Exhibit A - Contract Data Requirements List (CDRLs) M1002 and M865A1 24-May-2021.pdf
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- Attached to
- 120mm Tank Training Ammunition - FY22-FY26
- Solicitation number
- W52P1J-21-R-0035
About this file
This solicitation is for 120mm tank training ammunition for fiscal years 2022 through 2026. The Army Materiel Command Joint Munitions Command is seeking to procure M865A1 and M1002 120mm tank training ammunition under solicitation number W52P1J-21-R-0035, with a closing date of August 6, 2021 at 12:00pm Central Time for responses. The solicitation includes 15 attachments and 1 exhibit related to requirements for the ammunition, quality assurance provisions, and required contract data item descriptions.
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO. F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
REQUEST FOR VARIANCE (RFV)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80640D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ.
LT
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
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
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING,
THEN THE WHOLE SUBMITTAL WILL BE LABELED "D".
THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1694 LOCATED
AT https://www.esd.whs.mil/Directives/forms/dd1500_1999/. SUBMIT ELECTRONICALLY TO usarmy.pica.devcom-ac.mbx.ecp-document@mail.mil;
COPY FURNISH THIS SUBMITTAL TO THE GOVERNMENT CONTRACTING
OFFICE.
ACO 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
5 May 2021
I. APPROVED BY J. DATE
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 1 of 8 Pages
G. PREPARED BY
K. Mosher for SDMO, FCDD-ACE-SP
D. SYSTEM/ITEM
120MM, M865A1 and M1002
W52P1J-21-R-0035 Exhibit A 24-May-2021
(1 Data Item)
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO. F. CONTRACTOR D. SYSTEM/ITEM
120mm, M865A1 and M1002
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
ENGINEERING CHANGE PROPOSAL (ECP)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80639D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ.
LT
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
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
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D".THE PREFERRED METHOD
FOR SUBMITTAL IS DD FORM 1692 LOCATED AT https://www.esd.whs.mil/ Directives/forms/dd1500_1999/. SUBMIT ELECTRONICALLY TO usarmy.pica.devcom-ac.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE..
ACO 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
5 May 2021
I. APPROVED BY J. DATE
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 2 of 8 Pages
G. PREPARED BY
K. Mosher for SDMO, FCDD-ACE-SP
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 3 of 8 Pages
(1 Data Item)
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO. F. CONTRACTOR D. SYSTEM/ITEM
120mm, M865A1 and M1002
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
NOTICE OF REVISION (NOR)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80642D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ.
LT
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
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
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D". THE PREFERRED
METHOD FOR SUBMITTAL IS DD FORM 1695 LOCATED AT https:// www.esd.whs.mil/Directives/forms/dd1500_1999/. SUBMIT ELECTRONICALLY TO usarmy.pica.devcom-ac.mbx.ecp-document@mail.mil; COPY FURNISH
THIS SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
ACO 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
5 May 2021
I. APPROVED BY J. DATE
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 4 of 8 Pages
(1 Data Item)
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO. F. CONTRACTOR D. SYSTEM/ITEM
CTG TANK 120MM TPMP-T M1002
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Operations Security (OPSEC) Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-MGMT-80934C
5. CONTRACT REFERENCE
OPSEC SOW
6. REQUIRING OFFICE
AMSJM-FP/G2
7. DD 250 REQ.
XX
9. DIST
STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
ASREQ
13. DATE OF
SUBSEQUENT
SUBMISSION
ASREQ
Draft Final
Reg Repro
16. REMARKS:
DELETE REFERENCE 'APPLYING OPSEC TO U.S. GOVERNMENT
CONTRACTS'. REPLACE WITH REFERENCE 'SAMPLE ACQUISITIONS
OPSEC PLAN'. 10 CALENDAR DAYS REQUIRED FOR GOVERNMENT
REVIEW AND APPROVAL. *30 CALENDAR DAYS AFTER THE
CONTRACTING OFFICER PROVIDES THE LIST OF KNOWN CRITICAL
INFORMATION (CI)/THREAT INFORMATION. ** RESUBMIT 10
CALENDAR DAYS AFTER GOVERNMENT REVIEW. SUBMIT
ELECTRONICALLY TO usarmy.ria.jmc.mbx.OPSEC-FD@mail.mil.
JMC OPSEC 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
5 May 2021
I. APPROVED BY J. DATE
17. PRICE
GROUP1. DATA ITEM NO.
A005
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
Page: 5 of 8DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
H. DATE I. APPROVED BY J. DATE
N/A N/A Reg Repro
ASREQ
16. REMARKS
DUE TO BEGIN 30 DAYS AFTER PRODUCTION COMMENCES
FREQUENCY: 3 WORKING DAYS FOLLOWING REPORTING MONTH
**CONTRACTOR FORMAT ACCEPTABLE. SHALL BE SUBMITTED IN ELECTRONIC FORMAT
SUBMIT ELECTRONICALLY TO THE PCO, OTHER DISTRIBUTION WILL BE DISCUSSED AFTER AWARD OF
REQUIREMENT.
FORMAT AND CONTENT WILL BE APPROVED THROUGH PCO
PRODUCTION MANAGER
PCO
N/A
SEMIA ASREQ
a. ADDRESSEE
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80438B
5. CONTRACT REFERENCE
FAR PART 45 AND SOW, para 4.3.3
6. REQUIRING OFFICE
JMC MLRC
2. TITLE OF DATA ITEM 3. SUBTITLE
GOVERNMENT FURNISHED MATERIEL (GFM) CONSUMPTION REPORT CONSUMPTION REPORT
TDP____________ TM____________ OTHER____________
CONTRACT / PR NO. F. CONTRACTOR
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved OMB No. 0704-0188
G. PREPARED BY
Michelle Vetter
E. D. SYSTEM/ITEM
120mm, M865A1 and M1002
0 2 0
0 1 0
1. DATA ITEM NO.
17. PRICE
GROUP
A006
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 1 0
0 1 0
Page: 6 of 8DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY
K. Mosher for SDMO, FCDD-ACE-SP
H. DATE
5 May 2021
I. APPROVED BY J. DATE
FCDD-ACE-LTP
N/A N/A Reg Repro
ASREQ
16. REMARKS
30 DAYS PRIOR TO FIRST ARTICLE TEST. REPORT TITLE SHALL INCLUDE ITEM NAME AND MODEL
NUMBER OF THE AMMUNITION THAT GOES INTO THE PACKAGE. IF ITEM IS A COMPONENT OF
AMMUNITION, THE AMMUNITION SYSTEM THAT THE ITEM IS USED ON SHALL ALSO BE INCLUDED.
REPORT SHALL BE SUBMITTED ELECTRONICALLY VIA E-MAIL TO
FREDERICK.W.INGOLD.CIV@MAIL.MIL AND DAVID.M.WALLS1.CIV@MAIL.MIL SAVED IN RICH TEXT
FORMAT (RTF) OR PDF FORMAT. SUBMIT EVERY TWO (2) YEARS.
CCDC ARM CTR PACKAGING
N/A
ASREQ ASREQ
a. ADDRESSEE
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
5. CONTRACT REFERENCE
4. AUTHORITY (Data Acquisition Document
No.)
DI-PACK-81059B SECTION D
6. REQUIRING OFFICE
FCDD-ACE-LTP (RI)
2. TITLE OF DATA ITEM
Performance Oriented Packaging (POP) Test Report
3. SUBTITLE
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM
120mm, M865A1 and M1002
E. CONTRACT / PR NO.
4A2R12M24A
F. CONTRACTOR
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved
OMB No. 0704-0188
1. DATA ITEM NO.
A007
17. PRICE
GROUP
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
Page: 7 of 8DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY
Drew Smith, FCDD-ACE-SC
H. DATE
5 May 2021
I. APPROVED BY
K. Mosher for SDMO FCDD-ACE-SP
J. DATE
5 May 2021
A N/A Reg Repro N/A
16. REMARKS
SUBMIT PROCEDURE FOR APPROVAL 60 DAYS PRIOR TO FIRST ARTICLE TEST OR PRODUCTION IF FIRST
ARTICLE IS NOT APPLICABLE. ALLOW 28 DAYS FOR APPROVAL/DISAPPROVAL THROUGH THE
CONTRACTING OFFICER. SUBMIT ELECTRONICALLY TO usarmy.ria.ardec.mbx.ri-corrosion-team@mail.mil. CONTRACTOR SHALL RESUBMIT WITH GOVERNMENT REVISIONS WITHIN 10 DAYS.
RDAR-MEE-W(R) SHALL PROVIDE PROCEDURE REVIEW RESPONSE BACK TO CONTRACTING OFFICER.
COATED PANELS PER PARA 3.2.2 SHALL INCLUDE THREE WITH PHOSPHATE ONLY, THREE WITH
PHOSPHATE AND PRIMER, AND THREE WITH PHOSPHATE, PRIMER AND TOP COAT. A DD FORM 250 IS
NOT REQUIRED FOR PHOSPHATE COATING PROCEDURAL APPROVAL. CONTRACTOR FORMAT
ACCEPTABLE. WRITTEN PROCEDURES SHALL BE SUBMITTED USING A PC COMPATIBLE FORMAT (I.E. PDF, RICH TEXT FORMAT (RTF), OR WORD FILE).
THE PANELS SHALL BE MAILED TO THE
FOLLOWING ADDRESS:
Combat Capabilities Development Command Armaments Center Attn: FCDD-ACE-QP/Mark Godlewski 1 Rock Island Arsenal Bldg. 62 2nd Floor, NW Wing Rock Island, IL 61299-7300
FCDD-ACE-QP
N/A
ONE/R ASREQ
a. ADDRESSEE
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-NDTI-80603A TT-C-490, TYPE 1, PARAS 3.2.1, 3.2.2 FCDD-ACE-QP
2. TITLE OF DATA ITEM 3. SUBTITLE
TEST PROCEDURE-PHOSPHATE COATING PRE-PRODUCTION PROCEDURE
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM
120mm, M865A1 and M1002
E. CONTRACT / PR NO.
4A2R12M24A
F. CONTRACTOR
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved OMB No. 0704-0188
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
Designed using Perform Pro, WHS/DIOR, Aug 96
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
(1 Data Item)
16. REMARKS
C. CATEGORY:
TDP ________ TM _______ OTHER _________________________
Form Approved OMB No. 0704-0188
15. TOTAL
PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages
A. CONTRACT LINE ITEM NO. B. EXHIBIT
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
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATEI. APPROVED BY
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
DD FORM 1423-1, FEB 2001
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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 (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 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
120mm, M865A1 and M1002
E. CONTRACT/PR NO. F. CONTRACTOR
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
1. DATA ITEM NO.
A022 Production Status Report PRODUCTION/SHIPPING PROGRESS REPORT
DI-MGMT-81255 Section C, SOW AMSJM-SOM
NO
N/A N/A
MONTHLY
N/A
ASREQ*
MONTHLY**
See Distribution
0 0 0
*30 Days prior to production commencement to include CLINs that are contractually scheduled to be produced with a rolling 60 day period. **First working day of each month. Requirements identified in block 10-10.2.7 will be replaced with USG identified requirements on the provided spreadsheet/pdf directions. USG will provide format and directions for completion. Production Progress data will include CLIN level information, such as: DODIC, Model, Delivery Order, MILSTRIP, Ship To Address, QTY, Contractor Schedule and Actual Schedule for a rolling 60 day period. Shipping progress data will include DODIC, Model, Delivery Order, Shipment Number, Lot Number, MILSTRIP, Ship To Address, Shipment QTY, Shipment Request Submit and Sign Date. Submit electronically to the POC's identified in block 14a.
Distribution list will be provided after each delivery order award.
Adobe Professional 7.0 kevin.r.cornell Underline
QA CDRL Distribution block - IPT members list Distribution with specific contact information will be provided at Post Award
PQM – Product Quality Manager
PCO – Procuring Contracting Officer
CS – Contract Specialist
QAR – Quality Assurance Representative
PO or PM – Project Officer or Project Manager
AQE – Army Quality Engineer
APO - Army Lead Engineer (Project Officer)
DA – Design Agent (NAVSEA)
PL – Project Lead (NAVAIR)
NQA – Navy Quality Assurance
ME – Material Engineer (NAVAIR)
PE – Program Engineer (Air Force)
AEA – Acquisition Engineering Agent (NAVSEA) GE – Gage Engineer
Production Manager, JMC - Production Manager, Joint Munitions Command
MCEA – Marine Corp Engineering Activity
CDM – Configuration/Data Management (NAVAIR)
WARP - Worldwide Ammunition-Data Repository Program
SAFE - Safe Access File Exchange
FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM -
Technical Manual; Other - other category of data, such as
"Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award). Item F. Self-explanatory (to be filled in after contract award). Item G. Signature of preparer of
CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the
Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items
12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required.
The estimated data prices shall not include any amount for rights in data. The
Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423 (BACK)
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the
Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form
1423.
INSTRUCTIONS FOR COMPLETING DD FORM 1423
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form
1423.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the
Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD
Form 1423 at no cost.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the
Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
of
| Distro List |
| Instructions |
| number: |
| TDP: |
| TM: |
| E CONTRACTPR NO: |
| F CONTRACTOR: |
| 17: |
| 18: |
| Draft15 TOTAL: 0 |
| Repro15 TOTAL: 0 |
| MSE OTHER: QCIC |
| MSE CDRL #: A014 |
| MSE TITLE OF DATA ITEM: Measurement System Evaluation (MSE) – Measurement and Inspection Equipment System Design Documentation for Acce |
| MSE SUBTITLE: Measurement System Evaluation/Acceptance Inspection Equipment (MSE/AIE) |
| MSE Authority: DI-QCIC-81960 (Current Revision) |
| MSE CONTRACT REFERENCE: SOW, paragraph 3.2.4 |
| MSE DD 250: DD |
| MSE FREQUENCY: ONE/R |
| MSE DATE OF FIRST SUBMISSION: 120DAC |
| MSE DATE OF SUBSEQUENT SUBMISSION: ASREQ |
| CCCP OTHER: MGMT |
| CCCP CDRL #: A009 |
| CCCP TITLE OF DATA ITEM: Critical Characteristics Control Plan (CCCP) |
| CCCP SUBTITLE: N/A |
| CCCP CONTRACT REFERENCE: Section: E |
| CCCP DD 250: LT |
| CCCP FREQUENCY: ANNLY |
| CCCP DATE OF FIRST SUBMISSION: 120DAC |
| CCCP DATE OF SUBSEQUENT SUBMISSION: ASREQ |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .