Attachment_3_-_Clock_CALL_CDRLs_Draft_-_7_Sep_16.doc

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.:

B. EXHIBIT....................................:

A

C. CATEGORY..............................:

OTHER

D. SYSTEM/ITEM........:

Space Qualified Atomic Clocks

E. CONTRACT/PR NO.:

FA9453-17-S-0TBD

F. CONTRACTOR.........:

TBD

5. CONTRACT REFERENCE......:

6. REQUIRING OFFICE..............:

AFRL/RVYBE

7. DD250 REQ................................:

LT

8. APP CODE.................................:

N/A

9. DIST. STATEMENT REQUIRED......:

C

10. FREQUENCY......................................:

See Blk 16

11. AS OF DATE........................................:

See Blk 16

12. DATE OF FIRST SUBMISSION:

See Blk 16

13. DATE OF SUBSEQUENT SUBM.:

See Blk 16

14. DISTRIBUTION

16. REMARKS

Blk 4: Contractor format is acceptable. Reports shall not be submitted by e-mail unless encrypted or secure. Status reports shall be prepared using Microsoft Office utilities (i.e., MS Word, Excel). Tailored: Contractor shall include courtesy copies of their invoices to DFAS.

Blk 9: All technical data (including electronic media) shall be marked IAW DoDI 5230.24 with Distribution Statement C, and other required markings, as shown below: Distribution authorized to US Government Agencies and their Contractors, Critical Technology, (date of report.) Other requests for this document shall be referred to Air Force Research Laboratory/RVBYE, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.

“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 298.)

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

Blk 10, 11, 12, &13: The contractor shall deliver the first monthly status report NLT 25 calendar days after completion of the first full accounting period after contract award, and subsequently within 25 calendar days after completion of each monthly account period through completion of the technical effort, with a final report at contract completion.

17. PRICE GROUP:

18. 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 (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.:

B. EXHIBIT....................................:

A

C. CATEGORY..............................:

OTHER

D. SYSTEM/ITEM........:

Space Qualified Atomic Clocks

E. CONTRACT/PR NO.:

FA9453-17-S-0 TBD

F. CONTRACTOR.........:

TBD

5. CONTRACT REFERENCE......:

6. REQUIRING OFFICE..............:

AFRL/RVBYE

7. DD250 REQ................................:

LT

8. APP CODE.................................:

N/A

9. DIST. STATEMENT REQUIRED......:

C

10. FREQUENCY......................................:

N/A

11. AS OF DATE........................................:

N/A

12. DATE OF FIRST SUBMISSION:

See Blk 16

N/A

14. DISTRIBUTION

16. REMARKS

Blk 4: Contractor format is acceptable. In addition, the contractor shall provide one copy done in the most current version of Microsoft Power Point on a CD-ROM (CD-R) or on a 100-MB Zip disk.

Blk 9: All documentation shall be marked I.A.W. DoDD 5230.24 with the following distribution statement: DISTRIBUTION STATEMENT C: Distribution authorized to US Government Agencies and their Contractors, Critical Technology, (date of report). Other requests for this document shall be referred to Air Force Research Laboratory/RVBYE, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.

“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 298.)

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

Blk 12: The contractor shall deliver the PRESENTATION MATERIAL at each presentation or technical meeting.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE :

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.:

B. EXHIBIT....................................:

A

C. CATEGORY..............................:

OTHER

D. SYSTEM/ITEM........:

Space Qualified Atomic Clocks

E. CONTRACT/PR NO.:

FA9453-17-S-0 TBD

F. CONTRACTOR.........:

TBD

5. CONTRACT REFERENCE......:

6. REQUIRING OFFICE..............:

AFRL/RVBYE

7. DD250 REQ................................:

DD

8. APP CODE.................................:

A

9. DIST. STATEMENT REQUIRED......:

See Blk 16

10. FREQUENCY......................................:

See Blk 16

11. AS OF DATE........................................:

See Blk 16

12. DATE OF FIRST SUBMISSION:

See Blk 16

See Blk 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 any version of the final or 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. The contractor shall complete and submit an SF 298 Report Documentation Page, and submit it with the final report. The contractor shall complete the following blocks of the SF298: Blocks 2-5a, 6, 7, 8 and 13 (if applicable), and 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 IAW CLIN 0010. If the completed and signed AFRL Form 25 does not accompany the 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. NOTE: The report preparation guidance, SF 298, and AFRL Form 25 are available at: http://www.kirtland.af.mil/prs.

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, or other most current report preparation guidance. Submission via unencrypted or unsecure email is not permitted.

Tailored: All technical reports shall contain an Executive Summary (or similarly named section) with the following characteristics:

(1) Compact summary section that is typically 1 or 2 pages only, placed at the beginning of the report, and which gives a broad overview of the effort.

(2) The summary section shall include paragraphs which address these areas of the report; background, objective, approach and technical challenges, results and payoff, and recommendations.

Blk 7: UPON NOTIFICATION OF ACCEPTANCE OF THE SCIENTIFIC AND TECHNICAL REPORT FROM THE PROGRAM OFFICE, the contractor shall submit the final Receiving Report (DD Form 250) in WAWF. In preparing the final DD Form 250, code the shipment number with a “Z.” Do not upload the Scientific and Technical Report into WAWF or DTIC. NOTE: SUBMITTAL OF THE DD FORM 250Z PRIOR TO ACCEPTANCE NOTIFICATION WILL RESULT IN REJECTION OF THE DD FORM 250Z FINAL RECEIVING REPORT.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDD 5230.24 with Distribution Statement C, and other required markings, shown indented below:

“Distribution authorized to US Government Agencies and their Contractors, Critical Technology, [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RVBYE, 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 SF298.

“Distribution authorized to US Government Agencies and their Contractors, Proprietary Information: DFARS Limited Data Rights, [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RVBYE, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776.” ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE VOLUME THAT CONTAINS COMPANY PROPRIETARY DATA, EXCEPT THE SF298.

“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.” ADD “WARNING: EXPORT CONTROLLED” TO THE BOTTOM OF EVERY PAGE OF THE REPORT EXCEPT THE SF 298.

“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 0010. The Government will review and, if necessary, return the final report with comments no later than the date specified in the Schedule, CLIN 0010. 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 0010.

Blk 14: The contractor shall distribute the Scientific and Technical Report (final/CRC version(s)) in accordance with Blk 14. When the addressee’s copy is identified by “Ltr”, send only a copy of the transmittal letter to that addressee.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE :

Page 3 of 3 Pages