The file's text, extracted by GovTribe without its formatting.
CDRL SUMMARY
| Seq No. |
| DID # |
| CDRL Title |
| PWS Ref |
| A001 |
| DI-FNCL-80331A |
| Funds & Manpower Expenditure Report |
| 3.1 |
| A002 |
| DI-MGMT-80368A |
| Status Report |
| 3.1 |
| A003 |
| DI-ADMN-81250A |
| Conference Minutes |
| 3.3.5 |
| A004 |
| DI-MGMT-81453A |
| Data Accession List |
| 3.2, 3.3, 3.5, 3.6 |
| A005 |
| DI-MGMT-81644A |
| DoD Architecture Framework Document |
| 3.3.1, 3.3.2 |
| A006 |
| DI-MGMT-80033 |
| Site Preparation Requirements and Installation Plan |
| 3.3.10 |
| A007 |
| DI-MISC-81274 |
| Environmental Permit |
| 3.3.11, 3.4.3 |
| A008 |
| DI-ENVR-81375 |
| Environmental Health and Safety Plan |
| 3.3.11, 3.4.3 |
| A009 |
| DI-SAFT-80101B |
| System Safety Hazard Analysis Report |
| 3.3.11, 3.4.3 |
| A010 |
| DI-SAFT-80102B |
| Safety Assessment Report |
| 3.3.11, 3.4.3 |
| A011 |
| DI-SAFT-80106B |
| Occupational Health Hazard Assessment Report |
| 3.3.11, 3.4.3 |
| A012 |
| DI-SAFT-81300A |
| Mishap Risk Assessment Report |
| 3.3.11, 3.4.3 |
| A013 |
| DI-MGMT-81605 |
| Briefing Material |
| 3.2, 3.3, 3.4, 3.5, 3.6 |
| A014 |
| DI-ADMN-81373 |
| Presentation Material |
| 3.2, 3.3, 3.4, 3.5, 3.6 |
| A015 |
| DI-ALSS-81535 |
| Deficiency Report |
| 3.4.4, 3.4.5 |
| A016 |
| DI-MISC-80711A |
| Sci. & Tech. Report |
| 3.2.1, 3.2.3, 3.3.6 |
| A017 |
| DI-MISC-80508B |
| Technical Report-Study/Services |
| 3.2, 3.3, 3.4, 3.5, 3.6 |
| A018 |
| DI- MSSM-81750 |
| DoD M&S Accreditation Plan |
| 3.2.3 |
| A019 |
| DI-MSSM-81751 |
| DoD M&S Verification and Validation Plan |
| 3.2.2, 3.2.3 |
| A020 |
| DI-MSSM-81752 |
| DoD M&S Verification and Validation Report |
| 3.2.2, 3.2.3 |
| A021 |
| DI-MSSM-81753 |
| DoD M&S Accreditation Report |
| 3.2.3 |
| A022 |
| DI-HFAC-81399A |
| Critical Task Analysis Report |
| 3.3.8, 3.4.4, 3.5.3 |
| A023 |
| DI-ENVR-81375 |
| Safety and Health (S&H) Plan |
| 7.5 |
| B001 |
| DI-IPSC-80590B |
| Computer Program End Item Documents |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B002 |
| DI-IPSC-81427A |
| Software Development Plan |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B003 |
| DI-IPSC-81428A |
| Software Installation Plan |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B004 |
| DI-IPSC-81431A |
| System/Subsystem Specification |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B005 |
| DI-IPSC-81434A |
| Interface Requirements Specification |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B006 |
| DI-IPSC-81435A |
| Software Design Description |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B007 |
| DI-IPSC-81437A |
| Data Base Design Description |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B008 |
| DI-IPSC-81438A |
| Software Test Plan |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B009 |
| DI-IPSC-81439A |
| Software Test Description |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B010 |
| DI-IPSC-81440A |
| Software Test Report |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B011 |
| DI-IPSC-81442A |
| Software Version Description |
| 3.2.2, 3.2.4, 3.2.6, 3.2.7, 3.4.5 |
| B012 |
| DI-IPSC-81443A |
| Software Users Manual |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B013 |
| DI-IPSC-81445A |
| Software Input/Output Manual |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| B014 |
| DI-IPSC-81446A |
| Computer Operation Manual |
| 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
Data Item Description (DID) documents can be found at: https://assist.daps.dla.mil/quicksearch/
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| FUNDS & MAN-HOURS EXPENDITURE REPORT |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-FNCL-80331A |
| PWS 3.1 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
$0.00
| SEE BLK 16 |
| B |
| MONTHLY |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 4 – Paragraphs 2, 4: Contractor format acceptable but must be approved by AFOTEC/A-7K, First Submission Only. Paragraph 3: When supporting more than one program under a task order (umbrella/division support), breakout the required report data under each program. Paragraph 4.1 – 4.3: Add “The lag between real time labor and cost incurred versus reported data should not be longer than 45 calendar days including subcontractor data.”
BLK 9 – All documentation shall be marked as follows, IAW DoD Directive 5320.24: Distribution Statement B: Distribution authorized to US Government Agencies Only, Proprietary Information, 26 Jul 11. Other requests shall be referred to AFOTEC/A-7K, 8500 Gibson Blvd SE, Kirtland AFB NM 87117-5558.
BLK 11, 12, AND 13 – 15 calendar days after end of prime contractor’s monthly accounting period.
BLK 14 - * as stated in the task order.
A-7K
A-7R
ACO
COR
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
(2 Data Items) 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 |
| 0001 |
| A |
| TDP |_| TM |_| OTHER |_| |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
CONTRACT DATA REQUIREMENTS LIST
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 |
| 0001 |
| A |
| 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 GROUP
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MGMT-80368A |
| PWS 3.1 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| SEE BLK 16 |
| SEE CDRL A001 |
| MONTHLY |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
LT
BLK 4 – Paragraph 3.1: Include how prime is meeting requirement of FAR Clause 52.219-14. The formula to be used to meet this requirement is Fully-Burdened Prime Labor Cost (FBPLC) divided by FBPLC plus Fully Burdened Subcontractor(s) Labor Cost (FBSLC). For both costs, any other direct costs, e.g., travel, with applicable indirect costs applied and fee would be removed. Paragraph 3.2: When supporting more than one program by task order , breakout the required report data under each program. Paragraph 3.2.1i Provide number of safety mishaps/incidents/OSHA violations and the resolution/mitigation. Paragraph 3.2.3: Delete this item when CDRL A001 is directed.
BLK 7 – Zcoded DD250 required with final report.
BLK 11, 12, AND 13 – 15 calendar days after end of prime contractor’s monthly accounting period.
BLK 14 – * as stated in the task order. ** provide to AFOTEC/SE only if safety issues are reported. This status report shall be submitted on every task order. The COR copy shall cover the task orders assigned to the COR. Each A-7K/Contracting Officer single copy shall cover all active task orders.
A-7K
ACO
COR
AFOTEC/SE**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ADMN-81250A |
| PWS 3.3.5 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| B |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 4 – Contractor format acceptable as approved by the COR.
BLK 9 – All documentation shall be marked as follows, IAW DoD Directive 5230.24: Distribution Statement B: Distribution authorized to U.S. Government Agencies Only; Administrative Use, 26 Jul 11. Other requests shall be referred to AFOTEC/A-7K, 8500 Gibson Blvd. SE Kirtland AFB NM 87117-5558.
BLK 10, 11, 12, AND 13 – Minutes are due five (5) workdays after end of local area events and seven (7) workdays after the end of all other events..
BLK 14 - * as stated in the task order, ** cover letter only.
A-7K**
ACO**
COR
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| A |
| 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 GROUP
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MGMT-81453 |
| PWS 3.2, 3.3, 3.5, 3.6 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| B |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
N/A
BLK 9 – All documentation shall be marked as follows, IAW DoD Directive 5230.24: Distribution Statement B: Distribution authorized to U.S. Government Agencies Only; Test & Evaluation, 26 Jul 11. Other requests shall be referred to AFOTEC/A-7K, 8500 Gibson Blvd. SE Kirtland AFB NM 87117-5558
BLKS 10, 11, 12, AND 13 – Requirements will be specified in the task order.
BLK 14 - * as stated in the task order, ** cover letter only.
A-7K**
ACO**
COR
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A005 |
| DoD ARCHITECTURE FRAMEWORK DOCUMENT |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MGMT-81644 |
| PWS 3.3.1, 3.3.2 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 4 – Requirement applies to operational views 1 through 6 and system views 1 through 7 only when developing AFOTEC’s evaluation view. Contractor format acceptable but shall be comparable to format for evaluation view and procedures of AFOTEC OT&E guide and approved by the COR.
BLKS 10, 11, 12, AND 13 – Requirements will be specified in the task order.
BLK 14 - * as stated in the task order, ** cover letter only.
A-7K**
ACO**
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| A |
| 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 GROUP
| A006 |
| SITE PREPARATION REQUIREMENTS & INSTALLATION PLAN |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MGMT-80033 |
| PWS 3.3.10 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLKS 10, 11, 12, AND 13 – Requirements will be specified in the task order.
BLK 14 - * as stated in the task order, ** cover letter only. Final due ten (10) workdays after Government comments.
A-7K**
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A007 |
| ENVIRONMENTAL PERMIT |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MISC-81274 |
| PWS 3.3.11, 3.4.3 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLKS 10, 11, 12, & 13 – Requirement will be specified in the task order.
BLK 14 - * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order.
A-7K**
ACO**
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| A |
| 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 GROUP
| A008 |
| ENVIRONMENTAL, HEALTH & SAFETY PLAN |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ENVR-81375 |
| PWS 3.3.11, 3.4.3 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLKS 10, 11, 12, & 13 – Requirement will be specified in the task order.
BLK 14 – * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order.
A-7K**
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A009 |
| SYSTEM SAFETY HAZARD ANALYSIS REPORT |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-SAFT-80101B |
| PWS 3.3.11, 3.4.3 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLKS 10, 11, 12, & 13 – Requirement will be specified in the task order.
BLK 14 – * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order.
A-7K**
ACO**
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| A |
| 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 GROUP
| A010 |
| SAFETY ASSESSMENT REPORT |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-SAFT-80102B |
| PWS 3.3.11, 3.4.3 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLKS 10, 11, 12, & 13 – Requirement will be specified in the task order.
BLK 14 – * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order.
A-7K**
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A011 |
| OCCUPATIONAL HEALTH HAZARD ASSESSMENT REPORT |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-SAFT-80106B |
| PWS 3.3.11, 3.4.3 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLKS 10, 11, 12, & 13 – Requirement will be specified in the task order.
BLK 14 – * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order.
A-7K**
ACO**
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| A |
| 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 GROUP
| A012 |
| MISHAP RISK ASSESSMENT REPORT |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-SAFT-81300A |
| PWS 3.3.11, 3.4.3 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLKS 10, 11, 12, & 13 – Requirement will be specified in the task order.
BLK 14 – * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order.
A-7K**
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A013 |
| BRIEFING MATERIAL |
| SEE BLK 16 |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MGMT-81605 |
| PWS 3.2, 3.3, 3.4, 3.5, 3.6 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 3 – Material shall be submitted according to content specified in the task order.
BLK 4 – Paragraph 2, material shall include text. Paragraph 3, formal material shall be in the current AFOTEC briefing format and informal material shall be in contractor format unless otherwise specified in the task order
BLKS 10, 11, 12, & 13 – Requirement will be specified in that task order.
BLK 14 - * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order. Delivery shall be on electronic media compatible with AFOTEC software (Microsoft Office) coordinated with the COR.
A-7K**
ACO**
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| A |
| 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 GROUP
| A014 |
| PRESENTATION MATERIAL |
| SEE BLK 16 |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ADMN-81373 |
| PWS 3.2, 3.3, 3.4, 3.5, 3.6 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 3 – Material shall be submitted according to content specified in the task order.
BLK 4 – Includes multimedia elements including audio, animation, video, and still.
BLKS 10, 11, 12, & 13 – Requirement will be specified in that task order.
BLK 14 - * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order. Delivery shall be on electronic media compatible with AFOTEC software (Microsoft Office) coordinated with the COR.
A-7K**
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A015 |
| DEFICIENCY REPORT (DR) |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ALSS-81535 |
| PWS 3.4.4, 3.4.5 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 4 – Paragraph 10.1: Add reports shall be delivered electronically compatible with AFOTEC software (Microsoft Office) and coordinated with the COR.
BLKS 10, 11, 12, & 13 – Requirement will be specified in the task order.
BLK 14 – * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order.
A-7K**
ACO**
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| A |
| 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 GROUP
| A016 |
| SCIENTIFIC AND TECHNICAL REPORTS |
| SEE BLK 16 |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MISC-80711A |
| PWS 3.2.1, 3.2.3, 3.3.6 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 3 – Reports shall be submitted according to content specified in the task order.
BLK 4 – These reports shall only be used for formal delivery of analytical, scientific, engineering, and test documents that will be released to DTIC. For documents not released to DTIC, see CDRL A019. Paragraph 10.2: Deliverables shall use the current AFOTEC formats and guidance available from the COR.
BLKS 10, 11, 12, & 13 – Requirement will be specified in that task order.
BLK 14 - * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order. Delivery shall be on electronic media compatible with AFOTEC software (Microsoft Office) coordinated with the COR.
A-7K**
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A017 |
| TECHNICAL REPORT – STUDY/SERVICES |
| SEE BLK 16 |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MISC-80508B |
| PWS 3.2, 3.3, 3.4, 3.5, 3.6 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 3 – Reports shall be subtitled according to content specified in the task order.
BLK 4 – Reports released to DTIC should use CDRL A018. Paragraph 2: Deliverables shall use the current AFOTEC formats and guidance available from the COR.
BLKS 10, 11, 12, & 13 – Requirement will be specified in that task order.
BLK 14 - * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order. Delivery shall be on electronic media compatible with AFOTEC software (Microsoft Office) coordinated with the COR.
A-7K**
ACO**
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| A |
| 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 GROUP
| A018 |
| DoD M&S ACCREDITATION PLAN |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MSSM-81750 |
| PWS 3.2.3 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 4 – Paragraph 2: Plan format and content shall be coordinated with the COR.
BLKS 10, 11, 12, & 13 – Requirement will be specified in that task order.
BLK 14 - * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order. Delivery shall be on electronic media compatible with AFOTEC software (Microsoft Office) coordinated with the COR.
A-7K**
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A019 |
| DoD M&S VERIFICATION & VALIDATION PLAN |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MSSM-81751 |
| PWS 3.2.2, 3.2.3 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 4 – Paragraph 2: Plan format and content shall be coordinated with the COR.
BLK 14 - * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order. Delivery shall be on electronic media compatible with AFOTEC software (Microsoft Office) coordinated with the COR.
A-7K**
ACO**
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| A |
| 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 GROUP
| A020 |
| DoD M&S VERIFICATION & VALIDATION REPORT |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MSSM-81752 |
| PWS 3.2.2 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 4 – Paragraph 2: Plan format and content shall be coordinated with the COR.
BLK 14 - * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order. Delivery shall be on electronic media compatible with AFOTEC software (Microsoft Office) coordinated with the COR.
A-7K**
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A021 |
| DoD M&S ACCREDITATION REPORT |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MSSM-81753 |
| PWS 3.2.3 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 4 – Paragraph 2: Plan format and content shall be coordinated with the COR.
BLK 14 - * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order. Delivery shall be on electronic media compatible with AFOTEC software (Microsoft Office) coordinated with the COR.
A-7K**
ACO**
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| A |
| 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 GROUP
| A022 |
| CRITICAL TASK ANALYSIS REPORT |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-HFAC-81399A |
| PWS 3.3.8, 3.4.4, 3.5.3 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| SEE BLK 16 |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
BLK 4 – Paragraphs 1 and 2: Contractor format and content acceptable as approved by the COR.
BLK 14 - * as stated in the task order, ** cover letter only. Timeline allowed between draft submittal and final will be specified in the task order. Delivery shall be on electronic media compatible with AFOTEC software (Microsoft Office) coordinated with the COR.
A-7K**
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A023 |
| ENVIRONMENTAL HEALTH AND SAFETY PLAN |
| SAFETY AND HEALTH (S&H) PLAN |
NSP
| 4. AUTHORITY (Data Acquisition Document No.)\ DI-ENVR-81375 |
| 5. CONTRACT REFERENCE |
6. REQUIRING OFFICE
18. ESTIMATED
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A003 |
| SEE Blk 16 |
| SEE Blk 16 |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
A
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| 16. REMARKS |
| AFOTEC/SE |
| 1 |
| 1 |
BLK 4 – Paragraphs 1 and 2: Contractor format and content acceptable as approved by the AFOTEC/SE. Replace the information in paragraph 10.3 with the information in PWS 7.5.1.
BLK 5 – Info in PWS 7.5.1 to be included in the S&H Plan.
BLKS 10, 11, 12, & 13 –Draft plan is due 10 calendar days after contract award. Government has 15 calendar days to review plan.. Contractor has 15 days calendar to provide final plan. Plan shall be updated and resubmitted within 10 calendar days when contractor’s work sites, process or procedures changes. Same review and approval schedule applies.
BLK 14 - ** cover letter only. Delivery shall be on electronic media compatible with AFOTEC software (Microsoft Office) coordinated with AFOTEC/SE.
A-7K**
ACO**
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S.L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423-2, AUG 96 PREVIOUS EDITIONS MAY BE USED Page of Pages
CONTRACT DATA REQUIREMENTS LIST
(4 Data Items) Form Approved
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 |
| 0001 |
| B |
| TDP |_| TM |_| OTHER |X| |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B001 |
| COMPUTER PROGRAM END ITEM DOCUMENTS |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ISPC-80590B |
| PWS 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| $0.00 |
$0.00
| LT |
| SEE CDRL A004 |
| * |
| * |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
| 16. REMARKS |
| AFOTEC/A-7K |
| 1 |
| CONTRACTOR FORMAT & DELIVERY MEDIA ACCEPTABLE AS APPROVED BY COR. *REQUIREMENTS WILL BE SPECIFIED IN TASK ORDER **COVER LETTER ONLY |
| ACO** |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B002 |
| SOFTWARE DEVELOPMENT PLAN |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ISPC-81427A |
| PWS 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
$0.00
| LT |
| SEE CDRL A004 |
| * |
| * |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
| 16. REMARKS |
| AFOTEC/A-7K |
| 1 |
| CONTRACTOR FORMAT & DELIVERY MEDIA ACCEPTABLE AS APPROVED BY COR. *REQUIREMENTS WILL BE SPECIFIED IN TASK ORDER **COVER LETTER ONLY |
| ACO** |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B003 |
| SOFTWARE INSTALLATION PLAN |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ISPC-81428A |
| PWS 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| AFOTEC-A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
$0.00
| LT |
| SEE CDRL A004 |
| * |
| * |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
| 16. REMARKS |
| AFOTEC/A-7K |
| 1 |
| CONTRACTOR FORMAT & DELIVERY MEDIA ACCEPTABLE AS APPROVED BY COR. *REQUIREMENTS WILL BE SPECIFIED IN TASK ORDER **COVER LETTER ONLY |
| ACO** |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B004 |
| SYSTEM/SUBSYSTEM SPECIFICATION |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ISPC-81431A |
| PWS 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
$0.00
| LT |
| SEE CDRL A004 |
| * |
| * |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
| 16. REMARKS |
| AFOTEC/A-7K |
| 1 |
| CONTRACTOR FORMAT & DELIVERY MEDIA ACCEPTABLE AS APPROVED BY COR. *REQUIREMENTS WILL BE SPECIFIED IN TASK ORDER **COVER LETTER ONLY |
| ACO** |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423, AUG 96 PREVIOUS EDITIONS MAY BE USED Page 1 of 4 Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| B |
| TDP |_| TM |_| OTHER |X| |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B005 |
| INTERFACE REQUIREMENTS SPECIFICATION |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ISPC-81434A |
| PWS 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
$0.00
| LT |
| SEE CDRL A004 |
| * |
| * |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
| 16. REMARKS |
| AFOTEC/A-7K |
| 1 |
CONTRACTOR FORMAT & DELIVERY MEDIA ACCEPTABLE AS APPROVED BY COR. *REQUIREMENTS WILL BE SPECIFIED IN TASK ORDER
**COVER LETTER ONLY
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B006 |
| SOFTWARE DESIGN DESCRIPTION |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ISPC-81435A |
| PWS 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
$0.00
| LT |
| SEE CDRL A004 |
| * |
| * |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
| 16. REMARKS |
| AFOTEC/A-7K |
| 1 |
CONTRACTOR FORMAT & DELIVERY MEDIA ACCEPTABLE AS APPROVED BY COR. *REQUIREMENTS WILL BE SPECIFIED IN TASK ORDER
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B007 |
| DATA BASE DESIGN DESCRIPTION |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ISPC-81437A |
| PWS 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| AFOTEC-A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
$0.00
| LT |
| SEE CDRL A004 |
| * |
| * |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
| 16. REMARKS |
| AFOTEC/A-7K |
| 1 |
CONTRACTOR FORMAT & DELIVERY MEDIA ACCEPTABLE AS APPROVED BY COR. *REQUIREMENTS WILL BE SPECIFIED IN TASK ORDER
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ISPC-81438A |
| PWS 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
$0.00
| LT |
| SEE CDRL A004 |
| * |
| * |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
| 16. REMARKS |
| AFOTEC/A-7K |
| 1 |
CONTRACTOR FORMAT & DELIVERY MEDIA ACCEPTABLE AS APPROVED BY COR. *REQUIREMENTS WILL BE SPECIFIED IN TASK ORDER
ACO**
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| KEITH K. FORMAN |
| 26 Jul 11 |
| PAULETTE S. L. WINDLEY |
| 26 Jul 11 |
DD FORM 1423, AUG 96 PREVIOUS EDITIONS MAY BE USED Page 2 of 4 Pages
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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 |
| 0001 |
| B |
| TDP |_| TM |_| OTHER |X| |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B009 |
| SOFTWARE TEST DESCRIPTION |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ISPC-81439A |
| PWS 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
$0.00
| LT |
| SEE CDRL A004 |
| * |
| * |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
| 16. REMARKS |
| AFOTEC/A-7K |
| 1 |
CONTRACTOR FORMAT & DELIVERY MEDIA ACCEPTABLE AS APPROVED BY COR. *REQUIREMENTS WILL BE SPECIFIED IN TASK ORDER
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B010 |
| SOFTWARE TEST REPORT |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ISPC-81440A |
| PWS 3.2.2, 3.2.6, 3.2.7, 3.4.5 |
| AFOTEC/A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
$0.00
| LT |
| SEE CDRL A004 |
| * |
| * |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
A
| 16. REMARKS |
| AFOTEC/A-7K |
| 1 |
CONTRACTOR FORMAT & DELIVERY MEDIA ACCEPTABLE AS APPROVED BY COR. *REQUIREMENTS WILL BE SPECIFIED IN TASK ORDER
ACO**
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| B011 |
| SOFTWARE VERSION DESCRIPTION |
NSP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-ISPC-81442A |
| PWS 3.2.2, 3.2.4, 3.2.6, 3.2.7, 3.4.5 |
| AFOTEC-A-7K |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQ |
This is the start of the file's text. The full file is on GovTribe.