Attachment 3 CDRLs.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 comments 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.

Improved Models of VLF Influence on Rad Belts

B. EXHIBIT

FA9453-10-C-XXXX

C. CATEGORY

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Monthly Status Report

4. AUTHORITY

DI-MGMT-80368A (Tailored, see Block 16)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

N/A

16. REMARKS

Block 4, Report shall follow contractor format, and include costs incurred during previous month, running total of costs incurred since contract inception, and any notable achievements or difficulties.

Block 9, All technical data shall be marked I.A.W. DoDD 5230.24 with Distribution Statement: Distribution authorized to Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 13 Jul 2010. Other requests for this document shall be referred to Air Force Research Laboratory/RVBX, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.

Block 12, Reports shall be submitted no later than 15 days after the end of the month to which they pertain.

Block 13, Reports shall be submitted monthly through end of contract.

Block 14, Electronic submission in Microsoft Word (version 2003 or later) or Adobe PDF is required.

1. PRICE GROUP:

2. ESTIMATED TOTAL PRICE:

H. DATE: 21 Jul 10

J. DATE:

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

PREVIOUS EDITIONS ARE OBSOLETE

Page 1 of 3 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 comments 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.

Improved Models of VLF Influence on Rad Belts

E. EXHIBIT

FA9453-10-C-XXXX

F. CATEGORY

TBD

9. DATA ITEM NO.

A002

10. TITLE OF DATA ITEM

Status Report

11. SUBTITLE

Semi-Annual Status Report

12. AUTHORITY

DI-MGMT-80368A (Tailored, see Block 16)

13. CONTRACT REFERENCE

14. REQUIRING OFFICE

15. DD 250 REQ

16. APP CODE

N/A

Lt

PCO

Lt

AFRL/RVBX

21. REMARKS

Block 4, Report shall utilize template provided by AFRL/RVBX.

Block 9, All technical data shall be marked I.A.W. DoDD 5230.24 with Distribution Statement: Distribution authorized to Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 13 Jul 2010. Other requests for this document shall be referred to Air Force Research Laboratory/RVBX, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.

Block 13, Reports shall be submitted according to the following schedule (MAA = months after award)

6 MAA

12 MAA

18 MAA

Block 14, Electronic submission in Microsoft Word (version 2003 or later) or Adobe PDF is required.

3. PRICE GROUP:

4. ESTIMATED TOTAL PRICE:

M. DATE: 21 Jul 10

L. DATE:

Page 2 of 3 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 comments 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.

Improved Models of VLF Influence on Rad Belts

H. EXHIBIT

FA9453-10-C-XXXX

I. CATEGORY

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Scientific and Technical Report

3. SUBTITLE

Final Report

4. AUTHORITY

DI-MISC-80711A

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

N/A

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: 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-081208-065.pdf .

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 “Technical Report Quality Checklist” and submit with the final report. The checklist is available at: http://www.kirtland.af.mil/shared/media/document/AFD-081208-069.pdf. Following AFRL technical and STINFO reviews, any revisions required will be returned to the contractor.

The contractor shall deliver electronic copies of the final report. Deliver a hard copy only, printed on one side, to the STINFO Office. The electronic copy shall be a .pdf file or the most current version of Microsoft Word. A CD-ROM (CD-R) is the acceptable media for submittal. Electronic media shall be marked IAW requirements as spelled out in Blk 9 below. Incomplete final reports will be immediately returned to the contractor.

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: Distribution authorized to Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 13 Jul 10. Other requests for this document shall be referred to Air Force Research Laboratory/RVBX, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.

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).

5. PRICE GROUP:

6. ESTIMATED TOTAL PRICE:

R. DATE: 21 Jul 10

J. DATE:

Page 3 of 3 Pages Exhibit “A”

FA9453-10-C-XXXX

Exhibit “A” BAA RV-10-01, Call 009 Attachment 3