & Manufacturer Year; Unique Item Identifier (UII), classified of “Reparable, FMS, Test, Embeddable” if applicable.
Abbreviations are not allowed. Deliver an electronic copy as a Microsoft Excel document. A CD-ROM is acceptable media for submittal. Unclassified documents may be submitted by encrypted or password protected e-mail, or other secure file transfer method. E-mail encryption based on PGP platform is not acceptable.
Blk. 8: Ninety (90) days prior to the agreement expiration date, the performer shall deliver a “Draft” GFP/CAP Inventory Report in the format required by the Article, suitable for agreement close-out purposes. Include the use/disposition recommendations for review and approval by the Agreement Officer Representative (AOR), Agreement Officer (AO), and/or the DCMA Property Administrator. The AOR will review and if necessary, return the list with comments within 30 calendar days.
Blk. 11 & 12: The performer shall deliver an initial Baseline GFP/CAP Inventory Report within 30 days of the first inclusion of GFE/CAP in the agreement. After the baseline is established, the property inventory shall be submitted annually.
Additional distributions may be requested by the AOR.
Blk. 13: Thirty (30) days prior to the agreement expiration date, the Performer shall deliver the “Final” GFP/CAP Inventory Report, representing all property delivered under ALIN 0001.
OTA IDV AOR 1 1
OTA IDV AO 1 1
LOGISTICS MGR 1 1
LMCA 1 1
15. TOTAL 4 4
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 15 of 15 Pages
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MISC |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A001 |
| DI-MISC-81612B/T |
| NO |
| N/A |
| SEE BLOCK 16 |
| N/A |
| 0 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER ADMN |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A002 |
| DI-ADMN-81373 |
| NO |
| TBD |
| SEE BLOCK 16 |
| N/A |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MISC |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A003 |
| DI-MISC-80652 |
| NO |
| TBD |
| SEE BLOCK 16 |
| A |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MISC |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A004 |
| DI-MISC-80652 |
| NO |
| TBD |
| SEE BLOCK 16 |
| A |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MISC |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A005 |
| DI-MISC-80652 |
| NO |
| TBD |
| SEE BLOCK 16 |
| A |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MISC |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A006 |
| DI-MISC-80652 |
| NO |
| TBD |
| SEE BLOCK 16 |
| A |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MISC |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A007 |
| DI-MISC-80652 |
| NO |
| TBD |
| SEE BLOCK 16 |
| A |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MISC |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A008 |
| DI-MISC-80652 |
| NO |
| TBD |
| SEE BLOCK 16 |
| A |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MISC |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A009 |
| DI-MISC-80711A/T |
| DD |
| TBD |
| ONE/R |
| A |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MISC |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A010 |
| DI-MISC-80652 |
| NO |
| TBD |
| SEE BLOCK 16 |
| N |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MISC |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A011 |
| DI-MISC-80652 |
| NO |
| TBD |
| SEE BLOCK 16 |
| N |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER FNCL |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A012 |
| DI-FNCL-80331A |
| NO |
| TBD |
| SEE BLOCK 16 |
| A |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MGMT |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A013 |
| DI-MGMT-81468A |
| NO |
| TBD |
| SEE BLOCK 16 |
| N/A |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
| AGREEMENT DATA REQUIREMENTS LIST |
| Form Approved |
| B. EXHIBIT |
| A |
| C. CATEGORY |
| TDP TM- OTHER MGMT |
| E. AGREEMENT/PR NO. |
| FA8750-27-9-B001 |
| PCSN: E-7-1501 |
| A014 |
| DI-MGMT-80441D |
| LT |
| TBD |
| ANNUAL |
| A |
| SEE BLOCK 16 |
| Draft |
| G. PREPARED BY |
File details come from the government source that posted it. Updated .