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MWMD CDRLs 29

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CONTRACT DATA REQUIREMENTS LIST

(2 Data Items) 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 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.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP

TM

OTHER

ADMIN

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

CSMC

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

17. PRICE GROUP

Data Accessions List (DAL)

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-ADMIN-81249A

MW/MD PWS Para: 6.0.

HQ AFSPC/A5F

7. DD 250 REQ

9. DIST STATEMENT

10 FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

LT

REQUIRED

Annual

SEE BLK 16

N/A

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

Draft Final N/A

As of TO Award

SUBMISSION

SEE BLK 16

Reg Repro

16. REMARKS

HQ AFSPC/A5F

BLK 12: Six months after task order award BLK 13: Annual--within 5 duty days of task order award anniversary date BLK 14: Contractor electronic copy is acceptable if in current AF standard desktop office software application

15. TOTAL

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ

9. DIST STATEMENT

10 FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

Draft Final

SUBMISSION

Reg Repro

16. REMARKS

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Keith James, YA-02, DAF CSMC Program Manager 9 Sep 09 Russ A. Ogrinz, YA-03, DAF Chief, CAASETA PMO 9 Sep 09

DD FORM 1423-2, AUG 96 (EG)PREVIOUS EDITION MAY BE USEDPage 4 of 5 Page(s)
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