Attach_3_CDRLs__for_RAOS_4_April_2017.pdf

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

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information i f 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

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PR

NO. TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

Final Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711A/T

5. CONTRACT REFERENCE

PWS 1.2.7.16

6. REQUIRING OFFICE

AFCEC/CXA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

See BLK 16

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

See Block 16*

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

End of Tech Effort

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16* Draft

Final

Reg. Repro

16. REMARKS

Block 4: Tailored to allow for ANSI-based AFCEC format guidelines including Standard Form 298. If the Final Report contains data that is being delivered with less than unlimited rights, the data with less-than-unlimited rights shall be delivered in an appropriately marked appendix to the Final Report. DI-MISC-80711A, Block 7, is clarified so that, "Pursuant to DFARS 252.235-7011, the Government will forward the approved report to the Defense Technical Information Center (DTIC).

Block 9: Distribution can range from A-F. Most reports use DISTRIBUTION STATEMENT C: Authorized to U.S. Government agencies and their contractors; administrative or operational use;

DATE OF CONTRACT AWARD. Refer other requests for this document to AFCEC/CXA, 139 Barnes Dr, Suite 2,Tyndall AFB, FL 32403-5323.

Block 13: End of Contract, 90 days from Block 11.

Blocks 12 & 13: Contractor shall deliver the first submission (Block 12) of the Final Report within 30 calendar days after completion of the technical effort. The AFCEC Program Manager will take no more than 30 calendar days to review, edit, and return to the contractor.

Acceptance shall be in accordance with the ANSI-based AFCEC format guidelines. Upon receipt of the government comments, the contractor shall take no more than 30 calendar days for the subsequent submission (Block 13) to incorporate all required changes.

AFCEC/CXA 1 1 0

15. TOTAL 1 1 0

G. PREPARED BY

Debra Richlin COR

AFCEC/CXAE

H. DATE

4 APR 2017

I. APPROVED BY J. DATE

TBD

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

Block 14: Draft and subsequent submissions shall consist of an editable (MS Word) file. Submit electronically. The final (ANSI Para. 6.3.2.4) submission shall consist of all editable text documents and all multimedia source files in current AF Standard Desktop format (MS Office compatible). Contractor-generated documents requesting public release shall be submitted to AFCEC/CXA to obtain Public Affairs (PA) approval. Documents will not be released to the public without PA approval. Acceptance shall be in accordance with the ANSI-based AFCEC format guidelines.

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 2 of 7 Pages

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

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

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

MONTHLY STATUS REPORT

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A/T

5. CONTRACT REFERENCE

PWS 4.21.2.2.

6. REQUIRING OFFICE

AFCEC/CXA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

See BLK 16

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Block 4: Tailored to allow contractor's format. Submit electronically, except when final report is due to be submitted, and then omit this item.

Block 9: DISTRIBUTION STATEMENT C: Authorized to U.S.

Government agencies and their contractors; administrative or operational use; DATE OF CONTRACT AWARD. Refer other requests for this document to AFCEC/CXA, 139 Barnes Dr, Suite 2,Tyndall AFB, FL 32403-5323.

Block 11: * At the close of the contractor's monthly accounting period.

Blocks 12 and 13: ** Check PWS for days after Block 11 time.

Block 14: Submit documents electronically.

325 CONS/LGCB 0 1 0

AFCEC/CXA 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY:

Debra Richlin, COR

AFCEC/CXAE

H. DATE

4 APR 2017

I. APPROVED BY J. DATE

TBD

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 3 of 7 Pages

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

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

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

PRESENTATION MATERIAL

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81373/T

5. CONTRACT REFERENCE

PWS 1.2., 4.21.2.1 and 4.21.2.5.

6. REQUIRING OFFICE

AFCEC/CXA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

See BLK 16

10. FREQUENCY

AS REQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg. Repro

16. REMARKS

Block 4: Tailored to require hard copy and/or computer-generated file.

Block 9: Distribution can range from A-F. Most presentations use DISTRIBUTION STATEMENT C: Authorized to U.S. Government agencies and their contractors; administrative or operational use; DATE OF CONTRACT AWARD. Refer other requests for this document to AFCEC/CXA, 139 Barnes Dr, Suite 2,Tyndall AFB, FL 32403-5323.

Block 10: AS REQ means as required to document topics under discussion at briefings, reviews and technical presentations.

Blocks 11, 12 and 13: * Submit at each meeting, briefing or review as appropriate. Contractor-generated documents requesting public release shall be submitted to AFCEC/CXA to obtain Public Affairs (PA) approval at least 30 days prior to date of required release.

Block 14: Submit electronic copies on media compatible with MS-Office for Windows. Contractor-generated documents requesting public release shall be submitted to AFCEC/CXA to obtain Public Affairs (PA) approval. Documents will not be released to the public without PA approval.

AFCEC/CXA 0 1 0

15. TOTAL 0 1 0

G. PREPARED BY

Debra Richlin, COR

AFCEC/CXAE

H. DATE

4 APR 2017

I. APPROVED BY J. DATE

TBD

17. PRICE GROUP

18. ESTIMATED

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11O 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 this burden, to Department of Defense, 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. Please DO NOT RETURN your form to either Of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

00001

B. EXHIBIT c. CATEGORY:

A TDP TM OTHER

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

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORT

3. SUBTITLE

PUBLICATIONS AND REPORTS

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE Dl-MGMT-80711A/T PWS 1.2 and 4.21.2.7

6. REQUIRING OFFICE

AFCEC/CXA

7. DD 250 REQ

LT

9.DIST

STATEMENT

See BLK 16

10. FREQUENCY

ASGEN

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. 1 COPY

8. APP CODE

NIA

11.AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16 Draft

Final

Reg. Repro

16.REMARKS

Block 4: Contractor format is acceptable for all other scientific and technical publications except final report covered under A001.

Distribution to DTIC shall only be through Air Force distribution channels.

Block 9: Distribution can range from A-F. Most reports use DISTRIBUTION STATEMENT C: Authorized to U.S. Government agencies and their contractors; administrative or operational use;

DATE OF CONTRACT AWARD. Refer other requests for this document to AFCEC/CXA, 139 Barnes Dr., Suite 2,Tyndall AFB, FL 32403-5323.

Block 10: Interim reports or publications are required during each year of the task except for the final year when the Final Technical Report (A001) satisfies this requirement.

Blocks 10, 11, 12 & 13: Submit as generated but no later than 12 months after each anniversary of the start of the technical effort.

Block 14: Draft and subsequent submissions shall consist of an editable (MS Word) file. Submit electronically. The final submission shall consist of all editable text documents and all multimedia source files in current AF Standard Desktop format (MS Office compatible).

Contractor-generated documents requesting public release shall be submitted to AFCEC/CXA to obtain Public Affairs (PA) approval.

Documents will not be released to the public without PA approval.

AFCEC/CXA 1 1 0

15. TOTAL··--- 1 1 0

H. DATE

4 APR 2017

I. APPROVED BY J. DATE

TBD

17. PRICE

GROUP

Previous editions are obso1ete Page 4 of 7 Page

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001

G. PREPARED BY

Debra Richlin, COR

AFCEC/CXAE

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 11O 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 this burden, to Department of Defense, 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. Please DO NOT RETURN your form to either Of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINEITEM NO.

00001

B. EXHIBIT c. CATEGORY:

A TOP TM OTHER _x

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

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORT

3. SUBTITLE

DESIGN & EVALUATION REPORTS

4. AUTHORITY (Data Acquisition Document No.) I 5. CONTRACT REFERENCE Dl-MGMT-80711A/T PWS 1.2. and 4.21.2.6.

6. REQUIRING OFFICE

AFCEC/CXA

7. DD 250 REQ

LT

9.DIST

STATEMENT

See BLK 16

10. FREQUENCY

ASREQ

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. 1 COPY

8. APP CODE

NIA

11.AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16 Draft

Final

Reg. Repro

16.REMARKS

Block 4: Contractor's format is acceptable.

Block 9: Distribution can range from A-F. Most reports use DISTRIBUTION STATEMENT C: Authorized to U.S. Government agencies and their contractors; administrative or operational use; DATE OF CONTRACT AWARD. Refer other requests for this document to AFCEC/CXA, 139 Barnes Dr, Suite 2,Tyndall AFB, FL 32403-5323.

Block 10: Contractor shall submit reports to document engineering design efforts and technical evaluations as required.

Block 11: Design reports 15 days prior to event where contractor is presenting OR Evaluation reports 30 days after the event.

Blocks 12 & 13: 30 calendar days after the Government identifies the requirement and the design effort or evaluation event is complete.

Block 14: Draft and final submissions shall consist of all editable text documents and all multimedia source files in current AF Standard Desktop format (MS Office compatible). Submit electronically. The final submission shall consist of all editable text documents and all multimedia source files in current AF Standard Desktop format (MS Office compatible). Contractor-generated documents requesting public release shall be submitted to AFCEC/CXA to obtain Public Affairs (PA) approval. Documents will not be released to the public without PA approval.complete.

AFCEC/CXA 1 1 0

15. TOTAL··--- 1 1 0

17. PRICE

GROUP

NSP

DD FORM 1423-1, FEB 2001 Previous editions are obso1ete Page 5 of 7 Page

H. DATE

4 APR 2017

I. APPROVED BY

TBD

G. PREPARED BY

Debra Richlin, COR

AFCEC/CXAE

18. ESTIMATED

TBD TBD

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 6 of 7 Pages

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM

TBD

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

FUNDS AND MAN-HOUR EXPENDITURE REPORT

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-80331A/T

5. CONTRACT REFERENCE

PWS 4.21.2.4

6. REQUIRING OFFICE

AFCEC/CXA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

Draft

Final

Reg Repro

16. REMARKS

Block 4: Tailored to allow contractor's format.

Block 9: B: Distribution authorized to US Government agencies only.

Block 11: * At the close of the contractor's monthly accounting period.

Blocks 12 and 13: ** 25 days after Block 11 time.

Block 14. Submit electronically.

325 CONS/LGCB 0 1 0

AFCEC/CRFT 0 1 0

AFCEC/CXA 0 1 0

15. TOTAL 0 3 0

G. PREPARED BY

Debra Richlin, COR

AFCEC/CXAE

H. DATE

4 APR 2017

I. APPROVED BY J. DATE

TBD

17. PRICE GROUP

18.

ESTIMATEDT

OTAL PRICE

DD FORM 1423-1 (BACK), FEB 2001

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 i n 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, and 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 o t h e r expenses r e l a t e d to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

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 d a t a prices shall not i nc l ude any amount for rights in data. The Government’s right to use the data shall be governed by the pertinent provisions of the contract.