BAA-AFRL-RQKM-2016-0010-Amd2.pdf

BAA-AFRL-RQKM-2016-00 I 0

Amendment 0002

BAA-AFRL-RQKM-2016-0010

AMENDMENT 0002

Funding Opportunity Announcement Number: BAA-AFRL-RQKM-2016-0010 Amendment Number: 0002

The purpose of this amendment is as follows:

1. Paragraph 1.5.b. is changed to read:

Program security classification: Up to and including Secret shall be required.

This effort requires a Secret facility clearance.

2. Paragraph 111.5.a is clarified to read:

Foreign participation: Foreign participation at the prime contractor level is not authorized. Foreign participation at the subcontractor level will be determined on a case by case basis for each task order.

3. Paragraph IV.c.iii. is added as follows:

Data Management Plan: The contractor shall submit a Data Management Plan with this proposal (this does not count against the page count of the proposal).

Effective data management increases the pace of scientific discovery and engineering development and promotes more efficient and effective use of government funding and resources. Formal data management planning should therefore be an integral part of the research and development process. The Data Management Plan should document the stewardship of the technical data* to be used or created in the course of this proposed effort, identifying which technical data are considered necessary to validate the findings of the proposed effort.

The Data Management Plan shall contain the following information:

A listing and discussion of the types of digital technical data to be used and/or created during the course of the project to include how the data is to be acquired, digitally processed, methods for quantification of uncertainty, and the standards to be used for data and metadata capture (Existing, accepted community standards should be used where possible. Provided metadata should be sufficient to enable someone else to reproduce the data.);

BAA-AFRL-RQKM-2016-00 I 0

Amendment 0002

The file formats and file naming conventions to be used (enduring, non proprietary, human and machine readable format and content, self-describing formats are strongly preferred);

Whenever possible, a description of the specific data schemata to be used;

Plans and criteria for delivering and/or archiving datasets, or data samples, and other digitally formatted technical data, and for preservation of access thereto;

Identification of applicable access, security, and export control restrictions and controls;

A schedule for review and update of the Data Management Plan;

If, for legitimate reasons, the technical data cannot be preserved digitally, the plan shall include a justification citing such reasons.

* Technical Data (DF ARS): Recorded information, regardless of the form or method of the recording, of a scientific or technical nature (including computer software documentation). The term does not include computer software or data incidental to contract administration, such as financial and/or management information.

4. Paragraph VI.1. is changed to read:

Award Notices: Offerors will be notified whether their proposal is recommended for award on or about 30 July 2016.

5. Attachment 3, DD 254 is replaced in its entirety with the DD 254 dated 26 April 2016 (attached).

6. Attachment 4, CDRLs is replaced in its entirety with the CDRLs dated 26 April 2016 (attached).

7. As a result of this Amendment, the due date for proposals remains unchanged. However, if the additional requirements of this amendment will delay proposals, requests for an extension will be considered.

1. CLEARANCE AND SAFEGUARDING

DEPARTMENT OF DEFENSE

CONTRACT SECURITY CLASSIFICATION SPECIFICATION

(The requirements of the DoD Industrial Security Manual apply to all security aspects of this effort.)

a. FACILITY CLEARANCE REQUtREO

SECRET

b. LEVEL OF SAFEGUARDING REQUIRED

SECRET

.2. THIS SPECIFICATION IS FOR: (X and complete as applicable} 3. THIS SPECIFICATION IS: (X and complete as applicable) x

a. PRIME CONTRACT NUM$ER b .. SUBCONTRACT NUMBER

c. SOUCITATION OR OTHER NUMBER

BAA-AFRL-RQKM-2015-0029

4. IS THIS A FOLLOW-ON CONTRACT?

x

DUE DATE (YYYYMMDD)

a. ORIGINAL (Complete date in all cases)

b. REVISED (Supersedes all previous specs)

I REVISION NO.

c. FINAL (Complete Item 5 in all cases)

__jYES L_g_j NO. If Yes, complete the following:

DATE (YYYYMMDD)

20160426

DATE (YYYYMMDD)

DA TE (YYYYMMDD)

Classified materlal received or generated under (Preceding Contract Number) is transferred to this follow-on contract.

5. IS THIS A FINAL OD FORM 254? L_jYES L8_J NO. If Yes, complete the following:

In response to the contractor's request dated • retention of the classified material is authorized for the period of

6. CONTRACTOR (Include Commercial and Government Entity (CAGE) Code}

a. NAME, ADDRESS, AND ZIP CODE b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

TBD ·rrm TBD

7. SUBCONTRACTOR

a. NAME, ADDRESS, ANO ZIP CODE

NIA

b. CAGE CODE c. COGNIZANT SECURITY OFFICE (Name, Address. and Zip Code.)

NIA NIA

8. ACTUALPERFORMANCE

a. LOCATION

NIA

b. CAGE CODE

NIA

c. COGNIZANT SECURITY OFFICE (Name, Address, and Zip Code)

NIA

9. GENERAL lOENTlFlCATION OF THIS PROCUREMENT

This is a IDIQ R&D Contract. Contract is required for short tem1 of material and manufacturing research and development (TOPS V).

10. CONTRACTOR WILL REQUIRE ACCESS TO: YES NO 11. IN PERFORMING THIS CONTRACT, THE CONTRACTOR WILL;

~a~, ~C~O~M~M~U~Nl~CA;T~lO~N~S~S~E~C~UR~i~TY~(~C~O~MS~. E~Cl} ~IN~FO~R~M~A~T~lO~N==tx~[J~a~-]~~~ ~<§~¥~bWtMNv I Nt;K b RESTRICTEDDATA X b. RECElVECLASSIFlEDOOCUMENTSONLY=::.;.;..:.;.;:;.;.;.;.;..:..:-_______ ......__+.-.......j

-.·-------------t--+-:--,.4-------------------------+--1----I

c. CRITICAL NUCLEAR VVEAPON DESIGN fNFORMAT!ON X c RECEIVE AND GENERATE CLASSIFIED MATERIAL

d. FORMERLY RESTRICTED DATA X d. FABRICATE. MODIFY, OR STORE CLASSIFIED HARDWARE

e. !NTELUGENCE lNFORMATION

ff) Sensilive Ccmpartmnnted lnfcrma!ion (SC!) • l---(2_)_N_on--S-C-I--------------~ r ~N=ir""""v~=M~ATr.IO~N-r-::--=-t--~

f. SPECfAL ACCESS lNFORMAT!ON

g. NATO INFORMATION X i. HAVE TEMPEST REQUIREMENTS h, FOREIGN GOVERNMENT INFORMATION I X I HAVE OPERATIONS SECURITY (OPSEC} REQUIREMENTS

l. LIMITED DISSEMINATION INFORMATION X k BE AUTHORIZED TO USE THE DEFENSE COURIER SERVICE

......,..i·-..,,F~OR,.._o_FF_tc_tA_L_u_s_E_o_N_L Y_l_N_FO_R_M_A_T1_o_N ______ --1-...;.x~l---I I. OTHER (Specify)

k. OTHER fSpeclfyJ X a. AFFARS 5352.204-9000 applies. See Blk 13.

Program Protection Plan (PPP)

DD FORM 254, DEC 1999 PREVIOUS EDITION IS OBSOLETE. Adobe Professional 7.0

Attachment 3

12. PUBLIC RELEASE. Any infonnation (classified or unclassified) pertaining to this contract shall not be released for public dissemination except as provided by the Industrial Security Manual or unless It has been approved for public release by appropriate U.S. Government authority. Proposed public releases shall be submitted for approval prior to release D Direct CK] Through (Specify)

AFRIJRXOP, 2977 Hobson Way, WP AFB OH 45433 for non-SAR related material. Transmission of public release request via e-mail is not authorized.

to the Directorate for Freedom of Information and Security Review, Office of the Assistant Secretary of Defense (Public Affairs)9 for review.

*In the case of non·DoD User Agencies. requests for disclosure shall be submitted to that agency.

13. SECURITY GUIDANCE. The security classification guidance needed for this classified effort is identified below. If any difficulty is encountered in applying this guidance or if any other contributing factor indicates a need for changes in this guidance, the contractor is au1horized and encouraged to provide recommended changes; to challenge the guidance or the classification assigned to any Information or material fumished or generated under this contract; and to submit any questions for interpretation of this guidance to the official identified below. Pending final decision, the information involved shall be handled and protected at the highest level of classification assigned or recommended. (Fill in as appropriate for the classified effort. Attach, or forward under separate correspondence, any documents/guides/extracts referenced herein. Add additional pages as needed to provide complete guidance.)

The National Industrial Security Program Operating Manual (NISPOM), February 2006 applies.

a. RefBlk lOa/l lh: COMSEC is required.

b. RefBlks 10e(2): Contractor will require access to intelligence infonnation and must comply with AFI 14-303/AFMC Supplement 1. The Program Manager has determined that disclosure does not create an unfair competitive advantage for the contractor or a conflict of interest with the contractor's obligation to protect the infonnation and will submit the AFMC Form 210 to the AFRL Senior Intelligence Officer (SIO) at AFRL/XP2 for approval prior to granting access.

c. Access to SIPRNET is required.

d. RefBlk lOg: NATO briefing required prior to granting access. See NISPOM Chapter 10 for details.

e. RefBlk lOj: See DoDM 5200.01, Volume 4, DoD Infonnation Security Program: Controlled Unclassified Infonnation (CUI), Enclosures 3 & 4 and DoD 5400.7-R/Air Force Manual 33-302, DoD Freedom oflnfonnation Act (FOIA)Program, for requirements.

f. RefBlk I le: Any classified infonnation generated in the perfonnance of this contract shall require the contractor to apply derivative classification and markings Consistent with the source material. Partial performance as an access only visitor in support of AFRL/RX will occur in the Bldg 65X Complex and AFRL/RX out-buildings, Area B, WP AFB, OH.

g. RefBlk I lg: Intelligence material is not releasable to DTIC.

h. RefBlk 1 lk: Go to http://www.transcom.miVdcd/ for Defense Courier Service points of contacts and guidance.

*Coordination received from Ellen R. Noble, AFRLIXP~, (937) 255-0383, on 26Apr16. dp

SEE CONTINUATION SHEET

14. ADDITIONAL SECURITY REQUIREMENTS. Requirements, in addition to ISM requirements, are established for this contract X Yes No (If Yes, identify the pertinent contractual clauses in the contract document Itself. or provide an appropriate statement which Identifies the additiona requirements. Provide a copy of the requirements to the cognizant security office. Use Item 13 if additional space is needed.)

a. RefBlk lOk: Program Protection Plan (PPP) will be provided by the Government activity.

b. RefBlk 1 lj: OPSEC requirements apply. See Statement of Work (SOW) for requirements.

15. INSPECTIONS. Elements of this contract are outside the inspection responsibHily of the cognizant security office. X Yes No (If Yes, explain and Identify specific areas or elements carved out and the acttvity responsible for inspections. Use Item 13 if additional space is needed.)

a. RefBlks lOalllh: COMSEC oversight TBD.

b. Ref Blk I 11: Contractor performance will occur at WP AFB. DSS is relieved of all inspection responsibilities for contractor performance on the installation. AFRLIRX will maintain security oversight.

16. CERTIFICATION AND SIGNATURE. Security requirements stated herein are complete and adequate for safeguarding the classlfled lnfonnatlon to be released or generated under this classified effort. All questions shall be referred to the offlclal named below.

a. TYPED NAME OF CERTIFYING OFFICIAL b. TITLE c. TELEPHONE (Include Area Code)

Maiy Ann Sharits Contracting Officer (937) 713-9898

d. ADDRESS (Include Zip Code} 17. REQUIRED DISTRIBUTION

AFRLJRQKMS X a. CONTRACTOR

2130 8th St, Bldg 45 b. SUBCONTRACTOR t-W_P-::A~F~B7':"::0::-:H=4=-5_4_3_3-_7_5_4_l -------.,a...---~-------'"......:....~ c. COGNIZANT SECURITY OFFICE FOR PRIME AND SUBCONTRACTOR

e. SIGNATURE d. U.S. ACTIVITY RESPONSIBLE FOR OVERSEAS SECURITY ADMINISTRATION

e. ADMINISTRATIVE CONTRACTING OFFICER

f. OTHERS AS NECESSARY

D FORM 254 (BACK), DEC 9

hief, Information Protection

AFRURX APR 2 6 2016

Blk 13 Cont'd:

BAA-AFRL-RQKM-2015-0029

DD FORM 254 CONTINUATION SHEET

BAA-AFRL-RQKM-2015-0029

i. Ref Blk 111: Provide the information requested by the Notification of Government Security Activity and Visitor Group Security Agreements clause, Air Force Federal Acquisition Regulation Supplement (AFF ARS) 5352.204-9000, to AFRL/RX, 2977 Hobson Way, WPAFB OH 45433, afrl.rxsecurity@us.af.mil.

j. Transfer of documents to other IR&D efforts is not permitted.

k. Program Manager: Mark N. Groff, AFRL/RXOP, (937) 255-9836, mark.groff.l@us.af.mil

I. AFRL Chief, Information Protection: M. Douglas Powell, AFRL/RXR, (937) 255-5559, afrl.rxsecurity@us.af.mil

m. IT Level III duties require a favorably completed National Agency Check with Written Inquiries (NACI).

n. Ref Bllc 17d: ACO TBD

o. Ref Bllc 17f: AFRL/RX Chief, Information Protection, 2977 Hobson Way, WP AFB OH 45433, afrl.rxsecurity@us.af.mil; AFRL/XP2, 1864 4th Street, WPAFB OH 45433, ellen.noble.l@us.af.mil.

CONTRACT DATA REQUIREMENTS LIST Form Approved i ( 1. Data Item} OMB No. 0704-0188

The public reporting burden for thi.s 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 and Communications 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: N/A REF: DOD 5010.12-M

I

0001 B TOP --- TM -- OTHER

D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR

FA8650-15-D-

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE !

A001 SCIENTIFIC AND TECHNICAL REPORTS Final Report ii

4. AUTHORITY (Data Acquisition Document No.) , 5. CONTRACT REFERENCE 6. REQUIRING OFFICE I

Dl-MISC-80711Aff ID/IQ AFRL/RXOP i i

7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD

REQUIRED ONE/R See Block 16* b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

A SUBMISSION Draft End of Tech Effort See Block 16* Reg Re pro

16. REMARKS

I AFRL/RXOP 1 1 0

Blk 4:Tailored to allow for attached ANSI based AFRL AFRL/RXOP-ERR 1 1 0 I

Format Guidelines including Standard Form 298. Also to include, 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 in an appropriately marked appendix to the Final Report.

BLOCK 9: B: Distribution authorized to us Government agencies only. Other requests for this document shall be ref erred to AFRL/RXOP

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 2501 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Electronic submittals shall be encrypted or password protected.

Block 11: End of Technical Effort.

Block 12: 30 days from Block 11.

Approval/Disapproval by letter from the Air Force Program Manager within 30 days after receipt.

Disapproval requires correction/resubmission within 30 days after receipt of Air Force comments.

Block 13: End of Contract, 90 days from Block 11.

Blocks 12 & 13: Contractor shall deliver the Final Report ... (continued on next page)

15.TOTAL ~

2 2 0

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

Mark N. Groff

AFRL/RXOP (937) 255-9836

26-MAY-2015 RAGLAND.KAREN.E.1230136412 APR 2 6 2016

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page -2±..._ of 16 Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

Attachment 4

CONTRACT DATA REQUIREMENTS LIST

( 1 Data Item)

A. CONTRACT LINE ITEM NO.

I

B. EXHIBIT IC. CATEGORY: N/A REF: DOD 5010.12-M

B TOP __ TM -- OTHER ------------------

I

E. CONTRACT/PR NO. IF. CONTRACTOR

FA8650-15-D-

D.SYSTEM/ITEM

16. REMARKS (Continued) within 30 calendar days after completion of the technical effort. The AFRL Program Manager will take no more than 30 calendar days to review, edit, and return to the contractor. Upon receipt of the combined Technical and STINFO comments, the contractor shall take no more than 30 calendar days to incorporate all required changes and deliver the final technical report in an editable text format (MS Word)or editable PDF on CD-ROM electronic copy. CD-ROM shall be labeled IAW ANSI based AFRL Format Guidelines.

Block 14: Draft submittal shall consist of 1 editable (MS Word or PDF) file on CD-ROM. The final submittal shall consist of all editable text documents and all multimedia source files in current AF Standard Desktop format (MS Office or PDF compatible) Acceptance shall be in accordance with the ANSI based AFRL Format guidelines and the AFRL Quality Technical Report (TR) Checklist (attached) . The checklist must be signed and submitted with the Final Report.

DD FORM 1423-1, FEB 2001 Page~ of 16 Pages

CONTRACT DATA REQUIREMENTS LIST Form Approved ( 1 Data Item) OMB No. 0704-0188

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 and Communications 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:

N/A REF: DOD 5010.12-M

0001 B TOP --- TM -- OTHER

D. SYSTEM/ITEM IE. CONTRACT/PR NO. F.CONTRACTOR

FA8650-15-D-

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A002 FUNDS AND MAN-HOUR EXPENDITURE REPORT

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-FNCL-80331 A/T ID/IQ AFRL/RXOP

7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

REQUIRED MTHLY ** b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

N/A B

SUBMISSION Draft

** Reg Re pro

16. REMARKS AFRL/RXF 0 1 0

Tailored to allow contractor's format. AFRL/RXOP 0 1 0

DCMA/ACO 0 1 0

Submit electronically. Electronic submittals shall be DET1 ,AFRL/PKMM 0 1 0 encrypted or password protected.

* At the close of the contractor's monthly accounting period.

** 25 days after Block 11 time.

BLOCK 9: B: Distribution authorized to us Government agencies only.

15.TOTAL - 0 4 0

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

Mark N. Groff

26-MAY-2015 RAGLAND.KAREN.E.1230136412 ~PR 2 6 2016

AFRL/RXOP (937) 255-9836

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 2 of 16 Pages

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17. PRICE GROUP

18. ESTIMATED

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 and Communications

'1

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 I 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: N/A REF: DOD 5010.12-M

0001 B TOP --- TM -- OTHER

D.SYSTEM/ITEM IE. CONTRACT/PR NO. F.CONTRACTOR

FA8650-15-D-

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A003 CONTRACT FUNDS STATUS REPORT (CFSR)

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MGMT-81468ff ID/IQ AFRL/RXOP

7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

REQUIRED QRTLY ** b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

N/A * SUBMISSION Draft

** Reg Re pro

16. REMARKS AFRL/RXF 0 1 0

Tailored so that the report contains forecasts by AFRL/RXOP 0 1 0 month for the next six months, by quarter for the DCMA/ACO 0 1 0 remaining fiscal year, and by year for the remaining DET1 ,AFRL/PKMM 0 1 0 fiscal years. CFSR data shall be reconciled to the Governments fiscal year end at 30 September if the contractor's fiscal year end does not coincide with the Government's fiscal year end.

Submit electronically. Electronic submittals shall be encrypted or password protected.

* The last day of the contractor's monthly accounting period nearest the end of the governments fiscal year quarter.

** The initial submission shall be within 25 calendar days after the close of the contractor's monthly accounting period nearest the end of the first government fiscal year quarter after contract award. Subsequent submissions shall be 25 calendar days after Block 11 time.

BLOCK 9: B: Distribution authorized to us Government agencies only.

15.TOTAL - 0 4 0

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

Mark N. Groff

26-MAY-2015 RAGLAND.KAREN.E.1230136412 APR 26 2016

AFRL/RXOP (937) 255-9836

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 3 of 16 Pages

17. PRICE GROUP

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 and Communications 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: N/A REF: DOD 5010.12-M

0001 B TOP --- TM -- OTHER

D. SYSTEM/ITEM IE. CONTRACT/PR NO. F.CONTRACTOR

FA8650-15-D-

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A004 STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MGMT-80368A!T ID/IQ AFRL/RXOP

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

REQUIRED QRTLY ** b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

N/A B

SUBMISSION Draft

** Reg Re pro

16. REMARKS AFRL/RXOP 0 1 0

Tailored to allow contractor's format and to DCMA/ACO 0 1 0 delete para 3. 2. 3. DET1 ,AFRL/PKMM 0 1 0

Submit electronically, except when final report is due to be submitted, then omit this item. Electronic submittals shall be encrypted or password protected.

* At the close of the contractor's quarterly accounting period.

** 25 days after Block 11 time.

BLOCK 9: B: Distribution authorized to us Government agencies only.

15. TOTAL 0 3 0

G. PREPARED BY H. DATE I. APPROVED BY AP1f2 s Mark N. Groff

26-MAY-2015 RAGLAND. KAREN .E.1230136412 2016

AFRL/RXOP (937) 255-9836

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 4 of 16 Pages

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17. PRICE GROUP

( 1 Data Item} OMB No. 0704-0188

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 and Communications 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: N/A REF: DOD 5010.12-M

0001 B TOP --- TM -- OTHER

D.SYSTEM/ITEM I E. CONTRACT/PR NO. F.CONTRACTOR

FA8650-15-D-

1. DATA ITEM NO. 2. TITLI; OF DATA ITEM 3. SUBTITLE

A005 PRESENTATION MATERIAL

4. AUTHORITY (Data Acquisition Document No.) , 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-ADMN-81373ff ID/IQ AFRL/RXOP

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED ASREQ LT * b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

N/A c

SUBMISSION Draft * Reg Re pro

16. REMARKS AFRL/RXOP 0 1 1

Tailored to require view graphs and hardcopy or computer generated file.

Submit electronically.

ASREQ means as required to document topics under discussion at briefings and reviews.

* Submit at each briefing or review as appropriate.

Maximum # of view graphs shall not exceed the amount stated per deliver order.

Submit reproducible on media compatible with MS-Off ice for Windows.

Electronic submittals shall be encrypted or password protected.

BLOCK 9: C: Distribution authroized to us Government agencies and their contractrs.

15. TOTAL 0 1 1

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

Mark N. Groff

26-MAY-2015 RAGLAND.KAREN.E.1230136412 '~PR 2 6 2016 AFRL/RXOP (937) 255-9836

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 5 of 16 Pages i I i

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17. PRICE GROUP

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 and Communications 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: N/A REF: DOD 5010.12-M

0001 B TOP --- TM -- OTHER

D.SYSTEM/ITEM I E. CONTRACT/PR NO. F.CONTRACTOR

FA8650-15-D-

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A006 DATA ACCESSION LIST (DAL)

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MGMT-81453!T ID/IQ AFRL/RXOP

7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

REQUIRED SEMIA ** b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

N/A c

SUBMISSION Draft ** Reg Re pro

16. REMARKS AFRL/RXOP 0 1 0

Tailored to allow contractor's format.

* At the end of each six month period.

** 30 days after Block 11 time.

Submit electronically. Electronic submittals shall be encrypted or password protected.

BLOCK 9: C: Distribution authroized to us Government agencies and their contractrs.

15. TOTAL - 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY

PR°~Tt Mark N. Groff

26-MAY-2015 RAGLAND.KAREN.E.1230136412 A 2016

AFRL/RXOP (937) 255-9836

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 6 of 16 Pages

I i

I i i

I

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17. PRICE GROUP

CONTRACT DAT A REQUIREMENTS LIST Form Approved

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 and Communications 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: N/A REF: DOD 5010.12-M

0001 B TOP --- TM -- OTHER

D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR

FA8650-15-D-

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A007 STILL PHOTO COVERAGE

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MISC-80169!T ID/IQ AFRL/RXOP

7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

REQUIRED ASREQ * b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

N/A D

SUBMISSION Draft * Reg Re pro

16. REMARKS 88ABW/PA 0 1 0

Tailored to allow contractor format. AFRL/RXOP 0 1 1

ASREQ means as required to do the photo coverage under this effort.

* Submit when generated.

DO NOT SUBMIT CLASSIFIED PHOTOS OR

NEGATIVES TO 88ABW/PA, 255-6297.

Maximum # of photos shall not exceed 3000.

BLOCK 9: D; Distribution authorized to DoD and us DoD contractors only.

15. TOTAL ~

0 2 1

G. PREPARED BY H. DATE I. APPROVED BY J.~ 26 21 Mark N. Groff

26-MAY-2015 RAGLAND.KAREN.E.1230136412

AFRL/RXOP (937) 255-9836

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 7 of 16 Pages i

I I

17. PRICE GROUP

18. ESTIMATED

I

( 1 Data Item) OMB No. 0704-0188 I I

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 and· Communications ', 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: N/A REF: DOD 5010.12-M

0001 B TOP --- TM -- OTHER

D. SYSTEM/ITEM l E. CONTRACT/PR NO. F.CONTRACTOR I

FA8650-15-D-·

I

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A008 CONFERENCE MINUTES I

I I

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-ADMN-81250A/T ID/IQ AFRL/RXOP i I

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

! LT

REQUIRED ASREQ * b. COPIES

8. APP CODE 11. AS OF DA TE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final I

NIA

D

SUBMISSION Draft * Reg Re pro I

16. REMARKS AFRL/RXOP 0 1 0

i

Tailored to allow contractor's format.

Submit electronically. Electronic submission must be encrypted or password protected.

ASREQ means as required to document each review or presentation.

* Submit within 30 days after each review or presentation.

BLOCK 9: D· I Distribution authorized to DoD and us DoD contractors only.

15.TOTAL - 0 1 0

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

Mark N. Groff

26-MAY-2015 RAGLAND.KAREN.E.1230136412 ,~PR 26 2016 AFRL/RXOP (937) 255-9836

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 8 of 16 Pages

17. PRICE GROUP

I

I ( 1 Data Item) OMB No. 0704-0788

I

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 and Communications 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.

I

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY: N/A REF: DOD 5010.12-M i

0001 B TOP --- TM -- OTHER

I D.SYSTEM/ITEM IE. CONTRACT/PR NO. F.CONTRACTOR

FA8650-15-D-

! 1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A009 CONFERENCE AGENDA I

I I

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE I

Dl-ADMN-81249A/T ID/IQ AFRL/RXOP I

7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION I

LT

REQUIRED ASREQ *

I

b. COPIES I

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

A D

SUBMISSION Draft I * ** Reg Re pro

16. REMARKS AFRL/RXOP 1 1 0

Tailored to allow contractor's format.

Submit electronically. Electronic submission must be encrypted or password protected.

ASREQ means as required to document plans for each review/presentation.

* Submit 10 days prior to each review or presentation.

Approval/disapproval by letter from the Air Force Program Manager within 5 days after receipt.

** Disapproval requires correction/resubmission within 5 days after receipt of Air Force comments.

BLOCK 9: D; Distribution authorized to DoD and us DoD contractors only.

15.TOTAL ~ 1 1 0

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

Mark N. Groff

26-MAY-2015 RAGLAND. KAREN .E.1230136412 APR 26 201e

AFRL/RXOP (937) 255-9836

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 9 of 16 Pages

17. PRICE GROUP

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 I 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 and Communications 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: i N/A REF: DOD 5010.12-M i

0001 B TOP --- TM -- OTHER

D.SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR i I

FA8650-15-D-

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE i I

A010 TECHNICAL REPORT-STUDY I SERVICES I

I

I

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MISC-80508A/T ID/IQ AFRL/RXOP I

I

7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

REQUIRED ONE/R ** b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

A D

SUBMISSION Draft ** *** Reg Repro

16. REMARKS AFRL/RXOP 1 1 0

Tailored to allow contractor's format.

Submit electronically. Electronic submission must be encrypted or password protected.

* At the close of each delivery order under this ID/

IQ.

** 30 days after Block 11 time.

Approval/disapproval by letter from the Air Force Program Manager within 60 days after receipt.

Disapproval requires correction/resubmission within 30 days after receipt of Air Force comments.

BLOCK 9: D; Distribution authorized to DoD and us DoD contractors only.

15.TOTAL 1 1 0

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

Mark N. Groff

26-MAY-2015 RAGLAND.KAREN.E.1230136412 APR 2 6 201f

AFRL/RXOP (937) 255-9836

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 10 of 16 Pages

17. PRICE GROUP

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 and Communications

'1

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 I 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 I

Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY: N/A REF: DOD 5010.12-M

0001 B TOP --- TM -- OTHER

D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR

FA8650-15-D-

I

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE !

A011 COMPUTER SOFTWARE PRODUCT END ITEMS DATA BASE

j

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MCCR-80700!T cs ow AFRL/RXOP

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION I

REQUIRED ASREQ i LT * b. COPIES I

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final I

N/A * SUBMISSION Draft I

* Reg Re pro

16. REMARKS AFRL/RXOP 0 1 0

Tailored to allow contractor's format.

Submit electronically.

* Submit as required per the Air Force program manager.

Electronic submittals shall be encrypted or password protected.

BLOCK 9: B: Distribution authorized to us Government agencies only.

15. TOTAL - 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY

'}\~~6 20ff Mark N. Groff

26-MAY-2015 RAGLAND.KAREN.E.1230136412

AFRL/RXOP (937) 255-9836

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 11 of 16 Pages

17. PRICE GROUP

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 and Communications i 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 I 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.

i

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

N/A REF: DOD 5010.12-M I

0001 B TOP TM OTHER

I

D. SYSTEM/ITEM I E. CONTRACT/PR NO. F.CONTRACTOR

I I

FA8650-15-D-

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

i

A012 MATHEMATICAL MODEL FINITE ELEMENT ANALYSIS

REPORT \

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE i

Dl-GDRQ-81257A/T ID/IQ AFRL/RXOP i

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

REQUIRED ASREQ ** b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

A D

SUBMISSION Draft ** *** Reg Re pro

16. REMARKS AFRL/RXOP 1 1 0

Tailored to allow contractor's format.

ASREQ means as required to document mathmatical model finite analyses results per the delivery order.

* At the close of each delivery order.

** 30 days after Block 11.

Approval/disapproval by letter from the Air Force Program Manager within 60 days after receipt.

Disapproval requires correction/resubmission within 30 days after receipt of Air Force comments.

BLOCK 9: D; Distribution authorized to DoD and us DoD contractors only.

15.TOTAL 1 1 0 -

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

Mark N. Groff

AFRL/RXOP (937) 255-9836

26-MAY-2015 RAGLAND .KAREN. E.1230136412 ~PR 2 6 2016

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 12 of 16 Pages

17. PRICE GROUP

i i

( 1 Data Item) OMB No. 0704-0188

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 i other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications 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: N/A REF: DOD 5010.12-M

0001 B TOP --- TM -- OTHER

D.SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR

I

FA8650-15-D-

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE I

I

A013 SCIENTIFIC AND TECHNICAL REPORTS Annual Report t:

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MISC-80711Afr cs ow AFRL/RXOP I I

7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION ! REQUIRED ANN LY LT 13MAC b. COPIES ·1

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

N/A B SUBMISSION Draft 12MAC * Reg Re pro

16. REMARKS AFRL/RXOP 0 1 0

Tailored to allow contractor's format, and Block 10, is clarified so that, "Pursuant to DFARS 252.235-7011, the Government will forward the approved interim report to the Defense Technical Information Center (DTIC). II

Submit electronically. See Section F for addresses.

* Submit every 12 months through out the technical effort.

BLOCK 9: B: Distribution authorized to us Government agencies only. Electronic submittals shall be encrypted or password protected.

15.TOTAL 0 1 0

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

Mark N. Groff

26-MAY-2015 RAGLAND.KAREN.E.1230136412 APR 2 6 2016

AFRL/RXOP (937) 255-9836

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 13 of 16 Pages

17. PRICE GROUP

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 and Communications 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: N/A REF: DOD 5010.12-M

0001 B TDP --- TM -- OTHER

D.SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR

FA8650-15-D-

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A014 COMPUTER SOFTWARE PRODUCT Source Code

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-IPSC-81488!T cs ow AFRL/RXOP

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

REQUIRED ASGEN * b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

N/A B SUBMISSION Draft N/A * Reg Re pro

16. REMARKS AFRL/RXOP 0 1 0

Tailored to allow contractor's format.

* Submit with software for this technical effort.

Delivery of Software shall be inclusive of software source code and executable.

Electronic submitta)s shall be encrypted or password protected.

BLOCK 9: B: Distribution authorized to us Government agencies only.

15.TOTAL 0 1 0

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

Mark N. Groff

26-MAY-2015

AFRL/RXOP (937) 255-9836

RAGLAND.KAREN.E.1230136412 APR 26 2016

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 14 of 16 Pages i I

I

I i

I i I I

I i

I

17. PRICE GROUP

Form Approved OMB No. 0704-0188

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 and Communications 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.

D. SYSTEM/ITEM

B. EXHIBIT

B

C. CATEGORY:

N/A REF: DOD 5010.12-M

TOP___ TM __ OTHER

F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

I

E. CONTRACT/PR NO.

FA8650-15-D-

3. SUBTITLE I 17. PRICE GROUP

i

A015 MATERIAL AND PROCESSING DIGITAL DATA

PACKAGE (MPDDP) !

I--------~------------..--------------~---.....,.------------------~ ~------------1

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

18. ESTIMATED 4. AUTHORITY (Data Acquisition Document No.)

Dl-MISC-82020/T csow AFRL/RXOP TOTAL PRICE

1--------.....,..---------..----~------..,..--------------+------------------~

7. DD 250 REQ 9. DIST STATEMENT 10.FREQUENCY 12. DATE OF FIRST SUBMISSION

LT

REQUIRED ASREQ *

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

N/A B

N/A

SUBMISSION

R/ASR

16. REMARKS

Tailored to allow contractor format.

ASREQ means as required to document MPDDP through out the applicable Task Orders through out the technical effort.

* Submit as generated.

R/ASR means revisions as required to keep the MPDDP up to date, make changes or corrections; submit revisions as generated.

Submit electronically. Electronic submittals shall be encrypted or password protected.

BLOCK 9: B: Distribution authorized to US Government agencies only.

G. PREPARED BY H. DATE I. APPROVED BY

14. DISTRIBUTION i ~~~~-.-~b-.C-OP-IES~~i

a. ADDRESSEE Final Draft

Reg Re pro

AFRL/RXOP O· 0

15. TOTAL 0 0

J. DATE

Mark N. Groff

AFRL/RXOP (937) 255-9836

26-MAY-2015 RAGLAND.KAREN.E.1230136412 APR 2 6 20f6 DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 15 of 16 Pages

CONTRACT DAT A REQUIREMENTS LIST Form Approved

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 and Communications 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: N/A REF: DOD 5010.12-M

0001 B TOP --- TM -- OTHER

D. SYSTEM/ITEM I E. CONTRACT /PR NO. F.CONTRACTOR

FA8650-15-D-

1. DATA ITEM NO. 2.