Attachment_2_-_Contract_Data_Requirements_List_A001-A006_(DD_Form_1423-1).doc

Draft Document

CONTRACT DATA REQUIREMENTS LIST

( 1 Data Item ) Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing date 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 this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503

A. CONTRACT LINE ITEM NO.

All

D. SYSTEM/ITEM

PROGRAM MANAGEMENT, ENGINEERING and ACQUISITION SUPPORT(PMEAS) II

E. CONTRACT/PR NO.

FA4600-13-R-0002

F. CONTRACTOR

1. Data Item No.

A001

2. Title of Data Item:

Non-Disclosure Statement

3. Subtitle

4. Authority (Data Acquisition Document No.)

DI-MGMT-81596

5. Contract Reference

PWS Para 1.11

6. Requiring Office

AFLCMC/HBC

7. DD 250 Req

NO

9. Dist Statement

10. Frequency

As Required

12. Date of First Submission

See Block 16

14. Distribution

a. Addressee

b. Copies

8. APP CODE

11. As of Date

Publication Date

13. Date of subsequent Submission

Draft

Final

16. Remarks

Block 4. Prior to starting work under this contract, each contractor employee shall be required to sign a Non-Disclosure Statement. At a minimum the NDA must include acknowledgement of the employee’s responsibilities to protect government/proprietary/classified information, the duration of the responsibility, and consequences of unauthorized disclosure.

Block 12. Provide copy of the signed statements for each employee within 5 business days after the NDA is signed.

Block 14. Electronic submissions to the AFLCMC/HBC Program Manager, and 55 CONS shall be made via email.

Contractor Format W/Govt Approval

Electronic Copy:

AFLCMC/HBC

55th CONS/LGCZ

15. Total

G. PREPARED BY

Rebecca Creighton, CIV, DAFC

H. DATE

14 Nov 13

I. APPROVED BY

J. DATE

DD Form 1423-1 APR 89 PREVIOUS EDITIONS ARE OBSOLETE PAGE ___1___ OF ___6___ PAGES

FA4600-13-R-0002, Attachment 2

CONTRACT DATA REQUIREMENTS LIST

( 1 Data Item ) Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing date 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 this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503

A. CONTRACT LINE ITEM NO.

All

D. SYSTEM/ITEM

PROGRAM MANAGEMENT, ENGINEERING and ACQUISITION SUPPORT(PMEAS) II

E. CONTRACT/PR NO.

F. CONTRACTOR

1. Data Item No.

A002

2. Title of Data Item

Agendas/Meetings Minutes/Trip Reports

3. Subtitle

4. Authority (Data Acquisition Document No.)

DI-ADMN-81505

5. Contract Reference

See Item 16

6. Requiring Office

AFLCMC/HBC

7. DD 250 Req

9. Dist Statement

10. Frequency

12. Date of First Submission

See Item 16

14. Distribution

a. Addressee

b. Copies

8. APP CODE

A

11. As of Date

Publication Date

13. Date of subsequent Submission

Draft

Final

16. Remarks

Block 5. Performance Work Statement Para 1.3.1.8, 1.3.1.10, 1.3.1.14, 1.3.4.21, 1.9.

Block 12. Agendas will be published at least 3 working days prior to scheduled meeting and Minutes/Trip reports will be published at least 5 working days after scheduled meeting or at a Government/contractor agreed upon schedule.

Block 14. Electronic submissions shall be made via email.

Contractor Format W/Govt Approval.

Electronic Copy:

Respective PM

15. Total

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1 APR 89 PREVIOUS EDITIONS ARE OBSOLETE PAGE ___2___ OF ___6___ PAGES

CONTRACT DATA REQUIREMENTS LIST

( 1 Data Item ) Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing date 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 this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503

A. CONTRACT LINE ITEM NO.

All

D. SYSTEM/ITEM

PROGRAM MANAGEMENT, ENGINEERING and ACQUISITION SUPPORT(PMEAS) II

E. CONTRACT/PR NO.

F. CONTRACTOR

1. Data Item No.

A003

2. Title of Data Item

Activity/Project Schedules/Reports

3. Subtitle

4. Authority (Data Acquisition Document No.)

DI-FNCL-80331A

5. Contract Reference

See Item 16

6. Requiring Office

AFLCMC/HBC

7. DD 250 Req

9. Dist Statement

10. Frequency

12. Date of First Submission

14. Distribution

a. Addressee

b. Copies

8. APP CODE

11. As of Date

13. Date of subsequent Submission

Draft

Final

16. Remarks

Block 4. Will utilize software programs that are supported by USSTRATCOM.

Block 5. Performance Work Statement Para 1.3.1.5, 1.3.1.7, 1.3.1.10, 1.3.1.14, 1.3.1.20, 1.3.3.1, 1.3.3.5, 1.3.3.16, 1.3.4.1, 1.3.4.2, 1.3.4.3, 1.3.4.7, 1.3.4.8, 1.3.4.10, 1.3.4.13, 1.3.4.14, 1.3.4.15, 1.3.4.20, 1.3.4.24, & 1.14.

Block 14. Electronic submissions shall be made via email.

Electronic Copy:

Respective PM

15. Total

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1 APR 89 PREVIOUS EDITIONS ARE OBSOLETE PAGE ___3___ OF ___6___ PAGES

CONTRACT DATA REQUIREMENTS LIST

( 1 Data Item ) Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing date 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 this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503

A. CONTRACT LINE ITEM NO.

All

D. SYSTEM/ITEM

PROGRAM MANAGEMENT, ENGINEERING and ACQUISITION SUPPORT(PMEAS) II

E. CONTRACT/PR NO.

F. CONTRACTOR

1. Data Item No.

A004

2. Title of Data Item

Decision Papers/Briefings/Program Reviews

3. Subtitle

4. Authority (Data Acquisition Document No.)

DI-MISC-80508B

5. Contract Reference

See Item 16

6. Requiring Office

AFLCMC/HBC

7. DD 250 Req

9. Dist Statement

10. Frequency

12. Date of First Submission

14. Distribution

a. Addressee

b. Copies

8. APP CODE

11. As of Date

13. Date of subsequent Submission

Draft

Final

16. Remarks

Block 5. Performance Work Statement Para 1.3.1.8, 1.3.1.12.7, 1.3.1.17, 1.3.4.2, 1.3.4.13, 1.3.4.14, 1.3.4.15, & 1.3.4.21.

Block 14. Electronic submissions shall be made via email.

Respective PM

15. Total

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1 APR 89 PREVIOUS EDITIONS ARE OBSOLETE PAGE ___4___ OF ___6___ PAGES

CONTRACT DATA REQUIREMENTS LIST

( 1 Data Item ) Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing date 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 this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503

A. CONTRACT LINE ITEM NO.

All

D. SYSTEM/ITEM

PROGRAM MANAGEMENT, ENGINEERING and ACQUISITION SUPPORT(PMEAS) II

E. CONTRACT/PR NO.

F. CONTRACTOR

1. Data Item No.

A005

2. Title of Data Item

Financial Management/Acquisition Reports & Plans

3. Subtitle

4. Authority (Data Acquisition Document No.)

5. Contract Reference

See Item 16

6. Requiring Office

AFLCMC/HBC

7. DD 250 Req

9. Dist Statement

10. Frequency

12. Date of First Submission

14. Distribution

a. Addressee

b. Copies

8. APP CODE

A

11. As of Date

Publication Date

13. Date of subsequent Submission

Draft

Final

16. Remarks

Block 5. Performance Work Statement Para 1.3.1.17, 1.3.1.20, 1.3.2.2, 1.3.2.3, 1.3.3.16, 1.3.4.10, 1.3.4.14, 1.3.4.24, & 1.14.

Block 14. Electronic submissions shall be made via email.

Electronic Copy:

Respective PM

15. Total

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD Form 1423-1 APR 89 PREVIOUS EDITIONS ARE OBSOLETE PAGE ___5___ OF ___6___ PAGES

CONTRACT DATA REQUIREMENTS LIST

( 1 Data Item ) Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing date 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 this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503

A. CONTRACT LINE ITEM NO.

All

B. EXH/ATCH NO.

C. CATEGORY

D. SYSTEM/ITEM

PROGRAM MANAGEMENT, ENGINEERING and ACQUISITION SUPPORT(PMEAS) II

E. CONTRACT/PR NO.

FA4600-13-R-0002

F. CONTRACTOR

1. Data Item No.

A006

2. Title of Data Item

Independent Assessment & Evaluation of Concepts

3. Subtitle

4. Authority (Data Acquisition Document No.)

5. Contract Reference

PWS Para 1.3.1.15

6. Requiring Office

AFLCMC/HBC

7. DD 250 Req

9. Dist Statement

10. Frequency

12. Date of First Submission

14. Distribution

a. Addressee

b. Copies

8. APP CODE

A

11. As of Date

Publication Date

13. Date of subsequent Submission

Draft

Final

16. Remarks

Block 14. Electronic submissions shall be made via email.

Respective PM

15. Total

G. PREPARED BY

H. DATE

14 Nov 13

DD Form 1423-1 APR 89 PREVIOUS EDITIONS ARE OBSOLETE PAGE ___6___ OF ___6___ PAGES