Section_J _Exhibit_A _CDRLs.pdf

Exhibit A

Contract Data Requirements List

Data Item

Number Title

Data Acquisition

Document No.

Distribution

Statement

A001 Management Plan DI-MGMT-80004A B

A002 Transition-In Report DI-MGMT-81837 B

A003 Contractor's Personnel Roster DI-MGMT-81834A B

A004 Qualifications of Key Personnel DI-MGMT-81597 B

A005 Risk Management Plan DI-MGMT-81808 B

A006 Quality Assurance Plan DI-QCIC-81794 B

A007 Transition-out Report DI-MGMT-81945 B

A008 Monthly Activity and Progress Report DI-MGMT-80368A C

A009 Resource Management Report DI-FNCL-80331A B

A010 Monthly CLIN Report DI-MGMT-81651 B

A011 Accident/Incident Report DI-SAFT-81563 B

A012 Trip Report DI-MISC-81943 B

A013 Meeting or Conference Report DI-ADMN-81505 C

A014 Source/Vendor List DI-MGMT-80894A B

A015 Assessment or Study Methodology DI-NDTI-80566A C

A016 Assessment or Study Report DI-MISC-80508B C

A017 Briefings DI-MGMT-81605 C

A018 Computer Software Product DI-IPSC-81488 C

The completed DD Forms 1423-2 are attached to this PDF.

DD FORM 1423-2, AUG 96

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 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 13. DATE OF SUBSEQUENT

SUBMISSION

12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

14. DISTRIBUTION

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

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

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 1423-2 (BACK), AUG 96

line_item: X005 exhibit: A xtdp: Off xtm: Off othercat: Management system: JNWC III contract ctr_no: FA4600-16-R-0001 contr:

data_item1: A001 title1: Management Plan sub1:

auth1: DI-MGMT-80004A ref1: PWS paragraph 1.6 req_ofc1: JNWC/J0 dd250_1: LT appcode1: N/A dist1: B freq1: ONE/R asof1: KT AWD firstsub1: 21 DAC subsub1: R/ASR addr1_1: JWNC Director draft1_1: 0 reg1_1: 1 repro1_1: 0 addr1_2: JNWC Deputy Director draft1_2: 0 reg1_2: 1 repro1_2: 0 addr1_3: CORs draft1_3: 0 reg1_3: 1 repro1_3: 0 addr1_4: 55 CONS draft1_4: 0 reg1_4: 1 repro1_4: 0 addr1_5:

draft1_5:

reg1_5:

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totaldraft1: 0 totalreg1: 4 totalrepro1: 0 rmks1: Block 4: The contractor format shall be approved by the Government.

Block 13: submit updated plan within 6 months of contract award.

Block 14: distribution may be done electronically

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

group1:

totalprice1:

data_item2: A002 title2: Transition-In Report sub2:

auth2: DI-MGMT-81837 ref2: PWS paragraph 1.6 req_ofc2: JNWC/J0 dd250_2: LT appcode2: N/A dist2: B freq2: Weekly asof2: KT AWD firstsub2: 06 DAC subsub2: see remarks addr2_1: JNWC Director draft2_1: 0 reg2_1: 1 repro2_1: 0 addr2_2: JNWC Deputy Director draft2_2: 0 reg2_2: 1 repro2_2: 0 addr2_3: CORs draft2_3: 0 reg2_3: 1 repro2_3: 0 addr2_4: 55 CONS draft2_4: 0 reg2_4: 1 repro2_4: 0 addr2_5:

draft2_5:

reg2_5:

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totaldraft2: 0 totalreg2: 4 totalrepro2: 0 rmks2: Block 4: The contractor format shall be approved by the Government.

Data Item Description paragraph 3.6a shall be provided within CDRL A004 Data Item Description paragraph 3.66 shall be provided within CDRL A003 Block 13: submit weekly reports until contractor is fully mobilized and government approves suspending weekly submissions Block 14: distribution may be done electronically

NOTE: If no Government response or comments within 3 business days of the delivery of this document, it will be considered approved.

group2:

totalprice2:

prep_by:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 220 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

Item 4; Clarification of submittal dates in Items 12 and 13;

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the and does not require any substantial change to conform to Government requirements with regard to depth of content, format, otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any line_item: X005 exhibit: A xtdp: Off xtm: Off othercat: Management system: JNWC III contract ctr_no: FA4600-16-R-0001 contr:

data_item1: A003 title1: Contractor's Personnel Roster sub1:

auth1: DI-MGMT-81834A ref1: PWS paragraph 1.6 req_ofc1: JNWC/J0 dd250_1: LT appcode1: N/A dist1: B freq1: Quarterly asof1: KT AWD firstsub1: 30 DAC subsub1: AS REQ addr1_1: JNWC Director draft1_1: 0 reg1_1: 1 repro1_1: 0 addr1_2: JNWC Deputy Director draft1_2: 0 reg1_2: 1 repro1_2: 0 addr1_3: CORs draft1_3: 0 reg1_3: 1 repro1_3: 0 addr1_4: CONS draft1_4: 0 reg1_4: 1 repro1_4: 0 addr1_5:

draft1_5:

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totaldraft1: 0 totalreg1: 4 totalrepro1: 0 rmks1: Block 4: The contractor format shall be approved by the Government.

Block 13: Reports are due on the first business day of January, April, July, and October.

Block 14: distribution may be done electronically

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

group1:

totalprice1:

data_item2: A004 title2: Qualifications of Key Personnel sub2:

auth2: DI-MGMT-81597 ref2: PWS paragraphs 1.6 and 2.2 req_ofc2: JNWC/J0 dd250_2: LT appcode2: DD dist2: B freq2: AS REQ asof2: KT AWD firstsub2: AS REQ subsub2: AS REQ addr2_1: JNWC Director draft2_1: 0 reg2_1: 1 repro2_1: 0 addr2_2: JNWC Deputy Director draft2_2: 0 reg2_2: 1 repro2_2: 0 addr2_3: CORs draft2_3: 0 reg2_3: 1 repro2_3: 0 addr2_4: 55 CONS draft2_4: 0 reg2_4: 1 repro2_4: 0 addr2_5:

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totaldraft2: 0 totalreg2: 4 totalrepro2: 0 rmks2: Block 4: The contractor format shall be approved by the Government Do not include Social Security Numbers, Dates of Birth, or Places of Birth Block 8: Government approval required for all replacement key personnel Block 12: The proposal, as awarded, constitutes the first submission Block 13: submit supplemental reports are required whenever key personnel change Block 14: distribution may be done electronically group2:

totalprice2:

prep_by:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 220 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

Item 4; Clarification of submittal dates in Items 12 and 13;

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the and does not require any substantial change to conform to Government requirements with regard to depth of content, format, otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any line_item: X005 exhibit: A xtdp: Off xtm: Off othercat: Management system: JNWC III contract ctr_no: FA4600-16-R-0001 contr:

data_item1: A005 title1: Risk Management Plan sub1:

auth1: DI-MGMT-81808 ref1: PWS paragraph 1.6 req_ofc1: JNWC/J0 dd250_1: LT appcode1: N/A dist1: B freq1: Annual asof1: KT AWD firstsub1: 45 DAC subsub1: R/YRLY addr1_1: JNWC Director draft1_1: 0 reg1_1: 1 repro1_1: 0 addr1_2: JNWC Deputy Director draft1_2: 0 reg1_2: 1 repro1_2: 0 addr1_3: CORs draft1_3: 0 reg1_3: 1 repro1_3: 0 addr1_4: 55 CONS draft1_4: 0 reg1_4: 1 repro1_4: 0 addr1_5:

draft1_5:

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totaldraft1: 0 totalreg1: 4 totalrepro1: 0 rmks1: Block 4: The contractor format shall be approved by the Government.

Block 13: submit annual report no later than 1 September of every year Block 14: distribution may be done electronically

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

group1:

totalprice1:

data_item2: A006 title2: Quality Assurance Plan sub2:

auth2: DI-QCIC-81794 ref2: PWS paragraph 1.6 req_ofc2: 55 CONS dd250_2: LT appcode2: DD dist2: B freq2: ONE/R asof2: KT AWD firstsub2: 30 DAC subsub2: R/ASR addr2_1: 55 CONS draft2_1: 0 reg2_1: 1 repro2_1: 0 addr2_2: JNWC Director draft2_2: 0 reg2_2: 1 repro2_2: 0 addr2_3: JWNC Deputy Director draft2_3: 0 reg2_3: 1 repro2_3: 0 addr2_4: CORs draft2_4: 0 reg2_4: 1 repro2_4: 0 addr2_5:

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totaldraft2: 0 totalreg2: 4 totalrepro2: 0 rmks2: Block 4: The contractor format shall be approved by the Government Block 8: Contracting Officer approval required Block 14: distribution may be done electronically group2:

totalprice2:

prep_by:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 220 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

Item 4; Clarification of submittal dates in Items 12 and 13;

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the and does not require any substantial change to conform to Government requirements with regard to depth of content, format, otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any line_item: X005 exhibit: A xtdp: Off xtm: Off othercat: Management system: JNWC III contract ctr_no: FA4600-16-R-0001 contr:

data_item1: A007 title1: Transition-out Report sub1:

auth1: DI-MGMT-81945 ref1: PWS paragraph 1.6 req_ofc1: JNWC/J0 dd250_1: LT appcode1: N/A dist1: B freq1: twice asof1: See Remarks firstsub1: See Remarks subsub1: See Remarks addr1_1: JNWC Director draft1_1: 0 reg1_1: 1 repro1_1: 0 addr1_2: JNWC Deputy Director draft1_2: 0 reg1_2: 1 repro1_2: 0 addr1_3: CORs draft1_3: 0 reg1_3: 1 repro1_3: 0 addr1_4: 55 CONS draft1_4: 0 reg1_4: 1 repro1_4: 0 addr1_5:

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totaldraft1: 0 totalreg1: 4 totalrepro1: 0 rmks1: Block 4: The contractor format shall be approved by the Government.

Block 11: Date when follow-on contract announced Block 12: submit initial report no later than 45 days prior to expiration of contract Block 13: submit updated report no later than 15 days prior to expiration of contract Block 14: distribution may be done electronically group1:

totalprice1:

data_item2: A008 title2: Monthly Activity and Progress Report sub2:

auth2: DI-MGMT-80368A ref2: PWS paragraph 1.6 req_ofc2: JNWC/J0 dd250_2: LT appcode2: N/A dist2: C freq2: Monthly asof2: KT AWD firstsub2: See Remarks subsub2: 06 EOM addr2_1: JNWC Director draft2_1: 0 reg2_1: 1 repro2_1: 0 addr2_2: JNWC Deputy Director draft2_2: 0 reg2_2: 1 repro2_2: 0 addr2_3: CORs draft2_3: 0 reg2_3: 1 repro2_3: 0 addr2_4: 55 CONS draft2_4: 0 reg2_4: 1 repro2_4: 0 addr2_5:

draft2_5:

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addr2_14:

draft2_14:

reg2_14:

repro2_14:

totaldraft2: 0 totalreg2: 4 totalrepro2: 0 rmks2: Block 4: The contractor format shall be approved by the Government.

Block 12: no later than 6 working days after the end of the first full month of performance Block 14: distribution may be done electronically

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

group2:

totalprice2:

prep_by:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 220 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

Item 4; Clarification of submittal dates in Items 12 and 13;

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the and does not require any substantial change to conform to Government requirements with regard to depth of content, format, otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any line_item: X005 exhibit: A xtdp: Off xtm: Off othercat: Financial system: JNWC III contract ctr_no: FA4600-16-R-0001 contr:

data_item1: A009 title1: Resource Management Report sub1:

auth1: DI-FNCL-80331A ref1: PWS paragraph 1.6 req_ofc1: JNWC J1/4/6 dd250_1: LT appcode1: N/A dist1: B freq1: Monthly asof1: KT AWD firstsub1: 06 EOM subsub1: R/ASR addr1_1: JNWC J1/4/6 draft1_1: 0 reg1_1: 1 repro1_1: 0 addr1_2: JNWC Budget Analyst draft1_2: 0 reg1_2: 1 repro1_2: 0 addr1_3: CORs draft1_3: 0 reg1_3: 1 repro1_3: 0 addr1_4: 55 CONS draft1_4: 0 reg1_4: 1 repro1_4: 0 addr1_5:

draft1_5:

reg1_5:

repro1_5:

addr1_6:

draft1_6:

reg1_6:

repro1_6:

addr1_7:

draft1_7:

reg1_7:

repro1_7:

addr1_8:

draft1_8:

reg1_8:

repro1_8:

addr1_9:

draft1_9:

reg1_9:

repro1_9:

addr1_10:

draft1_10:

reg1_10:

repro1_10:

addr1_11:

draft1_11:

reg1_11:

repro1_11:

addr1_12:

draft1_12:

reg1_12:

repro1_12:

addr1_13:

draft1_13:

reg1_13:

repro1_13:

addr1_14:

draft1_14:

reg1_14:

repro1_14:

totaldraft1: 0 totalreg1: 4 totalrepro1: 0 rmks1: Block 4: The contractor format shall be approved by the Government.

Block 12: no later than 6 working days after the end of the first full month of performance Block 14: distribution may be done electronically

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

group1:

totalprice1:

data_item2: A010 title2: Monthly CLIN Report sub2:

auth2: DI-MGMT-81651 ref2: PWS paragraph 1.6 req_ofc2: JNWC J1/4/6 dd250_2: LT appcode2: N/A dist2: B freq2: Monthly asof2: KT AWD firstsub2: 06 EOM subsub2: R/ASR addr2_1: JNWC J1/4/6 draft2_1: 0 reg2_1: 1 repro2_1: 0 addr2_2: JNWC Budget Analyst draft2_2: 0 reg2_2: 1 repro2_2: 0 addr2_3: CORs draft2_3: 0 reg2_3: 1 repro2_3: 0 addr2_4: 55 CONS draft2_4: 0 reg2_4: 1 repro2_4: 0 addr2_5:

draft2_5:

reg2_5:

repro2_5:

addr2_6:

draft2_6:

reg2_6:

repro2_6:

addr2_7:

draft2_7:

reg2_7:

repro2_7:

addr2_8:

draft2_8:

reg2_8:

repro2_8:

addr2_9:

draft2_9:

reg2_9:

repro2_9:

addr2_10:

draft2_10:

reg2_10:

repro2_10:

addr2_11:

draft2_11:

reg2_11:

repro2_11:

addr2_12:

draft2_12:

reg2_12:

repro2_12:

addr2_13:

draft2_13:

reg2_13:

repro2_13:

addr2_14:

draft2_14:

reg2_14:

repro2_14:

totaldraft2: 0 totalreg2: 4 totalrepro2: 0 rmks2: Block 4: The contractor format shall be approved by the Government.

Block 12: submit concurrent with CDRL A009 Block 14: distribution may be done electronically group2:

totalprice2:

prep_by:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 220 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

Item 4; Clarification of submittal dates in Items 12 and 13;

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the and does not require any substantial change to conform to Government requirements with regard to depth of content, format, otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any line_item: X005 exhibit: A xtdp: Off xtm: Off othercat: Management system: JNWC III contract ctr_no:

contr:

data_item1: A011 title1: Accident/Incident Report sub1:

auth1: DI-SAFT-81563 ref1: PWS paragraph 1.6 req_ofc1: JNWC/J0 dd250_1: N/A appcode1: N/A dist1: B freq1: AS REQ asof1: KT AWD firstsub1: AS REQ subsub1: R/ASR addr1_1: JNWC Director draft1_1: 0 reg1_1: 1 repro1_1: 0 addr1_2: JNWC Deputy Director draft1_2: 0 reg1_2: 1 repro1_2: 0 addr1_3: CORs draft1_3: 0 reg1_3: 1 repro1_3: 0 addr1_4: 55 CONS draft1_4: 0 reg1_4: 1 repro1_4: 0 addr1_5:

draft1_5:

reg1_5:

repro1_5:

addr1_6:

draft1_6:

reg1_6:

repro1_6:

addr1_7:

draft1_7:

reg1_7:

repro1_7:

addr1_8:

draft1_8:

reg1_8:

repro1_8:

addr1_9:

draft1_9:

reg1_9:

repro1_9:

addr1_10:

draft1_10:

reg1_10:

repro1_10:

addr1_11:

draft1_11:

reg1_11:

repro1_11:

addr1_12:

draft1_12:

reg1_12:

repro1_12:

addr1_13:

draft1_13:

reg1_13:

repro1_13:

addr1_14:

draft1_14:

reg1_14:

repro1_14:

totaldraft1: 0 totalreg1: 4 totalrepro1: 0 rmks1: Block 4: The contractor format shall be approved by the Government. See minimum metrics required in attachment.

Block 10: submit for any major accident/incident (including fire) resulting in any one of the following: causing one or more fatalities; causing one or more disabling injuries; damaging government property exceeding $10,000; affecting program planning or production schedules; degrading the safety of the equipment under contract, such that personnel injury or property damage may be involved; or identifying a potential hazard requiring corrective action.

Block 14: distribution may be done electronically group1:

totalprice1:

data_item2: A012 title2: Trip Report sub2:

auth2: DI-MISC-81943 ref2: PWS paragraph 1.6 req_ofc2: JNWC/J0 dd250_2: N/A appcode2: N/A dist2: B freq2: AS REQ asof2: KT AWD firstsub2: AS REQ subsub2: R/ASR addr2_1: JNWC Director draft2_1: 0 reg2_1: 1 repro2_1: 0 addr2_2: JNWC Deputy Director draft2_2: 0 reg2_2: 1 repro2_2: 0 addr2_3: CORs draft2_3: 0 reg2_3: 1 repro2_3: 0 addr2_4:

draft2_4:

reg2_4:

repro2_4:

addr2_5:

draft2_5:

reg2_5:

repro2_5:

addr2_6:

draft2_6:

reg2_6:

repro2_6:

addr2_7:

draft2_7:

reg2_7:

repro2_7:

addr2_8:

draft2_8:

reg2_8:

repro2_8:

addr2_9:

draft2_9:

reg2_9:

repro2_9:

addr2_10:

draft2_10:

reg2_10:

repro2_10:

addr2_11:

draft2_11:

reg2_11:

repro2_11:

addr2_12:

draft2_12:

reg2_12:

repro2_12:

addr2_13:

draft2_13:

reg2_13:

repro2_13:

addr2_14:

draft2_14:

reg2_14:

repro2_14:

totaldraft2: 0 totalreg2: 3 totalrepro2: 0 rmks2: Block 4: The contractor format shall be approved by the Government. See minimum metrics required in attachment.

Block 12: submit within 5 working days after returning from government-funded travel unless personnel are traveling to participate in a JNWC-conducted GYPSY or FORTUNE field assessment (including planning/coordination meetings); submit within 5 working days after returning from a site survey, training, data gathering, engineering assessment, an Analytical Risk Assessment, a project briefing or other briefing; do not submit both a Meeting or Conference Report and a Trip Report - only one submission is required.

Block 14: distribution may be done electronically

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

group2:

totalprice2:

prep_by:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 220 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

Item 4; Clarification of submittal dates in Items 12 and 13;

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the and does not require any substantial change to conform to Government requirements with regard to depth of content, format, otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any line_item: X005 exhibit: A xtdp: Off xtm: Off othercat: Management system: JNWC III contract ctr_no: FA4600-16-R-0001 contr:

data_item1: A013 title1: Meeting or Conference Report sub1:

auth1: DI-ADMN-81505 ref1: PWS paragraph 1.6 req_ofc1: JNWC/J0 dd250_1: N/A appcode1: N/A dist1: C freq1: AS REQ asof1: KT AWD firstsub1: AS REQ subsub1: R/ASR addr1_1: JNWC Director draft1_1: 0 reg1_1: 1 repro1_1: 0 addr1_2: JNWC Deputy Director draft1_2: 0 reg1_2: 1 repro1_2: 0 addr1_3: CORs draft1_3: 0 reg1_3: 1 repro1_3: 0 addr1_4:

draft1_4:

reg1_4:

repro1_4:

addr1_5:

draft1_5:

reg1_5:

repro1_5:

addr1_6:

draft1_6:

reg1_6:

repro1_6:

addr1_7:

draft1_7:

reg1_7:

repro1_7:

addr1_8:

draft1_8:

reg1_8:

repro1_8:

addr1_9:

draft1_9:

reg1_9:

repro1_9:

addr1_10:

draft1_10:

reg1_10:

repro1_10:

addr1_11:

draft1_11:

reg1_11:

repro1_11:

addr1_12:

draft1_12:

reg1_12:

repro1_12:

addr1_13:

draft1_13:

reg1_13:

repro1_13:

addr1_14:

draft1_14:

reg1_14:

repro1_14:

totaldraft1: 0 totalreg1: 3 totalrepro1: 0 rmks1: Block 4: The contractor format shall be approved by the Government.

Block 10: Submit within 5 working days after returning from government-funded travel for attending a meeting or conference or when requested to take notes for a JNWC-hosted meeting or conference. Use to report a JNWC-conducted GYPSY or FORTUNE planning/coordination meetings. Do not submit both a Meeting or Conference Report and a Trip Report - only one submission is required.

Block 14: distribution may be done electronically

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

group1:

totalprice1:

data_item2: A014 title2: Source/Vendor List sub2:

auth2: DI-MGMT-80894A ref2: PWS paragraphs 1.6 and 4.16 req_ofc2: JNWC J1/4/6 dd250_2: N/A appcode2: N/A dist2: B freq2: Monthly asof2: KT AWD firstsub2: 06 EOM subsub2: R/ASR addr2_1: JNWC J1/4/6 draft2_1: 0 reg2_1: 1 repro2_1: 0 addr2_2: JNWC J4 draft2_2: 0 reg2_2: 1 repro2_2: 0 addr2_3: CORs draft2_3: 0 reg2_3: 1 repro2_3: 0 addr2_4: 55 CONS draft2_4: 0 reg2_4: 1 repro2_4: 0 addr2_5:

draft2_5:

reg2_5:

repro2_5:

addr2_6:

draft2_6:

reg2_6:

repro2_6:

addr2_7:

draft2_7:

reg2_7:

repro2_7:

addr2_8:

draft2_8:

reg2_8:

repro2_8:

addr2_9:

draft2_9:

reg2_9:

repro2_9:

addr2_10:

draft2_10:

reg2_10:

repro2_10:

addr2_11:

draft2_11:

reg2_11:

repro2_11:

addr2_12:

draft2_12:

reg2_12:

repro2_12:

addr2_13:

draft2_13:

reg2_13:

repro2_13:

addr2_14:

draft2_14:

reg2_14:

repro2_14:

totaldraft2: 0 totalreg2: 4 totalrepro2: 0 rmks2: Block 4: The contractor format shall be approved by the Government.

Block 10: submit whenever the contractor procures material exceeding $100 in cost or subcontracts with another source.

Block 12: Submit concurrent with CDRL A009 Block 14: distribution may be done electronically

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

group2:

totalprice2:

prep_by:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 220 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

Item 4; Clarification of submittal dates in Items 12 and 13;

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the and does not require any substantial change to conform to Government requirements with regard to depth of content, format, otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any line_item: X005 exhibit: A xtdp: Off xtm: Off othercat: Management system: JNWC III contract ctr_no: FA4600-16-R-0001 contr:

data_item1: A015 title1: Assessment or Study Methodology sub1:

auth1: DI-NDTI-80566A ref1: PWS paragraph 1.6 req_ofc1: JNWC/J9 dd250_1: LT appcode1: N/A dist1: C freq1: AS REQ asof1: KT AWD firstsub1: AS REQ subsub1: R/ASR addr1_1: JNWC/J9 draft1_1: 0 reg1_1: 1 repro1_1: 0 addr1_2: JNWC Director draft1_2: 0 reg1_2: 1 repro1_2: 0 addr1_3: JNWC Deputy Director draft1_3: 0 reg1_3: 1 repro1_3: 0 addr1_4: CORs draft1_4: 0 reg1_4: 1 repro1_4: 0 addr1_5:

draft1_5:

reg1_5:

repro1_5:

addr1_6:

draft1_6:

reg1_6:

repro1_6:

addr1_7:

draft1_7:

reg1_7:

repro1_7:

addr1_8:

draft1_8:

reg1_8:

repro1_8:

addr1_9:

draft1_9:

reg1_9:

repro1_9:

addr1_10:

draft1_10:

reg1_10:

repro1_10:

addr1_11:

draft1_11:

reg1_11:

repro1_11:

addr1_12:

draft1_12:

reg1_12:

repro1_12:

addr1_13:

draft1_13:

reg1_13:

repro1_13:

addr1_14:

draft1_14:

reg1_14:

repro1_14:

totaldraft1: 0 totalreg1: 4 totalrepro1: 0 rmks1: Block 4: The contractor format shall be approved by the Government.

Block 10: submit for any test or assessment excluding GYPSY and FORTUNE events, assessments, studies, or tests conducted by other activities, or when specifically exempted by a JNWC COR.

Block 14: distribution may be done electronically

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

group1:

totalprice1:

data_item2: A016 title2: Assessment or Study Report sub2:

auth2: DI-MISC-80508B ref2:

req_ofc2: JNWC/J9 dd250_2: LT appcode2: N/A dist2: C freq2: AS REQ asof2: KT AWD firstsub2: AS REQ subsub2: R/ASR addr2_1: JNWC/J9 draft2_1: 0 reg2_1: 1 repro2_1: 0 addr2_2: JNWC Director draft2_2: 0 reg2_2: 1 repro2_2: 0 addr2_3: JNWC Deputy Director draft2_3: 0 reg2_3: 1 repro2_3: 0 addr2_4: CORs draft2_4: 0 reg2_4: 1 repro2_4: 0 addr2_5:

draft2_5:

reg2_5:

repro2_5:

addr2_6:

draft2_6:

reg2_6:

repro2_6:

addr2_7:

draft2_7:

reg2_7:

repro2_7:

addr2_8:

draft2_8:

reg2_8:

repro2_8:

addr2_9:

draft2_9:

reg2_9:

repro2_9:

addr2_10:

draft2_10:

reg2_10:

repro2_10:

addr2_11:

draft2_11:

reg2_11:

repro2_11:

addr2_12:

draft2_12:

reg2_12:

repro2_12:

addr2_13:

draft2_13:

reg2_13:

repro2_13:

addr2_14:

draft2_14:

reg2_14:

repro2_14:

totaldraft2: 0 totalreg2: 4 totalrepro2: 0 rmks2: Block 4: The contractor format shall be approved by the Government.

Block 10: submit for any test or assessment excluding GYPSY and FORTUNE events, assessments, studies, or tests conducted by other activities, or when specifically exempted by a JNWC COR.

Block 14: distribution may be done electronically

NOTE: If no Government response or comments within 20 business days of the delivery of this document, it will be considered approved.

group2:

totalprice2:

prep_by:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

Reset:

The public reporting burden for this collection of information is estimated to average 220 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

Item 4; Clarification of submittal dates in Items 12 and 13;

conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the and does not require any substantial change to conform to Government requirements with regard to depth of content, format, otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any line_item: X005 exhibit: A xtdp: Off xtm: Off othercat: Management system: JNWC III contract ctr_no: FA4600-16-R-0001 contr:

data_item1: A017 title1: Briefings sub1:

auth1: DI-MGMT-81605 ref1: PWS paragraph 1.6 req_ofc1: Various dd250_1: N/A appcode1: N/A dist1: C freq1: AS REQ asof1: KT AWD firstsub1: AS REQ subsub1: R/ASR addr1_1: JNWC Director draft1_1: 0 reg1_1: 1 repro1_1: 0 addr1_2: JNWC Deputy Director draft1_2: 0 reg1_2: 1 repro1_2: 0 addr1_3: CORs draft1_3: 0 reg1_3: 1 repro1_3: 0 addr1_4:

draft1_4:

reg1_4:

repro1_4:

addr1_5:

draft1_5:

reg1_5:

repro1_5:

addr1_6:

draft1_6:

reg1_6:

repro1_6:

addr1_7:

draft1_7:

reg1_7:

repro1_7:

addr1_8:

draft1_8:

reg1_8:

repro1_8:

addr1_9:

draft1_9:

reg1_9:

repro1_9:

addr1_10:

draft1_10:

reg1_10:

repro1_10:

addr1_11:

draft1_11:

reg1_11:

repro1_11:

addr1_12:

draft1_12:

reg1_12:

repro1_12:

addr1_13:

draft1_13:

reg1_13:

repro1_13:

addr1_14:

draft1_14:

reg1_14:

repro1_14:

totaldraft1: 0 totalreg1: 3 totalrepro1: 0 rmks1: Block 4: The contractor format shall be approved by the Government.

Block 6: The requiring office depends on which JNWC directorate is being supported Block 10: submit as required; for example, for threat briefings and briefings to conferences Block 14: distribution may be done electronically group1:

totalprice1:

data_item2: A018 title2: Computer Software Product sub2:

auth2: DI-IPSC-81488 ref2: PWS paragraph 1.6 req_ofc2: JNWC J1/4/6 dd250_2: N/A appcode2: N/A dist2: C freq2: AS REQ asof2: KT AWD firstsub2: AS REQ subsub2: R/ASR addr2_1: JNWC J1/4/6 draft2_1:

reg2_1:

repro2_1:

addr2_2:

draft2_2:

reg2_2:

repro2_2:

addr2_3:

draft2_3:

reg2_3:

repro2_3:

addr2_4:

draft2_4:

reg2_4:

repro2_4:

addr2_5:

draft2_5:

reg2_5:

repro2_5:

addr2_6:

draft2_6:

reg2_6:

repro2_6:

addr2_7:

draft2_7:

reg2_7:

repro2_7:

addr2_8:

draft2_8:

reg2_8:

repro2_8:

addr2_9:

draft2_9:

reg2_9:

repro2_9:

addr2_10:

draft2_10:

reg2_10:

repro2_10:

addr2_11:

draft2_11:

reg2_11:

repro2_11:

addr2_12:

draft2_12:

reg2_12:

repro2_12:

addr2_13:

draft2_13:

reg2_13:

repro2_13:

addr2_14:

draft2_14:

reg2_14:

repro2_14:

totaldraft2: 0 totalreg2: 0 totalrepro2: 0 rmks2: Block 4: The contractor format shall be approved by the Government.

Block 14: distribution may be done electronically group2:

totalprice2:

prep_by:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

Reset: