02_Atch1-2_Atch3-1CDRL_pg41-43.pdf

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Household Goods Packing and Crating Services in Kanagawa
Solicitation number
FA5209-09-R-0025
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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 17. Price

0001 RESERVED Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

Required b. Copies

8. App Code 11. As of Date 13. Subsequent Submit Not separately

Reg Rep priced (NSP).

16. Remarks

15. Total

1.Data Item No. 2. Title of Data Item 3. Subtitle 17. Price

0002 Weight Tickets Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

Part I, Para A.2.b. PPSO 18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

DS Required EAS b. Copies

8. App Code 11. As of Date 13. Subsequent Submit NSP

N/A Reg Rep

16. Remarks PPSO 1

Weight tickets not required on inbound shipments unless reweigh is ordered. Schedules I, II, and III.

15. Total 1

1.Data Item No. 2. Title of Data Item 3. Subtitle 17. Price

0003 Household Goods Descriptive Inventory Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

Part I, Para A.5.i. PPSO 18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

DS Required EAS b. Copies

8. App Code 11. As of Date 13. Subsequent Submit NSP

N/A Reg Rep

16. Remarks PPSO 1

Inventories not required on inbound shipments. Schedule I and III.

15. Total 1

1.Data Item No. 2. Title of Data Item 3. Subtitle 17. Price

0004 RESERVED Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

b. Copies

8. App Code 11. As of Date 13. Subsequent Submit NSP

Reg Rep

16. Remarks

15. Total

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

Attachment 1 to Solicitation No. FA5209-09-R-0025

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

a. Addressee Final

a. Addressee Final

The public reporting burden for this collection of information is estimated to average 440 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 collecting of information, including suggestions for reducing the burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person must 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

a. Addressee Final

a. Addressee Final

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

1.Data Item No. 2. Title of Data Item 3. Subtitle 17. Price

0005 Report of Government Owned Containers Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

Part I, Para A.7.g.(2) PPSO 18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

DS Required See 16 below. See 16 below. b. Copies

8. App Code 11. As of Date 13. Subsequent Submit NSP

See 16 below. Reg Rep

16. Remarks PPSO 1

Initial report due 15 days after contract start date. Subsequent reports are due the first workday of each month. Schedule I and II.

15. Total 1

1.Data Item No. 2. Title of Data Item 3. Subtitle 17. Price

0006 Joint Statement of Loss & Damage at Delivery Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

PWS Appendix F, Para 4.b. PPSO 18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

DS See 16 below. b. Copies

8. App Code 11. As of Date 13. Subsequent Submit NSP

See 16 below. Reg Rep

16. Remarks PPSO 1

DD Form 1840. Schedule II and III.

15. Total 1

1.Data Item No. 2. Title of Data Item 3. Subtitle 17. Price

0007 RESERVED Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

b. Copies

8. App Code 11. As of Date 13. Subsequent Submit NSP

Reg Rep

16. Remarks

15. Total

1.Data Item No. 2. Title of Data Item 3. Subtitle 17. Price

0008 Transportation Control Movement Document (TCMD) Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

Part I, Para A.8.d. PPSO 18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

DS Required See 16 below. b. Copies

8. App Code 11. As of Date 13. Subsequent Submit NSP

N/A Reg Rep

16. Remarks PPSO (TO) 1

In instances where computer generated TCMDs are used, enough copies must be made to ensure the right number of copies will be submitted.

15. Total 1

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

Attachment 1 to Solicitation No. FA5209-09-R-0025

Final

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 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 collecting of information, including suggestions for reducing the burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person must 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

a. Addressee Final

a. Addressee Final

a. Addressee Final

a. Addressee

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

1.Data Item No. 2. Title of Data Item 3. Subtitle 17. Price

0009 Contractor's Weekly Report Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

Part I, Para A.8.j PPSO 18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

DS Required WKLY See 16 below. b. Copies

8. App Code 11. As of Date 13. Subsequent Submit NSP

See 16 below. Reg Rep

16. Remarks PPSO (TO) 1

Block 11 - Day of submission

Block 12 - First Monday after contract start date

Schedule I 15. Total 1

1.Data Item No. 2. Title of Data Item 3. Subtitle 17. Price

0010 Report of Shipments on Hand Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

Part I, Para A.9.h. PPSO 18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

DS Required See 16 below. b. Copies

8. App Code 11. As of Date 13. Subsequent Submit NSP

See 16 below. Reg Rep

16. Remarks PPSO (TO) 1

Blocks 10 & 11 - Determined by the TO

Negative reports are required. Should identify when reports are submitted to TO

Schedule II 15. Total 1

1.Data Item No. 2. Title of Data Item 3. Subtitle 17. Price

0011 RESERVED Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

DS Required b. Copies

8. App Code 11. As of Date 13. Subsequent Submit NSP

Reg Rep

16. Remarks

15. Total

1.Data Item No. 2. Title of Data Item 3. Subtitle 17. Price

0012 Monthly SS Metrics Report Group

4. Authority (Data Acquisition Document No.) 5. Contract Reference 6. Requiring Office

Part III, Para 5.b. PPSO 18. Est.

7. DD250 Req 9. Dist Statement 10. Frequency 12. Date of 1st Submission 14 Distribution Total

DS Required MTHLY b. Copies

8. App Code 11. As of Date 13. Subsequent Submit NSP

N/A Reg Rep

16. Remarks PPSO (TO) 1

Schedules I, II, and III.

15. Total 1

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

Attachment 1 to Solicitation No. FA5209-09-R-0025

a. Addressee Final

a. Addressee Final

a. Addressee Final

a. Addressee Final

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 440 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 collecting of information, including suggestions for reducing the burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person must 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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