DRAFT_HSHQDC-17-R-000xx_RPM_RP_RFP-2016-10-07_Atch3_Contract_Data_Requirements_List.pdf

Radiation Portal Monitor Replacement Program

RFP HSHQDC-17-R-000xx

Attachment 3: Contract Data Requirements List

The data deliverables under this contract are contained below in sequential DNDO Forms 1423-

1. Each form includes the Contract Line Item Number (CLIN) or Numbers under which the deliverable is required, the data item number, and the title for easy cross reference to CLINs.

Instructions on the form include required format, frequency, distribution, delivery method, and others.

DNDO FORM 1423-1, Dec 05 Previous editions are obsolete. 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 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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

15. TOTAL 1 1 0

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

17. PRICE GROUP

18. ESTIMATED

Hardware Package

Block 4 The contractor will have the latitude to determine document format to the extent specified in the SOW.

Block 9 Distribution authorized to the Department of Homeland Security/Domestic

Nuclear Detection Office (DNDO) and DNDO Contractors only. Other requests shall be referred to DNDO.

Blocks 10/12/13 Submission: Within 15 days of contract award.

Block 14 Hard copy and electronic delivery shall be made as follows:

An email documenting the submission shall be sent to each of the Block 14 addresses.

N/A N/A

RPM RP TBDHSHQDC-17-R-000XX

DNDO

N/A See Block 16 See Block 16

N/A See Block 16N/A C

DNDO/RPM RP COTR Tisha Blue, OPO / RPM RP CO

RPM RP COTR 1 1 016. REMARKS

The contents of this deliverable are:

1. Installation Manual

2. Operator Manual

3. Maintenance Manual

4. Parts Manual

5. Mechanical Drawings

6. Schematic Drawings

7. Configuration Items 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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

15. TOTAL 0 0 0

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

17. PRICE GROUP

18. ESTIMATED

002 Software Package

COTR

Block 4 The contractor will have the latitude to determine document format to the extent specified in the SOW.

Block 9 Distribution authorized to the Department of Homeland Security/Domestic Nuclear Detection Office (DNDO) and DNDO Contractors only. Other requests shall be referred to DNDO.

Blocks 10/12/13 Submission: Within 15 days of contract award.

Block 14 Hard copy and electronic delivery shall be made.as follows:

An email documenting the submission shall be sent to each of the Block 14 addresses.

16. REMARKS

The contents of this deliverable are:

1. Software DVD with all modules required for installing software

2. Software License Documentation

(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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

17. PRICE GROUP

18. ESTIMATED

The contents of this deliverable are:

1. Reliability, Availability, and Maintainability data to demonstrate each device's operational availability)

Block 4 The contractor will have the latitude to determine document format to the extent specified in the SOW.

Block 9 Distribution authorized to the Department of Homeland Security/Domestic Nuclear Detection Office (DNDO) and DNDO Contractors only. Other requests shall be referred to DNDO.

Blocks 10/12/13 Submission: Within 15 days of contract award.

Block 14 Hard copy and electronic delivery shall be made.as follows:

An email documenting the submission shall be sent to each of the Block 14 addresses.

003 RAM Data

Annual

(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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

17. PRICE GROUP

18. ESTIMATED

N/A N/A

RPM RP TBDHSHQDC-17-R-000XX

DNDO

N/A See Block 16 See Block 16

N/A See Block 16N/A C

DNDO/RPM RP COTR Tisha Blue, OPO / RPM RP CO

004 (Other Maintenance Data Deliverable)

The contents of this deliverable are:

Block 4 The contractor will have the latitude to determine document format to the extent specified in the SOW.

Block 9 Distribution authorized to the Department of Homeland Security/Domestic Nuclear Detection Office (DNDO) and DNDO Contractors only. Other requests shall be referred to DNDO.

Blocks 10/12/13 Submission: Within 15 days of contract award.Su

Block 14 Hard copy and electronic delivery shall be made.as follows:

An email documenting the submission shall be sent to each of the Block 14 addresses.

(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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

17. PRICE GROUP

18. ESTIMATED

005 (Supply Data Deliverable)

The contents of this deliverable are:

Block 4 The contractor will have the latitude to determine document format to the extent specified in the SOW.

Block 9 Distribution authorized to the Department of Homeland Security/Domestic Nuclear Detection Office (DNDO) and DNDO Contractors only. Other requests shall be referred to DNDO.

Blocks 10/12/13 Submission: Within 15 days of contract award.Su

Block 14

(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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

17. PRICE GROUP

18. ESTIMATED

006 Training Materials

The contents of this deliverable are:

1. Operator/User Training Material

2. Train the Trainer Training Material

3. Technical Maintenance Training Material

Block 4 The contractor will have the latitude to determine document format to the extent specified in the SOW.

Block 9 Distribution authorized to the Department of Homeland Security/Domestic Nuclear Detection Office (DNDO) and DNDO Contractors only. Other requests shall be referred to DNDO.

Blocks 10/12/13 SuSubmission: Within 15 days of contract award.

Block 14

(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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

17. PRICE GROUP

18. ESTIMATED

N/A N/A

RPM RP TBDHSHQDC-17-R-000XX

DNDO

N/A See Block 16 See Block 16

N/A See Block 16N/A C

DNDO/RPM RP COTR Tisha Blue, OPO / RPM RP CO

007 Engineering Change Proposal

The contents of this deliverable are:

1. Engineering Change proposal

Block 4 The contractor will have the latitude to determine document format to the extent specified in the SOW.

Block 9 Distribution authorized to the Department of Homeland Security/Domestic Nuclear Detection Office (DNDO) and DNDO Contractors only. Other requests shall be referred to DNDO.

Blocks 10/12/13 SuSubmission: Within 15 days of contract award.

Block 14

(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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

17. PRICE GROUP

18. ESTIMATED

008 Research Report

The contents of this deliverable are:

1. Research Report

Block 4 The contractor will have the latitude to determine document format to the extent specified in the SOW.

Block 9 Distribution authorized to the Department of Homeland Security/Domestic Nuclear Detection Office (DNDO) and DNDO Contractors only. Other requests shall be referred to DNDO.

Blocks 10/12/13 SuSubmission: Within 15 days of contract award.

Block 14

(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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

17. PRICE GROUP

18. ESTIMATED

009 Progress Report

0001,0002,0003,0004,0005,0006

Block 4 The contractor will have the latitude to determine document format to the extent specified in the SOW.

Block 9 Distribution authorized to the Department of Homeland Security/Domestic Nuclear Detection Office (DNDO) and DNDO Contractors only. Other requests shall be referred to DNDO.

Blocks 10/12/13 SuSubmission: Within 15 days of contract award.

Block 14 Hard copy and electronic delivery shall be made.as follows:

An email documenting the submission shall be sent to each of the Block 14 addresses.

The contents of this deliverable are:

1. Status update for each CLIN which has been ordered and not completed.

(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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

17. PRICE GROUP

18. ESTIMATED

N/A N/A

RPM RP TBDHSHQDC-17-R-000XX

DNDO

N/A See Block 16 See Block 16

N/A See Block 16N/A C

DNDO/RPM RP COTR Tisha Blue, OPO / RPM RP CO

010 Interface Control Documents

The contents of this deliverable are:

1. Interface Control Documents

Block 4 The contractor will have the latitude to determine document format to the extent specified in the SOW.

Block 9 Distribution authorized to the Department of Homeland Security/Domestic Nuclear Detection Office (DNDO) and DNDO Contractors only. Other requests shall be referred to DNDO.

Blocks 10/12/13 SuSubmission: Within 15 days of contract award.

Block 14

(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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

17. PRICE GROUP

18. ESTIMATED

The contents of this deliverable are:

1. Data Dictionaries

Block 4 The contractor will have the latitude to determine document format to the extent specified in the SOW.

Block 9 Distribution authorized to the Department of Homeland Security/Domestic Nuclear Detection Office (DNDO) and DNDO Contractors only. Other requests shall be referred to DNDO.

Blocks 10/12/13 SuSubmission: Within 15 days of contract award.

Block 14 Hard copy and electronic delivery shall be made.as follows:

An email documenting the submission shall be sent to each of the Block 14 addresses.

011 Data Dictionaries

C

See Block 16 See Block 16

See Block 16

N/A

N/A N/A

(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 C. CATEGORY:

TDP TM OTHER

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 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

15. TOTAL 0 0 0

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

17. PRICE GROUP

18. ESTIMATED