CDRL - ASL Interpreter Services.docx

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American Sign Language Interpreter Services
Solicitation number
N6852023R0029
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Performance Work Statement (PWS) Contract Data Requirements List (DD 1423s)

American Sign Language (ASL) Interpreter Services

FRCSW NAS North Island, CA

January 2023

CONTRACT DATA REQUIREMENTS LIST

Form Approved

(1 Data Item)

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 thus burden estimate or any other aspect of this collection o f 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
C. CATEGORY:
A
TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
ASL Interpreter Services
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

A001
Contract Field Service Report
None
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-ADMIN-80447
SOW paragraph 3.5
FRCSW
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

A
QRTLY

EOQ

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL

N/A

N/A
See Block 16
Reg
Repro
16. REMARKS
TPOC

The Contractor shall submit reports that describe all work accomplished on a quarterly basis at the end of each quarter to the TPOC.

Refer to the DID in Block 4 for details.

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Heidi Murillo
1/12/2023
William Fields
1/12/2023
DD FORM 1423-1, JUN 90 (EG)
Previous editions are obsolete
Page
2
of
2
Pages

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