A004TechnicalReport.pdf

PDF 198 KB Posted

Attached to
Communication, Detection, and Coherent Radiation Equipment Federal contract opportunity
Solicitation number
FA8250-13-R-80468
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Hill Air Force Base

About this file

CDRL A004

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Text version

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

MISC

TDP TM OTHER

D. SYSTEM/ITEM

Solar Observing Optical Network

E. CONTRACT/PR NO.

FD2020-12-80468

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Technical Report

3. SUBTITLE

Test Results

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508

5. CONTRACT REFERENCE

PWS para 1.5.1

6. REQUIRING OFFICE

OO-ALC/415 SCMS /GBMBB

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

60DATC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft

Final

Reg Repro

16. REMARKS

Changes to office symbols and/or e-mail addresses, when necessary, shall be made by letter through the CO/ACO without further revision to this CDRL.

DID Tailoring: Contractor format acceptable

BLOCK 4: Microsoft Word, Excel, e-mail, or other mutually agreed format which includes the required data is acceptable.

BLOCK 7: E-mail acceptable

BLOCK 14a: Addresses:

OO-ALC/415 SCMS /GBMBB

6012 Fir Ave. Bldg 1239 Hill AFB, UT 84056-5820

BLOCK 14b: Document submission shall be made electronically using MS Office

2000 or later format. Address to:

OO-ALC/415 SCMS /GBMBB

edward.olsen@hill.af.mil

BLOCK A: NSN: 6650-01-055-9671BM

6605-01-056-4386BM

6650-01-057-1110BM

OO-ALC/415 SCMS 1

15. TOTAL 0 1 0

G. PREPARED BY

Edward Olsen IPT Engineer

H. DATE

10/02/2013

I. APPROVED BY

Clayton Butler 415th SCMS

J. DATE

17. PRICE GROUP

18. ESTIMATED

PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages mailto:edward.olsen@hill.af.mil 1222682530C Cross-Out

1222682530C Cross-Out

2013-11-20T10:39:22-0700
OLSEN.EDWARD.DEFORREST.1222682530

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