CDRL_A0XX_Facility_Manager_Inspection_(Draft_-_24_Oct_14).doc

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War Reserve Materiels (WRM) Federal contract opportunity
Solicitation number
FA4890-15-R-0004
Issued by
Department of the Air Force Air Combat Command

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CDRL A0XX - Facility Manager Inspection (Draft - 24 Oct 14)

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Text version

FA4890-08-C-0004/P00085

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 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 Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
A
TDP TM OTHER ADMIN/MGMT DATA
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

WRM

1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
aXXX
Site Survey Report (SSR)
Facility Manager Inspection
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

DI-MISC-81381

HQ ACC AMIC/PCE

7. DD 250 REQ
9.DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION

XX

aNNly
various

b. COPIES

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

SUBMISSION

a. ADDRESSEE
Draft
Final
30 May
1 YR AfTER Last
Reg
Repro
16. REMARKS:
HQ ACC AMIC/PKB

4) Report shall be submitted in electronic format. The electronic format shall be on CD compatible with Microsoft Office in multiple files with the following structure: Part I, Introductory overview of issues/concerns from a CE/real property viewpoint. Part II, Facility Survey which shall be organized by site. The individual photos will be included on the CD submission in subfolders by site. Part III, Annual Test and Inspection Results which shall be organized by end item. Part IV, Future Projects which will be an extract of recommended projects from Part II in the attached spreadsheet format. This report will be posted to the contractor’s MIS with email notification to the addressees.

5) This section is to be modified upon the incorporation of the BUILDER program.

Block 9: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational data; date of determination is 1 Oct 08. Other requests shall be referred to HQ ACC AMIC/PKB.

11) For inspections in Part III which have not been completed in the current fiscal year, report the results of the previous year’s test along with the forecast when the current year’s test will be done.

HQ ACC AMIC/PCE

HQ ACC AMIC/PMSW

HQ ACC AMIC/DRQ

15. TOTAL

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

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