3IS III_Exhibit A_CDRLs_v2.0.pdf

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Attached to
Innovation, Integration, and Information Support (3IS) III Federal contract opportunity
Solicitation number
FA2518-23-R-0007
Issued by
Department of the Air Force Space Command

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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

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

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

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.

FOR THE CONTRACTOR

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.

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.

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.

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.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and

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.

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 1423-1 (BACK), FEB 2001

data_item: A004 title: Contract Funds Status Report (CFSR) sub:

auth: DI-MGMT-81468 ref: PWS paragraph 1.4.2.1.1 req_ofc: 12 DOS/S46 dd250:

appcode: N/A dist: C freq: Monthly asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: PM (12 DOS/S46) draft1:

reg1: 1 repro1: 1 addressee2: SAIO/PKO draft2:

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total_draft: 0 total_reg: 1 total_repro: 2 remarks: Block 4: Report cost by appropriation unless otherwise directed by the Government. Provide separate reports for each Government fiscal year. Contractor format is acceptable.

Blocks 11, 12, and 13: Reflect the Contractor's end-of-month financial position, unless alternate accounting period is justified to the Government.

Block 14: For the purpose of this deliverable, the reproducible copy is defined as "via electronic mail" to the Contracting Officer and the Program Manager, and containing a copy of the source file in a format approved by the Government.

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: Space Delta 12, 3IS III ctr_no: FA251822R0023 contr:

remarksb:

Page2: 2

Reset:

prep_date:

app_by: EDGARD MILLAN, NH-04, DAF app_date:

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A005 title: Management Plan sub:

auth: DI-MGMT-80004A ref: PWS paragraph 1.4.2.1.1 req_ofc: 12 DOS/S46 dd250:

appcode: N/A dist: C freq: As Required asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: PM (12 DOS/S46) draft1:

reg1: 1 repro1: 1 addressee2: SAIO/PKO draft2:

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total_draft: 0 total_reg: 1 total_repro: 2 remarks: Block 4: DID items 3.2a. and 3.2b. do not apply. Contractor format is acceptable.

Block 8: Government will have 30 days to review and accept. Assume acceptance if no response within 30 days.

Block 10: Revisions based on major changes to the Contractor's management approach.

Block 14: For the purpose of this deliverable, the reproducible copy is defined as "via electronic mail" to the Contracting Officer and the Program Manager, and containing a copy of the source file in a format approved by the Government.

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: Space Delta 12, 3IS III ctr_no: FA251822R0023 contr:

remarksb:

Page2: 2

Reset:

prep_date:

app_by: EDGARD MILLAN, NH-04, DAF app_date:

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A006 title: Software Product Specification (SPS) sub:

auth: DI-IPSC-81441A ref: PWS para 1.4.3.18.

req_ofc: 12 DOS/S46 dd250:

appcode: A dist: C freq: As Required asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: PM (12 DOS/S46) draft1:

reg1: 1 repro1: 1 addressee2: SAIO/PKO draft2:

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total_draft: 0 total_reg: 2 total_repro: 2 remarks: BLK 4: Contractor format acceptable.

BLK 10: Deliver revisions as necessary to reflect major changes.

BLK 11, 12, 13: Provide draft 60 days after testing. Provide final 14 days after receiving Government comments.

BLK 14: For the purpose of this deliverable, the reproducible copy is defined as via electronic mail to the COR containing a copy of the source file a format approved by the Government.

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: Space Delta 12, 3IS III ctr_no: FA251823DXXXX contr:

remarksb:

Page2: 2

Reset:

prep_date:

app_by: EDGARD MILLAN, NH-04, DAF app_date:

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A007 title: Computer Software Products sub:

auth: DI-IPSC-81488 ref: PWS 1.4.3.18 req_ofc: 12 DOS/S46 dd250:

appcode: A dist: C freq: As Required asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: PM (12 DOS/S46) draft1:

reg1: 1 repro1: 1 addressee2: SAIO/PKO draft2:

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total_draft: 0 total_reg: 2 total_repro: 2 remarks: BLK 4: Contractor format acceptable.

BLK 10: Deliver revisions as necessary to reflect major changes.

BLK 11, 12, 13: Provide draft 60 days after testing. Provide final 14 days after receiving Government comments and in conjunction with CDRL A006.

BLK 14: For the purpose of this deliverable, the reproducible copy is defined as via electronic mail to the COR containing a copy of the source file a format approved by the Government.

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: Space Delta 12, 3IS III ctr_no: FA251823DXXXX contr:

remarksb:

Page2: 2

Reset:

prep_date:

app_by: EDGARD MILLAN, NH-04 DAF app_date:

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A008 title: Management Plan sub: Phase In/Phase Out Plan auth: DI-MGMT-80004A ref: PWS paras 1.4.2.2.4 and 1.4.2.2.5 req_ofc: 12 DOS/S46 dd250:

appcode: A dist: C freq: As Required asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: PM (12 DOS/S46) draft1: 1 reg1: 1 repro1: 1 addressee2: SAIO/PKO draft2: 1 reg2: 1 repro2: 1 addressee3:

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total_draft: 2 total_reg: 2 total_repro: 2 remarks: BLK 4: Contractor format acceptable.

The contractor shall describe the process by which the new contract efforts will be implemented with a minimum of performance, or schedule impacts stemming from performance of the current contract.

BLK 10, 11, 12, 13: A Phase-In Plan shall be submitted no later than seven (7) days after contract award. A Phase-Out Plan shall be prepared and submitted 90 days after requested by the Contracting Officer.

BLK 14: For the purpose of this deliverable, the reproducible copy is defined as via electronic mail to the COR containing a copy of the source file a format approved by the Government..

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: Space Delta 12, 3IS III ctr_no: FA251823DXXXX contr:

remarksb:

Page2: 2

Reset:

prep_date:

app_by: EDGARD MILLAN, NH-04 DAF app_date:

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A009 title: Scientific and Technical Reports sub:

auth: DI-MISC-80048 ref: PWS 1.4.3, 1.4.4.1,1.4.5.1.1, 1.4.6.1 req_ofc: 12 DOS/S46 dd250:

appcode: A dist: C freq: As Required asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: SAIO/PKO draft1:

reg1: 1 repro1: 1 addressee2: PM (12 DOS/S46) draft2:

reg2: 1 repro2: 1 addressee3:

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total_draft: 0 total_reg: 2 total_repro: 2 remarks: BLK 4: Contractor format acceptable.

The contractor shall describe the process by which the new contract efforts will be implemented with a minimum of performance, or schedule impacts stemming from performance of the contract.

BLK 10, 11, 12, 13: Submit as required when updated.

BLK 14: Reports shall be submitted electronically and meet current Front Range LAN electronic media requirements.

group:

total_price:

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line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: Space Delta 12, 3IS III ctr_no: FA251822R0023 contr:

remarksb:

Page2: 2

Reset:

prep_date:

app_by: EDGARD MILLAN, NH-04, DAF app_date:

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A010 title: Management Plan sub: Mission Essential Support auth: DI-MGMT-80004A ref: PWS para 1.3.13.2.2, 1.4.5.1 req_ofc: 12 DOS/S46 dd250:

appcode: A dist: C freq: See Blk 16 asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: PM (12 DOS/S46) draft1:

reg1: 1 repro1: 1 addressee2: SAIO/PKO draft2:

reg2: 1 repro2: 1 addressee3:

draft3:

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total_draft: 0 total_reg: 2 total_repro: 2 remarks: Block 4: Paragraph 3.1, shall address the contractor's plan for providing mission essential support to the paragraphs identified in individual Task Orders. Paragraph 3.2 shall include the subjects in the main paragraph to include a list of mission essential personnel. DID items 3.2a. and 3.2b. do not apply.

Block 8: Contractor format is acceptable.

Block 10 - 13: Initial submission must be received no later than 15 days after task order award. Revisions based on major changes to the Contractor's management approach.

Block 14: For the purpose of this deliverable, the reproducible copy is defined as "via electronic mail" to the Contracting Officer and the Program Manager, and containing a copy of the source file in a format approved by the Government.

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: Space Delta 12, 3IS III ctr_no: FA251822R0023 contr:

remarksb:

Page2: 2

Reset:

prep_date:

app_by: EDGARD MILLAN, NH-04, DAF app_date:

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A011 title: BRIEFING MATERIAL sub:

auth: DI-MGMT-81605 ref: PWS paragraph 1.4.4.1 req_ofc: 12 DOS/S46 dd250:

appcode: N/A dist: C freq: As Required asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: PM (12 DOS/S46) draft1:

reg1: 1 repro1: 1 addressee2: SAIO/PKO draft2:

reg2:

repro2: 1 addressee3:

draft3:

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total_draft: 0 total_reg: 1 total_repro: 2 remarks: BLK 3 – Material shall be submitted according to content specified in the Task Order.

BLK 4 – Paragraph 2, material shall include text. Paragraph 3, formal material shall be in the current USSF briefing format and informal material shall be in contractor format unless otherwise specified in the Task Order

BLKS 10, 11, 12, & 13 – Requirement will be specified in that Task Order.

BLK 14 - * As stated in the Task Order, ** Cover letter only. Timeline allowed between draft submittal and final will be specified in the Task Order. Delivery shall be on electronic media compatible with USSF software (Microsoft Office) coordinated with the COR.

group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: Space Delta 12, 3IS III ctr_no: FA251822R0023 contr:

remarksb:

Page2: 2

Reset:

prep_date:

app_by: EDGARD MILLAN, NH-04, DAF app_date:

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: A012 title: CONFERENCE MINUTES sub:

auth: DI-ADMN-81250C ref: PWS paragraph 1.4.4.1 req_ofc: 12 DOS/S46 dd250:

appcode: N/A dist: C freq: As Required asof: See Blk 16 firstsub: See Blk 16 subsub: See Blk 16 addressee1: PM (12 DOS/S46) draft1:

reg1: 1 repro1: 1 addressee2: SAIO/PKO draft2:

reg2:

repro2: 1 addressee3:

draft3:

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total_draft: 0 total_reg: 1 total_repro: 2 remarks: BLK 4 – Contractor format acceptable as approved by the COR.

BLK 9 – All documentation shall be marked as follows, IAW DoD Directive 5230.24: Distribution Statement B: Distribution authorized to U.S. Government Agencies Only; Administrative Use, BLK 10, 11, 12, AND 13 – Minutes are due five (5) workdays after end of local area events and seven (7) workdays after the end of all other events.

BLK 14 - * As stated in the Task Order. ** group:

total_price:

prep_name:

line_item:

exhibit: A xtdp: Off xtm: Off othercat:

system: Space Delta 12, 3IS III ctr_no: FA251822R0023 contr:

remarksb:

Page2: 2

Reset:

prep_date:

app_by: EDGARD MILLAN, NH-04, DAF app_date:

Page: 1 of_pages: 3 app: Adobe Professional 8.0

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 to each addressee. Explain reproducible copies in Item 1

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