Attch. 1 - Contract Data Requirment Lists (CDRL).pdf
PDF 195 KB Posted
- Attached to
- BROAD AGENCY ANNOUNCEMENT (BAA) - FA9451-19-S-0007- WHITE PAPERS SOLICITATION (CALL 0001)
- Solicitation number
- FA9451-19-S-0007(CALL0001)
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
For the best experience, open this PDF portfolio in
Acrobat X or Adobe Reader X, or later.
Get Adobe Reader Now!
http://www.adobe.com/go/reader
CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approval OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.: TBD
B. EXHIBIT....................................: A
C. CATEGORY..............................: OTHER
D. SYSTEM/ITEM........: TAOS CALL 0001 – Active Sensing
E. CONTRACT/PR NO. FA9451-19-S-0007
F. CONTRACTOR.........: TBD
1. DATA ITEM NO........................: A001
2. TITLE OF DATA ITEM............: Scientific and Technical Report
3. SUBTITLE..................................: Final Report
4. AUTHORITY.............................: DI-MISC-80711A (http://quicksearch.dla.mil)
5. CONTRACT REFERENCE......:
SOW Para. TBD
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: DD
8. APP CODE.................................: A
9. DIST. STATEMENT REQUIRED......: Blk. 16
10. FREQUENCY......................................: Blk. 16
11. AS OF DATE........................................: Blk. 16
12. DATE OF FIRST SUBMISSION……: Blk. 16
13. DATE OF SUBSEQUENT SUBM…...: Blk. 16
14. DISTRIBUTION
A. ADDRESSEES
B. COPIES
FINAL CRC
AFRL/RDSM 1 1
AFRL RDKB Lt Lt ACO Lt Lt
15. TOTAL: 1 1
16. REMARKS
THE REPORT WILL BE PUBLISHED WITH THE DEFENSE TECHNICAL INFORMATION CENTER (DTIC) BY AFRL STINFO OFFICE. Under no circumstances shall the contractor submit any version of the scientific and technical report to DTIC.
Blk 4: GUIDANCE FOR PREPARATION OF THE REPORT: The Scientific and Technical Report shall be prepared I.A.W. the most current AFRL ANSI/NISO Standard Z39.18-2005, or other most current report preparation guidance. The contractor shall complete the most current SF 298 Report Documentation Page, and submit it with the report.
The contractor shall complete the following blocks of the SF 298: Blocks 2-5a, 6, 7, 8 and 13 (if applicable), and 14-16c. Incomplete reports will be immediately returned to the contractor. Following AFRL technical and STINFO reviews, any revisions required will be returned to the contractor. NOTE: The report preparation guidance and SF 298, are available at: https://www.kirtland.af.mil/Units/AFRL-Directed-Energy-Directorate/
The contractor shall deliver two editable electronic copies of the report. The electronic copies shall be an editable .pdf file and the most current version of Microsoft Word. A CD- ROM (CD-R) is the acceptable media for submittal (CD-RWs are not acceptable). Electronic media shall be marked I.A.W. the AFRL ANSI/NISO Standard Z39.18-2005 guidelines, or other most current report preparation guidance. Submission via unencrypted or unsecure email is not permitted.
Blk 7: UPON NOTIFICATION OF ACCEPTANCE OF THE SCIENTIFIC AND TECHNICAL REPORT FROM THE PROGRAM OFFICE, the contractor shall submit the final Receiving Report (DD Form 250) in WAWF. In preparing the final DD Form 250, code the shipment number with a “Z.” Do not upload the Scientific and Technical Report into WAWF or DTIC. NOTE: SUBMITTAL OF THE DD FORM 250Z PRIOR TO ACCEPTANCE NOTIFICATION WILL RESULT IN REJECTION OF THE DD FORM
250Z FINAL RECEIVING REPORT.
Blk 9: All technical data (including electronic media/CD-R) shall be marked IAW DoDI 5230.24 with Distribution Statement B, and other required markings, shown indented below:
“DISTRIBUTION B. Distribution authorized to U.S. Government agencies; Proprietary Information, Export Controlled (submittal DDMMYY). Other requests for this document shall be referred to AFRL/RDS, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO
THE BOTTOM OF EVERY PAGE OF THE REPORT EXCEPT THE SF 298.)
“EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING -- This document contains technical data whose export is restricted by the
Arms Export Control Act (Title 22, U.S.C., Sec. 2751, et seq.) or the Export Administration Act of 1979, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO
THE BOTTOM OF EVERY PG OF THE REPORT EXCEPT THE SF 298.)
“DESTRUCTION NOTICE—For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”
Blks 8, 10 - 13: The contractor shall deliver the Scientific and Technical Report, in final format, no later than the date specified in the Schedule, «CLIN 000X». The USAF will review and, if necessary, return the report with comments no later than the date specified in the Schedule, «CLIN 000X». If the report is returned to the contractor with comments, the contractor shall deliver the camera-ready copy of the report no later than the date specified in the Schedule, «CLIN 000X».
Blk 14: The contractor shall distribute the Scientific and Technical Report (final/CRC version(s)) in accordance with Blk. 14. When the addressee’s copy is identified by “Lt”, send only a copy of the transmittal letter to that addressee.
17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :
G. PREPARED
Courtney Scott
I. APPROVED BY: Michael Mendoza H. DATE: 25 Nov 2019 J. DATE: 05 Dec 2019 (Draft)
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 6 Pages http://quicksearch.dla.mil/ https://www.kirtland.af.mil/Units/AFRL-Directed-Energy-Directorate/
CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approval OMB No. 0704-0188
A. ADDRESSEES
EXHIBIT A
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 2 of 6 Pages
A. CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approval OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
1. DATA ITEM NO........................: A002
2. TITLE OF DATA ITEM….........: Performance and Cost Report
3. SUBTITLE..................................:
4. AUTHORITY.............................: DI-FNCL-80912 (http://quicksearch.dla.mil)
5. CONTRACT REFERENCE......: SOW Para. TBD
6. REQUIRING OFFICE..............: AFRL/RDS
7. DD250 REQ................................: LT
8. APP CODE.................................: N/A
9. DIST. STATEMENT REQUIRED......: Blk 16
10. FREQUENCY......................................: Blk 16
11. AS OF DATE........................................: Blk 16
12. DATE OF FIRST SUBMISSION: Blk 16
13. DATE OF SUBSEQUENT SUBM.: Blk 16
14. DISTRIBUTION A. ADDRESSEES
DRAFT FINAL
ACO
Lt
AFRL/RDSM 1
AFRL/RDKB 1
AFRL/RDSP 1
15. TOTAL: 3
Blk 4:
FORMAT – The Performance and Cost Report format shall be contractor-selected. All financial data should be presented in a format that facilitates interpretation. Copies will be provided in Excel and pdf format.
CONTENT – The Performance and Cost Report shall contain the following:
Man-Hours – Total man-hours expended by technical categories or program tasks, cumulative total man-hours to date, and percentages of total man-hours spent to date. State whether or not remaining hours are sufficient to complete the task.
Funds – Total funds expended, by task, for the month; cumulative total funds spent to date; and percentage of total contract funds spent to date. State whether or not remaining funds are sufficient to complete the task. The report shall include cost variance.
Work completion. Percentage of work completed, by tasks during the month and cumulative percentage of total contract work completed to date.
Blk 9: “DISTRIBUTION B. Distribution authorized to US Government agencies; Proprietary Information (25 Nov 2019). Other requests for this document shall be referred to AFRL/RDS, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE
DELIVERABLE)
EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING -- This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec. 2751, et seq.) or the Export Administration Act of 1979, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW the provisions of the DoD Directive 5230.25.” (ADD “WARINING: EXPORT CONTROLLED” TO THE BOTTOM OF EVER PAGE OF THE
DELIVERABLE)
DESTRUCTION NOTICE - For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blk 10-13: Report submitted 10 working days after completion of each contractor fiscal month. Monthly thereafter for the duration of the contract.
Note: A separate encrypted email transmission is required for each report submitted in response to this CDRL.
G. PREPARED BY: Courtney Scott I. APPROVED BY: Michael Mendoza
A. CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approval OMB No. 0704-0188
A. ADDRESSEES
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 3 of 6 Pages
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
1. DATA ITEM NO........................: A003
2. TITLE OF DATA ITEM............: Status Report
3. SUBTITLE..................................: Quarterly
4. AUTHORITY.............................: DI-MGMT-80368A (http://quicksearch.dla.mil)
5. CONTRACT REFERENCE......: SOW Para. TBD
6. REQUIRING OFFICE..............: AFRL/RDS
10. FREQUENCY......................................: QTRLY
12. DATE OF FIRST SUBMISSION: Blk. 16
13. DATE OF SUBSEQUENT SUBM.: QTRLY
QTRLY = Quarterly
AFRL/RDSM 1
AFRL/RDKB 1
ACO Lt AFRL/RDSP Lt
15. TOTAL: 2
Report format determined by contractor. Electronic media format. Submission via encrypted email is permitted.
Blk. 9: All technical data (including electronic media) shall be marked in accordance with (IAW) DoDI 5230.24 with Distribution Statement B, and other required markings as shown below:
“DISTRIBUTION B. Distribution authorized to U.S. Government agencies; Proprietary Information (25 Nov 2019). Other requests for this document shall be referred to AFRL/RDS, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.” (ADD THIS ENTIRE
DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT)
EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING -- This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec. 2751, et seq.) or the Export Administration Act of 1979, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW the provisions of the DoD Directive 5230.25.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EACH PAGE
OF THE REPORT)
All technical data shall be marked with the following statement: “DESTRUCTION NOTICE—For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”
Blk. 10-13: Submission shall be no later than five (5) business days after the last work day of the previous three month period (quarter).
Blk. 14: When the addressee’s copy is identified by “Lt”, send only a copy of the transmittal letter to that addressee.
G. PREPARED BY: Courtney Scott I. APPROVED BY: Michael Mendoza
CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approval OMB No. 0704-0188
A. ADDRESSEES
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR
D. SYSTEM/ITEM........: TAOS CALL 0001 Active Sensing
1. DATA ITEM NO........................: A004
2. TITLE OF DATA ITEM............: Presentation Material 3.
4. AUTHORITY.............................:
DI-ADMN-81373 (http://quicksearch.dla.mil)
5. CONTRACT REFERENCE......: SOW Para. TBD
6. REQUIRING OFFICE...............: AFRL/RDS
10. FREQUENCY......................................: ASREQ
12. DATE OF FIRST SUBMISSION……: Blk. 16
13. DATE OF SUBSEQUENT SUBM…...: Blk. 16
ACO Lt
Electronic media format. Submission via unencrypted or unsecure email is not permitted.
Blk. 4: An electronic copy shall be delivered as both a .pdf file and the most current version of Microsoft Word, Excel, or PowerPoint (as applicable). A CD-ROM is acceptable media for submittal.
Blk. 9: All technical data (including electronic media) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement B, and other required markings as shown below:
“DISTRIBUTION STATEMENT B: Distribution authorized to U.S. Government agencies; Proprietary Information. (25 Nov 2019).
Other requests for this document shall be referred to AFRL/RDS, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.”
(ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT)
EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING -- This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec. 2751, et seq.) or the Export Administration Act of 1979, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties.
Disseminate IAW the provisions of the DoD Directive 5230.25.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE
BOTTOM OF EACH PAGE OF THE REPORT)
All technical data shall be marked with the following statement: “DESTRUCTION NOTICE—For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”
Blk.10 - 13: Draft presentation material shall be delivered five (5) business days before the scheduled review. Final presentation material will be delivered five (5) business days after the review unless otherwise indicated.
Blk. 14: When the addressee’s copy is identified by “Lt”, send only a copy of the transmittal letter to that addressee.
G. PREPARED BY Courtney Scott I. APPROVED BY: Michael Mendoza
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 4 of 6 Pages
CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approval OMB No. 0704-0188
A. ADDRESSEES
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR
C. CATEGORY..............................: Other:
1. DATA ITEM NO........................: A005
2. TITLE OF DATA ITEM............: Program Management Plan
3. SUBTITLE..................................:
4. AUTHORITY.............................: DI-MGMT-81797 (http://quicksearch.dla.mil)
5. CONTRACT REFERENCE......: SOW Para. TBD
6. REQUIRING OFFICE...............: AFRL/RDS
8. APP CODE.................................:
10. FREQUENCY......................................: ANNLY
12. DATE OF FIRST SUBMISSION……: 30DAC
13. DATE OF SUBSEQUENT SUBM…...: ANNLY
ANNLY = Annually 30DAC = 30 Days after contract start
AFRL/RDS 1 1
AFRL RDKB Lt Lt ACO Lt Lt
Blk. 4: FORMAT - The Program Management Plan shall be in contractor format and shall be unclassified.
CONTENT - The Program Management Plan shall be an integrated document showing technical, cost and schedule data to a common base, the contract work breakdown structure (CWBS) or it’s planning equivalent. It shall also provide information on the contractor’s organization, practices and techniques to be used in managing the program and, if applicable, subcontractors.
Blk. 9: All documentation shall be marked I.A.W. DoDD 5230.24 using the DISTRIBUTION STATEMENT “B” and EXPORT CONTROL WARNING:
“DISTRIBUTION B. Distribution authorized to U.S. Government agencies; Priority Information, Export Controlled, (submittal DDMMYY). Other requests for this document shall be referred to AFRL/RDS, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.”
EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING -- This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec. 2751, et seq.) or the Export Administration Act of 1979, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate IAW the provisions of the DoD Directive 5230.25.”
All technical data shall be marked with the following statement: “DESTRUCTION NOTICE—For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”
Blk. 10 - 13: The contractor shall deliver the Program Management Plan to the government program manager 30 days after contract award; thereafter, annually.
Blk. 14: When the addressee’s copy is identified by “Lt”, send only a copy of the transmittal letter to that addressee.
G. PREPARED BY Courtney Scott I. APPROVED BY: Michael Mendoza H. DATE: 25 Nov 2019 J. DATE: 05 Dec 2015 (Draft)
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 5 of 6 Pages
CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approval OMB No. 0704-0188
A. ADDRESSEES
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR
E. CONTRACT/PR NO.: FA9451-19-S-0007
1. DATA ITEM NO........................: A006
2. TITLE OF DATA ITEM............: Government Property Inventory Report
3. SUBTITLE..................................: Government Furnished Property (GFP) and Contractor Acquired Property (CAP)
4. AUTHORITY.............................: DI-MGMT-80441C (http://quicksearch.dla.mil)
5. CONTRACT REFERENCE......: FAR 52.245-1, PGI 245.402-71 , and PGI 245.103
6. REQUIRING OFFICE..............: AFRL/RDS
9. DIST. STATEMENT REQUIRED......:
10. FREQUENCY......................................: SEMIA
12. DATE OF FIRST SUBMISSION: Blk. 16
13. DATE OF SUBSEQUENT SUBM.: Blk. 16
SEMIA = Every Six Months
AFRL/RVKBTBD 1 1
ACO 1 1
15. TOTAL: 3 3
Blk. 4: GFP/CAP Inventory Reports shall be in accordance with DFARS 245.402-71. If government furnished property or equipment is provided, the list shall be in accordance with DFARS PGI 245.103-72. 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 contract expiration date, the contractor shall deliver a “Draft” GFP/CAP Inventory Report in the format required by DFARS PGI 245.103-72, suitable for contract close-out purposes. Include the use/disposition recommendations for review and approval by the Government Program Manager, Contracting Officer, and/or the DCMA Property Administrator. The Government Program Manager will review and if necessary, return the list with comments within 30 calendar days.
Blk. 11 & 12: The contractor shall deliver an initial Baseline GFP/CAP Inventory Report within 30 days of the first inclusion of GFE/CAP in the contract. After the baseline is established, the property inventory shall be submitted semi-annually. Additional distributions may be requested by the Government Program Manager or the Contracting Officer.
Blk. 13: Thirty (30) days prior to the contract expiration date, the contractor shall deliver the “Final” GFP/CAP Inventory Report, representing all property delivered under CLIN TBD.
G. PREPARED
Courtney Scott I. APPROVED BY: Michael Mendoza
H. DATE: 25 Nov2019 J. DATE: 05 Dec 2019 (Draft)
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 6 of 6 Pages
File details come from the government source that posted it. Updated .