B01 Exhibit A - Contract Data Requirements List (CDRLs)13FEB2025 FINAL.pdf

PDF 2 MB Posted

Attached to
Industry Day, Sources Sought, and Draft RFP Notice for Conventional Ammunition Demilitarization
Solicitation number
W519TC-25-R-0012
Issued by

About this file

The document is a Contract Data Requirements List (CDRL) for a Conventional Ammunition Demilitarization contract (W519TC-25-R-0012) with the Department of the Army. The CDRL outlines 22 specific data item deliverables the contractor must provide throughout the contract, including various reports and certifications such as Quality System Plan, Safety Studies Plan, Accident/Incident Reports, Environmental Compliance Reports, Operations Security (OPSEC) Plan, Integrated Program Management Reports, Monthly Demil Status Reports, and Environmental Permits.

Key submission requirements include electronic submission to specific email addresses (bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil), with varying timelines ranging from 10 to 90 days after contract award. Most reports require submission with WAWF invoices and have review periods of 7-30 days by the U.S. Government. The contractor (Conventional Ammunition Demil) must maintain comprehensive documentation and reporting across quality management, safety, environmental compliance, transportation, and operational security domains, with most reports to be submitted as needed or on a monthly basis.

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B01 Attachment 0001 Price Evaluation Spreadsheet 27FEB2025.xlsx XLSX spreadsheet
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B01 Attachment 0008 SECURITY STATEMENT OF WORK.pdf PDF
B08 W519TC-25-R-0012 Draft RFP 21MAR2025.pdf PDF
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B01 Attachment 0002 MGQ Asset List 19FEB2025.pdf PDF
B01 Attachment 0006 OPSEC SECURITY PLAN TEMPLATE 24 Jun 2024.pdf PDF
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1. DATA ITEM NO. 17. PRICE

GROUP

A0

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

Submit Electronically within 90 days after award to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil. Allow for 30 days for U.S. Government review. The contractor shall resubmit with U.S. Government revisions within 14 days.

N/A

ASREQ 90 DACA

a. ADDRESSEE

A N/A

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81794

5. CONTRACT REFERENCE

SOW, Paragraph 4.2

6. REQUIRING OFFICE

TDP____________ TM____________ OTHER__ __________

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC R-0012

2. TITLE OF DATA ITEM

Quality System Plan

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved OMB No. 0704-0188

0 0

Quality Assurance Program Plan (QAPP)

Exhibit A - Contract Data Line Requirements List (CDRLs)

A0

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

Plan shall be submitted 30 days after award of the contract to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil. Allow 30 days for U.S. Government review. Contractor shall resubmit with U.S. Government revisions within 14 days.

N/A

ASREQ 30 A

a. ADDRESSEE

A N/A When Revised

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI- 066

5. CONTRACT REFERENCE

SOW paragraphs 3.1 & 5.3.1

6. REQUIRING OFFICE

TDP____________ TM____________ OTHER__ __________

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC R-0012

2. TITLE OF DATA ITEM 3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved OMB No. 0704-0188

0 0

Safety Site Plan (SSP)Safety Studies Plan

A0

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

Report via telephone NLT 3 hours after the accident/incident to Bridget Kramer, (520) 693-0535.

Telephone notification shall be followed with an email notification to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil, DCMA ACO, and the Cognizant DCMA Safety Specialist.

J. DATE

16. REMARKS

A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81563

5. CONTRACT REFERENCE

SOW Paragraph 5.4

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC -R-0012

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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___ _________

Form Approved OMB No. 0704-0188

0 03

DCMA ACO

DCMA Safety

0 0

0 1 0

A0

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 0 0

Page: of DD Form 1423-1, FEB 2001

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC R-0012

2. TITLE OF DATA ITEM 3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 01

A0

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

Submit electronically to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil within 10 days of completed testing.

N/A

ASREQ 1 T

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW paragraph 6.2.3

6. REQUIRING OFFICE

C. CATEGORY

TDP____________ TM____________ OTHER___ _________

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

519TC R-0012

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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

Form Approved OMB No. 0704-0188

0 0

Exhibit A - Contract Data Line Requirements List (CDRLs)

Effective Stabilizer Lot Report

DCMA ACO 0 0 0

GROUPA0

18. ESTIMATED

TOTAL PRICE

DD

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRI-AMM

J. DATE

16. REMARKS

ADDPs shall be submitted in chronological order based on which items the contractor intends to start demil first. The ADDP for the first family to be demiled shall be submitted electronically within 45 days after award to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil. Once comments are received from the U.S. Government regarding review of the first ADDP, the contractor shall submit its ADDP for the next family it plans to demil for U.S. Government review within 45 days. This process will continue until all ADDPs have been submitted for review.

N/A

ANNLY 45 DACA

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81640

5. CONTRACT REFERENCE

SOW Paragraphs 3.1 & 6.1

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC R-0012

2. TITLE OF DATA ITEM

Ammunition Demilitarization and Disposition Plan

3. SUBTITLE

Ammunition Demilitarization & Disposition Plan (ADDP)

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 01

A0

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

0 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

DCSA

J. DATE

16. REMARKS

Submit immediately after initial notification to bridget.l.kramer.civ@army.mil, elizabeth.j.epperly.civ@army.mil, and the appropriate Defense Counterintelligence and Security Agency (DCSA) office.

A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81563

5. CONTRACT REFERENCE

SOW paragraph 7.4

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC R-0012

2. TITLE OF DATA ITEM 3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER__ __________

Form Approved OMB No. 0704-0188

0 02

Facility Security Violations

DCMA QAR 0 0 0

A0

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

Report via telephone and email within 8 business hours, Monday through Friday, and no later than 0900 Central Standard Time on the first work day of the week for weekend event to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil DCMA ACO, and the Cognizant DCMA Safety Specialist.

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81563

5. CONTRACT REFERENCE

5.5

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC R-0012

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 03

Energetic Events

DCMA Safety 0 01

A0

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

The contractor shall electronically submit a ROD within 24 hours of discovering the discrepancy to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil and DCMA ACO for disposition.

ACO

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

TDP____________ TM____________ OTHER___ _________

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC-25-R-0012

2. TITLE OF DATA ITEM

Transportation Discrepancy Report

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved OMB No. 0704-0188

0 0

Exhibit A - Contract Data Line Requirements List (CDRLs)

Report of Discrepancy (ROD)

DI-MGMT-80554

A0

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRI-AMM

J. DATE

16. REMARKS

Submit within 24 hours to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil

N/A

ASREQ ASREQ

a. ADDRESSEE

A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-82052

5. CONTRACT REFERENC

SOW Paragraph 8.3

6. REQUIRING OFFICE

CCRI-AMM

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

519TC-25-R-0012

2. TITLE OF DATA ITEM

Environmental Compliance Report

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 01

Environmental Notifications

Exhibit A - Contract Data Line Requirements List (CDRLs)

N/A

A0

18. ESTIMATED

TOTAL PRICE

XX

8. APP CODE

0 1 0

0 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

Contractor shall submit OPSEC plan 30 calendar days after the Contracting Officer provides the list of known Critical Information (CI)/Threat Information. Allow 10 calendar days required for U.S.

Government review and approval. If revisions are required, resubmit 10 calendar days after receipt of U.S. Government comments. Submit electronically to usarmy.ria.jmc.mbx.opsec-fd@army.mil, bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil. Annual self-assessment and checklist are due on the anniversary of the contract award date.

D

One/R ASREQ

a. ADDRESSEE

A ASREQ

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

SOW Paragraph 7.7

6. REQUIRING OFFICE

AMSJM-OPP

TDP____________ TM____________ OTHER___ _________

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC-25-R-0012

2. TITLE OF DATA ITEM

Operations Security (OPSEC) Plan

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

Form Approved OMB No. 0704-0188

0 02

Exhibit A - Contract Data Line Requirements List (CDRLs)

DI-MGMT-80934C

OPSEC Program

AMSJM-OPP

A0

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

CCRI-AMM

J. DATE

16. REMARKS

Contractor shall submit electonically within 45 days to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil

A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

5. CONTRACT REFERENCE

SOW Paragraph 10.6.5

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

519TC-25-R-0012

2. TITLE OF DATA ITEM

Hazard Assessment Test Report

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 01

AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81125

Exhibit A - Contract Data Line Requirements List (CDRLs)

Interim Hazard Classification (IHC)

A01

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-

5. CONTRACT REFERENCE SOW

Paragraph 10.5 and 10.6

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC-25-R-0012

2. TITLE OF DATA ITEM

Certification / Data Report

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 0

End Use Certification (EUC)

Exhibit A - Contract Data Line Requirements List (CDRLs)

CCRI-AMM 0 0 0

A0

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

Submit electronically with WAWF invoice.

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

SOW Paragraph 10.3

6. REQUIRING OFFICE

C. CATEGORY

TDP____________ TM____________ OTHER___ ________

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC-25-R-0012

2. TITLE OF DATA ITEM

Certificate/Data Report

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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

Form Approved OMB No. 0704-0188

0 0

Certificate of Demilitarization (COD)

Exhibit A - Contract Data Line Requirements List (CDRLs)

WAWF

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

SOW Paragraph 10.1 and 10.6.11

6. REQUIRING OFFICE

C

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC-25-R-0012

2. TITLE OF DATA ITEM 3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 0

Destruction Certificate

Exhibit A - Contract Data Line Requirements List (CDRLs)

CCRI-AMM

DCMA ACO

0 0 0

0 0 0

GROUPA01

18. ESTIMATED

TOTAL PRICE

DD

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

Submit 30 days prior to meeting for U.S. Government review and approval to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil. Contractor shall resubmit within 7 days after receipt of U.S. Government comments.

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81249B

5. CONTRACT REFERENCE

13.2

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC-25-R-0012

2. TITLE OF DATA ITEM

Conference Agenda

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 0

Meeting Agenda

18. ESTIMATED

TOTAL PRICE

DD

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

Submit electronically NLT 10 days after meeting to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil.

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81505

5. CONTRACT REFERENCE

SOW Paragraph 13.2

6. REQUIRING OFFICE

C. CATEGORY

TDP____________ TM____________ OTHER____ ________

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

519TC-25-R-0012

2. TITLE OF DATA ITEM

Conference Minutes

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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

Form Approved OMB No. 0704-0188

0 0

Meeting Minutes

A01

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

16. REMARKS

Submit electronically within 60 days after award to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil. After initial submission, an updated IMS shall be submitted 14 days prior to any scheduled PMR.

N/A

ASREQ ASREQ

a. ADDRESSEE

N/A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81861

5. CONTRACT REFERENCE

SOW Paragraph 13.1 and 13.2

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC-25-R-0012

2. TITLE OF DATA ITEM

Integrated Program Management Report (IPMR)

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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.

B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 0

A. CONTRACT LINE ITEM NO.

Integrated Master Schedule

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 0

Page: of DD Form 1423-1, FEB 2001

15. TOTAL

H. DATE I. APPROVED BY

Contractor format is acceptable. Monthly Demil Status Reports shall be emailed to: bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil. Monthly Demil Status Reports are to be submitted electronically each month by the fifth day of the following month.

J. DATE

16. REMARKS

A

MTHLY ASREQ

a. ADDRESSEE

N/A N/A

MTHLY

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

13.3

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC-25-R-0012

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Monthly Demil Status Report

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 02

Exhibit A - Contract Data Line Requirements List (CDRLs)

G. PREPARED BY

DCMA ACO 0 1 0

A0

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

H. DATE I. APPROVED BY J. DATE

16. REMARKS

Submit electronically with WAWF invoice.

N/A

ASREQ ASREQ

a. ADDRESSEE

N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-82129

5. CONTRACT REFERENCE

SOW Paragraph 10.6.4 and 10.6.12

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

519TC-25-R-0012

2. TITLE OF DATA ITEM

Hazardous Waste Report

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER__ _________

Form Approved OMB No. 0704-0188

0 0

Disposal Certificate

Exhibit A - Contract Data Line Requirements List (CDRLs)

G. PREPARED BY

WAWF

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

H. DATE I. APPROVED BY J. DATE

16. REMARKS

Contractor shall obtain and maintain International, Federal, State, and Local environmental permits required for full operation associated with this contract. The contractor shall have approved environmental permits in place prior to the shipment of GFM. These permits shall be available for U.S. Government review upon request.

CCRI-AMM

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81274

5. CONTRACT REFERENCE

SOW Paragraph 3.1 and 8

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

19TC-25-R-0012

2. TITLE OF DATA ITEM

Environmental Permits

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services 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.

B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 0

A. CONTRACT LINE ITEM NO.

A0

18. ESTIMATED

TOTAL PRICE

8. APP CODE

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

H. DATE I. APPROVED BY J. DATE

16. REMARKS

Report via telephone and email within 8 business hours, Monday through Friday, and no later than 0900 Central Standard Time on the first work day of the week for weekend event to bridget.l.kramer.civ@army.mil and elizabeth.j.epperly.civ@army.mil DCMA ACO, and the Cognizant DCMA Safety Specialist.

N/A

ASREQ ASREQ

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81563

5. CONTRACT REFERENCE

SOW Paragraph 5.5

6. REQUIRING OFFICE

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

519TC-25-R-0012

2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

TDP____________ TM____________ OTHER___ _________

Form Approved OMB No. 0704-0188

0 03

Radiological accidents/incidents

Exhibit A - Contract Data Line Requirements List (CDRLs)

DCMA Safety 0 1 0

File details come from the government source that posted it. Updated .