CDRL 002 DI-ILSS-81226 - ICS.pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. 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 C. CATEGORY:

X009 A/B/C/D/E TDP _____ TM ______ OTHER ILSS

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

HC-130J Paratroop Bubble Door FD2060-23-30292 Airdyne Aerospace

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A/B/C/D/E002 Interim Contractor Support (ICS) Report Interim Contractor Support

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ILSS-81226 PWS Para 4.1.3 AFLCMC/WIUAB

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED See Blk 16 See Blk 16

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

N/A See Blk 16 See Blk 16 Reg Repro

16. REMARKS See Blk 16 for 1

BLK 7: Submit final DD Form 250 for DoDAAC FA8509, via iRAPT (formally WAWF), to attention: nicholas.ross.4@us.af.mil to collectively account for data previously submitted. The Government will approve/disapprove within 30 workdays (business) days of receipt.

BLKs 8, 10-13: The Contractor shall submit the report NLT the 10th of every month beginning the second month after contract award. The Government will have five (5) business days to approve/disapprove the report. The contractor shall resubmit the final report NLT five (5) business days if changes were deemed necessary the Government.

BLK 9: Distribution authorized to U.S. Government Agencies and their contractors (Administrative or Operational use). Other request for this document shall be referred to AFLCMC/WIUAB.

BLK 14: Submit a digital copy in Microsoft® Office® or an Adobe® Portable Document Format (PDF) format.

Email Addresses: nicholas.ross.4@us.af.mil tyler.nable@us.af.mil email Addresses

Nicholas Ross

Tyler Nable

15. TOTAL ▬▬▬▬► 1 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Nicholas Ross 16 March 2023

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _1_ of _1_ Pages APD PE v1.00