AISS_III_-_RFP_Exhibit_A_-_CDRL_Portfolio.pdf

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Applications, Infrastructure, and Systems Support - Third Iteration (AISS III)
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FA4452-17-R-0003
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Exhibit A - CDRLs

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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

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: A007 title: Conference Agenda and Conference Minutes sub:

auth: DI-ADMN-81249A / DI-ADMN-812 ref: PWS para 3.3.3, 5.10, 5.10.1 req_ofc: USAF HQ AMC/A6IS dd250: N appcode: N dist: See Blk 16 freq: See Blk 16 asof: N/A firstsub: See Blk 16 subsub: See Blk 16 addressee1: Email to COR draft1: 1 reg1: 1 repro1:

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total_draft: 1 total_reg: 1 total_repro: 0 remarks: Blk 4: Conference Agenda IAW DI-ADMN-81249A / Conference Minutes IAW DI-ADMN-81250A Agreed upon Contractor format by Program Manager is acceptable.

Blk 9: Distribution Code A – Approved for Public Release.

Blk 12: Agenda due 2 work days prior to the meeting.

Blk 13: As Required per the AISS Management COR.

COR Email: robert.dixon.14@us.af.mil group:

total_price:

prep_name: Robert L. Dixon, GS-12 line_item:

exhibit: A xtdp: Off xtm: Off othercat: ADMN system: MAF C2, ITV/Business Systems ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by: Mark A. Wright, GS-13 app_date:

Page:

of_pages:

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: Asset Management Plan sub:

auth: DI-MGMT-80277 ref: PWS para 3.3.3, 4.2 req_ofc: USAF HQ AMC/A6IS dd250: N appcode: N dist: See Blk 16 freq: See Blk 16 asof: N/A firstsub: See Blk 16 subsub: See Blk 16 addressee1: Email to COR draft1: 1 reg1: 1 repro1:

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total_draft: 1 total_reg: 1 total_repro: 0 remarks: Blk 4: Agreed upon Contractor format by Program Manager is acceptable.

Blk 9: Distribution Code A – Approved for Public Release.

Blk 10, 12, and 13: Draft document due with proposal. Final document due 15 days after completion of initial inventory; updates annually if required.

group:

total_price:

prep_name: Robert L. Dixon, GS-12 line_item:

exhibit: A xtdp: Off xtm: Off othercat: MGMT system: MAF C2, ITV/Business Systems ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by: Mark A. Wright, GS-13 app_date:

Page:

of_pages:

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: Status of Government Furnished Equipment (GFE) Report sub: Monthly Activity Reports (Asset Management) auth: DI-MGMT-80269 ref: PWS Para. 3.3.3, 4.2 req_ofc: USAF HQ AMC/A6IS dd250: N appcode: N dist: See Blk 16 freq: See Blk 16 asof: N/A firstsub: See Blk 16 subsub: See Blk 16 addressee1: Email to COR draft1: 1 reg1: 1 repro1:

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total_draft: 1 total_reg: 1 total_repro: 0 remarks: Blk 4: See Addendum. Agreed upon Contractor format by Program Manager is acceptable.

Blk 9: Distribution Code A – Approved for Public Release.

Blk 12: 30 days after contract award.

Blk 13: See Addendum.

group:

total_price:

prep_name: Robert L. Dixon, GS-12 line_item:

exhibit: A xtdp: Off xtm: Off othercat: MGMT system: MAF C2, ITV/Business Systems ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by: Mark A. Wright, GS-13 app_date:

Page:

of_pages:

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: Continuity of Operations Plan (COOP) sub: N/A auth: AFI 10-208 ref: PWS para 3.5.2, 5.10.2 req_ofc: USAF HQ AMC/A6IS dd250: N appcode: N dist: See Blk 16 freq: Monthly asof: N/A firstsub: See Blk 16 subsub: See Blk 16 addressee1: Email to COR draft1: 1 reg1: 1 repro1:

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total_draft: 1 total_reg: 1 total_repro: 0 remarks: Existing COOPs will be provided to the contractor at time of contract award.

Blk 4: Agreed upon Contractor format by Program Manager is acceptable.

Blk 9: Distribution Code C – Administrative or Operational use – Distribution authorized to US Government Agencies and their contractors. Determination Date: 19 Oct 2015. Other requests for this document shall be referred to the US Air Force AISS Management COR. This information may be classified or unclassified; when unclassified it is export-controlled and submit to the provisions of DoD Directive 5230.20 (reference c.).

Blk 12: Upon receipt of an existing COOP, the Contractor shall update it to reflect AISS’ responsibilities and ensure that they comply with the AFI. Draft due 45 days after receipt. Final due 30 days after receipt of Government comments to draft. Upon notification to prepare COOP, draft due 90 days after notification. Final due 6 days after receipt of Government comments to draft.

Blk 13: Contractor shall ensure that the COOP remain in compliance with the latest Government policies and procedures. Updates within 30 days due if material change in policy, procedures or to mitigate continuity of operation failures or shortcomings, as direct by the Government.

group:

total_price:

prep_name: Robert L. Dixon, GS-12 line_item:

exhibit: A xtdp: Off xtm: Off othercat: AFI system: MAF C2, ITV/Business Systems ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by: Mark A. Wright, GS-13 app_date:

Page:

of_pages:

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: Scientific & Technical Reports sub: Engineering Documentation Information auth: DI-EDRS-80410 ref: PWS para 3.5.2, 4.1, 4.8.2, 4.10, 5.10.2 req_ofc: USAF HQ AMC/A6IS dd250: N appcode: N dist: See Blk 16 freq: See Blk 16 asof: N/A firstsub: See Blk 16 subsub: See Blk 16 addressee1: Email to COR draft1: 1 reg1: 1 repro1:

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total_draft: 1 total_reg: 1 total_repro: 0 remarks: Blk 4: Will be developed on topics assigned by the Government. May be in the form:

Technology Refresh Plans Post Installation Reports Technical Proposals Task Transition Plans Fielding Plans Others as Requested Agreed upon Contractor format by Program Manager is acceptable.

Blk 9: Distribution Code C – Administrative or Operational – Distribution authorized to U.S. Government agencies and their contractors. Determination Date: 19 Oct 2015 Other requests for this document shall be referred to the US Air Force AMC AISS Management COR. This information may be classified or unclassified, when unclassified it is export-controlled and subject to the provisions of DoD Directive 5230.25 (reference c.)

Blk 10, 12, and 13: Time frame required will be negotiated at the time the Government makes a request.

group:

total_price:

prep_name: Robert L. Dixon, GS-12 line_item:

exhibit: A xtdp: Off xtm: Off othercat: EDRS system: MAF C2, ITV/Business Systems ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by: Mark A. Wright, GS-13 app_date:

Page:

of_pages:

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: Integrated Master Schedule (IMS) sub: N/A auth: DI-MGMT-81650 ref: See Blk 16 req_ofc: USAF HQ AMC/A6IS dd250: N appcode: N dist: See Blk 16 freq: Weekly asof: N/A firstsub: See Blk 16 subsub: See Blk 16 addressee1: Email to COR draft1: 1 reg1: 1 repro1:

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total_draft: 1 total_reg: 1 total_repro: 0 remarks: Blk 4: Contractor shall create the necessary schedules to support the programs’ IMS with MS Project.

Agreed upon Contractor format by Program Manager is acceptable.

Blk 5: PWS para 3.5.2, 4.1, 4.7.1, 4.8.2, 4.9, 4.9.1, 4.9.3, 4.9.4, 5.10

Blk 9: Distribution Code C – Administrative or Operational Use– Distribution authorized to U.S. Government agencies and their contractors. Determination Date: 19 Oct 2015 Other requests for this document shall be referred to the US Air Force AMC AISS Management COR. This information may be classified or unclassified, when unclassified it is export-controlled and subject to the provisions of DoD Directive 5230.25 (reference c.)

Blk 12: 45 days after contract award

Blk 13: Noon on Friday group:

total_price:

prep_name: Robert L. Dixon, GS-12 line_item:

exhibit: A xtdp: Off xtm: Off othercat: MGMT system: MAF C2, ITV/Business Systems ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by: Mark A. Wright, GS-13 app_date:

Page:

of_pages:

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: A013 title: Baseline Description Document sub: N/A auth: DI-CMAN-81121 ref: PWS para 3.5.2, 4.1, 4.2, 4.8.2 req_ofc: USAF HQ AMC/A6IS dd250: N appcode: N dist: See Blk 16 freq: See Blk 16 asof: N/A firstsub: See Blk 16 subsub: See Blk 16 addressee1: Email to COR draft1: 1 reg1: 1 repro1:

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total_draft: 1 total_reg: 1 total_repro: 0 remarks: Blk 4: Agreed upon Contractor format by Program Manager is acceptable.

Blk 9: Distribution Code C – Critical Technology – Distribution authorized to U.S. Government agencies and their contractors. Determination Date: 19 Oct 2015 Other requests for this document shall be referred to the US Air Force AMC AISS Management COR. This information may be classified or unclassified, when unclassified it is export-controlled and subject to the provisions of DoD Directive 5230.25 (reference c.)

Blk 10, 12, and 13: Complete Baseline descriptions for Test Baselines (TBL) and Production Baselines (PBL) within 10 days of releases. Complete baselines (other than physical hardware) maintained in CML.

group:

total_price:

prep_name: Robert L. Dixon, GS-12 line_item:

exhibit: A xtdp: Off xtm: Off othercat: CMAN system: MAF C2, ITV/Business Systems ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by: Mark A. Wright, GS-13 app_date:

Page:

of_pages:

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: A014 title: Facility Drawing sub: N/A auth: See Blk 16 ref: PWS para 3.5.2, 4.1, 5.10.2 req_ofc: USAF HQ AMC/A6IS dd250: N appcode: N dist: See Blk 16 freq: See Blk 16 asof: N/A firstsub: See Blk 16 subsub: See Blk 16 addressee1: Email to COR draft1: 1 reg1: 1 repro1:

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total_draft: 1 total_reg: 1 total_repro: 0 remarks: Blk 4: Use US National CAD Standard Version 3.1, January 2005 as a guide. Agreed upon Contractor format by Program Manager is acceptable.

Blk 9: Distribution Code C – Administrative or Operational Use – Distribution authorized to U.S. Government agencies and their contractors. Determination Date: 19 Oct 2015 Other requests for this document shall be referred to the US Air Force AMC AISS Management COR. This information may be classified or unclassified, when unclassified it is export-controlled and subject to the provisions of DoD Directive 5230.25 (reference c.)

Blk 10, 12, and 13: As required by the AISS Management COR.

group:

total_price:

prep_name: Robert L. Dixon, GS-12 line_item:

exhibit: A xtdp: Off xtm: Off othercat: OTHER system: MAF C2, ITV/Business Systems ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by: Mark A. Wright, GS-13 app_date:

Page:

of_pages:

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: A015 title: Software User Manual (SUM)/Training Materials sub: Training Conduct Support Document auth: DI-IPSC-81443A / DI-ILSS-80872 ref: PWS para 3.6 req_ofc: USAF HQ AMC/A6IS dd250: N appcode: N dist: See Blk 16 freq: As Required asof: N/A firstsub: See Blk 16 subsub: See Blk 16 addressee1: Email to COR draft1: 1 reg1: 1 repro1:

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total_draft: 1 total_reg: 1 total_repro: 0 remarks: Blk 4: SUM IAW DI-IPSC-81443A / Training Material IAW DI-ILSS-80872 Agreed upon Contractor format by Program Manager is acceptable.

Blk 9: Distribution Code A – Approved for Public Release.

Blk 12: Course documentation will be in a format designed by contractor and approved by the Government. Each release will be reviewed and a determination made if a new or updated lesson plan is required.

Blk 13: See Addendum group:

total_price:

prep_name: Robert L. Dixon, GS-12 line_item:

exhibit: A xtdp: Off xtm: Off othercat: IPSC system: MAF C2, ITV/Business Systems ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by: Mark A. Wright, GS-13 app_date:

Page:

of_pages:

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

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