About this file

This is a DD Form 1423, Contract Data Requirements List (CDRL), for solicitation W911QX26QA021 related to Mobile and Stationary Equipment Maintenance. The form specifies five required data items that the contractor must submit to the Army Research Laboratory under contract line item number 0007.

The five data requirements are: (1) Monthly Non-Mission Capable Report (Data Item 001), submitted monthly with a 30-day government review period for initial submissions and 15 days for subsequent submissions; (2) Equipment Records Documentation (Data Item 002), submitted as required; (3) PM Status Report (Data Item 003), submitted as required; (4) Uses and Safeguarding of Information (Data Item 004), submitted annually beginning one year after contract award; and (5) Subcontract Data (Data Item 005), submitted as required. All submissions must be delivered electronically via File Transfer Protocol (FTP), CD-ROM, or DVD-ROM to addresses designated by the government. The data items reference the Performance Work Statement sections C.6.1 through C.6.5 and are governed by Data Acquisition Document DI-MGMT-80269. The contract/PR number is listed as TBD with PR #0012391971, and the form was approved by Phillip Amador. Distribution Statement A applies to all data items, and all documents require electronic transmission for reproducible copies.

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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:

D. SYSTEM/ITEM

MOBILE AND STATIONARY EQUIPMENT MAINTENANCE

E. CONTRACT/PR NO.

TBD / PR # 0012391971

F. CONTRACTOR

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

Monthly Non-Mission Capable report

3. SUBTITLE

STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

PWS C.6.1

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION N/A

14.

DISTRIBUTION

a. ADDRESSEE
b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION N/A

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: Each submission shall be delivered electronically in a media selected by the government at time of delivery. Media types which can be accepted include: File Transfer Protocol (FTP), CD- ROM and DVD-ROM.

The Government shall have 30 calendar days for review and acceptance/rejection of initial submission and 15 calendar days for review and acceptance/rejection of subsequent submissions.

All documents shall be sent to:

TBD

TBD
0
1
1

15. TOTAL

G. PREPARED BY

TBD

H. DATE

I. APPROVED BY

PHILLIP AMADOR

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:

D. SYSTEM/ITEM

MOBILE AND STATIONARY EQUIPMENT MAINTENANCE

E. CONTRACT/PR NO.

TBD / PR # 0012391971

F. CONTRACTOR

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

Equipment Records

3. SUBTITLE

Documentation

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

PWS C.6.2

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14.

a. ADDRESSEE
b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION ASREQ

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: Each submission shall be delivered electronically in a media selected by the government at time of delivery. Media types which can be accepted include: File Transfer Protocol (FTP), CD- ROM and DVD-ROM.

The government shall have 30 calendar days for review and acceptance/rejection of initial submission and 15 calendar days for review and acceptance/rejection of subsequent submissions.

All documents shall be sent to:

TBD

TBD
0
1
1

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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:

D. SYSTEM/ITEM

MOBILE AND STATIONARY EQUIPMENT MAINTENANCE

E. CONTRACT/PR NO.

TBD / PR # 0012391971

F. CONTRACTOR

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

PM Status Report

3. SUBTITLE

Status Reports

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

PWS C.6.3

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14.

a. ADDRESSEE
b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION ASREQ

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: Each submission shall be delivered electronically in a media selected by the government at time of delivery. Media types which can be accepted include: File Transfer Protocol (FTP), CD- ROM and DVD-ROM.

The government shall have 30 calendar days for review and acceptance/rejection of initial submission and 15 calendar days for review and acceptance/rejection of subsequent submissions.

All documents shall be sent to:

TBD

TBD
0
1
1

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

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:

D. SYSTEM/ITEM

MOBILE AND STATIONARY EQUIPMENT MAINTENANCE

E. CONTRACT/PR NO.

TBD / PR # 0012391971

F. CONTRACTOR

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

Uses and Safeguarding of Information

3. SUBTITLE

Uses and Safeguarding of Information

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

PWS C.6.4

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

Annually

12. DATE OF FIRST SUBMISSION

One Year after award 14.

a. ADDRESSEE
b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION N/A

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: Each submission shall be delivered electronically in a media selected by the government at time of delivery. Media types which can be accepted include: File Transfer Protocol (FTP), CD- ROM and DVD-ROM.

BLK 14: Reproducible copies shall be electronic transmission.

The government shall have 30 calendar days for review and acceptance/rejection of initial submission and 15 calendar days for review and acceptance/rejection of subsequent submissions.

All documents shall be sent to:

TBD

TBD
0
1
1

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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:

D. SYSTEM/ITEM

MOBILE AND STATIONARY EQUIPMENT MAINTENANCE

E. CONTRACT/PR NO.

TBD / PR # 0012391971

F. CONTRACTOR

TBD

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

Subcontract Data

3. SUBTITLE

Subcontract Data

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269

5. CONTRACT REFERENCE

C.6.5

6. REQUIRING OFFICE

TBD

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14.

a. ADDRESSEE
b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION N/A

Draft
Final
Reg
Repro

16. REMARKS

BLK 4: Each submission shall be delivered electronically in a media selected by the government at time of delivery. Media types which can be accepted include: File Transfer Protocol (FTP), CD- ROM and DVD-ROM.

BLK 14: Reproducible copies shall be electronic transmission.

The government shall have 30 calendar days for review and acceptance/rejection of initial submission and 15 calendar days for review and acceptance/rejection of subsequent submissions.

All documents shall be sent to:

TBD

TBD
0
1
1

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

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.

File details come from the government source that posted it. Updated .