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| DD Form 1423-1, SEP 97 (EG) (Computer Generated) | PREVIOUS EDITIONS ARE OBSOLETE | Page 1 of 3 Pages |
| CONTRACT DATA REQUIREMENTS LIST (1 Data Item) | Form Approval OMB No. 0704-0188 |
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO.: | CLIN 0002 |
| B. EXHIBIT: | A | |
| C. CATEGORY: | Other - MISC | |
| D. SYSTEM/ITEM: | Novel image sensing and enhancement techniques for space object surveillance and characterization |
| E. CONTRACT/PR NO: | TBD | |
| F. CONTRACTOR: | TBD | |
| 2. TITLE OF DATA ITEM: |
| Status Report |
| 3. SUBTITLE: |
| Research & Development Quarterly Report |
| 4. AUTHORITY: |
| DI-MGMT-80368A |
| 5. CONTRACT REFERENCE: |
| Solicitation AFRL/BAA RV 10-01, Call # 012 |
| 6. REQUIRING OFFICE: | AFRL/RVBYB |
| 7. DD250 REQ: | LT | |
| 8. APP CODE: | N/A | |
| 9. DIST. STATEMENT REQUIRED......: | B |
| 10. FREQUENCY......................................: | Quarterly | |
| 11. AS OF DATE........................................: | 3 MAC | |
| 12. DATE OF FIRST SUBMISSION: | 3.5 MAC |
| 13. DATE OF SUBSEQUENT SUBM.: | QTRLY THEREAFTER | |
14. DISTRIBUTION
16. REMARKS
Blk 4: The contractor shall document efforts described in the statement of work (SOW). The contractor shall also include a financial status summary to include: itemized man-hour and cost expenditures incurred for the reporting period by category and task, total contractual expenditures, and funds remaining as of the reporting date. Reports shall include the total amount of all invoice(s) submitted for payment and the balance of unpaid invoices for each reporting period. Submit a final report summarizing all costs through contract completion. CONTRACTOR FORMAT IS PREFERRED.
Blk 9: All technical data shall be marked I.A.W. DoDD 5230.24 with Distribution Statement B: “Distribution authorized to U.S. Government agencies only; Proprietary Information, Critical Technology, 02 May 2011. Other requests for this document shall be referred to Air Force Research Laboratory/RVBYB, 3550 Aberdeen Avenue SE, Kirtland AFB, NM 87117-5776.”
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 12 & 13: The contractor shall deliver the first status report within 10 calendar days after completion of the first full quarter following contract award. Subsequent reports shall be delivered every 90 calendar days thereafter through completion of the contract technical effort.
17. PRICE GROUP:
18. ESTIMATED TOTAL PRICE :
| G. PREPARED BY: |
| Peter Crabtree |
| I. APPROVED BY: Scott Brown |
| H. DATE: |
| 2 May 2011 |
| J. DATE: 4 May 2011 |
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.: | CLIN 0002 |
| B. EXHIBIT: | A | |
| C. CATEGORY: | Other - MISC | |
| D. SYSTEM/ITEM: | Novel image sensing and enhancement techniques for space object surveillance and characterization |
| E. CONTRACT/PR NO.: | TBD | |
| F. CONTRACTOR: | TBD | |
| 2. TITLE OF DATA ITEM: |
| Technical Report – Study/Services |
| 4. AUTHORITY: |
| DI-MISC-80508B |
| 5. CONTRACT REFERENCE: |
| Solicitation AFRL/BAA RV 10-0; Call #012 |
| 6. REQUIRING OFFICE: | AFRL/RVBYB |
| 7. DD250 REQ: | LT | |
| 8. APP CODE: | N/A | |
| 9. DIST. STATEMENT REQUIRED: B | |
| 10. FREQUENCY: | ANNUALLY | |
| 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
Blk 4: The Scientific and Technical Report shall be prepared in accordance with (IAW) PRS Pamphlet 61-201, Preparation of Technical Reports. (Note: Pamphlet references to VS are now RV, and references to DE are now RD). PRS Pamphlet 61-201 may be accessed via the internet at http://www.kirtland.af.mil/shared/media/document/AFD-080806-049.pdf. The contractor shall deliver electronic copies of the annual report. The format of the electronic copy shall be Portable Document Format (PDF) 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 below. Incomplete reports will be immediately returned to the contractor.
Blk 9: All technical data shall be marked IAW DoDD 5230.24 with Distribution Statement B: “Distribution authorized to U.S. Government agencies only; Proprietary Information, Critical Technology, 02 May 2011. Other requests for this document shall be referred to Air Force Research Laboratory/RVBYB, 3550 Aberdeen Avenue SE, Kirtland AFB, NM 87117-5776.”
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 IAW 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 11–13: The contractor shall deliver a draft of the annual report within 13 months of contract award and then every 12 months thereafter. The contractor shall deliver the finalized annual report within 15 months of contract award and then every 12 months thereafter until contract completion.
17. PRICE GROUP:
18. ESTIMATED TOTAL PRICE :
| G. PREPARED BY: |
| Peter Crabtree |
| I. APPROVED BY: Scott Brown |
| H. DATE: |
| 2 May 2011 |
| J. DATE: 4 May 2011 |
| DD Form 1423-1, SEP 97 (EG) (Computer Generated) | PREVIOUS EDITIONS ARE OBSOLETE | Page 2 of 3 Pages | |
| | CONTRACT DATA REQUIREMENTS LIST (1 Data Item) | Form Approval OMB No. 0704-0188 |
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO.: | CLIN 0002 |
| B. EXHIBIT: | A | |
| C. CATEGORY: | Other - MISC | |
| D. SYSTEM/ITEM: | Novel image sensing and enhancement techniques for space object surveillance and characterization |
| E. CONTRACT/PR NO.: | TBD | |
| F. CONTRACTOR: | TBD | |
| 1. DATA ITEM: NO........................: |
| A003 |
| 2. TITLE OF DATA: ITEM............: |
| Scientific and Technical Report and Checklist |
| 3. SUBTITLE: | .............................: |
| Final Report | |
| 4. AUTHORITY: |
| DI-DI-MISC-80711A |
| 5. CONTRACT REFERENCE: |
| Solicitation AFRL/BAA RV 10-0; Call # 012 |
| 6. REQUIRING OFFICE: | AFRL/RVBYB |
| 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 IAW 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 IAW DoDD 5230.24 with Distribution Statement B: “Distribution authorized to U.S. Government agencies only; Proprietary Information, Critical Information, 02 May 2011. Other requests for this document shall be referred to Air Force Research Laboratory/RVBYB, 3550 Aberdeen Avenue SE, Kirtland AFB, NM 87117-5776.”
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 IAW 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 :
| G. PREPARED BY: |
| Peter Crabtree |
| I. APPROVED BY: Scott Brown |
| H. DATE: |
| 2 May 2011 |
| J. DATE: 4 May 2011 |
DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 3 of 3 Pages
BAA RV-10-01 Call 012 Attachment # 3
