A004-Validation_Report.pdf

PDF 86 KB Posted Dec 21, 2018

Attached to: GDSS C2SS Federal contract opportunity
Solicitation number: FA445219RA001
Issued by: Department of the Air Force Air Combat Command

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A004 - Validation Report

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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 and Communications 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

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: X

DSYSTEMITEM: GDSS C2 Systems Services

E_CONTRACTPR_NO: FA4452-18-R-0060

FCONTRACTOR: TBD

1_DATA_ITEM_NO: A004

2_TITLE_OF_DATA_ITEM: Test/Inspection Report

3_SUBTITLE: Validation Report

4_AUTHORITY_Data_Acquisit: DI-NDTI-80809B

5_CONTRACT_REFERENCE: PWS Para. 3.3, 8.4.2

6_REQUIRING_OFFICE: HQ AMC/A6IS

7_DID_250_REQ: N/A

8_APP_CODE: N/A

DIST_STATEMENT: See Blk 16

10_FREQUENCY: See Blk 16

11_AS_OF_DATE: See Blk 16

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: See Blk 16

addressee1: COR

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16_REMARKS: Blk 4: The DID format and content requirements are presented as a guide and may be tailored to suite particular events and circumstances. Any tailoring of the DID should be approved by the COR before submittal of a test plan.

Blk 9: C - Administrative or Operational Use

Blk 10, 12, and 13: Due verbally/email within 1 work day of test completion. Written report due 5 work days after the test event schedule as defined in the GDSS fielding plan.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

of_pages:

Reset:

reg38t: 1

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