Attachment 2 Contract Data Requirements List 20230504.pdf

PDF 13 MB Posted

Attached to
Dobbins Base Operation Support (BOS) Services Federal contract opportunity
Solicitation number
FA670323R0001
Issued by
Department of the Air Force Reserve Command

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File Type Posted
Solicitation Amendment FA670323R00010007 SF 30.pdf PDF
Solicitation Amendment FA670323R00010006 SF 30.pdf PDF
Conformed Solicitation Amendment - FA670323R00010006.pdf PDF
Conformed Solicitation Amendment - FA670323R00010005.pdf PDF
Solicitation Amendment FA670323R00010005 SF 30.pdf PDF
Conformed Solicitation Amendment - FA670323R00010004.pdf PDF
Attachment 19 Section L Proposal Instructions 20230612.pdf PDF
Attachment 26 Site Visit Portfolio 20230612.pdf PDF
Attachment 20 Section M Evaluation Basis for Award 20230612.pdf PDF
Solicitation Amendment FA670323R00010002 SF 30.pdf PDF
Attachment 1 - Performance Work Statement 20230609 v1.3.pdf PDF
Attachment 19 Section L Proposal Instructions 20230609.pdf PDF
Attachment 23 FACTS Sheet 20230530.pdf PDF
Attachment 28 Question and Answer Worksheet 20230609.xlsx XLSX spreadsheet
Attachment 2 Contract Data Requirements List 20230607.pdf PDF
Attachment 15 Wage Determination 2015-4471 Rev. 25 20230517.pdf PDF
Conformed Solicitation Amendment - FA670323R00010002.pdf PDF
Solicitation Amendment FA670323R00010001 SF 30.pdf PDF
Attachment 9 Tab D Technical Library 20230609.pdf PDF
Attachment 16 Wage Determination GA20230304 Building 20230519.pdf PDF
Attachment 24 Past Performance Questionnaire 20230609.pdf PDF
DARB Changes Pg - 20230609 - v2.pdf PDF
Attachment 19 Section L Proposal Instructions 20230509.pdf PDF
Attachment 1 - Performance Work Statement 20230511 v1.2.pdf PDF
Attachment 4 ITO Pricing Workbook 20230430.xlsx XLSX spreadsheet
Attachment 10 Tab F Technical Library 20230504.pdf PDF
Attachment 28 Question and Answer Worksheet 202030512.xlsx XLSX spreadsheet
Attachment 8 Tab C Technical Library 20230504.pdf PDF
Attachment 20 Section M Evaluation Basis for Award 20230509.pdf PDF
Attachment 26 Site Visit Information 20230509.pdf PDF
BOS Site Visit Portfolio FA670323R0001.pdf PDF
Attachment 6 Task Ordering Procedures.docx DOCX document
Attachment 12 Tab G Technical Library 20230327.pdf PDF
Attachment 13 Statement of Equivalent Rates 20230321.pdf PDF
Attachment 16 Wage Determination GA20230304 Building 20230203.pdf PDF
Attachment 23 FACTS Sheet 20230329.pdf PDF
Attachment 1 Performance Work Statment 20230327.pdf PDF
Attachment 2 Contract Data Requirements List 20230328.pdf PDF
Attachment 8 Tab C Technical Library 20230327.pdf PDF
Attachment 10 Tab F Technical Library 20230328.pdf PDF
Attachment 15 Wage Determination 2015-4471 Rev 24 20221227.pdf PDF
Attachment 20 Section M Evaluation Basis for Award 20230327.pdf PDF
Attachment 9 Tab D Technical Library 20230327.pdf PDF
Attachment 19 Section L Proposal Instructions 20230327.pdf PDF
Solicitation - FA670323R0001.pdf PDF
Attachment 3 Government Furnished Property 20230320.xlsx XLSX spreadsheet
Attachment 4 ITO Pricing Workbook 20230328.xlsx XLSX spreadsheet
Attachment 17 Wage Determination GA20230234 Highway 20230106.pdf PDF
Attachment 18 Wage Determination GA20230287 Heavy 20230106.pdf PDF
Attachment 5 DD254 20230328.pdf PDF
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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 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

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 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 administrative and other expenses related to reproducing and

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 1423-1 (BACK), FEB 2001

data_item: F068 title: Inventory of Emergency Generators sub:

auth:

ref: F5.3.3.3 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Annual asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

repro2:

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draft3:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: The KTR shall perform an annual inventory and validation of existing RPIE generators IAW UFC 3-540-07 Operation and Maintenance (O&M): Generators and submit the report NLT 01 Aug of each year.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F052 title: FallWinter Inspection Report for Combustion Efficiency Test sub:

auth:

ref: F5.3.2.8.3 AFMAN32-1068 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Annual asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

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draft2:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: Report due NLT 15 December after completing annual requirement. The report shall include all test results for all facilities. The report shall include any item requiring repairs.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

remarksb:

Page2:

Reset:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

DD FORM 1423, AUG 96

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 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

TDP ________ TM _______ OTHER _________________________

Page ____ of ____ Pages

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 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 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 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.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of

Estimated Price - Costs to be included under Group III are the otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

DD FORM 1423 (BACK), AUG 96

addr1_1: LRS COR draft1_1:

reg1_1: 1 repro1_1:

addr1_2: LRS AO draft1_2:

reg1_2: 1 repro1_2:

addr1_3:

draft1_3:

reg1_3:

repro1_3:

draft2_1:

addr2_1: LRS COR addr2_2: LRS AO reg2_1: 1 repro2_1:

addr2_3:

draft2_3:

reg2_3:

repro2_3:

addr3_1: LRS COR addr3_2: LRS AO addr3_3:

draft3_1:

reg3_1: 1 repro3_1:

draft3_2:

reg3_2: 1 repro3_2:

draft3_3:

reg3_3:

repro3_3:

addr4_1: LRS COR draft4_1:

reg4_1: 1 repro4_1:

addr4_2: LRS AO draft4_2:

reg4_2: 1 repro4_2:

addr4_3:

draft4_3:

reg4_3:

repro4_3:

draft2_2:

repro2_2:

reg2_2: 1 line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

data_item1: D009 title1: Reusable Container Report sub1:

auth1:

ref1: D6 req_ofc1: AO/COR dd250_1:

appcode1:

dist1:

freq1: * asof1:

firstsub1: See Remarks subsub1: See Remarks group1: Group I totalprice1:

rmks1: *Report is required every 120 calendar days, and is due NLT 10 calendar days after end of each 120 day period. Initial report shall cover the 120 day period commencing with base period of performance start date. Report number of reusable containers on hand.

totaldraft1: 0 totalreq1: 2 totalrepro1: 0 data_item2: D010 title2: Scale Calibration sub2:

auth2:

ref2: D7 req_ofc2: AO/COR dd250_2:

appcode2:

dist2:

freq2: Annually asof2:

firstsub2: See Remarks subsub2: See Remarks rmks2: Written notification to the AO required 60 calendar days prior to expiration date of calibration certification. Insure scales are calibrated to meet state and local standards.

group2: Group I totalprice2:

totaldraft2: 0 totalreg2: 2 totalrepro2: 0 data_item3: D011 title3: Transportation Facilities Guides Record RCS: SDDC sub3:

auth3:

ref3: D9 req_ofc3: AO/COR dd250_3:

appcode3:

dist3:

freq3: As Req asof3:

firstsub3: See Remarks subsub3: See Remarks rmks3: Initial review due NLT 60 calendar days after start of contract. Submit revisions as they occur IAW AFJI 24-211, Vol 4. Verification of review and changes will be submitted by email to the COR. Comply with AFI 24-602, DTR Part II, AFJI 24-211, AFI 36-3012.

group3: Group I totalprice3:

totaldraft3: 0 totalreg3: 2 totalrepro3: 0 data_item4: D012 title4: Base Pallet And Net Program Procedures sub4:

auth4:

ref4: D12 req_ofc4: AO/COR dd250_4:

appcode4:

dist4:

freq4: One/R asof4:

firstsub4: See Remarks subsub4: See Remarks rmks4: Initial submission due NLT 60 calendar days after base period of performance start date. Submit revisions for acceptances as they occur, prior to publication.

group4: Group IV totalprice4:

totaldraft4: 0 totalreg4: 2 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

Page:

pages:

app: Adobe Professional 8.0

Reset:

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 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 contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any addr1_1: LRS COR draft1_1:

reg1_1: 1 repro1_1:

addr1_2: LRS AO draft1_2:

reg1_2: 1 repro1_2:

addr1_3:

draft1_3:

reg1_3:

repro1_3:

draft2_1:

addr2_1: LRS COR addr2_2: LRS AO reg2_1: 1 repro2_1:

addr2_3:

draft2_3:

reg2_3:

repro2_3:

addr3_1: LRS COR addr3_2: LRS AO addr3_3:

draft3_1:

reg3_1: 1 repro3_1:

draft3_2:

reg3_2: 1 repro3_2:

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addr4_1: LRS COR draft4_1:

reg4_1: 1 repro4_1:

addr4_2: LRS AO draft4_2:

reg4_2: 1 repro4_2:

addr4_3:

draft4_3:

reg4_3:

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draft2_2:

repro2_2:

reg2_2: 1 line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

data_item1: D013 title1: Pallet And Net Wall To Wall Inventory Report sub1:

auth1:

ref1: D12.3 req_ofc1: AO/COR dd250_1:

appcode1:

dist1:

freq1: One/R asof1:

firstsub1: See Remarks subsub1: See Remarks group1: Group I totalprice1:

rmks1: Submission is required every Tuesday into GART using the following web address https://webapps.amc.af.mil/GART/Login.aspx totaldraft1: 0 totalreq1: 2 totalrepro1: 0 data_item2: D014 title2: Lumber Usage Monthly Report sub2:

auth2:

ref2: D13.1 req_ofc2: AO/COR dd250_2:

appcode2:

dist2:

freq2: Monthly asof2:

firstsub2: See Remarks subsub2: See Remarks rmks2: The reports must be posted to the DOD WPM System within two (2) weeks (fourteen (14) calendar days) of the reported month. Prepare IAW AFI 24 Series.

group2: Group I totalprice2:

totaldraft2: 0 totalreg2: 2 totalrepro2: 0 data_item3: D015 title3: DOD Pest Free Monthly Report sub3:

auth3:

ref3: D13.1 req_ofc3: AO/COR dd250_3:

appcode3:

dist3:

freq3: Monthly asof3:

firstsub3: See Remarks subsub3: See Remarks rmks3: The reports must be posted to the DOD WPM System within two (2) weeks (fourteen (14) calendar days) of the reported month. Prepare IAW AFI 24 Series.

group3: Group I totalprice3:

totaldraft3: 0 totalreg3: 2 totalrepro3: 0 data_item4: D016 title4: (GOCARE) Program.

sub4:

auth4:

ref4: D14.1, D14.2 req_ofc4: AO/COR dd250_4:

appcode4:

dist4:

freq4: Quarterly asof4:

firstsub4: See Remarks subsub4: See Remarks rmks4: Report results of visits and/or phone calls for each TSP facility contacted. Quarterly reports will be submitted via the Logistics Tools Suite (LTS) GOCARE reporting tool NLT the 15th day of the month following the end of the quarter. Prepare IAW AFI 24 Series.

group4: Group IV totalprice4:

totaldraft4: 0 totalreg4: 2 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

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app: Adobe Professional 8.0

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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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F069 title: GeneratorEngine Inspections and Maintenance sub:

auth:

ref: F5.3.3.3.1.2 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Per Occurrence asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

addressee2:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: Corrective and preventive maintenance actions on generators shall be documented in the APIMS Power Module. The official shop record, form 487, must be uploaded and managed in the APIMS Power Module. Send electronic notification to COR and CEV when APIMS has been updated.

UFC 3-540-07

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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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F053 title: Discrepancy Report (POL) sub:

auth:

ref: F5.3.2.9 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Monthly asof:

firstsub:

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addressee1: MSG/CE/BCE/ COR draft1:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: The KTR shall prepare a written report identifying all discrepancies revealed during the inspections and tests required in UFC 3-460-03. First and subsequent submissions due NLT 5th calendar day of each month. Report to include discrepancies and required repairs, which were identified the previous month.

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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 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 contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any addr1_1: LRS COR draft1_1:

reg1_1: 1 repro1_1:

addr1_2: LRS AO draft1_2:

reg1_2: 1 repro1_2:

addr1_3:

draft1_3:

reg1_3:

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draft3_1:

reg3_1: 1 repro3_1:

draft3_2:

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contr:

data_item1: D017 title1: Report of Discrepancy/ Supply Discrepancy Reports sub1:

auth1:

ref1: D3.1.5 req_ofc1: AO/COR dd250_1:

appcode1:

dist1:

freq1: * asof1:

firstsub1: See Remarks subsub1: See Remarks group1: Group I totalprice1:

rmks1: *Submit to Receiving/Shipping Base - ** Twice per Month (5th and 20th) via Web SDR (password required) totaldraft1: 0 totalreq1: 2 totalrepro1: 0 data_item2: D018 title2: Quarterly Station Traffic Information sub2:

auth2:

ref2: D15.1.5.3 req_ofc2: AO/COR dd250_2:

appcode2:

dist2:

freq2: Quarterly asof2:

firstsub2: See Remarks subsub2: See Remarks rmks2: Information will be separated by inbound and outbound: number of aircraft handled tons of cargo loaded/offloaded, duty passengers loaded/offloaded, and space available passengers loaded/offloaded and emailed to HQ.AFRC.A4RF.ForceManagement@us.af.mil group2: Group I totalprice2:

totaldraft2: 0 totalreg2: 2 totalrepro2: 0 data_item3: D019 title3: MHE Operator-Qualification requirements sub3:

auth3:

ref3: D15.1.6/D15.1.6.1 req_ofc3: AO/COR dd250_3:

appcode3:

dist3:

freq3: As Req asof3:

firstsub3: See Remarks subsub3: See Remarks rmks3: Initial certification to incl. all licensing requirements, Performance Test Checklist requirements per AFQTP 24-3-E935 and OSHA MHE Certifications.

group3: Group I totalprice3:

totaldraft3: 0 totalreg3: 2 totalrepro3: 0 data_item4:

title4:

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dd250_4:

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rmks4:

group4: Group IV totalprice4:

totaldraft4: 0 totalreg4: 0 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

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app: Adobe Professional 8.0

Reset:

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F070 title: Active Vehicle Barrier (AVB) sub:

auth:

ref: F5.3.3.5 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Quarterly-annual asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: First and subsequent report and findings due within 5 working days after completing the required inspections and maintenance. All inspections and maintenance shall be IAW the applicable manufacturer’s instructions. Report format shall be excel.

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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 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 contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any addr1_1: AFRC/A4R draft1_1:

reg1_1: 1 repro1_1:

addr1_2: LRS COR (Tab G) draft1_2:

reg1_2: 1 repro1_2:

addr1_3:

draft1_3:

reg1_3:

repro1_3:

draft2_1:

addr2_1: AFRC/A4R addr2_2: LRS COR (Tab G) reg2_1: 1 repro2_1:

addr2_3:

draft2_3:

reg2_3:

repro2_3:

addr3_1: AFRC/A4R addr3_2: LRS COR (Tab G) addr3_3:

draft3_1:

reg3_1: 1 repro3_1:

draft3_2:

reg3_2: 1 repro3_2:

draft3_3:

reg3_3:

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addr4_1: AFRC/A4R draft4_1:

reg4_1: 1 repro4_1:

addr4_2: LRS COR (Tab G) draft4_2:

reg4_2: 1 repro4_2:

addr4_3:

draft4_3:

reg4_3:

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exhibit:

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contr:

data_item1: G001 title1: Operating Procedures/Lesson Plans/Checklists sub1:

auth1:

ref1: G5.7 req_ofc1: AFRC/A4R & COR dd250_1:

appcode1:

dist1:

freq1: As Req asof1:

firstsub1: See Remarks subsub1: See Remarks group1: Group III totalprice1:

rmks1: * Initial submission required NLT 30 calendar days after base period of performance start date. Government acceptance is required prior to implementation. Submit revisions for Government acceptance as they occur IAW AFI 23-201, Paragraph 5.7.1.

totaldraft1: 0 totalreq1: 2 totalrepro1: 0 data_item2: G002 title2: Bulk Petroleum Contingency Report (REPOL) sub2:

auth2:

ref2: G5.9 req_ofc2: AFRC/A4R & COR dd250_2:

appcode2:

dist2:

freq2: Monthly asof2:

firstsub2: See Remarks subsub2: See Remarks rmks2: REPOLs will be submitted using the web-based JCS REPOL tool on SIPR IAW CJCSM3150.14b Joint Reporting Structure, and AFI 23-201 Fuels Management.

group2: Group IV totalprice2:

totaldraft2: 0 totalreg2: 2 totalrepro2: 0 data_item3: G003 title3: Product Quality Deficiency Requirements sub3:

auth3:

ref3: G5.2.1; G5.2.4; G5.2.6 req_ofc3: AFRC/A4R & COR dd250_3:

appcode3:

dist3:

freq3: As Req asof3:

firstsub3: See Remarks subsub3: See Remarks rmks3: The KTR will report quality product deficiencies IAW AFI 23-201 and DoD 4140.25M, Volume 4.

group3: Group I totalprice3:

totaldraft3: 0 totalreg3: 2 totalrepro3: 0 data_item4: G004 title4: Bulk Petroleum Storage Facilities Report sub4:

auth4:

ref4: G5.9 req_ofc4: AFRC/A4R & COR dd250_4:

appcode4:

dist4:

freq4: Annually asof4:

firstsub4: See Remarks subsub4: See Remarks rmks4: HQ AFRC/A4RF will advise of first and subsequent submissions. Prepared IAW DoD 4140.25M, Volume 4.

group4: Group IV totalprice4:

totaldraft4: 0 totalreg4: 2 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

Page: 1 pages:

app: Adobe Professional 8.0

Reset:

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F054 title: Pressure Test System Components Report (POL) sub:

auth:

ref: F5.3.2.9 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Annual asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: Report covers pressure tests performed IAW UFC 3-460-03, Operation and Maintenance: Maintenance of Petroleum Systems. Test reports are due NLT 5 calendar days after completion of tests.

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remarksb:

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Reset:

prep_date:

app_by:

app_date:

Page:

of_pages:

app: Adobe Professional 8.0

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F071 title: Residual Inventory Report sub:

auth:

ref: F7.4 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Quarterly asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

addressee2:

draft2:

reg2:

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total_draft: 0 total_reg: 1 total_repro: 0 remarks: First and subsequent submissions due NLT 5th calendar day of each quarter current as of the end of previous quarter.

group:

total_price:

prep_name:

line_item:

exhibit:

xtdp: Off xtm: Off othercat:

system:

ctr_no:

contr:

remarksb:

Page2:

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prep_date:

app_by:

app_date:

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app: Adobe Professional 8.0

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 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 contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any addr1_1: AFRC/A4R draft1_1:

reg1_1: 1 repro1_1:

addr1_2: LRS COR (Tab G) draft1_2:

reg1_2: 1 repro1_2:

addr1_3:

draft1_3:

reg1_3:

repro1_3:

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addr2_1: AFRC/A4R addr2_2: LRS COR (Tab G) reg2_1: 1 repro2_1:

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exhibit:

xtdp: Off xtm: Off othercat:

system:

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contr:

data_item1: G005 title1: Base Support Plan sub1:

auth1:

ref1: G5.9 req_ofc1: AFRC/A4R & COR dd250_1:

appcode1:

dist1:

freq1: As Req asof1:

firstsub1: See Remarks subsub1: See Remarks group1: Group IV totalprice1:

rmks1: Prepare IAW AFI 23-201, Paragraph 12.4 totaldraft1: 0 totalreq1: 2 totalrepro1: 0 data_item2: G006 title2: Refueler Validation sub2:

auth2:

ref2: G5.9 req_ofc2: AFRC/A4R & COR dd250_2:

appcode2:

dist2:

freq2: As Required asof2:

firstsub2: See Remarks subsub2: See Remarks rmks2: Provides justification for number of refueling vehicles authorized. Submission is due IAW AFI 23-201, Paragraph 5.5.

group2: Group IV totalprice2:

totaldraft2: 0 totalreg2: 2 totalrepro2: 0 data_item3: G007 title3: Quality Control Monthly Schedule & Inspections sub3:

auth3:

ref3: G5.2.6 req_ofc3: AFPET dd250_3:

appcode3:

dist3:

freq3: Monthly asof3:

firstsub3: See Remarks subsub3: See Remarks rmks3: First submission due first day of first month of base period of performance. Subsequent submission due NLT 1 week prior to the start of the next month.

group3: Group IV totalprice3:

totaldraft3: 0 totalreg3: 1 totalrepro3: 0 data_item4: G008 title4: Cryogenic Levels sub4:

auth4:

ref4: G5.2.4.4 req_ofc4: COR dd250_4:

appcode4:

dist4:

freq4: Monthly asof4:

firstsub4: See Remarks subsub4: See Remarks rmks4: RESERVED - Provide end of month report by 5th day of each month.

group4: Group IV totalprice4:

totaldraft4: 0 totalreg4: 1 totalrepro4: 0 prep_by:

prep_date:

app_by:

app_date:

Page: 1 pages:

app: Adobe Professional 8.0

Reset:

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 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 conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any data_item: F055 title: Leak and Level Alarm Monitoring System (POL) sub:

auth:

ref: F5.3.2.9 UFC 3-460-03 req_ofc: MSG/CE/BCE dd250:

appcode:

dist:

freq: Semi-annual asof:

firstsub:

subsub:

addressee1: MSG/CE/BCE/ COR draft1:

reg1: 1 repro1:

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reg2:

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