BAA-RV-10-01_CALL_22_Atch_3_RMDC_-_CDRLs_Final_R1__30_Jan_14.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.

Space Environment Sensor Data Management and Analysis

B. EXHIBIT

FA9453-14-R-0224

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 D: Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Control; 20 Dec 2013. Other requests for this document shall be referred to Air Force Research Laboratory/RVBX, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776. ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT EXCEPT THE SF FORM 298.

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 THE REPORT EXCEPT THE SF FORM 298s.

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

Block 12, Reports shall be submitted no later than 15 days after the first calendar month.

Block 13, Reports shall be submitted monthly on the 15th day of the calendar month through end of contract.

Block 14, Electronic submission in Microsoft Word (version 2003 or later) or Adobe PDF is required. Submission by CD-R or encrypted e-mail is required.

1. PRICE GROUP:

2. ESTIMATED TOTAL PRICE:

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.

Space Environment Sensor Data Management and Analysis

E. EXHIBIT

FA9453-14-R-0224

F. CATEGORY

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Annual 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 utilize template provided by AFRL/RVB.

Block 9, All technical data shall be marked I.A.W. DoDD 5230.24 with Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Control; 20 Dec 2013. Other requests for this document shall be referred to Air Force Research Laboratory/RVBX, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776. ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT EXCEPT THE SF FORM 298.

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 THE REPORT EXCEPT THE SF FORM 298s.

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

Block 13, Reports shall be submitted according to the following schedule, every 12 months after award.

Block 14, Electronic submission in Microsoft Word (version 2003 or later) or Adobe PDF is required. Submission by CD-R or encrypted e-mail is required.

3. PRICE GROUP:

4. ESTIMATED TOTAL PRICE:

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.

Space Environment Sensor Data Management and Analysis

H. EXHIBIT

FA9453-14-R--0224

I. CATEGORY

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Scientific and Technical Report and Checklist

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: 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, located at: http://www.kirtland.af.mil/prs 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 most current AFRL Form 25, AFRL Quality Final Technical Report Checklist, and submit it with the final report as part of the report deliverable. The checklist is available at: http://www.kirtland.af.mil/prs. If the completed and signed AFRL Form 25 does not accompany the final report, the deliverable is considered incomplete. Incomplete final reports will be immediately returned to the contractor. Following AFRL technical and STINFO reviews, any revisions required will be returned to the contractor.

The contractor shall deliver two 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/NISO Standard Z39.18-2005 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 (including electronic media/CD-R) shall be marked I.A.W. DoDD 5230.24 with Distribution Statement D, and other required markings shown indented below:

Distribution authorized to Department of Defense and DoD Contractors; Critical Technology, Export Control, 20 Dec 2013. Other requests for this document shall be referred to Air Force Research Laboratory/RVBX, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776. (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT EXCEPT THE SF FORM 298.)

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 PG OF THE REPORT EXCEPT THE SF FORM 298s.)

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).

5. PRICE GROUP:

6. ESTIMATED TOTAL PRICE:

Page 3 of 3 Pages Exhibit “A”

FA9453-10-C-XXXX

Exhibit “A”

BAA RV-10-01 CALL 22 FA9453-14-R-0224

Attachment 3