Exhibit A - CDRLs_ OSEE2.pdf

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 F. CONTRACTOR

1. DATA ITEM NO.

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

H. DATE I. APPROVED BY J. DATE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

AMIC OL/PKA

USPDS OSEE 2

E. CONTRACT/PR NO.

TBD

A001

2. TITLE OF DATA ITEM

MONTHLY STATUS REPORT

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMIN-80368A

5. CONTRACT REFERENCE

Block 16 AFTAC/SDA

LT

See BLK 16

MTHLY See Blk 16

N/A N/A See Blk 16

AFTAC/SDA

116. REMARKS

BLK 4: Contractor format is acceptable. However, the Government reserves the right to approve the required content.

BLK 5: PWS Reference 2.1.3, 2.12.1, 3.1, 3.5.1, 6.16

BLK 9: DISTRIBUTION STATEMENT B: Distribution is authorized to US Government agencies only for administrative or operational use.

Other request for this document shall be referred to AFTAC/SDA, 1020 South Patrick Drive, Patrick SFB FL 32925-3002

BLKs 10-13: Monthly. 10 business days after the last business day of reporting period.

BLK 14: Submission to AFTAC/SDA shall be as follows: Delivered in MS Word compatible and provided via email.

G. PREPARED BY

02 Dec 2021 02 Dec 2021

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 F. CONTRACTOR

1. DATA ITEM NO.

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

H. DATE I. APPROVED BY J. DATE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

AMIC OL/PKA

USPDS OSEE 2

E. CONTRACT/PR NO.

TBD

A002

2. TITLE OF DATA ITEM

TECHNICAL REPORT - STUDY/SERVICES

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

Block 16 AFTAC/SDA

LT

See BLK 16

Monthly See Blk 16

N/A N/A See Blk 16

AFTAC/SDA

116. REMARKS

BLK 4: Contractor format is acceptable. However, the Government reserves the right to approve the required content.

BLK 5: PWS Reference 2.2.1, 2.3.1, 2.3.2, 2.4.1, 2.6.2, 2.6.4, 2.7.2, 2.9.1, 2.10.1, 2.11.1, 2.11.3, 2.11.4, 3.3.2, 3.3.3, 3.4.2

BLK 9: DISTRIBUTION STATEMENT B: Distribution is authorized to US Government agencies only for administrative or operational use.

Other request for this document shall be referred to AFTAC/SDA, 1020 South Patrick Drive, Patrick SFB FL 32925-3002

BLKs 10-13: As requested by the COR

BLK 14: Submission to AFTAC/SDA shall be as follows: Delivered in MS Word compatible and provided via email.

G. PREPARED BY

02 Dec 2021 02 Dec 2021

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 F. CONTRACTOR

1. DATA ITEM NO.

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

H. DATE I. APPROVED BY J. DATE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages

AMIC OL/PKA

USPDS OSEE 2

E. CONTRACT/PR NO.

TBD

A003

2. TITLE OF DATA ITEM

MEETING MINUTES

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMIN-81250A

5. CONTRACT REFERENCE

Block 16 AFTAC/SDA

LT

See BLK 16

Monthly See Blk 16

N/A N/A See Blk 16

AFTAC/SDA

116. REMARKS

BLK 4: Contractor format is acceptable.

BLK 5: PWS Reference 2.1.2, 6.15

BLK 9: DISTRIBUTION STATEMENT B: Distribution is authorized to US Government agencies only for administrative or operational use. Other request for this document shall be referred to AFTAC/ SDA, 1020 South Patrick Drive, Patrick SFB FL 32925-3002

BLKs 10-13: 10 business days after the meeting date.

BLK 14: Submission to AFTAC/SDA shall be as follows: Delivered in MS Word compatible and provided via email.

G. PREPARED BY

02 Dec 2021 02 Dec 2021