CDRL_2600641.pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of Pages Adobe Professional 8.0

CONTRACT DATA REQUIREMENTS LIST

(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

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

E. CONTRACT/PR NO.

FD20602600497

F. CONTRACTOR

ES3

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

1560 SCSR Request for Condemnation

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81832

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

409 SCMS/GUMAC

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

Contract Reference: This requirement is detailed in the Counterfeit Prevention Plan guidance provided through DID DI-MISC-81832.

DD 250 Requirement: In accordance with documentation provided through DID.

Approval Code: In accordance with documentation provided through DID.

Addressee: IAW DID, but in addition, the report shall be submitted electronically by email to a distribution group consisting of the following personnel (Email addresses will be provided by contract letter upon contract award):

AFSC/PZAAA Procurement Contracting Officer (PCO)

409 SCMS/GUMAC Contracting Officer Representative(s) (COR)

DCMA Quality Assurance Representative (QAR)

15. TOTAL 0 0 0

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

Reset

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

X

TDP TM OTHER

D. SYSTEM/ITEM

C-5 Structural C Model Doors

E. CONTRACT/PR NO.

FD20602600497

F. CONTRACTOR

ES3

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

(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

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

E. CONTRACT/PR NO.

FD20602600497

F. CONTRACTOR

ES3

1. DATA ITEM NO.

A0002

2. TITLE OF DATA ITEM

Technical Report Study Services

3. SUBTITLE

Simplified Overhaul Manual

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

See Block 16 Remarks

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

See Block 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Final

Reg Repro

16. REMARKS

DI-MISC-80508B is tailored as follows:

Paragraph 1, "Reference Documents" is tailored to read: MIL-DTL-9854D, Detail Specification, Technical Manuals: Structural Repair (Aircraft).

Paragraph 2, "Format" is tailored to read: MIL-DTL-9854D shall be used as a guide, only.

Additional format and content direction for a specific NSN is contained in the associated SOO Part

B.

Block 6. Requiring Office: This CDRL was prepared by 409 SCMS/GUEA, to support a contract effort required by 409 SCMS/GUMAC. Deliverables IAW this CDRL require approval by

AFLCMC/WLSEBA.

Block 8. Approval Code: The first submissions and any subsequent revisions/submissions of this

CDRL shall be reviewed and approved by the Government to verify adequacy of format and detail.

Block 9. Distribution Statement Required: Distribution statement shall be in accordance with DoD

Instruction 5230.24, shall be included on the first sheet of each deliverable, shall include an export control warning label in accordance with DoD Instruction 5230.24, dated August 23, 2012, shall include a destruction notice, and shall be as follows (NOTE: this instruction assumes unclassified data):

DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only (Export Controlled and Administrative or Operational Use) (8Jan2014). Other requests for this document shall be referred to (AFLCMC/WLSEBA).

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Block 14.a. Addressee: The report shall be submitted electronically by email to a distribution group potentially consisting of the government representative personnel listed below. Email addresses will be provided by contract letter upon contract award.

AFSC/PZAAA Procurement Contracting Officer (PCO)

DCMA Administrative Contracting Officer (ACO)

409 SCMS/GUMAC Contracting Officer Representative(s) (COR)

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

E. CONTRACT/PR NO.

FD20602600497

F. CONTRACTOR

ES3

16. REMARKS (Continued)

409 SCMS/GUMAC

DCMA Quality Assurance Representative (QAR)

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

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

E. CONTRACT/PR NO.

FD20602600497

F. CONTRACTOR

ES3

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Acceptance Test Report

3. SUBTITLE

FURV Test Report

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81891

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

See Block 16

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

See Block 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT SUBMISSION

ASREQ Draft

Final

Reg Repro

16. REMARKS

Block C. Category: Engineering

Block 4. Authority: Tailor DID DI-QCIC-81891 as follows:

Paragraph 1, Format is tailored to read: Specific format shall be at defined in SOO Part C.

Paragraph 2, Content is tailored to add: h. Additional content instructions shall be as described in

SOO Part C.

Block 6. REQUIRING OFFICE: This CDRL was prepared by 409 SCMS/GUEA, to support a contract rquired by 409 SCMS/GUMAC. Deliverables IAW this CDRL require approval by

AFLCMC/WLSEBA (C-5 structural system engineering office).

Block 8. APP CODE: The first and any subsequent submissions delivered IAW this CDRL shall be subject to review and approval by the Government to verify adequacy of format and content, prior to acceptance.

Block 9. DIST. STATEMENT REQUIRED: Distribution statement shall be in accordance with DoD

Instruction 5230.24, shall be included on the first sheet of each deliverable, shall include an export control warning label in accordance with DoD Instruction 5230.24, dated August 23, 2012, shall include a destruction notice, and shall be as follows (NOTE: this instruction assumes unclassified data)

DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S.

DoD contractors only (Export Controlled and Administrative or Operational Use) (8Jan2014). Other requests for this document shall be referred to (AFLCMC/WLSEBA).

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 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Block 14a. ADDRESSEE: The report shall be submitted electronically by email to a distribution group potentially consisting of the government representative personnel listed below. Email addresses will be provided by contract letter upon contract award.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

E. CONTRACT/PR NO.

FD20602600497

F. CONTRACTOR

ES3

16. REMARKS (Continued) AFSC/PZAAA Procurement Contracting Officer (PCO)

DCMA Administrative Contracting Officer (ACO)

409 SCMS/GUMAC Contracting Officer Representative(s) (COR)

409 SCMS/GUMAC

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.

B. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

CAV AF End Item Report

3. SUBTITLE

CAVAF

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81838

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

See Block 16

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft

Final

Reg Repro

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM

SOW. This information will be accessed by the program office PMS and by 420 SCMS/GUNABRobins in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0 or higher. The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF.

Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 420 SCMS/GUNAB-Robins, (478) 327-6603 or 6602.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 7: Enter the applicable code as listed in DoD 5010.12-M, Chapter 3. (Enter LT for Letter of

Transmittal if not separately priced or DD if separately priced.)

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hours of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the funding base will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF

Users Guide.

Block 13: Same as remarks regarding Block 10 above.

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.

C. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Repair/Modification/Overhaul Status Report

3. SUBTITLE

1560 SCSR Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80933A

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

409 SCMS/GUMAC

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

See Block 16

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16 Draft

Final

Reg Repro

16. REMARKS

Block 4. Authority: DID DI-MGMT-80933 is being utilized, but is tailored as follows:

10.1 Contractor selected format shall be transmittable by email and viewable in Microsoft

EXCEL.

10.2 Add: Each end item service ordered shall be tracked as a record.

10.2.b through i and 10.2.j through ah is changed as follows:

b. Order Number

c. National Stock Number (NSN)

d. Part Number (PN)

e. Quantity (always one each)

f. Date asset received

g. Document/requisition number asset received on

h. Asset serial number (S/N)

i. Date of visual inspection

j. Date of teardown induction

k. Date of teardown completion

l. Date of condemnation request (if applicable)

m. Date of repair/overhaul delivery order receipt

n. Date of asset repair/overhaul initiation

o. Date of repair/overhaul completion

p. Item Unique Identification Number (IUID)

q. Status (For example: awaiting reparable asset, supply discrepancy report submitted, awaiting induction, in teardown, in repair, awaiting parts, awaiting funds, production impacting problems/delays and solutions, sold/awaiting transportation, Wide Area Workflow (WAWF) shipment number, commecial tracking number, etc.)

r.estimated delivery date (EDD)

s. Contractually Revised/Expedited Delivery Date (if applicable)

t. Government Delay Description (to include dates of start and end)

u. Date of Wide Area Workflow acceptance

v. Date of serviceable asset shipment

Block 9. Distribution Statement Required: Distribution statement shall be in accordance with DoD Instruction 5230.24, shall be included on the first sheet of each deliverable, shall include an export control warning label in accordance with DoD Instruction 5230.24, dated August 23, 2012, shall include a destruction notice, and shall be as follows (NOTE: this instruction assumes unclassified data):

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

E. CONTRACT/PR NO.

FD20602600497

F. CONTRACTOR

ES3

16. REMARKS (Continued)

Distribution Statement B. Distribution authorized to U.S. Government Agencies only (Contractor Performance Evaluation) (23APR14). Other requests for this document shall be referred to (409

SCMS/GUMAC).

Unclassified documents marked with Distribution Statements B, C, D, E, or F shall be handled using the same standard as For Official Use Only material in accordance with DoD Manual 5200.01-V1, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.

Block 10. Frequency: Twice Monthly

Block 11. As of Date: The first report delivered in the month shall reflect required status as of the 15th of the applicable month cut-off. The Second report delivered in the month shall reflect required status as of the last day of the applicable month cut-off.

Block 12. Date of First Submission: The date of first submission shall be five days after the end of the month following contractor receipt of the first order.

Block 13. Date of Subsequent Submission: Subsequent submissions shall be made no later than the 5th and 20th of each month (five calendar days following the end of each "as of" cut off date.

Block 14.a. Addressee: The report shall be submitted electronically by email to a distribution group potentially consisting of the government representative personnel listed below. Email addresses will be provided by contract letter upon contract award.

AFSC/PZAAA Procurement Contracting Officer (PCO)

DCMA Administrative Contracting Officer (ACO)

409 SCMS/GUMAC Contracting Officer Representative(s) (COR)

409 SCMS/GUMAC Production Management Specialist (PMS)

DCMA Transportation Manager

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.

D. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81803

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

409 SCMS/GUEA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

see remarks

8. APP CODE

A

11. AS OF DATE

n/a

13. DATE OF SUBSEQUENT SUBMISSION

see remarks Draft

Final

Reg Repro

Submittal shall be one time and within 120 days of contract award.

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.

E. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Activity, Validation

3. SUBTITLE

IUID Activity and Val/Ver Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81803

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

409 SCMS/GUEA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ANNLY

12. DATE OF FIRST SUBMISSION

8. APP CODE

n/a

11. AS OF DATE

n/a

13. DATE OF SUBSEQUENT SUBMISSION

see remarks Draft

Final

Reg Repro

1 year after contract award.

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.

F. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

CDM Monthly Production Report

3. SUBTITLE

CDM Monthly Production Report

4. AUTHORITY (Data Acquisition Document No.)

DI-PSSS-81995A

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

409 SCMS/GUEA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

Mnthly

12. DATE OF FIRST SUBMISSION

8. APP CODE

n/a

11. AS OF DATE

n/a

13. DATE OF SUBSEQUENT SUBMISSION

see remarks Draft

Final

Reg Repro

1 month after contract award.

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.

G. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER X

D. SYSTEM/ITEM

C-5 Structural C Model Doors

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Government Property Inventory Report

3. SUBTITLE

Government Property Inventory Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80441D

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

409 SCMS/GUEA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

Mnthly

12. DATE OF FIRST SUBMISSION

8. APP CODE

n/a

11. AS OF DATE

n/a

13. DATE OF SUBSEQUENT SUBMISSION

see remarks Draft

Final

Reg Repro

One month after contract award

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM

- Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001