SUPERNOVA_CDRLS_JAN_09_2015_V2.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-MGMT-81797

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

(See Block 16)

16. REMARKS

BLK 4: Contractor format, upon final approval of RDS Program Manager, 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 TBD: Distribution authorized to TBD; TBD. 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.”

DESTRUCTION NOTICE: For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

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 the 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 4 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 (Tailored)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

(See Block 16)

AFRL RDS

ACO

Ltr

PCO

Ltr

PM

15. TOTAL:

16. REMARKS

BLK 4: Contractor format, upon approval of RDS Program Manager, acceptable.

BLK 9: DISTRIBUTION STATEMENT TBD: Distribution authorized to TBD; TBD. 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.”

DESTRUCTION NOTICE: For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

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 called by the AFRL RDS PM and 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 the 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 2 of 4 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

ACO

Ltr

PCO

PM

15. TOTAL:

16. REMARKS

BLK 4: Contractor format, upon approval of RDS Program Manager, acceptable.

BLK 9: DISTRIBUTION STATEMENT TBD: Distribution authorized to TBD; TBD. 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.”

DESTRUCTION NOTICE: For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

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

BLOCKS 10, 12, and 13: The contractor shall deliver the first Status Report within 15 calendar days after completion of the first full contractor accounting month. The subsequent status reports and the line item reports (see BLOCK 4 above) shall be delivered within 15 calendar days after the end of each subsequent accounting quarter (quarterly) thereafter through technical completion.

BLK 14: An electronic copy of the report shall be delivered to RDS and the COR and will serve as the submission. Submission via unencrypted or unsecure email is not permitted. One paper copy of the report shall be delivered to AFRL/RVKD PCO. The most current version of MS Word shall be used.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 3 of 4 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.:

TBD

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

C. CATEGORY..............................: Other

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

SUPERNOVA

E. CONTRACT/PR NO. TBD

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

5. CONTRACT REFERENCE......:

6. REQUIRING OFFICE..............:

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

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

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

See Blk 16

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

See Blk 16

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

See Blk 16

12. DATE OF FIRST SUBMISSION……:

See Blk 16

13. DATE OF SUBSEQUENT SUBM…...:

See Blk 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 any version of the 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. The contractor shall complete and sign the most current AFRL Form 25, AFRL Quality Final Technical Report Checklist, and submit it with the report IAW CLIN [_TBD__]. If the completed and signed AFRL Form 25 does not accompany the report, the deliverable is considered incomplete. 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, SF 298, and AFRL Form 25 are available at: http://www.kirtland.af.mil/prs.

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: A Scientific and Technical Report which contains company proprietary data must have a separate volume for the unlimited Government rights data, and a separate volume for the company proprietary data, marked I.A.W. the instructions given below.

The volume containing company proprietary data I.A.W. the data rights assertions attached to this contract shall be marked I.A.W. DFARS 252.227-7013, and with Distribution Statement _TBD (TBD)_ shown in 9.1 below, and other required markings as shown in 9.3 and 9.4 below:

The volume containing unlimited Government rights material (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement _TBD_ shown in TBD below, and other required markings as shown in 9.3 and 9.4 below:

9.1:

“Distribution authorized to Distribution Statement B; Critical Technology, Export Controlled information: DFARS Government Purpose Data Rights; [contractor fill in date of report (dd mmm yy)]. 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 THIS VOLUME OF THE REPORT EXCEPT THE SF 298.)

9.2: Distribution authorized to U.S. Government agencies and their contractors; Export Controlled and Critical Technology [contractor fill in date of report (dd mmm yyyy)]. Other requests for this document shall be referred to AFRL/RVSE, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776. (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THIS VOLUME OF THE REPORT EXCEPT THE SF FORM 298.)

9.3:

“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.” (ADD “WARNING: EXPORT CONTROLLED” TO THE BOTTOM OF EVERY PAGE OF BOTH VOLUMES OF THE REPORT EXCEPT THE SF 298s.)

9.4:

“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 TBD». The USAF will review and, if necessary, return the report with comments no later than the date specified in the Schedule, «CLIN TBD». 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 TBD».

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 “Ltr”, send only a copy of the transmittal letter to that addressee.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE :

Page 4 of 4 Pages

EXHIBIT A

EXHIBIT A