Exhibit A_CDRL Forms_16 Feb 2021.pdf
PDF 844 KB Posted
- Attached to
- RFP for Chambers CLS Federal contract opportunity
- Solicitation number
- FA8621-20-R-0002
About this file
This document contains a Contract Data Requirements List (CDRL) for a federal contract solicitation to provide sustainment and Contractor Logistics Support (CLS) services for 13 altitude chambers located at 11 sites.
The CDRL outlines 21 required data items to be delivered by the contractor, including conference agendas and minutes, engineering change proposals, contractor progress and status reports, quality assurance plans, and safety assessment reports. It specifies delivery timelines, distribution lists, and approval processes for each data item. The CDRL also includes general instructions for electronic data transmission, letters of transmittal, and marking of technical documentation.
The related solicitation is for sustainment and CLS of altitude chambers to support aircrew physiological and high-altitude flight training. The chambers simulate hypoxic and pressurized conditions to prepare aircrews for in-flight emergencies. The opportunity is issued by the Air Force Materiel Command Lifecycle Management Center located at Wright-Patterson Air Force Base.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 8 Model Form of Contract_23 Apr 21.pdf | ||
| Chambers Solicitation Q and A.pdf | ||
| RFP_Cover_Letter_Amend 1_23 Apr.pdf | ||
| Attachment 1_PWS_April_23_2021_.pdf | ||
| RFP FA8621-20-R-0002_Chambers Location and Model No. List.pdf | ||
| L-2-Consent Letter.pdf | ||
| L-3-Client Authorization Letter.pdf | ||
| L-4_PPI Tool.pdf | ||
| L-1_Past Performance Questionnaire.pdf | ||
| Attachment 6_SECTION _L_25-Feb-21.pdf | ||
| Attachment 10 Wage Determinations.pdf | ||
| Attachment 2 RSP.pdf | ||
| Attachment 3 Periodic Maintenance List.pdf | ||
| Attachment 8 Model Form of Contract.pdf | ||
| Attachment 9 Solicitation Cross Reference Matrix.pdf | ||
| Attachment 5 GFE List.pdf | ||
| Attachment 4_Price Matrix.xlsx | XLSX spreadsheet | |
| RFP_Cover_Letter_4 Mar.pdf | ||
| Attachment 1_PWS_February_26_2021.pdf | ||
| Attachment 7_Section _M_23-Feb-21.pdf |
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Text version
CONTRACT DATA REQUIREMENTS LIST
(CDRL)
GENERAL INSTRUCTIONS
FOR THE
Altitude Chambers Contractor Logistics Support (CLS) Contract
Contract No.: FA8621-20-R-0002
16 February 2021
PREPARED BY:
AGILE COMBAT SUPPORT-AFLCMC/WNS
SIMULATORS DIVISION
WRIGHT-PATTERSON AIR FORCE BASE, OHIO 45433-7249
CDRL MODIFICATION MATRIX.
This matrix identifies the CDRL changes as implemented by contract modification.
PROPOSAL NO. CDRL REV
NO. DATE CDRL/PAGES REVISED
TABLE OF CONTENTS
1.0 APPLICABLE DOCUMENTS
2.0 REFERENCE DOCUMENTS
3.0 DATA DELIVERIES
3.1 DELIVERY DATES
3.2 TAILORED DATA ITEMS
3.3 APPROVAL OF DATA
3.4 RE-SUBMITTAL OF DATA
3.5 FINAL SUBMITTAL OF DATA
3.6 DD FORM 250 REQUIREMENTS
3.7 CLASSIFIED DATA
4.0 ELECTRONIC DATA TRANSMISSION
4.1 SUBMISSION
4.2 DELIVERY NON-COMPLIANCE
4.3 FINANCIAL INFORMATION FORMAT
5.0 LETTERS OF TRANSMITTAL (LOT)
6.0 MODIFICATION OF DATA REQUIREMENTS
7.0 COMMON ABBREVIATIONS
8.0 MARKING TECHNICAL DOCUMENTATION
8.1 DISTRIBUTION MARKING SYSTEM:
8.2 MARKING TECHNICAL DATA
8.3 DISTRIBUTION STATEMENTS
8.4 CONTROLLING OFFICE
8.5 EXPORT-CONTROLLED WARNING STATEMENT
8.6 DESTRUCTION NOTICE
9.0 MAILING LISTS
10.0 CDRL TABLE OF CONTENTS
1.0 APPLICABLE DOCUMENTS
Data Item Descriptions (DIDs)/DD Form 1664s, are identified in Block 4 of the individual Contract Data Requirements List (CDRL)/DD Form 1423-1. All DIDs are available to the contractor at the following website: http://quicksearch.dla.mil/
2.0 REFERENCE DOCUMENTS
DoD 5220.22-M National Industrial Security Program Operating Manual DoDD 5230.25 Withholding of Unclassified Technical Data From Public
Disclosure DoD 5010.12-M Procedures For The Acquisition And Management of
Technical Data DoDI 5230.24 Distribution Statements on Technical Documents DoDM 5200.01 Vol 3 DoD Information Security Program: Protection of
Classified Information DoDM 5200.01 Vol 4 DoD Information Security Program: Protection of
Unclassified Information EIA 649-1 Configuration Management Requirements for Defense
Contracts
3.0 DATA DELIVERIES
The CDRL establishes the data to be delivered by the contractor. The CDRL also identifies the submittal, inspection, approval, acceptance, and distribution requirements of all the CDRL data items contained herein. The prime contractor shall create a cover page to all submittals originating with the sub-contractor.
3.1 Delivery Dates
A CDRL delivered after 3:00 pm EST will be considered received the next day. In the event a CDRL delivery date falls on a Saturday or Sunday, or holiday, the delivery will be made the next normal workday by 3:00 pm EST to be counted as an on-time delivery.
Unless otherwise specified in Block 16 of the CDRL, all references to “days” will refer to calendar days.
3.2 Tailored Data Items
Tailoring instructions are as described in Block 16 of each affected CDRL. If the data preparation instructions contained in Block 16 of the CDRL are different than the instructions contained in the DID, the CDRL shall govern.
3.3 Approval of Data
a. An "A" designator in Block 8 of the CDRL indicates the government will formally reply to each data submittal with an approval, approval with comments, or disapproval. The government will respond by issuing a Contracting Officer (CO) letter or e-mail to the contractor within 45 calendar days, unless otherwise specified on the CDRL, Block 16.
This does not apply to Engineering Change Proposals (ECPs) and Contract Change Proposals (CCPs).
b. For those CDRLs with an "N/A" in Block 8, government approval of the content is not required; however compliance with data item format and content requirements as specified in the DID, and as tailored in Block 16 of the CDRL, is mandatory. However, the government may not provide a formal response back to the contractor. The government has the right to reject/disapprove any data submittal(s) not in compliance with contract requirements.
3.4 Re-submittal of Data
If re-submittal of a CDRL is required, it shall be resubmitted within 30 calendar days after CO notification, unless otherwise specified. Should the contractor disagree with the re-submittal requirements, they shall submit their comments to the CO within 30 calendar days of notification. Each page of a re-submittal shall have changes indicated by a vertical line down the outer right margin designating those areas that have been revised.
The document revision shall be indicated on the title page of the data item, each page, and a summary of document changes section contained within the document.
3.5 Final Submittal of Data
For the final delivery of each data item in the contract/delivery order, the contractor shall clearly state in the Letter of Transmittal (LOT), as defined in paragraph 5.0, when it is the last submittal being made, and that all contractual requirements concerning that data item have been fulfilled.
3.6 DD Form 250 Requirements
Block 7 of the CDRL directs the inspection and acceptance of the submittal. Individual DD Form 250s are required only if indicated in Block 7. All other submittals shall be accompanied by a Letter of Transmittal (LOT).
3.7 Classified Data
Classified data shall be submitted in accordance with the requirements established by the DD Form 254. The contractor shall contact the CO for the mailing addresses for classified data.
4.0 ELECTRONIC DATA TRANSMISSION
4.1 Submission
a. The contractor shall submit all data deliverables in accordance with the specific submittal instructions indicated in Block 16 of each CDRL. The versions of the software used shall remain compatible with current program office software. Any submittals by other means shall require program office approval prior to delivery of data. Data to be submitted by electronic data transmission (EDT) shall be identified in “Block 14.b Repro” of the CDRL.
b. The Contractor shall electronically deliver all contractual data using the Government-controlled method of delivery, Multi-user ECP Automated Review System (MEARS), https://mears1.redstone.army.mil/mears/Default.aspx. The Contractor shall work with the government to ensure that an adequate number of Contractor personnel obtain and possess Public Key Infrastructure (PKI) certification from an accepted Government source. The Contractor shall be receptive to the training offered by the Government on the MEARS system. The Contractor shall prepare, maintain, and track the contract data status, schedule and ensure timely data deliveries.
c. Submissions of large data files and/or an alternate method of delivery when MEARS is down for maintenance will be the DISA application, known as DOD SAFE, (https://safe.apps.mil/) or CD/DVD mailed to the Government Program Office. It will be available to all DOD Common Access Card (CAC) holders or Contractor personne y Infrastructure (PKI) certification from an accepted Government source.
4.2 Delivery Non-Compliance
The contractor shall inform the program office if any of their data deliverables cannot comply with the required electronic formats. In such cases the contractor shall recommend, for program office approval, an alternative delivery format(s).
4.3 Financial Information Format
Financial information provided in excel spreadsheets should be able to be manipulated.
5.0 LETTERS OF TRANSMITTAL (LOT)
a. All data deliveries shall include a LOT. The LOT may be in the form of a letter or e-mail from the designated contractor representative. As a minimum, the LOT shall contain:
Contractor’s POC Contractor’s address Date Contract number and program name Letter control number Document control number Document revision level Document date CDRL sequence number DID Number Data Title/Subtitle Reason/Frequency of submittal (monthly, draft, final, update, etc.)
List of Distribution addressees as identified in Block 14 of the CDRL
b. If a paper copy of the LOT is prepared, a complete list of addressees shall be placed at the end of the LOT, annotating the recipients (as identified on the DD Form 1423-1, Block 14) including the transmittal-letter-only recipients.
c. If submittal is made via e-mail, the list of addressees in the “TO” line shall include the complete list of addressees and shall be considered sufficient.
6.0 MODIFICATION OF DATA REQUIREMENTS
a. During the performance of this contract, the CO may unilaterally increase or decrease the number of addressees and/or number of copies the technical office requires; or may make other administrative or clarification changes to the CDRL.
b. The CO may unilaterally make other administrative and/or clarification changes to the CDRLs. The contract price will constitute full satisfaction of any entitlement of equitable adjustment under the “Changes” clause provided the Contractor agrees to accept such change at no change in contract price. Unilateral action shall be by the issuance of a CO's letter, which will reference this paragraph as its authority. The Contractor shall notify the CO of the estimated cost if the changes impact the contract price.
7.0 COMMON ABBREVIATIONS
Block 7: SS Inspection at Source / Acceptance at Source DD Inspection at Destination / Acceptance at
Destination SD Inspection at Source / Acceptance at Destination LT Letter of Transmittal
Block 8: A Approval N/A Approval Not Required 16 See Block 16 for further instructions
Blocks 10, 12 & 13: ANNLY Annually ASGEN As generated ASREQ As required BI-MO Every 2 months BLK 16 See Block 16 EOC End of Contract EOM End of Month EOQ End of Quarter MTHLY Monthly ONE/R One time with revisions OTIME One Time QRTLY Quarterly R/ASR Revisions as required SEMIA Every 6 months
WEKLY Weekly XDACM X Days after Contract Modification XDADO X Days after Delivery Order XDARC X Days after Receipt of Comments XDARP X Days after Reporting Period XDATC X Days after Test Completion XDPTT X Days prior to Test
8.0 MARKING TECHNICAL DOCUMENTATION
8.1 Distribution Marking System
a. In accordance with Section 1.30 of Title 10, “United States Code” a DoD distribution marking system for technical data has been established by DoD Instruction 5230.24, “Distribution Statements on Technical Documents”. The intent of the system is to stem the flow of military-related technical data to our adversaries, without inhibiting technological growth or blocking the exchange of technical data that is vital to progress and innovation. The contractor shall mark all distribution statements and export-control statements, supplemental to any security markings, on all technical data to denote the extent of its availability for secondary distribution, release, and disclosure without need for additional approvals and authorizations from the controlling DoD office.
b. Distribution statements are annotated in Block 9 of each CDRL and defined in paragraph 8.3. If the contractor feels that a different statement is required, they must notify the contracting officer with the recommended statement, prior to CDRL submittal.
The government will review the request and determine which statement is the most appropriate and provide the contractor with an acceptance of the change or reason for not accepting the contractor’s request for change.
8.2 Marking Technical Data
a. The contractor shall mark all requested technical information, regardless of its medium, with a distribution statement. This includes technical reports, blueprints, drawings, technical orders, technical manuals, plans, instructions, computer software, viewgraphs, film, technical papers, photographs, etc. If the document contains export-controlled technical data, it also must be marked with an export control warning statement. Distribution statements can be applied to technical data that contain or reveal proprietary information used.
b. Technical data categorized as cryptographic/communications security, communications/electronic intelligence, and similar categories as may be designated by the Director, National Security Agency, whose distribution is limited through alternate methods, are exempt from these marking provisions.
c. Certain types of technical data preclude placing the entire notice on the document.
To accommodate this problem, each distribution statement contains an authorized abbreviation form. Abbreviated distribution statements are to be used only when space precludes placing the entire notice on the document. The use and wording of these statements are described in the following paragraphs.
8.3 Distribution Statements
One of the following statements, IAW Block 9 of the CDRL, regarding distribution must appear on the cover and title page of each document submitted, including the first sheet of each drawing. If the technical information is prepared digitally or is in any medium that does not have a cover or title page, the applicable distribution statement shall be affixed to all physical and digital items by other means in a conspicuous position for ready recognition.
DISTRIBUTION STATEMENT B: DISTRIBUTION AUTHORIZED TO US
GOVERNMENT AGENCIES ONLY: (FILL IN REASON); (DATE OF
DETERMINATION). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE
REFERRED TO (Chambers, Simulators Division, 2300 D Street, Bldg. 32, WPAFB, OH 45433-7249).
The abbreviated form is: “Statement B, US Government, (AFLCMC/WNS).”
DISTRIBUTION STATEMENT C: DISTRIBUTION AUTHORIZED TO U.S.
GOVERNMENT AGENCIES AND THEIR CONTRACTORS; (FILL IN REASON);
(DATE OF DETERMINATION). OTHER REQUESTS FOR THIS DOCUMENT
SHALL BE REFERRED TO (Chambers, Simulators Division, 2300 D Street, Bldg. 32, WPAFB, OH 45433-7249).
The abbreviated form is: “Statement C, Gov’t and contractors, (AFLCMC/WNS).”
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY: (FILL
IN REASON); (DATE OF DETERMINATION). OTHER REQUESTS MUST BE
REFERRED TO THE (Chambers, Simulators Division, 2300 D Street, Bldg. 32, WPAFB, OH 45433-7249).
The abbreviated form is: “Statement D, DoD & U.S. DoD Contractors, (AFLCMC/WNS).”
DISTRIBUTION STATEMENT E: DISTRIBUTION AUTHORIZED TO DOD
COMPONENTS ONLY (FILL IN REASON) (DATE OF DETERMINATION). OTHER
REQUESTS SHALL BE REFERRED TO (Chambers, Simulators Division, 2300 D Street, Bldg. 32, WPAFB, OH 45433-7249).
The abbreviated form is: “Statement E, DoD Components, (AFLCMC/WNS).”
DISTRIBUTION STATEMENT F. FURTHER DISSEMINATION ONLY AS
DIRECTED BY (Chambers, Simulators Division, 2300 D Street, Bldg. 32, WPAFB, OH
45433-7249). (DATE OF DETERMINATION) OR HIGHER DOD AUTHORITY.”
The abbreviated form is: “Statement F, (AFLCMC/WNS).”
8.4 Controlling Office
The following address will be used on all documentation for the “controlling office” for this program:
AFLCMC/WNS
Simulators Division (Chambers) 2300 D Street, Bldg. 32 Wright Patterson AFB, OH 45433-7249
8.5 Export-Controlled Warning Statement
Besides a distribution statement, the marking system also requires the use of a warning notice on all documents that contain export-controlled technical data. That notice may be used in conjunction with any of the six limited distribution statements (“B”, “C”, “D”, “E”, and “F”). Statement “A”, which denotes public release, cannot be used in conjunction with the export-control warning notice.
WARNING -- This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.
Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.
8.6 Destruction Notice
a. Mark controlled, unclassified technical documents (displaying a Distribution Statement other than A) with the following notice:
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
b. Mark classified technical information with the following notice:
DESTRUCTION NOTICE - Follow the procedures in DoD 5220.22- M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DODM 5200.01 Vol 3, Information Security Program: Protection of Classified Information.
9.0 MAILING LISTS
The government will provide the following information for each recipient identified in Block 14: office symbol, mailing address, point of contact e-mail and phone number.
Office/Symbol Addresses Email/Phone
AFLCMC/WNS
For data deliveries
MEARS https://mears1.redstone.army.mil/mears/Default.aspx.
(C/DM) name here For LOT deliveries
AFLCMC/WNS
address
Pamela.Randall.1@us.af.mil Michael.Shields.18@us.af.mil Ashley.Robinson.19@us.af.mil
10.0 CDRL TABLE OF CONTENTS
See following page for Table of Contents
CONTRACT #: FA8621-20-R-0002
CONTRACTOR: TBD
SET
NAME:
CHAMBERS CLS SYSTEM
ITEM:
CHAMBERS
PROGRAM: Simulators
DATA
ITEM
REQUIRING
OFFICE
AUTHORITY/TITLE/SUBTITLE PWS PARAGRAPH
A000
GENERAL INSTRUCTIONS
A001 AFLCMC/WNS DI-ADMN-81249B PWS 3.1.4.1
CONFERENCE AGENDA
A002 AFLCMC/WNS DI-ADMN-80925A PWS 3.5.1, 3.5.2
REVISIONS TO EXISTING GOVERNMENT
DOCUMENTS
A003 AFLCMC/WNS DI-ADMN-81250B PWS 3.1.4.1 - 3.1.4.3, 3.3.4
CONFERENCE MINUTES
A004 AFLCMC/WNS DI-ADMN-81401B PWS 3.5.5
CONTRACT CHANGE PROPOSAL (CCP)
A005 AFLCMC/WNS DI-SESS-80639E PWS 3.5.5
ENGINEERING CHANGE PROPOSAL (ECP)
A006 AFLCMC/WNS DI-CMAN-80640C PWS 3.3.3
REQUEST FOR DEVIATION (RFD)
A007 AFLCMC/WNS DI-SESS-80858D PWS 3.2, 3.3
SUPPLIER'S CONFIGURATION MANAGEMENT
PLAN
A008 AFLCMC/WNS DI-FNCL-81831 PWS 3.1.7.2
CONTRACTOR SUSTAINMENT REPORT
A009 AFLCMC/WNS DI-PSSS-80134B PWS 3.4.4
PROPOSED SPARE PARTS LIST
A010 AFLCMC/WNS DI-MGMT-80004A/T PWS 3.1, 3.6.3
MANAGEMENT PLAN
A011 AFLCMC/WNS DI-MGMT-80227/T PWS 3.1.5, 3.1.14, 3.4.6
CONTRACTOR'S PROGRESS, STATUS AND
MANAGEMENT REPORT
A012 AFLCMC/WNS DI-MGMT-80258A/T
MATERIEL IMPROVEMENT PROJECT REPORT
PWS 3.3.2
A013 AFLCMC/WNS DI-MGMT-80269/T PWS 3.4.5
STATUS OF GOVERMMENT FURNISHED
EQUIPMENT (GFE) REPORT
A014 AFLCMC/WNS DI-MGMT-81238/T PWS 3.1.6, 3.4.3, 3.4.4,
3.4.10-3.4.12 , 3.5.3, 3.5.4
CONTRACT FIELD SERVICE REPORT
A015 AFLCMC/WNS DI-MGMT-81453A/T PWS 3.2.1, 3.4.8.2
DATA ACCESSION LIST (DAL)
A016 AFLCMC/WNS DI-MGMT-81468/T PWS 3.1.7.1
CONTRACT FUNDS STATUS REPORT
A017 AFLCMC/WNS DI-MGMT-81749B/T PWS 3.1.8
THE (50/50) REQUIREMENT REPORT
A018 AFLCMC/WNS DI-MGMT-81804A/T PWS 3.2.3
ITEM UNIQUE IDENTIFICATION (IUID)
MARKING ACTIVITY, VALIDATION AND
VERIFICATION REPORT
A019 AFLCMC/WNS DI-MGMT-81861B/T PWS 3.1.9, 3.6.3
INTEGRATED PROGRAM MANAGEMENT DATA
AND ANALYSIS REPORT (IPMDAR)
A020 AFLCMC/WNS DI-QCIC-81794 PWS 3.1.11
QUALITY ASSURANCE PROGRAM PLAN (QAPP)
A021 AFLCMC/WNS DI-SAFT-80102C PWS 3.1.13
SAFETY ASSESSMENT REPORT
(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
A
C. CATEGORY:
TDP TM OTHER ADMN
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
FA8621-20-R-0002
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
CONFERENCE AGENDA
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-ADMN-81249B
5. CONTRACT REFERENCE
3.1.4.1
6. REQUIRING OFFICE
AFLCMC/WNSS
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
BLK16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
BLK 16
Draft
Final
Reg Repro
16. REMARKS
Blocks 10, 12 and 13:
The contractor shall deliver an agenda NLT two (2) weeks prior to the Program Management Reviews, or as otherwise directed by the PCO. A draft copy of the presentation materials shall be provided NLT one
(1) week prior to the meetings.
AFLCMC/WNSS 0 0 1
AFLCMC/WNSE 0 0 1
15. TOTAL 0 0 2
G. PREPARED BY: Pamela K. Randall H. DATE I. APPROVED BY: Michael Shields J. DATE
18. ESTIMATED
TOTAL PRICE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 24 Pages
17. PRICE GROUP
RANDALL.PAME
LA.K.1397786826
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 07:40:37 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
94614960 Date: 2021.02.16 08:58:21 -05'00'
2/14/21
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
A
C. CATEGORY:
TDP TM OTHER ADMN
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
FA8621-20-R-0002
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
REVISION TO EXISTING GOVERNMENT DOCUMENT
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-ADMN-80925A
5. CONTRACT REFERENCE
3.5.1, 3.5.2
6. REQUIRING OFFICE
AFLCMC/WNSE
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
BLK16
12. DATE OF FIRST SUBMISSION
BLK16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
Draft
Final
Reg Repro
16. REMARKS
Blocks: 10, 12 & 13:
a. The contractor shall make red-lined drawings and technical orders available for review during program reviews.
b. The contractor shall provide updates to government documents affected by ECPs and other modifications in accordance with agreed upon timeline.
AFLCMC/WNSE 1 0 1
AFLCMC/WNSS 1 0 1
15. TOTAL 2 0 2
G. PREPARED BY: Pamela K. Randall
H. DATE
I. APPROVED BY: Michael Shields
J. DATE
18. ESTIMATED
TOTAL PRICE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 24 Pages
17. PRICE GROUP
RANDALL.PAME
LA.K.1397786826
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 07:41:02 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
94614960 Date: 2021.02.16 09:27:30 -05'00'
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
C. CATEGORY:
TDP TM OTHER ADMN
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A003
2. TITLE OF DATA ITEM
CONFERENCE MINUTES
DI-ADMN-81250B
5. CONTRACT REFERENCE
3.1.4.1-3.1.4.3, 3.3.4
6. REQUIRING OFFICE
AFLCMC/WNSS
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
8. APP CODE
Blk 16
Reg Repro
16. REMARKS
Block 8: Bi-weekly Program Meeting minutes do not require Government approval. All other meeting minutes submittals require Government approval.
Blocks 10, 12 and 13:
The contractor shall provide minutes for Hypobaric Chamber Working Group meetings, Program Management Reviews or as otherwise directed by the PCO. The contractor shall deliver the formal minutes to include presentation material five (5) working days after the meeting to all attendees of the conference or meeting.
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 24 Pages
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 07:41:27 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.16 09:49:48 -05'00'
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
C. CATEGORY:
TDP TM OTHER ADMN
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A004
2. TITLE OF DATA ITEM
CONTRACT CHANGE PROPOSAL (CCP)
DI-ADMN-81401B
5. CONTRACT REFERENCE
3.5.5
6. REQUIRING OFFICE
AFLCMC/WNSE
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
8. APP CODE
Reg Repro
16. REMARKS
Block 4:
a. All CCPs shall include a time limit specified for expiration of pricing information.
b. The contractor shall include all data to be affected from the contractual implementation of the proposal: i.e., the CCP shall identify applicable/current data items by sequence number, DID number, title, as well as any other documentation affected.
c. The contractor shall identify proposed new or revised data items.
Block 8: Approval will be provided via contract modification.
Blocks 12 & 13:
a. The contractor shall prepare and submit a CCP as requested via contracting officer letter.
b. The CCP shall be submitted in two parts as follows:
1. Technical volume
2. Cost volume
AFLCMC/WNSE 0 0 1
AFLCMC/WNSK 0 2 1
AFLCMC/WNSS 0 0 1
15. TOTAL 0 2 3
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 24 Pages
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 07:41:58 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.16 01:44:58 -05'00'
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
C. CATEGORY:
TDP TM OTHER SESS
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A005
2. TITLE OF DATA ITEM
ENGINEERING CHANGE PROPOSAL (ECP)
DI-SESS-80639E
5. CONTRACT REFERENCE
3.5.5
6. REQUIRING OFFICE
AFLCMC/WNSE
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
8. APP CODE
Reg Repro
16. REMARKS
Block 4:
a. All ECPs shall include a time limit specified for expiration of pricing information.
b. The contractor shall include all data to be affected from the contractual implementation of the proposal: i.e., the ECP shall identify applicable data items by sequence number, DID number, title, and proposed new or revised data items, tech manuals etc.
Block 8: Approval will be via government CCB decision and contract modification.
Blocks 12 & 13:
a. The contractor shall prepare and submit an ECP as requested via contracting officer letter.
b. The ECP shall be submitted in two parts as follows:
1. Technical volume
2. Cost volume
AFLCMC/WNSE 0 0 1
AFLCMC/WNSK 0 2 1
15. TOTAL 0 2 3
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 24 Pages
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 07:42:41 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.16 01:00:18 -05'00'
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
C. CATEGORY:
TDP TM OTHER SESS
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A006
2. TITLE OF DATA ITEM
REQUEST FOR DEVIATION(RFD)
DI-CMAN-80640C
5. CONTRACT REFERENCE
3.3.3
6. REQUIRING OFFICE
AFLCMC/WNSE
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
Blocks 10, 12 and 13: The contractor shall submit a RFD not later than 20 days after a non-compliance is identified.
AFLCMC/WNSE 0 0 1
AFLCMC/WNSK 0 0 1
15. TOTAL 0 0 3
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 24 Pages
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 07:45:35 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.16 00:26:13 -05'00'
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
C. CATEGORY:
TDP TM OTHER SESS
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A007
2. TITLE OF DATA ITEM
SUPPLIER'S CONFIGURATION MANAGEMENT PLAN
DI-SESS-80858D
5. CONTRACT REFERENCE
3.2, 3.3
6. REQUIRING OFFICE
AFLCMC/WNSE
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
8. APP CODE
Reg Repro
16. REMARKS
Block 12: Initial submittal due NLT thirty (30) days after contract award.
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 24 Pages
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 07:47:25 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.15 23:17:53 -05'00'
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
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A008
2. TITLE OF DATA ITEM
Contractor Sustainment Report
DI-FNCL-81831
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
AFLCMC/WNSL
7. DD 250 REQ
D
10. FREQUENCY
QRTLY
12. DATE OF FIRST SUBMISSION
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
QRTLY
Reg Repro
16. REMARK
Block 4: DI-FNCL-81831 is tailored as follows:
a. The contractor shall prepare the Sustainment Functional Cost-Hour Report, DD Form 1921-5 in accordance with DI-FNCL 81831 (or most recently approved version). The DID, DI-FNCL 81831, is available from the Defense Cost and Resource Center (DCARC) website at http://dcarc.cape.osd.mil/csdr/FormsReporting.aspx#DIDs
b. Reconcile with Contract Funds Status Report (CFSR) and attach to CSR, DD Form 1921-5 at quarterly submissions.
c. Subcontractor Reporting – Prime contractors are responsible for flowing down CSR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds specified in the DoDI 5000.02 or as required by the program office.
Block 12:
a. The contractor shall submit the first report 25 days after the first full calendar quarter following contract award.
b. Distribution to the program office only.
15. TOTAL 1 0 1
3.1.7.2
LT
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 10 of 24
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 07:48:49 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.15 22:43:20 -05'00'
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
C. CATEGORY:
TDP TM OTHER SESS
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A009
2. TITLE OF DATA ITEM
PROPOSED SPARE PARTS LIST
DI-PSSS-80134B
5. CONTRACT REFERENCE
3.4.4
6. REQUIRING OFFICE
AFLCMC/WNSE
12. DATE OF FIRST SUBMISSION
8. APP CODE
Reg Repro
16. REMARKS
BLKs 10, 12 & 13:
a. Spare Parts Lists shall be submitted progressively as parts are analyzed.
b. Preliminary draft submitted 30 days after contract award.
c. Final submittal due 30 days after approval.
d. Subsequent submittals due 30 days after each annual production option exercise.
15. TOTAL 0 2
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 11 of 24
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 07:50:50 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.15 22:22:50 -05'00'
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
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A010
2. TITLE OF DATA ITEM
MANAGEMENT PLAN
3. SUBTITLE
TRANSITION PLAN
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80004A/T
5. CONTRACT REFERENCE
3.1, 3.6.3
6. REQUIRING OFFICE
AFLCMC/WNSS
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
BLK16
12. DATE OF FIRST SUBMISSION
8. APP CODE
BLK 16
Reg Repro
16. REMARKS
Block 4: Contractor format acceptable.
Blocks 10, 12 & 13:
a. Initial submittal due sixty (60) days after contract award.
b. If no changes have occurred during the year, a letter of transmittal stating such shall suffice.
c. The follow-on transition plan shall be submitted one (1) year before the end of contract.
AFLCMC/WNSS 1 0 1
AETC/A3FP 1 0 1
15. TOTAL 3 0 3
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 12 of 24
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 07:58:20 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.15 22:00:35 -05'00'
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
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A011
2. TITLE OF DATA ITEM
CONTRACTOR'S PROGRESS, STATUS AND MANAGEMENT REPORT
3. SUBTITLE
MONTHLY STATUS REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80227/T
5. CONTRACT REFERENCE
3.1.5, 3.1.14, 3.4.6
6. REQUIRING OFFICE
AFLCMC/WNSS
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
MTHLY
12. DATE OF FIRST SUBMISSION
8. APP CODE
N/A
MTHLY
Reg Repro
16. REMARKS
Block 4: Delete Paragraphs 10.3.f-10.3.i.
Blocks 10, 12 & 13:
a. Initial submittal due ten (10) days after the end of the first full month after contract award. The first report shall address the partial month and first full month.
b. Subsequent reports due by the 10th day of each month. The report shall address activities for the previous month.
AFLCMC/WNSE 0 0 1
AFLCMC/WNSL 0 0 1
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 13 of 24
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 08:03:32 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.15 21:45:37 -05'00'
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
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A012
2. TITLE OF DATA ITEM
MATERIEL IMPROVEMENT PROJECT REPORT
DI-MGMT-80258A/T
5. CONTRACT REFERENCE
3.3.2
6. REQUIRING OFFICE
AFLCMC/WNSE
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
8. APP CODE
Reg Repro
16. REMARKS
Block 4:
a. Contractor format acceptable.
b. Para 10.2.a replace "MIP" with "RCN"
c. Delete Para 10.2.c.
d. Delete Para 10.2.h.
Block 12: Final report due NLT thirty (30) days after completion of the investigation.
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 14 of 24
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 08:06:41 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.15 21:09:23 -05'00'
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
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A013
2. TITLE OF DATA ITEM
STATUS OF GOVERNMENT FURNISHED EQUIPMENT (GFE)REPORT
DI-MGMT-80269/T
5. CONTRACT REFERENCE
3.4.5
6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
Reg Repro
16. REMARKS
Block 10: Submissions are for lost or damaged items only, as required.
Other inventory items are not to be included
Block 12: Contractor shall submit report of lost or missing items within three (3) days of discovery.
15. TOTAL 0 0 2
LT
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 15 of 24
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 14:23:43 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.15 20:45:01 -05'00'
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
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A014
2. TITLE OF DATA ITEM
CONTRACT FIELD SERVICE REPORT (CFSR)
3. SUBTITLE
MAINTENANCE/SITE VISITS
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81238/T
5. CONTRACT REFERENCE
3.1.6, 3.4.3, 3.4.4, 3.4.10-3.4.12, 3.5.3, 3.5.4
6. REQUIRING OFFICE
AFLCMC/WNSS
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
BLK16
12. DATE OF FIRST SUBMISSION
8. APP CODE
Reg Repro
16. REMARKS
Block 4: Delete: 10.2.14, 10.2.16 and 10.2.18.
Blocks 10, 12 & 13: Reports due NLT five (5) working days after return from a maintenance/site visit.
AFLCMC/WNSL 0 0 1
AFLCMC/WNSE 0 0 1
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 16 of 24
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 14:13:47 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.15 20:32:58 -05'00'
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
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A015
2. TITLE OF DATA ITEM
DATA ACCESSION LIST (DAL)
DI-MGMT-81453A/T
5. CONTRACT REFERENCE
3.2.1, 3.4.8.2
6. REQUIRING OFFICE
AFLCMC/WNSE
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
QTRLY
12. DATE OF FIRST SUBMISSION
8. APP CODE
Reg Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 12: First submittal due 60 days after contract award.
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 17 of 24
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 09:56:16 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.15 20:19:28 -05'00'
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
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A016
2. TITLE OF DATA ITEM
CONTRACT FUNDS STATUS REPORT
DI-MGMT-81468/T
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
12. DATE OF FIRST SUBMISSION
8. APP CODE
Reg Repro
16. REMARKS
Block 4: DI-MGMT-81468 is tailored as follows:
a. Contractor format is acceptable.
Blocks 10, 12 & 13: Submittal due on the 15th of each month.
3.1.7.1
N/A N/A
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 18 of 24
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 09:39:56 -05'00'
SHIELDS.MICHAEL
.GERALD.13946149
Digitally signed by
SHIELDS.MICHAEL.GERALD.13
Date: 2021.02.15 19:45:46 -05'00'
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
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
CHAMBERS
E. CONTRACT/PR NO.
A017
2. TITLE OF DATA ITEM
THE 50/50 REQUIREMENT REPORT
DI-MGMT-81749B/T
5. CONTRACT REFERENCE
3.1.8
6. REQUIRING OFFICE
AFLCMC/WNSL
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ANNLY
12. DATE OF FIRST SUBMISSION
8. APP CODE
ANNLY
Reg Repro
16. REMARKS
Block 4: The data item is tailored as follows:
a. Paragraphs 3.2.2, 3.2.3 and 3.2.5 through 3.2.5.2 - Delete
b. Paragraphs 3.3.1.1 through 3.3.1.3; 3.3.1.6, 3.3.1.10, 3.3.1.13, 3.3.1.14, 3.3.1.15 and 3.3.2.1 through 3.3.2.3 - Delete
Blocks 10, 12 and 13:
a. Prior fiscal year report shall be provided no later than (NLT) October 20th of each year beginning the first full year following contract award.
b. Out year budget forecast report shall be provided NLT the 10th day of the first month of each year beginning the first full year following contract award
AFLCMC/WNSL 0 1
AFLCMC/WNSS 0 1
AFLCMC/WNSE 0 1
H. DATE I. APPROVED BY: Michael Shields
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 19 of 24
Digitally signed by
RANDALL.PAMELA.K.13977868
Date: 2021.02.14 09:30:06 -05'00'
SHIELDS.MICHAE…
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