2015_E-OMS_CDRLs_10_Jun_2015.pdf

FA9200-05- C-000 I

Exhibit A

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

0017/1017/2017/3017/4017/5017

B. EXHIBIT

A

C. CATEGORY:

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

FA2486-16-C-0002

F. CONTRACTOR

1. DATA ITEM

NO.

A001

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

3. SUBTITLE

CONTRACTOR PERSONNEL ASSIGNMENTS DATA

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.1.1.2.2

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

N/A

10. FREQUENCY

AS REQUIRED

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4:

CONTENT:

• JOB CLASSIFICATION/TITLE, ORGANIZATIONAL ELEMENT, FACILITY, PWS

REQUIREMENT REFERENCE, EMPLOYEE NAME, EMPLOYEE ID NUMBER.

• TEMPORARY EMPLOYEES ASSIGNED THROUGH TECHNICAL DIRECTIVE

POSITIONS SHALL BE NOTED WITH AN ASTERISK.

FORMAT:

A. CONTRACTOR POSITONS SHALL BE SORTED BY ORGANIZATIONAL

ELEMENT, ALPHABETICALLY BY EMPLOYEE NAME AND EMPLOYEE ID NUMBER.

B. PROVIDE ORGANIZATIONAL ELEMENT TOTALS, FACILITY TOTALS, AND

THE GRAND TOTAL.

BLKS 10, 12, AND 13: DELIVERY SHALL BE BY THE 10TH DAY OF EACH MONTH.

BLK 14: ELECTRONIC SUBMISSION IN MICROSOFT OFFICE COMPATIBLE

FORMAT. (I.E. MS EXCEL)

96 TSSQ/RNXC 0 1 0

15. TOTAL 1

G. PREPARED BY

JAY K. MOYER

H. DATE

I. APPROVED BY

J. DATE

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

DD FORM 1423-1, JUN 90 (COMPUTER GENERATED) Previous editions are obsolete

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A002

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

3. SUBTITLE

LABOR HOUR DATA REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.1.1.2.2

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

ASREQ

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: APPLIES TO O&M AND DIRECTIVE MANNING CLINS ONLY. THE LABOR

HOUR DATA SHALL BE IN TWO REPORTS: LABOR HOUR SUMMARY

DISTRIBUTION AND DAILY LABOR HOUR REPORT AS FOLLOWS:

CONTENT:

• ALL REGULAR AND OVERTIME HOURS EXPENDED IN SUPPORT OF

SPECIFICALLY ASSIGNED TECHNICAL DIRECTIVES OR MISSIONS SHALL BE

RECORDED.

• FACILITY CODES SHALL BE USED, AS APPLICABLE.

• OTHER REGULAR AND OVERTIME HOURS EXPENDED, NOT IN SUPPORT OF

THE ABOVE, SHALL BE LISTED WITH APPROPRIATE INDIRECT JOB ORDER

NUMBERS, I.E., (9991U191, 9994U494, 9996U696, 9993UF97, 9993UE98, 9993UT99).

• ALL HOURS EXPENDED SHALL BE RECORDED WITH THEIR

CORRESPONDING FACILITY CODE. (APPLICABLE TO THE LABOR HOUR

SUMMARY DISTRIBUTION AND DAILY LABOR HOUR REPORT)

• DATA SUBMITTED WILL ALSO IDENTIFY ALL EMPLOYEES CHARGING TO

THE DIRECTIVE MANNING CLINS. THE FIRST DIGIT OF THE CONTRACTOR COST

CODE WILL BE “)” FOR NON-DIRECTIVE MANNING CLINS.

FORMAT:

A. SUPPORT FACILITY CODE: THE CODE WHICH DESIGNATES THE FACILITY

FOR WHICH THE SUPPORT WAS EXPENDED OR THE FACILITY CODE SPECIFIED IN

A TECHNICAL DIRECTIVE. OBTAINED FROM THE LISTING PROVIDED BY THE

GOVERNMENT.

B. ASSIGNED FACILITY CODE: THE CODE WHICH IDENTIFIES THE

HOME/ASSIGNED FACILITY FOR THE EMPLOYEE PERFORMING SUPPORT.

OBTAINED FROM THE LISTING PROVIDED BY THE GOVERNMENT.

CONTINUED…

96 TW/FMA 0 1 0

15. TOTAL 2

CDRL A002

BLK 16 CONT’D:

C. RELATIVE PROJECT CODE: A FIVE DIGIT CONTRACTOR COST CODE THAT CORRESPONDS TO THE AIR FORCE EIGHT DIGIT JOB ORDER NUMBER FOR EACH TEST AND THE SPECIFICALLY ASSIGNED NUMBERED TECHNICAL DIRECTIVE SUPPORTED. THIS DATA SHOULD REFLECT THE SPECIAL CHARGING INSTRUCTIONS WHEN APPLICABLE.

D. EFFORT BY EMPLOYEE ID NUMBER: THE AMOUNT OF REGULAR TIME AND THE AMOUNT OF OVERTIME EXPENDED IN SUPPORT OF EACH RELATIVE PROJECT CODE (CONTRACTOR COST CODE). EMPLOYEE ID NUMBER IS

ONLY REQUIRED ON THE LABOR HOUR SUMMARY DISTRIBUTION REPORT.

E. COST OF HOURS WORKED: BOTH REGULAR AND OVERTIME FOR EACH RELATIVE PROJECT CODE

(CONTRACTOR COST CODE) AT EACH FACILITY WILL BE RECORDED.

F. OVERALL COSTS: THIS REPRESENTS THE TOTAL ACCUMULATED COSTS FOR THE MONTH.

LABOR HOUR SUMMARY DISTRIBUTION: ITEMS A, B, C, D, E, AND F.

DAILY LABOR HOUR REPORT: ITEMS A, B, C, AND D. EMPLOYEE ID NUMBER IS NOT REQUIRED IN ITEM D.

BLKS 10, 12, 13: THE LABOR HOUR SUMMARY DISTRIBUTION DATA SHALL BE AS OF THE END OF THE LAST CALENDAR DAY OF EACH MONTH. THE DAILY LABOR HOUR DATA SHALL BE AS OF THE END OF EACH DAY AND

DELIVERED BY THE 2ND WORKING DAY AFTER THE DAY OF THE EFFORT.

BLK 14: DATA FOR BOTH REPORTS SHALL BE AN ELECTRONIC FILE TRANSFER COMPATIBLE WITH THE TEST WING ENTERPRISE SYSTEM (TWES). THE DATA FOR BOTH REPORTS SHALL ALSO BE SUBMITTED IN A SEQUENTIAL FILE OF CONTRACTOR COST CODES, HOURS (REGULAR AND OVERTIME AND COST BY FACILITY). REVISION TO THE DAILY INPUTS SHALL BE SUBMITTED ON A SUPPLEMENTAL FORM CONTAINING THE APPROPRIATE DATA

ELEMENTS AND REVISIONS.

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A003

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

3. SUBTITLE

MGTF MANPOWER REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.1.1.2.4

6. REQUIRING OFFICE

96TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

WEEKLY

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: APPLIES TO MGTF LEVEL OF EFFORT (LOE) MANPOWER REPORTING

ONLY.

DATA REQUIRED: VACANT LOE POSITIONS TRACKED BY LOE POSITION

NUMBER, JOB CLASSIFICATION/TITLE, ORGANIZATIONAL ELEMENT, FACILITY,

DATE OF VACANCY, NUMBER OF DAYS VACANT AND ESTIMATED FILL DATE.

IDENTIFY CONTRACT AUTHORIZED LOE MANPOWER TOTALS AND ACTUAL

CONTRACT LOE MANPOWER TOTALS.

THE NUMBER OF LOE PERSONNEL IN AUTHORIZED POSITIONS PLUS THE

NUMBER OF VACANT AUTHORIZED LOE POSITIONS MUST EQUAL THE

AUTHORIZED LOE MANNING.

BLKS 10, 12, AND 13: DELIVER WEEKLY ON MONDAY FOR THE PRECEDING

WEEK.

BLK 14: ELECTRONIC SUBMISSION IN MICROSOFT OFFICE COMPATIBLE

FORMAT. (I.E. MS EXCEL).

96TSSQ/RNXC 0 1 0

782 TS/CL 0 1 0

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A004

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

3. SUBTITLE

MISSION SUPPORT REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.1.3.2.6

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

ASREQ

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: DOES NOT APPLY TO MGTF AND NRTF. CONTRACTOR FORMAT

ACCEPTABLE.

CONTENT REQUIRED:

• MISSION NUMBER

• PROJECT TITLE AND JOB ORDER NUMBER

• DATE AND RANGE TIME

• FACILITY

• EXPLANATION OF PROBLEM

• MISSION IMPACT

BLKS 10, 12, AND 13: DELIVERY BY ELECTRONIC MAIL AT 0800 THE DAY

FOLLOWING THE MISSION (FOR MISSIONS NOT EXECUTED AS ANTICIPATED) OR

VERBALLY, FOLLOWED BY A WRITTEN REPORT, IF ELECTRONIC MAIL IS NOT

AVAILABLE.

BLK 14: ELECTRONIC SUBMISSION IN MICROSOFT OFFICE COMPATIBLE

FORMAT. (I.E. MS EXCEL).

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

C. CATEGORY: OT

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A005

2. TITLE OF DATA ITEM

DATA COLLECTION REPORT

3. SUBTITLE

MISSION SUPPORT DATA REPORT

4. AUTHORITY (Data Acquisition Document No.)

OT-15-30004

5. CONTRACT REFERENCE

PWS 4.1.3.2.7

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

A

ASREQ

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: DOES NOT APPLY TO MGTF AND NRTF. SEE ATTACHED ONE-TIME DID.

BLKS 10, 12, AND 13: ON ALL MISSIONS UTILIZING 96 TW RANGE EQUIPMENT,

DELIVERY OF THE 46 TW FORM 63 SHALL BE AS REQUIRED.

BLK 14: ELECTRONIC SUBMISSION REQUIRED.

96 CG/SCWSR 0 1 0

96 OSS/OSOQ 0 1 0

96TSSQ/RNXC 0 LT 0

DATA ITEM DESCRIPTION

Title: DATA COLLECTION REPORT Number: OT-15-30004 Approval Date: 20150521 AMSC Number: Limitation: FA2486-16-C-0002 DTIC Applicable: GIDEP Applicable:

Preparing Activity: 96 TSSQ/RNXC Project Number: N/A Applicable Forms: 46 TW Form 63

Use/relationship: The Data Collection Report is required by the Government Analysis Group in order to properly reduce the data from various data gathering equipment on the Eglin Range.

This Data Item Description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete technical directive requirements as delineated in the contract. This DID is for one-time use for solicitation FA2486-16-C-0002.

Requirements:

1. Reference documents. 46 TW Form 63 and 46 TWI 33-102 will be provided by the Government.

2. Format. The Data Collection Report will use 46 TW Form 63.

3. Content. The content will be IAW 46 TWI 33-102.

End of OT-15-30004

DISTRIBUTION STATEMENT: DISTRIBUTION C. Distribution authorized to U.S. Government agencies and their contractors to protect operational data and/or information from automatic dissemination under the International Exchange Program or by other means. This protection covers publications required solely for official use or strictly for administrative or operational purposes. This statement may apply to manuals, pamphlets, technical orders, technical reports, and other publications containing valuable technical or operational data, 6 APR 2015. Other requests for this document shall be referred to 96 TSSQ/RNXC.

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A006

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

3. SUBTITLE

EQUIPMENT STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.1.3.2.7

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

WEEKLY

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: DOES NOT APPLY TO MGTF AND NRTF. CONTRACTOR FORMAT

ACCEPTABLE.

CONTENT SHALL BE AS SPECIFIED BELOW:

• EQUIPMENT DESCRIPTION

• EQUIPMENT STATUS REPORT ID NUMBER

• JOB CONTROL NUMBER

• OPEN DATE/TIME

• ESTIMATED DATE OF RETURN TO OPERATION

• STATUS

• REMARKS

• REQUISITION NUMBERS

• ID NUMBER

• CLOSED DATE/TIME

• LOCATION

BLKS 10, 12, AND 13: DELIVERY REPORT ON MONDAY OF EACH WEEK.

BLK 14: ELECTRONIC SUBMISSION IN MICROSOFT OFFICE COMPATIBLE

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A007

2. TITLE OF DATA ITEM

ACCIDENT/INCIDENT REPORT

3. SUBTITLE

SEE BLK 16

4. AUTHORITY (Data Acquisition Document No.)

OT-15-30005

5. CONTRACT REFERENCE

PWS 4.1.5.1.2

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

SEE BLK 16

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 3:

A. ACCIDENT/INCIDENT REPORT

B. MEDICAL INCIDENT NOTIFICATION

C. MISSION ACCIDENT/INCIDENT REPORT

BLK 4: SEE ATTACHED ONE-TIME DID.

A. PARAGRAPH 10.2.2 DOES NOT APPLY.

B. ONLY PARAGRAPH 10.2.3 APPLIES.

BLKS 10, 12, AND 13: DELIVERY SHALL BE WITHIN 5 WORKING DAYS AFTER

OCCURRENCE UNLESS WAIVED BY THE ACO.

BLK 14: MEDICAL INCIDENT NOTIFICATION SHALL BE DELIVERED TO

96 AMDS/SGPB ONLY. ELECTRONIC SUBMISSION REQUIRED.

96TW/SE 0 1 0

AFTC/PZZB 0 3 0

96 AMDS/SGPB 0 1 0

15. TOTAL 6

Title: Accident/Incident Report Number: OT-15-30005 Approval Date: 20150521 AMSC Number: Limitation: FA2486-16-C-0002 DTIC Applicable: GIDEP Applicable:

Preparing Activity: 96 TSSQ/RNXC Project Number: N/A Applicable Forms: AF Form 190

Use/relationship: The Accident/Incident Report serves as the primary tool to keep the Technical Directorate aware of unplanned activities on the Range.

This Data Item Description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete technical directive requirements as delineated in the contract. This DID is for one-time use for solicitation FA2486-16-C-0002.

Requirements:

1. Reference documents. AF Form 190 will be provided by the Government.

2. Format. Contractor format is acceptable.

3. Content.

3.1 Accident/Incident Report shall contain:

a. Date and time

b. Location

c. Brief summary giving pertinent details (individuals involved, witnesses, causes, etc.)

d. Description of injury and/or description of Government property involved, such as full description, nomenclature, stock or part number, identification number.

e. Extent of loss or damage (e.g., original cost, repair cost, etc.).

f. Actions taken to prevent recurrence.

g. Other pertinent information.

h. Was this a time lost incident?

3.2 Medical Incident Notification Report shall be on AF Form 190.

3.3 Mission Accident/Incident Report shall contain:

a. Date and time

b. Mission number

c. Location of accident/incident

d. Brief summary giving pertinent details (individuals, equipment involved, causes, etc.)

e. Description of damage to test item, equipment items, etc.

f. Extent of loss or damage (e.g., original cost, repair cost, etc.)

g. Action taken to prevent recurrence

h. Other pertinent information

i. Did this cancel/delay the mission?

End of OT-15-30005

DISTRIBUTION STATEMENT: DISTRIBUTION C. Distribution authorized to U.S. Government agencies and their contractors to protect operational data and/or information from automatic dissemination under the International Exchange Program or by other means. This protection covers publications required solely for official use or strictly for administrative or operational purposes. This statement may apply to manuals, pamphlets, technical orders, technical reports, and other publications containing valuable technical or operational data, 6 APR 2015. Other requests for this document shall be referred to 96 TSSQ/RNXC.

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A008

2. TITLE OF DATA ITEM

PROGRAM PROGRESS REPORT

3. SUBTITLE

PUBLIC HEALTH/BIOENV ENGINEERING REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80555A

5. CONTRACT REFERENCE

PWS 4.1.6.1

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

SEMI ANNUAL

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 3:

A. PUBLIC HEALTH REPORT

B. BIOENVIRONMENTAL ENGINEERING REPORT

BLKS 10, 12, AND 13: DELIVER BY THE 10TH WORKING DAY FOLLOWING 31

MARCH AND 30 SEPTEMBER.

BLK 14: ELECTRONIC SUBMISSION REQUIRED. (MICROSOFT WORD

COMPATIBLE FORMAT)

96 AMDS/SGPB 0 1 0

96 TSSQ/RNXC 0 LT 0

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A009

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

3. SUBTITLE

ENVIRONMENTAL PROTECTION TIER II DATA

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.1.8.2

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

ANNUAL

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: CONTRACTOR FORMAT ACCEPTABLE.

CONTENT: SHALL INCLUDE:

• CHEMICAL ABSTRACTS SERVICE (CAS) NUMBER

• CHEMICAL NAME

• CHEMICAL STATE (SOLID, GAS, LIQUID)

• PHYSICAL HEALTH HAZARDS

• MAXIMUM DAILY AMOUNTS STORED

• AVERAGE DAILY AMOUNTS STORED

• NUMBER OF DAYS ON SITE

• CONTAINER TYPE

• STORAGE LOCATION

BLKS 10, 12, & 13: DELIVER BY 1 FEBRUARY FOR THE PREVIOUS YEAR.

BLK 14: ELECTRONIC SUBMISSION IN MICROSOFT OFFICE COMPATIBLE

96 CEG/CEIE 0 1 0

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A010

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

3. SUBTITLE

BUDGET/COST STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.1.9.2

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

MONTHLY

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: FORMAT AND CONTENT AS FOLLOWS:

THE REPORT SHALL INCLUDE THE CONTRACTOR NAME, LOCATION, CONTRACT

TYPE, CONTRACT NUMBER AND MODIFICATION, TITLE AND REPORTING

PERIOD. THE TITLE IS O&M OF THE EGLIN TEST AND TRAINING COMPLEX.

THE REPORT SHALL CONTAIN THE FOLLOWING EXHIBITS:

1. CONTRACT PERFORMANCE DATA:

A. INCLUDE BOTH CURRENT (MOST RECENT ACCOUNTING PERIOD) AND

CUMULATIVE COSTS BY CURRENT FISCAL YEAR SEGREGATED BY

CONTRACTOR WORK BREAKDOWN STRUCTURE (WBS) FOR SCHEDULED AND

ACTUAL COSTS. GENERAL AND ADMINISTRATIVE, FRINGE BENEFITS AND

OVERHEAD COSTS SHALL BE IDENTIFIED SEPARATELY FOR EACH WBS.

B. IDENTIFY THE METHOD USED TO ESTABLISH MONTHLY AND

CUMULATIVE COSTS.

C. PROVIDE NARRATIVE EXPLANATIONS FOR COST VARIANCES FOR BOTH

MONTHLY AND CUMULATIVE DATA. THE PROBLEM ANALYSIS SHALL ADDRESS

THE OVERALL CONTRACT STATUS, WBS STATUS, SIGNIFICANT VARIANCES

RESULTING FROM PLANNED AND ACTUAL COSTS, REASONS FOR BASELINE

CHANGES AND ANY OTHER CONTRACTUAL SUBJECT REQUIRING MANAGEMENT

INVOLVEMENT. EXPLANATIONS MUST BE EXPLICIT AND COMPREHENSIVE.

THEY MUST CLEARLY IDENTIFY THE NATURE OF THE PROBLEMS BEING

EXPERIENCED, THE IMPACT ON THE TOTAL CONTRACT AND THE CORRECTIVE

ACTIONS TAKEN OR REQUIRED.

CONTINUED…

96 TSSQ/RNXC 0 1 0

AFTC/PZZB 0 1 0

15. TOTAL 3

A010 cont’d

BLK 4 continued:

D. INCLUDE THE CONTRACTOR’S LATEST REVISED ESTIMATE FOR CURRENT CONTRACT YEAR EXPENDITURES AND VARIANCES TO CURRENT CONTRACT YEAR BUDGET. NARRATIVE EXPLANATIONS SHALL BE PROVIDED FOR VARIANCES. IDENTIFIABLE FUNDING SHORTFALLS OR EXCESSES SHALL BE HIGHLIGHTED BY CLIN. IN THE CASE

OF FUNDING SHORTFALLS, POSSIBLE INTERNAL CLIN ADJUSTMENTS SHALL BE RECOMMENDED.

E. INCLUDE BOTH MONTHLY AND CUMULATIVE ACTUAL SUBCONTRACT EXPENDITURES AND VARIANCES FROM SUBCONTRACTING GOALS. NARRATIVE EXPLANATIONS SHALL BE PROVIDED FOR VARIANCES.

2. TECHNICAL DIRECTIVE DATA:

A. INDIVIDUAL FORMAL TECHNICAL DIRECTIVES SHALL BE SEPARATELY PRICED FOR LABOR COSTS. THE CONTRACTOR SHALL PROVIDE THESE BUDGETS WHEN THE TECHNICAL DIRECTIVE IS IMPLEMENTED OR CHANGED TO INCLUDE IMPLEMENTATION OF AREA WAGE DETERMINATIONS. EACH FORMAL TECHNICAL DIRECTIVE BUDGET SHALL SHOW MONTHLY COSTS IN THE SAME FORMAT USED IN THE COST PROPOSAL OR ESTIMATE FOR

THE TECHNICAL DIRECTIVE.

B. INDIVIDUAL INFORMAL TECHNICAL DIRECTIVES DATA SHALL BE PROVIDED WHEN SPECIFIED. THE CONTRACTOR SHALL PROVIDE THESE BUDGETS WHEN THE TECHNICAL DIRECTIVE IS IMPLEMENTED OR CHANGED TO INCLUDE IMPLEMENTATION OF AREA WAGE DETERMINATIONS. EACH SUCH BUDGET SHALL SHOW MONTHLY COSTS IN THE SAME FORMAT USED IN THE COST PROPOSAL OR ESTIMATE FOR THE TECHNICAL DIRECTIVE.

C. EACH BUDGET SHALL SHOW THE TECHNICAL DIRECTIVE NUMBER, EXPIRATION DATE, TITLE AND MONTHLY AND CUMULATIVE BUDGETS FOR THE CURRENT FISCAL YEAR. OCCUPATION TITLE, NUMBER OF EMPLOYEES AND

HOURLY RATE BY MONTH SHALL ALSO BE PROVIDED FOR EACH MONTH.

D. THE SUM OF ALL FORMAL TECHNICAL DIRECTIVES SHALL EQUAL THE WBS FORMAL TECHNICAL DIRECTIVE

COSTS FOR EXHIBIT 1 ABOVE.

3. RANGE AREA PERFORMANCE DATA:

A. INCLUDE BOTH CURRENT (MOST RECENT ACCOUNTING PERIOD) AND CUMULATIVE COSTS BY CURRENT FISCAL YEAR SEGREGATED BY MAJOR RANGE AREA ON EGLIN AS IDENTIFIED BY THE GOVERNMENT. GENERAL AND ADMINISTRATIVE (G&A) SHALL BE SEPARATELY IDENTIFIED BY RANGE AREA. THE BOTTOM LINE CONTRACT

TOTALS EQUAL THOSE OF EXHIBIT 1 ABOVE.

B. IDENTIFY THE METHOD USED TO ESTABLISH MONTHLY (CUMULATIVE) COSTS.

C. COST VARIANCES FOR BOTH MONTHLY AND CUMULATIVE DATA REQUIRE NARRATIVE EXPLANATIONS. THE PROBLEM ANALYSIS SHALL ADDRESS THE OVERALL CONTRACT STATUS, RANGE AREA STATUS, SIGNIFICANT VARIANCES RESULTING FROM PLANNED AND ACTUAL COSTS, REASONS FOR BASELINE CHANGES AND ANY OTHER CONTRACTUAL SUBJECT REQUIRING MANAGEMENT INVOLVEMENT. EXPLANATIONS MUST BE EXPLICIT AND COMPREHENSIVE. THEY MUST CLEARLY IDENTIFY THE NATURE OF THE PROBLEMS BEING EXPERIENCED, THE

IMPACT ON THE TOTAL CONTRACT AND THE CORRECTIVE ACTIONS TAKEN OR REQUIRED.

D. INCLUDE THE CONTRACTOR’S LATEST REVISED ESTIMATE FOR CURRENT YEAR EXPENDITURES AND VARIANCES TO CURRENT YEAR CUMULATIVE BUDGET. NARRATIVE EXPLANATIONS SHALL BE PROVIDED FOR

VARIANCES.

4. SUMMARY OF FUNDING VERSUS ACTUAL EXPENSES BY FISCAL YEAR:

A. EACH FISCAL YEAR’S FUNDING AND EXPENSES SHALL BE IDENTIFIED BY CLIN. IN ADDITION, A PERCENTAGE

OF FUNDED COMPARED TO ACTUAL COSTS SHALL BE INCLUDED.

B. EACH FISCAL YEAR’S FUNDING SHALL HAVE SUB-TOTALS WITHOUT THE AWARD FEE AND TOTALS WITH THE

AWARD FEE.

BLKS 10, 12, AND 13: DELIVER BY THE 15TH OF THE MONTH FOLLOWING THE MONTH BEING REPORTED EXCEPT FOR THE MONTHS OF MARCH AND SEPTEMBER, THEN DELIVER BY THE 6TH WORK DAY OF THE MONTH. FIRST

DELIVERY IS 15TH OF THE MONTH FOLLOWING FIRST MONTH AFTER CONTRACT AWARD.

BLK 14: ELECTRONIC SUBMISSION IN MICROSOFT OFFICE COMPATIBLE FORMAT. (I.E. MS EXCEL).

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A011

2. TITLE OF DATA ITEM

STATUS REPORT

3. SUBTITLE

UXO MONTHLY STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368

5. CONTRACT REFERENCE

PWS 4.2.1.2.3

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

MONTHLY

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: CONTRACTOR FORMAT ACCEPTABLE. THE REPORT SHALL CONTAIN:

• RANGE RESIDUE REMOVED IDENTIFIED BY ITEM TYPE, QUANTITY, AND

DISPOSITION DESCRIPTION.

• STATUS OF ANNUAL RANGE CLEARANCE BY TEST AREA.

• LABOR HOURS EXPENDED CATEGORIZED BY TECHNICAL DIRECTIVE

/WORK REQUESTS, CROSS UTILIZATION, SUSTAINMENT, AND LEGACY.

• IDENTIFICATION OF ISSUES OR PROBLEM AREAS.

• NUMBER OF MISSIONS SUPPORTED.

BLKS 10, 12, AND 13: DELIVER BY THE 15TH OF THE MONTH FOR DATA FROM

THE PREVIOUS MONTH, STARTING WITH FIRST MONTH AFTER TRANSITION

PERIOD.

96 RANSS/RNRS 0 1 0

96TSSQ/RNXC 0 LT 0

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A012

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

3. SUBTITLE

MUNITIONS INVENTORY & EXPENDITURE

REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.2.2.2.1

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

MONTHLY

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: FORMAT WILL BE PROVIDED IN TWO CONFIGURATIONS, ONE SORTED ON

JON AND OTHER SORTED ON STOCK NUMBER.

A. NATIONAL OR LOCAL STOCK NUMBER

B. LOT/SERIAL NUMBER

C. CONDITION CODE

D. SITE/RANGE LOCATION

E. DATE OF LAST INVENTORY

F. JOB ORDER NUMBER (JON)

G. DATE RECEIVED

H. DATE OF LAST INSPECTION

I. DISPOSITION DATE AND DISPOSITION (PREVIOUS MONTH)

BLKS 10, 12, AND 13: DELIVER BY THE 7TH DAY OF EACH MONTH.

BLK 14: ELECTRONIC SUBMISSION IN MICROSOFT OFFICE COMPATIBLE

FORMAT. (I.E. MS EXCEL).

780 TS/TSW (OPR) 0 1 0

AFRL/RWMW 0 1 0

AFTC/PZZB 0 1 0

96 TW/SEW 0 1 0

96 MXS/MXMWMA 0 1 0

15. TOTAL 6

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A013

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

3. SUBTITLE

ANNUAL MUNITIONS EXPENDITURE REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.2.2.2.1

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

ANNUAL

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: THE REPORT SHALL CONSIST OF:

• SERIAL NUMBER

• NOMENCLATURE

• JOB ORDER NUMBER (JON)

• QUANTITY ON HAND

• QUANTITY EXPENDED PREVIOUS FISCAL YEAR

BLKS 10, 12 & 13: DELIVER NO LATER THAN THE 31ST OF JANUARY EACH YEAR.

BLK 14: ELECTRONIC SUBMISSION IN MICROSOFT OFFICE COMPATIBLE

FORMAT. (I.E. MS EXCEL).

780 TS/TSW (OPR) 0 1 0

96 TW/SEW 0 1 0

AFRL/RWMW 0 1 0

15. TOTAL 5

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A014

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

3. SUBTITLE

VEHICLE INVENTORY AND NUMBERING REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.2.5.2.1

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

ASREQ

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: VEHICLE INVENTORY AND NUMBERING REPORT SHALL INCLUDE:

• INVENTORY OF ALL ASSIGNED/DEPLOYED SYSTEMS

• ASSOCIATED FACILITY

• REGISTRATION NUMBER

• BUMPER NUMBER

• VEHICLE/SYSTEM TYPE

• PERTINENT HISTORY OR REMARKS

THE CONTRACTOR SHALL MAINTAIN A NUMBERING SYSTEM FOR EACH

VEHICLE/SYSTEM FOR EASE OF IDENTIFICATION, UPDATE INVENTORY

DOCUMENTATION ON A REGULAR BASIS (AT LEAST MONTHLY) AND SHALL

MAKE THE DOCUMENTATION AVAILABLE TO THE GOVERNMENT UPON

REQUEST. (DI-MCCR-80700)

BLKS 10, 12, AND 13: DELIVERY SHALL BE BY REQUEST.

BLK 14: ELECTRONIC SUBMISSION IN MICROSOFT OFFICE COMPATIBLE

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A015

2. TITLE OF DATA ITEM

MAINTENANCE OF LAND TEST AREAS

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

OT-15-30006

5. CONTRACT REFERENCE

PWS 4.2.5.2.6

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

LT

8. APP CODE

N/A

QRTLY

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: SEE ATTACHED ONE-TIME DID.

BLKS 10, 12, AND 13: DELIVERY SHALL BE NLT THE 5TH WORKING DAY OF

JANUARY, APRIL, JULY, AND OCTOBER. REPORT WILL BE FORWARDED

INDICATING “NONE” WHEN NO MAINTENANCE IS REQUIRED.

BLOCK 14: ELECTRONIC SUBMITION REQUIRED.

96 RANSS/RNRS 0 1 0

96 TSSQ/RNXC 0 LT 0

Title: Maintenance of Land Test Areas Number: OT-15-30006 Approval Date: 20150521 AMSC Number: Limitation: FA2486-16-C-0002 DTIC Applicable: GIDEP Applicable:

Preparing Activity: 96 RANSS/RNRS Project Number: N/A Applicable Forms: ETTC 1310-2003

Use/relationship: The Maintenance of Land Test Areas Report is used by the Demolition and Recovery Section of Range Operations to identify actions for scheduled repairs.

This Data Item Description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete technical directive requirements as delineated in the contract. This DID is for one-time use for solicitation FA2486-16-C-0002.

Requirements:

1. Reference documents. Maps and ETTC 1310-2003 will be provided by the Government.

2. Format. Contractor format is acceptable.

3. Content. Content shall consist of hatch marks on the appropriate map to indicate the area where work is required.

All maps will be to the same scale. Form letter should indicate reason for the requests; e.g., safety, data loss/%, scoring error, target unusable, road impassable, etc. Reference ETTC 1310-2003 as a guide.

End of OT-15-30006 their contractors to protect operational data and/or information from automatic dissemination under the International Exchange Program or by other means. This protection covers publications required solely for official use or strictly for administrative or operational purposes. This statement may apply to manuals, pamphlets, technical orders, technical reports, and other publications containing valuable technical or operational data, 6 APR

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A016

2. TITLE OF DATA ITEM

FREQUENCY CONTROL ANALYSIS (FCA)

OPERATOR’S LOG

4. AUTHORITY (Data Acquisition Document No.)

OT-15-30007

5. CONTRACT REFERENCE

PWS 4.3.4.2.2

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

A

ASREQ

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: SEE ATTACHED ONE-TIME DID.

BLKS 10, 12, AND 13: DELIVER BY THE FOLLOWING DAY WHEN SITE/FACILITIES

ARE USED TO ASSIST IN FCA WORK.

BLK 14: ELECTRONIC SUBMISSION REQUIRED.

96 OSS/OSOQ 0 1 0

Title: Frequency Control Analysis Operator’s Log Number: OT-15-30007 Approval Date: 20150521 AMSC Number: Limitation: FA2486-16-C-0002 DTIC Applicable: GIDEP Applicable:

Preparing Activity: 96 OSS/OSOQ Project Number: N/A Applicable Forms: ETTC Form 3200-4001

Use/relationship: The Frequency Control Analysis Operator’s Log is required by the Frequency Control and Analysis Office (96 OSS/OSOQ) to track, control, and report frequency problems and usage on Eglin.

This Data Item Description (DID) contains the format and content preparation instructions for the data product generated by the specific and discrete technical directive requirements as delineated in the contract. This DID is for one-time use for solicitation FA2486-16-C-0002.

Requirements:

1. Reference documents. ETTC Form 3200-4001 will be provided by the Government.

2. Format. Contractor shall use ETTC Form 3200-4001.

3. Content. The log shall contain the data requested in the upper portion of the form except the “Operations Order Box”. The following lower portion blocks shall be completed: Time (Z), Freq (MHZ), PRF (HZ) remarked PRI (USEC), PW (USEC) and remarks (containing the name of the threat radar).

End of OT-15-30007 their contractors to protect operational data and/or information from automatic dissemination under the International Exchange Program or by other means. This protection covers publications required solely for official use or strictly for administrative or operational purposes. This statement may apply to manuals, pamphlets, technical orders, technical reports, and other publications containing valuable technical or operational data, 6 APR

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A017

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

3. SUBTITLE

COST ANALYSIS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.1.9.2

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

SEE BLK 16

11. AS OF DATE

N/A

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLK 4: FORMAT AND CONTENT. THE REPORT SHALL BE IN FIVE PARTS AS

FOLLOWS:

PART ONE. COST ANALYSIS REPORT:

A. CURRENT FISCAL YEAR EXECUTION DATA SHALL BE BROKEN OUT BY

EACH FACILITY CODE (OR EQUIVALENT) INTO THE MAJOR CATEGORIES OF

TOTAL COSTS, REIMBURSEMENTS EARNED, AND DBA EXECUTION. EACH OF

THESE CATEGORIES WILL FURTHER BE DELINEATED INTO SUB-CATEGORIES OF

LABOR HOURS, LABOR HOURS OVERTIME (OT), LABOR HOUR COSTS, LABOR

HOUR OT COSTS, MATERIALS, OTHER, AND TOTAL COSTS.

B. TRACKING DATA SHOULD BE INCLUDED FOR EACH FACILITY CODE (OR

EQUIVALENT) TO EASILY BREAK COSTS OUT BY EFFORT (I.E. MSTTE, AVSF,

LGTF, ETC)

C. ASSOCIATED PRODUCT AND SERVICE RATE EXECUTED HOURS FOR EACH

FACILITY CODE (OR EQUIVALENT) SHALL BE IDENTIFIED.

D. MAJOR CATEGORY OF TOTAL COST WILL BE BROKEN OUT AGAIN INTO

THE FOLLOWING CATEGORIES: TEST/TASK, MAINTENANCE, IMPROVEMENT &

MODERNIZATION, AND OTHER. WITHIN EACH OF THESE CATEGORIES, THE

COSTS WILL NEED TO BE DELINEATED INTO THE PREVIOUS SUB-CATEGORIES.

E. IDENTICAL INFORMATION WILL NEED TO BE PROVIDED FOR THE

FACILITY CODE (OR EQUIVALENT) WHERE EMPLOYEES ARE ASSIGNED VERSUS

WHERE THE WORK WAS ACTUALLY ACCOMPLISHED.

CONTINUED….

96 TSSQ/RNXC 0 1 0

BLK 4 continued:

PART TWO. CARA REPORT:

A. CURRENT FISCAL YEAR EXECUTION DATA SHALL BE BROKEN OUT BY EACH FACILITY CODE (OR EQUIVALENT) INTO THE MAJOR CATEGORIES OF TOTAL COSTS, REIMBURSEMENTS EARNED, AND DBA EXECUTION.

EACH OF THESE CATEGORIES WILL FURTHER BE DELINEATED INTO SUB-CATEGORIES OF LABOR HOUR COSTS, LABOR HOUR OT COSTS, MATERIALS, AND OTHER DIRECT COSTS.

B. EACH FACILITY CODE (OR EQUIVALENT) SHALL BE CORRELATED WITH A CARA CAPABILITY AND IDENTIFIED

ON THE MAIN PORTION OF THE REPORT.

C. THIS INFORMATION WILL BE USED TO ROLL UP INDIVIDUAL CAPABILITY DATA INTO A SUMMARY REPORT

BY THE MAJOR CATEGORIES AND SUB-CATEGORIES.

PART THREE. OUTSTANDING COMMITMENTS:

A. CONTINUOUS MONITORING AND REPORTING SHALL BE ACCOMPLISHED FOR ALL OUTSTANDING

COMMITMENTS ACROSS ALL FISCAL YEARS UNTIL DELIVERED.

B. OUTSTANDING ORDERS SHALL BE BROKEN OUT BY FUNDING TYPE (RBA OR DBA), JON/WBS, ASSOCIATED TASK, VENDOR, DESCRIPTION OF ITEM, TYPE OF PURCHASE (I.E. DIRECT MATERIALS, SHIPPING, OTHER DIRECT

COSTS, ETC), AND ANY OTHER INFORMATION NECESSARY TO IDENTIFY THE REQUIREMENTS.

C. OUTSTANDING COMMITMENTS WILL BE IDENTIFIED AS RELATING TO MSTTE, AVSF, LGTF, AND ANY OTHER

DESIGNATED SUB-CATEGORIES.

PART FOUR. AVSF/LGTF/MSTTE BILLING IDENTIFICATION:

A. IDENTIFICATION OF KEY CUSTOMER EFFORTS IS MANDATORY TO ENSURE APPROPRIATE BILLING AND RBA GENERATION. EXECUTION DATA SHALL BE BROKEN OUT BY ASSOCIATED FISCAL YEAR AND CLIN TO DETERMINE

APPROPRIATE BILLING.

B. OUTSTANDING COMMITMENTS SHALL BE IDENTIFIED FOR EACH AS WELL.

PART FIVE. EARNINGS REPORT

A. CURRENT CYCLE EARNINGS SHALL BE REPORTED FOR VALIDATION PURPOSES. SUMMARY LEVEL DATA

SUCH AS FISCAL YEAR, RCCC, AND EEIC WILL SUFFICE.

BLKS 10, 12, AND 13: DELIVER 1ST AND 15TH OF EACH MONTH. FIRST DELIVERY IS THE 15TH OF THE MONTH

FOLLOWING FIRST MONTH AFTER CONTRACT AWARD.

BLK 14: ELECTRONIC SUBMISSION IN MICROSOFT OFFICE COMPATIBLE FORMAT. (I.E. MS EXCEL)

Form Approved 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 this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to DoD, 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.

TDP_______ TM_______ OTHER X

D. SYSTEM/ITEM

Range Facilities

E. CONTRACT/PR.NO

A018

2. TITLE OF DATA ITEM

COMPUTER SOFTWARE PRODUCT END ITEMS

PRODUCT & SERVICE RATE VALIDATION

REPORTS

4. AUTHORITY (Data Acquisition Document No.)

DI-MCCR-80700

5. CONTRACT REFERENCE

PWS 4.1.9.2

6. REQUIRING OFFICE

96 TSSQ/RNXC

7. DD 250 REQ

NO

8. APP CODE

N/A

MONTHLY

11. AS OF DATE

N/A

12. DATE OF FIRST…