Atch_No. 4 m.doc

DD Form 1423-1, SEP 97 (EG) (Computer Generated)

PREVIOUS EDITIONS ARE OBSOLETE

Page 1 of 1 Pages CONTRACT DATA REQUIREMENTS LIST (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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

STAB-C

B. EXHIBIT

TBD

C. CATEGORY

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Presentation Material

3. SUBTITLE

4. AUTHORITY

DI-ADMN-81373 (Tailored)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

(See Block 16)

AFRL RDS

ACO

Lt

PCO

Lt

AFRL RDSE

15. TOTAL:

16. REMARKS

BLK 4: Contractor format, upon approval of RDSE Program Manager, acceptable. The most current version of the Data Item Description is to be used.

Blk 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical technology; 28 Oct 2011. Other requests shall be referred to the Air Force Research Lab/RDS 3550 Aberdeen Dr. SE, Kirtland AFB NM, NM 87113. Other requests for this document shall be referred to AFRL/RDSE, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.

EXPORT CONTROL WARNING: All technical data must 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 in accordance with provisions of DoD Directive 5230.25.”

Presentation material shall be marked with the appropriate distribution statement and any restrictive legends that apply. If restrictive legends are not evident, the data may be treated as unrestricted

BLKS 10, 12, 13: As required by Govt Program Manager, Technical Interchange meetings to be held at the location designated by assigned Govt Program Manager, and will be to support program, technical and financial reviews. Copies of presentation material will be provided after the meeting.

BLK 14: An electronic copy of the presentation shall be delivered. One CD-ROM (CD-R), properly labeled, is an acceptable media for submittal. The most current version of MS Word or PowerPoint shall be used. Submission via unencrypted or unsecure email is not permitted.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 1 of 1 Pages

CONTRACT DATA REQUIREMENTS LIST (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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

D. CONTRACT LINE ITEM NO.

STAB-C

E. EXHIBIT

TBD

F. CATEGORY

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

4. AUTHORITY

DI-MGMT-80368A/T (Tailored)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

(See Block 16)

AFRL/ RDS

ACO

Lt

PCO

Lt

AFRL/RDSE

15. TOTAL:

16. REMARKS

BLK 4: Contractor format, upon approval of RDSE Program Manager, acceptable. The most current version of the Data Item Description is to be used. Tailoring of DID requirements:

Delete paragraph 3.2.3 Report to include program schedule and baseline.

Report also to include program and financial Status and performance. In addition, if so requested by assigned Govt Program Manager to include: Scientific and Technical reporting for journal articles; conference proceedings; and/or documentation of technical progress.

Blk 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical technology; 28 Oct 2011. Other requests shall be referred to the Air Force Research Lab/RDS 3550 Aberdeen Dr. SE, Kirtland AFB NM, NM 87113. Other requests for this document shall be referred to AFRL/RDSE, 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 SF298.

EXPORT CONTROL WARNING: All technical data must 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 in accordance with provisions of DoD Directive 5230.25.”

Reports shall be marked with the appropriate distribution statement and any restrictive legends that apply. If restrictive legends are not evident, the data may be treated as unrestricted

BLK 10: Monthly or whenever designated by assigned Govt Program Manager.

BLK 12, 13: As designated by the RDSE Program Manager, provide monthly status reports (to include technical and cost /financial performance data by AFRL/RDS approved format) NLT fifteen (15) calendar days following the close of the contractor’s monthly accounting period through completion of the award technical period of performance. The first report is due after the first full month of performance of each award.

Also as designated by the RDSE Program Manager, provide summary quarterly status reports NLT fifteen (15) calendar days following the end of each quarter through completion of the award technical period of performance. The first report is due after the first full quarter of performance of each award.

BLK 14: An electronic copy of the report shall be delivered to RDS, RDSM and the COR. One CD-ROM (CD-R), properly labeled, is an acceptable media for submittal. One paper copy of the report shall be delivered to AFRL/RDKL. The most current version of MS Word shall be used. Submission via unencrypted or unsecure email is not permitted.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 1 of 1 Pages 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.:

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........:

STAB-C

E. CONTRACT/PR NO. TBD

F. CONTRACTOR.........:

TBD

3. SUBTITLE..................................:

5. CONTRACT REFERENCE......:

6. REQUIRING OFFICE..............: AFRL/RDSE 7. DD250 REQ................................:

Lt

8. APP CODE.................................:

A

9. DIST. STATEMENT REQUIRED......:

See Block 16

10. FREQUENCY......................................:

See Block 16

11. AS OF DATE........................................:

See block 16

12. DATE OF FIRST SUBMISSION: See Block 16

13. DATE OF SUBSEQUENT SUBM.: See Block 16

14. DISTRIBUTION

16. REMARKS

BLOCK 4: TAILORING: The required software documentation shall include appropriate documentation/source/object and executables as well as operation guidance and algorithms developed under this contract effort. CONTRACTOR FORMAT IS PREFFERRED.

Blk 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical technology; 28 Oct 2011. Other requests shall be referred to the Air Force Research Lab/RDS 3550 Aberdeen Dr. SE, Kirtland AFB NM, NM 87113. Other requests for this document shall be referred to AFRL/RDSE, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.

DISTRIBUTION STATEMENT F: Further dissemination only as directed by Air Force Research Laboratory /RDSM 4600 Randolph Ave SE, (Bldg 760) Kirtland AFB, NM 87117-577; (as determined 10/31/2011) or higher DoD authority. Critical Technology; 31 Oct 2011.

EXPORT CONTROL WARNING: All Technical data must 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 law are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.”

.BLOCKS 10, 12, and 13: The contractor shall submit the draft source code, executables, and associated documentation 10 days after completion. The government will provide comments within 10 days. The contractor shall provide the final version 30 days after completion.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE :

Page 1 of 1 Pages

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.:

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: STAB-C

E. CONTRACT/PR NO. TBD

F. CONTRACTOR.........:

TBD

5. CONTRACT REFERENCE......:

6. REQUIRING OFFICE..............: AFRL/RDSE

7. DD250 REQ................................:

DD

8. APP CODE.................................:

A

9. DIST. STATEMENT REQUIRED......:

See Block 16

10. FREQUENCY......................................:

See Block 16

11. AS OF DATE........................................:

See block 16

12. DATE OF FIRST SUBMISSION: See Block 16

13. DATE OF SUBSEQUENT SUBM.: See Block 16

14. DISTRIBUTION

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 either the final report or the camera-ready 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 located at:

http://www.kirtland.af.mil/prs If the Final Report contains data that is being delivered with company proprietary data rights IAW data rights assertions in this contract, the company proprietary data rights material shall be delivered as a separate, appropriately-marked Volume* to the Final Report. The contractor shall complete and submit an SF 298 Report Documentation Page, with the final report. The SF 298 is available at: http://www.kirtland.af.mil/shared/media/document/AFD-070425-037.doc. The contractor shall complete the following blocks of the SF298: Blocks 2-5a, 6, 7, 8 and 13 (if applicable), 14-16c.

The contractor shall complete and sign the most current AFRL Form 25, AFRL Quality Final Technical Report Checklist, and submit it with the final report. The checklist is available at: http://www.kirtland.af.mil/prs. If the completed and signed AFRL Form 25 does not accompany the final report, the deliverable is considered incomplete. Incomplete final reports will be immediately returned to the contractor. Following AFRL technical and STINFO reviews, any revisions required will be returned to the contractor.

The contractor shall deliver editable electronic copies of the final 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 IAW the AFRL ANSI/NISO Standard Z39.18-2005 guidelines. Submission via unencrypted or unsecure email is not permitted.

Blk 7: Submit Final Report with letter of transmittal and the DD 250 to the designated project manager. In preparing the final DD 250 for the contract, code the shipment number with a “Z”.

Blk 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical technology; [author fill in date of report (ddmmyy)]. Other requests shall be referred to the Air Force Research Lab/RDS 3550 Aberdeen Dr. SE, Kirtland AFB NM, NM 87113. Other requests for this document shall be referred to AFRL/RDSE, 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 SF298.

*Any Volume containing company proprietary data rights material (including electronic media) shall be marked I.A.W. DoDD 5230.24 with Distribution Statement [must enter B or E here]: Distribution authorized to [fill in statement]; Proprietary Information: DFARS [insert type] Data Rights; [author fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/XXXX, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776. ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE VOLUME THAT CONTAINS COMPANY PROPRIETARY DATA, EXCEPT THE SF298.

Blk 9: EXPORT CONTROL WARNING: All technical data (including electronic media) 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 I.A.W. the provisions of the DoD Directive 5230.25.”

All technical data (including electronic media) 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.”

Blks 10 - 13: The contractor shall deliver the Scientific and Technical Report, in final format, no later than the date specified in the Schedule, «CLIN 0002». The USAF will review and, if necessary, return the final report with comments no later than the date specified in the Schedule, «CLIN 0002». 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 0002».

NOTE: Headings in Block 14B, Copies, have been changed. “Draft” is changed to “Final” and “Final” (in second column) is changed to “CRC” (camera-ready copy).

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE :

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval OMB No. 0704-0188

G. 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 sourceCONTRACT 1 Data Item)

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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

H. CONTRACT LINE ITEM NO.

STAB-C

I. EXHIBIT

TBD

J. CATEGORY

TBD

1. DATA ITEM NO.

A001

2.TITLE OF DATA ITEM

Test and Evaluation Program Plan

3. SUBTITLE

4. AUTHORITY

DI-NDTI-81284

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

(See Block 16)

AFRL/ RDS

ACO

Lt

PCO

Lt

AFRL/RDSE

15. TOTAL:

16. REMARKS

BLK 4: Contractor format, upon approval of RDS Program Manager, acceptable. The most current version of the Data Item Description is to be used.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical technology; 28 Oct 2011. Other requests shall be referred to the Air Force Research Lab/RDS 3550 Aberdeen Dr. SE, Kirtland AFB NM, NM 87113.

EXPORT CONTROL WARNING: All technical data must 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 in accordance with provisions of DoD Directive 5230.25.”

Reports shall be marked with the appropriate distribution statement and any restrictive legends that apply. If restrictive legends are not evident, the data may be treated as unrestricted

BLK 10: Monthly or whenever designated by assigned Gov’t Program Manager.

BLK 11: On the first day of the period of performance

BLK 12, 13: As designated by the RDS Program Manager, provide program plans (as defined above) within 1 month from the kickoff meeting. Also as designated by the Gov’t program manager when the support of test activities or other major efforts are required.

BLK 14: An electronic copy of the report shall be delivered to RDSEW and the COR. One CD-ROM (CD-R), properly labeled, is an acceptable media for submittal. One paper copy of the report shall be delivered to AFRL/RDKL. The most current version of MS Word shall be used. Submission via unencrypted or unsecure email is not permitted.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

EXHIBIT A

EXHIBIT A