CDRL A004 - Monthly Status Report.pdf

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G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER

Form Approved OMB No. 0704-0188

15. TOTAL

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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.

DIST

22202-4302.

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

1_DATA_ITEM_NO: A004
2_TITLE_OF_DATA_ITEM: Contracting Officer's Management Report
3_SUBTITLE: Monthly Status Report
4_AUTHORITY_Data_Acquisit: DI-MGMT-81864
5_CONTRACT_REFERENCE: SOW 3.2.6.2
6_REQUIRING_OFFICE: NSWC IHD PICA DET, G32
7_DID_250_REQ: LT
8_APP_CODE: NA
10_FREQUENCY: Monthly
12_DATE_OF_FIRST_SUBMISSI: 30 DAC
13_DATE_OF_SUBSEQUENT_SUB: 10DARP
11_AS_OF_DATE: 10
addressee1: G32 TPOC
draft1:
reg1: 1
repro1:
draft2:
addressee2: 022 KO
reg2: 1
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addressee3: G31 COR
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total_draft: 0
total_repro: 0
16_REMARKS: BLK 10, 12, and 13

List of personnel and their security clearances on file will be updated with the personnel listing and included in the Monthly Status Report.

BLK 14: Submit via electronic mail in a digital format that can be read by Microsoft Office 2010 applications (or earlier version) or Adobe PDF to the distribution addresses identified in block 14.

NSWC IHD Code G32: Sonal Akhtar, sonal.p.akhtar.civ@us.navy.mil NSWC IHD Code 022: Alexander Polster, alexander.a.polster.civ@us.navy.mil NSWC IHD COR: William Fells, william.r.fells.civ@us.navy.mil

A_CONTRACT_LINE_ITEM_NO: 0004
B_EXHIBIT: A
TDP:
TM:
OTHER: MGMT
DSYSTEMITEM: SPMR Support
E_CONTRACTPR_NO: TBD
FCONTRACTOR: TBD
of_pages:
Reset:
ADN:
send_to:
17_1:
17_b:
17_c:
17_d:
17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
H_DATE:
J_DATE:
Page:
reg38x:
reg38t: 3
title:

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