BAA-RV-10-01_CALL021_CDRLs_DMSP_SESS_dtd_15_July_13.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 Modeling

B. EXHIBIT

FA9453-13-C-XXXX to BAA-RV-10-01 CALL 21

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; Critical Technology; 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. 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 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 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 Modeling

E. EXHIBIT

FA9453-13-C-XXXX to BAA-RV-10-01 CALL 21

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

Lt

PCO

Lt

AFRL/RVBX

16. 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)

12 MAA

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 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 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 Modeling

H. EXHIBIT

FA9453-13-C-XXXX to BAA-RV-10-01 CALL 21

I. CATEGORY

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Computer Software Product

3. SUBTITLE

Software Code / Documentation

4. AUTHORITY

DI-IPSC-81488 (Tailored, see Block 16)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

N/A

16. REMARKS

Block 4: Tailored: Program listings and source code (Paragraphs 10.3.3, 10.4.1 and 10.4.2) are not required for those parts of the delivered software that employ commercially available computer programs. 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.

Block 9: In accordance with DODD 5230.24 all documentation shall be marked with distribution statement C: “Distribution authorized to U.S. Government Agencies and their contractors; Operational Use, 1 Aug 2010. Other requests for this document shall be referred to the Air Force Research Laboratory/RVBX, 3550 Aberdeen Ave. SE, Kirtland AFB, NM 87117-5776.”

EXPORT CONTROL WARNING: All technical data and 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 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.”

Blocks 12 and 13: Draft submission shall be 15 calendar days before AFRL/RVBX defined DMSP SESS milestone (every 6 months from start of contract). Final submission shall be concurrent with AFRL/RVBX DMSP SESS delivery milestone.

Block 14: Submit an electronic version of the compiled software, source code and documentation along with the required hard copies of the documentation for both the draft and final submissions to the Program Manager and Technical Representative. A CD-ROM is the acceptable medium for submittal. ACO and Det 8 AFRL/RVKB delivery are letter only, CD-ROM delivery to AFRL/RVBX only.

5. PRICE GROUP:

6. ESTIMATED TOTAL PRICE:

Page 3 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 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.

J. CONTRACT LINE ITEM NO.

Space Environment Modeling

K. EXHIBIT

FA9453-13-C-XXXX to BAA-RV-10-01 CALL 21

L. CATEGORY

TBD

1. DATA ITEM NO.

A004

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: GUIDANCE FOR PREPARATION OF THE REPORT: 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-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 containing unlimited rights data (including electronic media) shall be marked I.A.W. DoDD 5230.24 with Distribution Statement D: Distribution authorized to Department of Defense and DoD Contractors; (Critical Technology), 1 Jan 2011. Other requests for this document shall be referred to Air Force Research Laboratory/RVBX, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.

*Any Volume containing less-than-unlimited rights material (including electronic media) shall be marked I.A.W. DoDD 5230.24 with Distribution Statement E: Distribution authorized to DoD Components Only; Proprietary Information: DFARS [insert type] Data Rights; [fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RVBX, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.

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 00XX. The USAF will review and, if necessary, return the final report with comments no later than the date specified in the Schedule, CLIN 00XX. 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 000XX.

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).

7. PRICE GROUP:

8. ESTIMATED TOTAL PRICE:

Page 4 of 4 Pages Exhibit “A”

FA9453-10-C-XXXX

Exhibit “A”

FA9453-XXXXX

Attachment #