DD1423 (MIT).doc

Template last updated 09/29/2017

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 and Communications Directorate (0704-1088). 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: Miscellaneous

D. SYSTEM/ITEM

Subject Matter Expert

E. CONTRACT/PR NO.

W911QX21P0220

F. CONTRACTOR

Advanced Engineering Services

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

Final Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711A

5. CONTRACT REFERENCE

PWS Paragraph C.4.2

6. REQUIRING OFFICE

RDRL-SED-P

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST

30 DAYS PRIOR TO END OF POP

14.

DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16

16. REMARKS

BLK 4: DELETE PARAGRAPH 10.2. CONTRACTOR FORMAT IS ACCEPTABLE. EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD ROM.

BLK 7: LETTER/INVOICE IN CONTRACTOR FORMAT IS ACCEPTABLE.

BLK 8 AND 12: THE GOVERNMENT REQUIRES 15 DAYS TO REVIEW/COMMENT ON THE DRAFT SUBMISSION.

BLK 13: FINAL SUBMISSION DUE NLT 15 DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS.

CONTRACTOR SHALL SUBMIT FINAL REPORT, WITH COVER AND REVERSE COVER PAGE DEPICTING INFORMATION AS SHOWN ON ATTACHMENT 1 AND ATTACHMENT 2, DIRECTLY TO:

UNITED STATES ARMY RESEARCH LABORATORY

RDRL-SED-P

ATTN: Andrew Drysdale Aberdeen Proving Ground, MD 21005

ARMY SUBMISSION OF FINAL TECHNICAL REPORTS TO DTIC:

EACH CONTRACTOR SHALL SUBMIT THE APPROVED SCIENTIFIC OR TECHNICAL REPORT DELIVERED UNDER THIS CONTRACT TO THE DEFENSE TECHNICAL INFORMATION CENTER (DTIC) IN EITHER HARD COPY OR ELECTRONIC FORMAT. AN SF 298 MUST ACCOMPANY EACH COPY OF THE REPORT (A FILLABLE SF 298 CAN BE FOUND HERE: http://www.dtic.mil/dtic/pdf/formsNguides/SF298.pdf)

HARD COPIES MUST BE SENT TO:

Defense Technical Information Center

ATTN: DTIC-OA

8725 John J. Kingman Road, Suite 0944

Fort Belvoir, VA 22060-6218 ALTERNATIVELY, ELECTRONIC COPIES SHOULD BE SUBMITTED IN ACCORDANCE WITH GUIDANCE FOUND AT HTTP://WWW.DTIC.MIL.

G. PREPARED BY

Andrew Drysdale

H. DATE

14 Sep 2021

I. APPROVED BY

Lee E. Troope, Jr.

J. DATE

14 Sep 2021

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED.

Page of Pages

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 and Communications Directorate (0704-1088). 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: Miscellaneous

D. SYSTEM/ITEM

Subject Matter Expert

E. CONTRACT/PR NO.

W911QX21P0220

F. CONTRACTOR

Advanced Engineering Services

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

Summary Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711A

5. CONTRACT REFERENCE

PWS Paragraph C.4.1

6. REQUIRING OFFICE

RDRL-SED-P

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

ONE/R

12. DATE OF FIRST

30 DAYS PRIOR TO END OF POP

14.

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16

16. REMARKS

BLK 4: DELETE PARAGRAPH 10.2. CONTRACTOR FORMAT IS ACCEPTABLE. EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD ROM.

BLK 7: LETTER/INVOICE IN CONTRACTOR FORMAT IS ACCEPTABLE.

BLK 8 AND 12: THE GOVERNMENT REQUIRES 15 DAYS TO REVIEW/COMMENT ON THE DRAFT SUBMISSION.

BLK 13: FINAL SUBMISSION DUE NLT 15 DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS.

CONTRACTOR SHALL SUBMIT SUMMARY REPORT, WITH COVER AND REVERSE COVER PAGE DEPICTING INFORMATION AS SHOWN ON ATTACHMENT 1 AND ATTACHMENT 2, DIRECTLY TO:

UNITED STATES ARMY RESEARCH LABORATORY

RDRL-SED-P

ATTN: Andrew Drysdale Aberdeen Proving Ground, MD 21005

ARMY SUBMISSION OF SUMMARY TECHNICAL REPORTS TO DTIC:

EACH CONTRACTOR SHALL SUBMIT THE APPROVED SCIENTIFIC OR TECHNICAL REPORT DELIVERED UNDER THIS CONTRACT TO THE DEFENSE TECHNICAL INFORMATION CENTER (DTIC) IN EITHER HARD COPY OR ELECTRONIC FORMAT. AN SF 298 MUST ACCOMPANY EACH COPY OF THE REPORT (A FILLABLE SF 298 CAN BE FOUND HERE: http://www.dtic.mil/dtic/pdf/formsNguides/SF298.pdf)

HARD COPIES MUST BE SENT TO:

Defense Technical Information Center

ATTN: DTIC-OA

8725 John J. Kingman Road, Suite 0944

Fort Belvoir, VA 22060-6218 ALTERNATIVELY, ELECTRONIC COPIES SHOULD BE SUBMITTED IN ACCORDANCE WITH GUIDANCE FOUND AT HTTP://WWW.DTIC.MIL.

G. PREPARED BY

Andrew Drysdale

H. DATE

14 Sep 2021

I. APPROVED BY

Lee E. Troope, Jr.

J. DATE

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 and Communications Directorate (0704-1088). 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: Miscellaneous

D. SYSTEM/ITEM

Subject Matter Expert

E. CONTRACT/PR NO.

W911QX21P0220

F. CONTRACTOR

Advanced Engineering Services

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

DoD IA Awareness Training

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711A

5. CONTRACT REFERENCE

PWS Paragraph C.6

6. REQUIRING OFFICE

RDRL-SED-P

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

As Required

12. DATE OF FIRST

SEE BLK 16

14.

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16

16. REMARKS

BLK 4: DELETE PARAGRAPH 10.2. CONTRACTOR FORMAT IS ACCEPTABLE. EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD ROM.

BLK 7: LETTER/INVOICE IN CONTRACTOR FORMAT IS ACCEPTABLE.

BLK 10 - 13: TRAINING CERTIFICATES DUE NLT 30 DAYS AFTER START OF POP AND UPDATED AS REQUIRED.

HARD COPIES MUST BE SENT TO:

Defense Technical Information Center

ATTN: DTIC-OA

8725 John J. Kingman Road, Suite 0944

Fort Belvoir, VA 22060-6218 ALTERNATIVELY, ELECTRONIC COPIES SHOULD BE SUBMITTED IN ACCORDANCE WITH GUIDANCE FOUND AT HTTP://WWW.DTIC.MIL.

G. PREPARED BY

Andrew Drysdale

H. DATE

14 Sep 2021

I. APPROVED BY

Lee E. Troope, Jr.

J. DATE

EXHIBIT A – ATTACHMENT 1

ARMY RESEARCH LABORATORY

Report Title Goes Here

Any Subtitles Go Here

By Some Author and Another Author

Month XXXX

Prepared by

Whatever Technology Corporation

0000 Research Drive

Anywhere, ST 20006-1000

Under contract

W911QX-XX-C-XXXX

DISTRIBUTION STATEMENT GOES HERE

EXHIBIT A – ATTACHMENT 2

The findings in this report are not to be construed as an official Department of the Army position unless so designated by other authorized documents.

Citation of manufacturer's or trade names does not constitute an official endorsement or approval of the use thereof.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.