Attachment No. 4.doc

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.

SUPERNOVA

B. EXHIBIT

TBD

C. CATEGORY

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Technical Report

3. SUBTITLE

Program Plan

4. AUTHORITY

DI-MISC-80508B

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

(See Block 16)

16. REMARKS

BLK 4: Contractor format acceptable. The most current version of the Data Item Description is to be used. Final program plans shall be marked with the appropriate distribution statement and any restrictive legends that apply to include Draft program plans.

Include all Government Furnished Equipment and Facilities required and the date and duration they will be required. Include a cost chart depicting by month the estimated cost, including subcontractor costs, for each major task.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors only; Critical Technology; July 2010. Other requests for this document shall be referred to the Air Force Research Lab RDS, 3550 Aberdeen Dr. SE, Kirtland AFB, 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.”

Final program plans 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: The contractor shall deliver a draft Program Plan within 30 calendar days after award. Upon receipt of the comments, the contractor shall take no more than 15 days to incorporate all required changes and deliver the final version of the Program Plan. The plan shall be updated, as required and approved by Program Manager from the date of initial acceptance through technical completion.

BLK 14: An electronic copy of the program plan shall be delivered. One CD-ROM (CD-R), properly labeled, is an acceptable media for submittal. The most current version of MS Word shall be used. E-Mail transmittal is not permitted unless encrypted or secure.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

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.

D. CONTRACT LINE ITEM NO.

SUPERNOVA

E. EXHIBIT

TBD

F. CATEGORY

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Presentation Material

3. SUBTITLE

4. AUTHORITY

DI-ADMN-81373

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

(See Block 16)

AFRL RDS

ACO

Lt

PCO

Lt

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 C: Distribution authorized to US Government agencies and their contractors only; Critical Technology; July 2010. Other requests for this document shall be referred to the Air Force Research Lab RDS, 3550 Aberdeen Dr. SE, Kirtland AFB, 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.”

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: Quarterly Technical Interchange meetings held at AFRL RDS to review technical and cost performance. 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.

G. CONTRACT LINE ITEM NO.

SUPERNOVA

H. EXHIBIT

TBD

I. 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

AFO

Lt

PCO

Lt

AFRL/RDKL

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 C: Distribution authorized to US Government agencies and their contractors only; Critical Technology; July 2010. Other requests for this document 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: As set forth on individual awards or quarterly.

BLK 12, 13: As designated by the RDS Program Manager, provide monthly status reports (to include technical and cost /financial execution 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.

As designated by the RDS Program Manager, provide 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 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.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 1 of 1 Pages J. 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........: SUPERNOVA

E. CONTRACT/PR NO. TBD

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

5. CONTRACT REFERENCE......:

6. REQUIRING OFFICE..............: AFRL/RDS

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. AFRL ANSI-Based Format Guidelines located at:

http://www.kirtland.af.mil/shared/media/document/AFD-100907-025.doc. If the Final Report contains data that is being delivered with less-than-unlimited rights, the data with less-than-unlimited rights shall be delivered as a separate, appropriately-marked Volume* to the Final Report. Incomplete final reports will be immediately returned to the contractor.

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 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/shared/media/document/AFD-101029-017.pdf. If the completed and signed AFRL Form 25 does not accompany the final report, the deliverable is considered incomplete. 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-Based Format 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: All technical data shall be marked I.A.W. DoDD 5230.24 with Distribution Statement (C): Distribution authorized to US Government agencies and their contractors only; Critial Technology; July 2010. Other requests for this document shall be referred to Air Force Research Laboratory/RDS, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.

*Any Volume containing less-than-unlimited rights material (including electronic media) shall be marked I.A.W. DoDD 5230.24 with a Distribution Statement – to be determined for that specific volume submission and overall award.

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 Action 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 :

Page _ of _ Pages

EXHIBIT A

EXHIBIT A