EXHIBIT C - CDRLs C001-C003 - DD 1423s.pdf
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CONTRACT DATA REQUIREMENTS LIST Form Approved
(1 Data Item) OMB No. 0704-0188
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 thus 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. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
D. SYSTEM ITEM F. CONTRACTOR
MAAS
E. CONTRACT/PR NO.
FD2060-2 -3
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
Request for Variance
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 18. ESTIMATED
TOTAL PRICE
DI-SESS-80640E SOW Para 3.6.3
6. REQUIRING OFFICE
AFLCMC/WNZE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ASREQ ASREQ b. COPIES
8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
A N/A N/A Reg Repr o
AFLCMC/
WNZE 1 2 0
16. REMARKS
BLK 8: The Government will have 30 days after receipt of report for approval or disapproval. The contractor shall have 10 days after receipt of the Government comments to resubmit the report.
BLK 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S.
Government Agencies and their contractors (administrative use) (0 202 ). Other requests for this document shall be referred to AFLCMC/WNZE .
BLKS 10 and 12: As the contractor identifies the need.
BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Both hard copies and CD-ROM or DVD shall be submitted to:
Support Equipment & Vehicles Division ATTN: AFLCMC/WNZE Christopher S. Peisher 236 Milledgeville Street, Suite F30 Robins AFB GA 31098-1813 e-mail: christopher.peisher@us.af.mil
Notification of submission shall be provided to the PCO via e-mail at: actual e-mail address will be provided at time of contract award.
15. Total 2
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 1 of 1 Pages
PEISHER.CHRISTOP
HER.S.1384906806
Digitally signed by
PEISHER.CHRISTOPHER.S.1384906806
Date: 2024.01.19 12:48:00 -05'00'
GRIEPENBURG.DE
IDRE.H.1289435464
GRIEPENBURG.DEIDRE.H.1289435464
Date: 2024.01.19 17:11:03 -05'00'01/19/2024 01/19/2024
C
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 thus 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
B. EXHIBIT C. CATEGORY:
F. CONTRACTOR
Engineering Change Proposal
DI-SESS-80639E SOW Para 3.6.2
236 Milledgeville Street, Suite F30
A. CONTRACT LINE ITEM NO.
PEISHER.CHRISTOPHE
R.S.1384906806
Date: 2024.01.19 12:43:32 -05'00'
GRIEPENBURG.DEI
DRE.H.1289435464
GRIEPENBURG.DEIDRE.H.1289435
Date: 2024.01.19 17:04:55 -05'00'
01/19/2024 01/19/2024
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 thus 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
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
D. SYSTEM ITEM F. CONTRACTOR
Notice of Revision (NOR)
DI-SESS-80642E SOW Para 3.6.2
236 Milledgeville Street, Suite F30
PEISHER.CHRISTOPH
ER.S.1384906806
Date: 2024.01.19 12:45:17 -05'00'
GRIEPENBURG.DE
IDRE.H.1289435464
GRIEPENBURG.DEIDRE.H.1289435464
Date: 2024.01.19 17:06:06 -05'00'01/19/2024 01/19/2024
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