CDRLs.pdf

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Attached to
FLASHJET TECHNICAL SUPPORT Federal contract opportunity
Solicitation number
F3QCCL6132A005
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

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Contract Data Requirements List A001-A007

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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 __X__

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF 1ST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft Final

Reg Repro

16. REMARKS 0

15. TOTAL 0

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

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _ _ of __Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

FAITH.LAURA.S.1376728

Digitally signed by FAITH.LAURA.S.1376728648 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=FAITH.LAURA.S.1376728648 Date: 2016.04.25 10:37:31 -04'00'

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 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 __X__

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF 1ST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft Final

Reg Repro

16. REMARKS 0

15. TOTAL 0

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

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _ _ of __Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

1 1

FAITH.LAURA.S.1376728

Digitally signed by FAITH.LAURA.S.1376728648 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2016.04.25 10:39:42 -04'00'

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 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 __X__

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

1.3.4 and 1.4

6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST

STATEMENT

REQUIRED

10. FREQUENCY

AS REQUIRED

12. DATE OF 1ST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft Final

Reg Repro

16. REMARKS 1 0

15. TOTAL 0

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

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _ _ of __Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

1 1

FAITH.LAURA.S.1376728648

Digitally signed by FAITH.LAURA.S.1376728648 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=FAITH.LAURA.S.1376728648 Date: 2016.04.25 10:41:39 -04'00'

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 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 __X__

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF 1ST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft Final

Reg Repro

16. REMARKS 0

15. TOTAL 0

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

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page _ _ of __Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

1 1

FAITH.LAURA.S.1376728648

Digitally signed by FAITH.LAURA.S.1376728648 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=FAITH.LAURA.S.1376728648 Date: 2016.04.25 10:42:35 -04'00'

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 o f 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

F. CONTRACTORE. CONTRACT/PR NO.

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

Reg Repr o

16. REMARKS 1 1

Block : Contractor format is acceptable.

15. Total

H. DATE I. ACCEPTED BY J. DATE

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 1 of 1 Pages

D. SYSTEM ITEM

G. PREPARED BY

FAITH.LAURA.S.1376728

Digitally signed by FAITH.LAURA.S.1376728648 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2016.04.25 10:43:55 -04'00'

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 o f 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

F. CONTRACTORE. CONTRACT/PR NO.

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

Appendix C

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A D SEE BLK 16 Reg Repr o

16. REMARKS 1 1

15. Total

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

DD FORM 1423-1, Feb 2001 Previous editions are obsolete Page 1 of 1 Pages

D. SYSTEM ITEM

FAITH.LAURA.S.1376

728648

Digitally signed by FAITH.LAURA.S.1376728648 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2016.04.25 10:44:35 -04'00'

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 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 __X_SAFT_

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

Accident/Incident Report

3. SUBTITLE

Mishap Notification and Reporting

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81563

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

SE

7. DD 250 REQ 9. DIST

STATEMENT

REQUIRED

B

10. FREQUENCY

AS REQUIRED

12. DATE OF 1ST SUBMISSION

AS REQUIRED

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final Reg Repro

16. REMARKS

BLOCK 4 : Contractor shall submit a report on ALL mishaps, damage to DoD property, and employee injury, to the Installation Safety Office telephonically within four (4) hours after initial notification. Written report shall be submitted within three (3) calendar days of mishap.

Electronic submissions are acceptable. Information that is not available at the time of the initial notification shall be provided within 20 calendar days after the mishap.

BLOCK 9: Distribution authorized to US Government agencies only. Other requests for this document shall be referred to .

0 1 0

15. TOTAL 0 0

G. PREPARED BY H. DATE J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED _ of _ _Page

18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

I. APPROVED BY

FAITH.LAURA.S.1376728648

Digitally signed by FAITH.LAURA.S.1376728648 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2016.04.25 10:45:32 -04'00'

File details come from the government source that posted it. Updated .