Exh B CDRLS-DD Fm 1423

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Attached to
FA4600-11-R-0012 NIDS III A011
Solicitation number
FA4600-11-R-0012
Issued by

About this file

NIDS III Exhibit B CDRLS DD Form 1423

Text of this file

EXHIBIT B: CDRLS

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A001
Program Management Plan (PMP)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
Contractor Format {See Remarks}
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

When Revised
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
When Revised
DRAFT
Reg
repro.

16.REMARKS:

ESC/HSBB

Block 4:

The Government approved contract format Program Management Plan shall include all program management processes to include processes for risk management, configuration management, information assurance and quality assurance. Contractor shall clearly denote changes to previous version.

Block 12:

The Program Management Plan is due 60 days after start of the contract.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 30 days of the delivery of this document, it will be considered approved.

*55 CONS/LGCZ

15. TOTAL ------>

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

DD FORM 1423-2, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A002
Integrated Master Schedule (IMS)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-81650 {See Remarks}
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

When Revised
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
Monthly
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 4:

Government approved contractor format may be substituted for DID format if all required technical content is addressed. See minimum metrics required in attachment. Contractor shall clearly denote changes to previous version.

Block 12:

The IMS is due 60 days after contract start.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 10 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 2 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A003
Software Development Plan (SDP) {See Block 16}
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-IPSC-81427A {See Remarks}
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

When Revised
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.

16.REMARKS:

ESC/HSBB

Block 2:

The contractor shall ensure the Software Development Plan reflects its plans and activities for conducting maintenance, enhancements, development, reuse, modification, re-engineering, and all other activities resulting in software products. SDP tailoring proposed by the contractor shall be communicated via feedback on the proposal, the SDP, and/or during project reviews.

Block 4:

Government approved contractor format may be substituted for DID format if all required technical content is addressed. Contractor shall clearly denote changes to previous version.

Block 12:

The Software Development Plan is due 60 days after start of the contract.

Block 13:

Whenever revised or requested by the Government.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 30 days of the delivery of this document, it will be considered approved.

*55 CONS

15. TOTAL ------>

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

DD FORM 1423-2, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 3 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A004
Data Accession List (DAL)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-81453A
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

See Remarks
See Remarks

b. COPIES

8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 10: As required by the Government.

Block 12: Specific items to be delivered upon government request;

items to be delivered shall identify appropriate data rights

Block 13: As scheduled by the government following request

Block 14. Submittal in electronic format required

*Electronic transmittal letter only

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 4 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A005
Software Requirements Specification (SRS)

{See Block 16}

4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-IPSC-81433A {See Remarks}
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

When Baseline Changes
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.

16.REMARKS:

ESC/HSBB

Block 2:

Tailoring proposed by the contractor shall be provided as part of the proposal process. Additional tailoring may be proposed throughout the life of the contract, but will be subject to government approval. The SRS will include a Requirements Traceability Matrix (RTM).

Contractor shall clearly denote changes to previous version.

Block 4:

Government approved contractor format may be substituted for DID format if all required technical content is addressed.

Block 12:

The initial SRS is due at the end of Government Test and Evaluation (GDT&E).

Block 13:

When NIDS system or subsystem baseline is changed and delivered and at the start of Contractor Development Test and Evaluation (CDT&E). A complete and comprehensive NIDS SRS is required 30 days prior to the end of the contract.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 10 business days of the delivery of this document, it will be considered approved.

*55 CONS

15. TOTAL ------>

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

DD FORM 1423-2, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 5 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A006
Software Test Plan (STP) / Software Test Descrption (STD)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-IPSC-81438A {See Remarks}
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

When Baseline Changes
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.

16.REMARKS:

ESC/HSBB

Block 4:

Contractor format may be substituted for DID format if all required technical content in DI-IPSC-81439A and DI-IPSC-81438A is addressed. Format will be Government approved. See minimum metrics required in attachment. Contractor shall clearly denote changes to previous version.

Block 12:

Concurrent with beginning of Contractor Developmental Test & Evaluation.

Block 13:

Concurrent with beginning of Contractor Developmental Test & Evaluation. Based on the magnitude of the change, the Government shall determine if a new document must be issued or if the current version can be updated.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 10 business days of the delivery of this document, it will be considered approved.

*55 CONS/LGCZ

15. TOTAL ------>

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

DD FORM 1423-2, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 6 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A007
User Manuals {See Remarks}
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-IPSC-81433A {See Remarks}
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

When Baseline Changes
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 2: The User Manuals references the NIDS Software User Manual (SUM

Block 4: For the SUM, Government approved contractor format may be substituted for DID format if all required technical content is addressed. The contractor shall avoid reformatting or updating any existing SUM documents to meet DID format requirements. Contractor shall clearly denote changes to previous version.

Block 12: When NIDS system or subsystem baseline is changed and delivered prior start of Government Developmental Test & Evaluation (GDT&E).

Block 13: When NIDS systems or subsystems are changed and delivered prior to GDT&E. Based on the magnitude of the change, the Government and the contractor shall determine if a new document must be issued or if the current version can be updated.

Block 14: The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 10 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 7 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A008
Software Test Report (STR) {See Remarks}
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-IPSC-81440A {See Remarks}
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

When Baseline Changes
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 4:

Government approved contractor format may be substituted for DID format if all required technical content is addressed. See minimum metrics required in attachment. Contractor shall clearly denote changes to previous version.

Block 12:

30 days after Contractor Developmental Test & Evaluation completion.

Block 13:

30 days after Contractor Developmental Test & Evaluation completion. Based on the magnitude of the change, the Government shall determine if a new document must be issued or if the current version can be updated.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 10 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 8 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A009
Software Version Description (SVD) {See Remarks)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-IPSC-81442A {See Remarks}
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

When Baseline Changes
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 2:

The SVD includes the Software Change Request (SCR) list with a complete inventory of the release contents, a description of all the changes in each version delivery, and installation instructions (technical content from DI-IPSC-81428A and DI-IPSC-81441A). See minimum metrics required in attachment. Contractor shall clearly denote changes to previous version.

Block 4:

Government approved contractor format may be substituted for DID format if all required technical content is addressed.

Block 12:

When system or subsystem baseline is changed and delivered at the end of Government Developmental Test and Evaluation (GDT&E).

Block 13:

When system or subsystem baseline is changed and delivered (end of CDT&E) and when requested by the government. Additional SCR Lists and/or SCR Analysis Reports shall be submitted when requested by the Government.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 10 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 9 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A010
Training Materials
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
Contractor Format
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

When Revised
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 4:

Government approved contractor format. Contractor shall clearly denote changes to previous version.

Block 12:

The Training Plan is due 60 days after start of the contract.

Block 13:

Concurrent with the completion of Contractor Developmental Test and Evaluation (CDT&E). Additional training may be scheduled as needed by the Government.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 10 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 10 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A011
Program Management Review (PMR) Package

{See Remarks}

4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
Contractor Format
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

Each Event
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 2: The PMR Package includes Program Management Reviews; Technical Interchange Meetings (TIM); System Requirements Review (SRR); Design Reviews; Test Readiness Reviews (TRR) and other reviews, meetings, and conferences as coordinated with the Program Manager. For PMRs, include schedule and contractor performance metrics, as applicable.

Block 4: Government approved contractor format. Contractor shall clearly denote changes to previous version.

Block 12: Agendas are due 10 working days (or as agreed to by the government) prior to the first meeting, review, or conference. Minutes, to include action item tasks, are due 10 working days (or as agreed to by the government) after the meeting, review, or conference.

Block 13: Agendas are due 10 working days (or as agreed to by the government) prior to each subsequent meeting, review, or conference. Minutes, to include action item tasks, are due 10 working days (or as agreed to by the government) after the meeting, review, or conference.

Block 14: The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 10 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 11 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A012
Monthly Activity and Progress Report

{See Remarks}

4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
Contractor Format (See Remarks)
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

Monthly
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

End of Month
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 2:

The Monthly Activity and Progress Report shall include a CLIN status; a list of program accomplishments and significant activities; customer support activities; database activities; action item status; CDRL deliveries; upcoming events; Software Change Request (SCR) monthly status, Service Release/Patch, and history by delivery; and risk assessment.

Block 4: The contractor format shall be approved by the Government. See minimum metrics required in attachment.

Block 12:

12th working day of second month of the contract.

Block 13:

12th working day of each subsequent month of the contract.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

NOTE: If no Government response or comments within 10 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 12 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A013
Contract Performance Report (CPR)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-81466A
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

Monthly
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

NOTE: CDRL A017 requires format 1. When the contract value exceeds $20M in then-year dollars, format 5 is also required.

Block 12:

The CPR is due 60 days after start of contract.

Block 13:

12th working day of each subsequent month of the contract

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 15 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 13 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A014
Socio- Economic Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MISC-80508B (See Remarks)
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

Every 6 months
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 4:

Government approved contractor format may be substituted for DID format if all required technical content is addressed.

Block 12:

The requirement is effective at the end of the first reporting period. The reporting periods will be 1 April - 30 September and 1 October - 31 March. The report is due 12 working days after the end of the reporting period.

Block 13:

The report is due 12 working days after the end of each subsequent reporting period.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

NOTE: If no Government response or comments within 15 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 14 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A015
Software Design Document (SDD)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-IPSC-81435A {See Remarks}
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

When Design Change
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 4:

The SDD also includes the technical content from DD-IPSC-81436A as well as DI-IPSC-81435 and DI-CMAN-81248A. A Government approved contractor format may be substituted for DID format if all required technical content is addressed. See minimum metrics required in attachment. Contractor shall clearly denote changes to previous version.

Block 12-13:

When system or subsystem design is changed, deliver SDD at completion of CDT&E. A complete and comprehensive SDD is required 30 days prior to the end of the contract.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 10 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 15 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A016
Reliability and Maintainability (R&M) Program Plan
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-SESS-81613 {See Remarks}
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

Yearly
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 2: Describes the Contractor’s organization, functions, duties, responsibilities, and reporting requirements to ensure that a system or equipment contributes to the achievement of the maximum LCAC reliability and operational availability at the lowest possible Total Ownership Cost.

Block 4: Government approved contractor format may be substituted for DID format if all required technical content is addressed. Contractor shall clearly denote changes to previous version.

Block 12: The initial R&M Plan is due 30 days after requested.

Block 13: If requested, a complete and comprehensive R&M is required 30 days prior to the end of the contract.

Block 14: The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 30 days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 16 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A017
IA Deliverables
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
Contractor Format
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

See Remarks
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

See Remarks
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 4:

Government approved contractor format but includes the DISA Application Security and Development Technical Implementation Guide (STIG) checklist and the scan results from the Government provided IA source code scanning tool.

Block 10:

For each major delivery

Block 11 and 12:

First major delivery at Test Readiness Review for Government Test

Block 13:

Each delivery at Test Readiness Review for Government Test

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 15 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 17 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A018
Computer Software Product End Items (CSPEI)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MCCR-80700
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

As Required
See Remarks

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
See Remarks
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 4:

Government approved contractor format may be substituted for DID format if all required technical content is addressed. At minimum, must include: 1) Executables (e.g. .exe, .dll, .so,. war., jar) 2) Installation instructions 3) Source Code 4) Build Tools and Instructions 5) Release Notes (i.e., change log). See minimum metrics required in attachment.

Block 12-13:

CSPEI shall be delivered in conjunction with each software delivery (end of GDT&E) and if requested by the government.

Block 14:

The contractor shall deliver documents in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 15 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 18 of 19 Pages

CONTRACT DATA REQUIREMENTS LIST

(2 DATA ITEMS)

Form Approved

CMB No.0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for receiving 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 suggestion 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 forms to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
B
TDP
FORMCHECKBOX
TM
FORMCHECKBOX

OTHER:

X

D. SYSTEM / ITEM
E. CONTRACT / PR NO
F. CONTRACTOR

NIDS III

1. DATAITEM NO.
2. TITLE OF DATA ITEM

3. SUBTITLE

A019
Technical Report - Study/Service
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MCCR-80508B (See Remarks)
PWS
ESC/HSBB
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

NO

When requested
At request

b. COPIES

8. APP CODE
F
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE

FINAL

Date of Sub
At request
DRAFT
Reg
repro.
16.REMARKS:
ESC/HSBB

Block 4:

Government approved contractor format may be substituted for DID format if all required technical content is addressed.

Block 14:

The Technical Report requirements will determine distribution to other than the ISPAN Program Office, if required.

The contractor shall deliver documents to include a Contingency Plan in a media format specified by the Government.

*Electronic transmittal letter only

NOTE: If no Government response or comments within 15 business days of the delivery of this document, it will be considered approved.

*55 CONS/ LGCZ

15. TOTAL ------>

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 19 of 19 Pages Section J, Exh B

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