CDRLs1423.pdf

CONTRACT DAT A REQUIREMENTS LIST Form Approved ( 1 Data Item) OMB No. 0704·0188

T"• put>Ut reporting butdtn for th1:: c;olloctK>n of 1.nformatiol" '' 1:.t1"'•ttd to • vet•ge 1 ~O hours per re:.oon:e (nclud1ng th• umt •or rev~wrng nstruct•o":.· s11t.1tch11"19 ••·~t!l'lg d• t• $OU,ces. gathering end m:a1n11•nln9 the dv.t• Me.<Md, lt\d complet·~ erd r•v~w ng the colltc.tlon o1 1~f0<rn•tion. Send comments ti'ga"h"g th1' butde.n f'Dlilnat• 01 any other a;pttc:t of 1h1' coU•ct1on of ir'lfor"1at1Cf'\, 1ncr...:d1fi9 wgOHtio'\s f0t 1educr'-9 th. burden, to the- Departmt!nt ot Defen se. Exe<;.vtive Servce~ 01rtctotat1 (0704 0 1881 ResDOndtnt~ ihould be"""''''• that not¥.'•thctond.n9 ar.y o~ker ptove10n ot lo\'\>, no oeuo" s~I· o• sub_,ect to any pttl'l.tllv for faifll"l-g to eotn0tv with a c.o!l*Ction ot into,mauon 1i 1t ®•~ not <fi,1pl1y a curre'ltly valid OMS eonuo! tNmb•t Plns.e do not fetUl'n youf lorm to the •bov• 019•nu1don. Send compieted form lo th• GoverntMtn l.uumg Contr.Kllno Offk:tr for the ConuactfP1l No. listed in 8Jock E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

MISC A TOP TM OTHER - ··-

D. SYSTEMllTEM I E. CONTRACT/PR NO. F. CONTRACTOR

F-16 Color Programmable Display Gen FD20201500451

1. DATA ITEM NO. 2 . TITLf OF DATA ITEM 3. SU8TITLE

AOOI Commercial Asset Visibility AF(CA V AF) End Item Rcponing CAVAF

4. A UTHORITY !Dato JICf/V'S"10lt f>oc~• No.I 16. CONTRACT REFERENCE 6 . REQUIRING OFFICE

Dl-MG\'IT-8 I 634C PWS/SOW 416 SC\-ISiGUBAA

7 . DD 750 REO 9 . DIST STATEMENT 10. FRCOUENCY 12. DATE OF FIRST SUBMISSION 14. OISTRISUTION

DD

AEO\llRED

Sec Block 16 See Blockl<i b . COP.ES

a. APP cooe 11. AS OF DATE 13. OATE OF SUBSEQUENT o AOORlSSEE fo.,.e• Ni A SUBMISSION Dr•lt N/A Sec Block l6 Sec Blockl6 Rtg Rtipro

16. REMARKS Sec 11 lo<:k 16 I I. The contractor shall r~pon End Item 1nmsac1ional data through electronic submission in CAY AF using the CAV AF web sire or C:ICA XML IA\\' the refcren~-c<l 1)10 IAW andlor CA V AF CFM SOW. This infonnation will be accessed by the progr.un otlicc PMS and by 416 ~CMSiGUBAA in order 1n ascertain production status.

-2. Transaction~ and dntu will be submitted by the con1rac1or daily IA W CAY AF U51:r

Guidi:. Version 8.0.1 or higher. The Con1ruc1or shall obtain a valid DoD PKI certificate to log intn CAY AF. r.ach user shall be required 10 have an Identity Cer1ilica1c only: an encryption cenilicatc b 1101 rc:quircd. A DD Forni 1348· I CAY AF ~cneratcd shipping document will be au:iched lo all a~sct shipment~. -

3. This[)() Fonn 1-123· I applies 10 Contractor f'umi~hcd \fatcricl (CFM) type contrJcls.

lllock~ 7 and 14:

A Rece iving Rcpon will be submitted through \\'id1: Arca Workllow (WA WI·) u~ing DODAAC' FA8212 in th~ month that CA V reporting for each <lclivcl) order is completed and at the end or all contract repair and production rcquin;1ocn1s.

Addressee: C'AV Contmct Monitor. 416 SC'MS/GUBAA. 6071 Gum Lane. Bldg 1223. Hill AFU. llT 8405(1. 1crri.urquiaga'i1;us.af.111il. cc: anita.hunter:itus.af.mil. (801) 777·3383.

II lock~ I 0 and 13:

;i . Con1rac111r rcponing. requirements 10 ('AV AF shall be accomplished dai l) and/or within 24 hrs or a supply or maintenance a1:1ion occurrence IA \V Contractor Us.:r.; Guide.

b. '111.: method of communic;ition from the contractnr to the Air Logistics Complex (ALC) will be mechanized using. the ('AV AF Online web site IA W CAY AF Conrr.u.:tur Cscrs Guide.

Block 11 : Dara shall be current within 24 hours or last End lh:m m:1inlcnancc occurrence.

131uck 12: Dale of lirst ~ubmission shall be "ithin 24 hours following a ~upply or maintenance tr.ins:u.:tinn alier the co111r .. u.:1 award date and government lr:iining as spccilicd in IA W CA V AF l lscrs Guide. Con1rac1ors are "holly n:sponsiblc for wb·con1rac1or performance.

15. TOTAl 0 11 0

G. PREPARED BY H. DATE 11. APPROVED BY J. DATE

Terri Urquiaga. C' '\ Y A F Contract :Vlonito

1/1 J//I~ R '~l (:-;'"' b ·~11l J l fl t I f)/Ofi U I (~ ... .! I 1 I • DD FORM 1423-~ , FEB 2001 PREVIOUS EDITION MAY BE USF.0 Page _ I _ of_ I _ Pages

17. ~ICE OROUP

18. ESTIMATED

TOTAi. ~ICE

-01

NSP

$0.00

CONTRA.CT DATA REQUiREMENTS LIST F0<mApp,0,.o !

(1 Data Item) ·_qMB'No. 0704-0188 I

1--,-.. -.-,.-,.-.,.-.-,-.,-,.-,-.j..,.c. -~-.,-.,-,,-,-,-, .-,-.,-,.c,-,,-,-.-,..-m-,-,-,c.-,-.-,-.,-.• -.,-,,-,-~-.-,.-,-.-,.-.,-~-.-,-.-,-. .,-,-,-,,-.L,cic•-... ---.-,,-. i-.. ---.-~-. ,-.-~-· -,.,-. -.~-· .-,en?---- I dllUI sourCes, ga:lharing sod mainla!ni1111 ttle d11ta needed, a!l.d ~mpl&llng and fe'l)e\lfmg.11\e collecilon <>[lnlor.mallon, S<lhd ~oiill:s 1~ardlj\g._lli)f b~ eslimOte.or any ottieras~ o111115 ccllet:!l<>n ci1 lnfomwlon, Jnclullintl sUgges!Oiru; 1....-re~ucing t~is bU1deO;-io; Oei>altmel)liof °'1snt:e. Wa&lin(llo~.Headquarta'!i "Serv\iloi&. .

Dill!CIQmle·f?rlnfC>11T1&1iorl ~ralion$ t1>1Q Reports; i215 ;Jattil!Mn Pavis Hinhway, s.Jiiii i2li4, MinQ!OO VA.~202-4302; aii.1i"10 lhaOrn~ qi M<iiialil!Ol9i)t'al)ij-Budget.

eaperwollc Aedtiot!on_ Pttjecl 107~1~), Wi;hiii/ikln; DV205fl3. P~e~ DO NO)" AETµtu~.l'O!JrlotiiJ.fo·oillter0!1hiioe OOdiesseil, Sim1feoin~~~ form tc lli'e Go'/Jlime11t-1ssulng,C1l11tra1:0ni;J Oflk:~r for tne c.c>n1ra~tll':A fJO. ~l!!d ln Blcick !'-.

B. ExfilBIT I c. CATEGORY l "=~~~~~~~~~~--'--A~~~~~~~"")D~'-·~~~-"'~~~~~~-O-n<_,_R~lfl-SC~~~~~~- 11

A: CONTRACT LINE.ITEM NO.

o .. svSTEM/ ITEM E. CONTfiACT /PR-NO. f, CONTAACTOFl

CP!JG/ECJ?.DG

:GtiB...,i6-.,-·03z 'i'·,-,-,,-,-,"'-,-,-0-,-,-

1.,-,.=o=•=:r.0,=rr=s;=N=o"."•".m"."c'e"o"e"o". •"r"•'"'J'E""M'. -~------------!"''·· '""""0 '""' """,---------------11 --A002- - Ma:i.ntenaace Data COllecti-On RecOl:d (l.filcffi') Defense Repair lnfo:rmatioh k-~~~~),--~-~---~--~~~~~~~~-~---_JL•$•&.,oi''"c"i~o"'c~ -~;ft§e"m'-o~~--------1' ~· ~UTHQR_lT'l {Oata:•Acq_Ulsi1kln Document No.) 5.CONTRACT REFERENeE - 6, REOU!RlrN~OFf!(;:E !".-•. -"-,-"'-.-=-.~ J?WS l?a:ragra_ph·: 4.. 4. 2. I TOT" '"''' DJ:•·M-tsc·-_a:roo3'/T 416 SCMS'/GUMAB """""

7, DP ,250 REO

LT

l6.R~~K_S

9. D_IST STATEMENT 10. FREQlJENC".\"- AEQl)IFlED' BLKl.6

11.ASOFOATE

:BLK 1-6

1"2_; DATE OFFIRST·SUBM!SSlON

BLK .:)J6·

13, 'DATE Of SUBSEOUEf(I' .SUflMJSstON

ELK. 16

1. BJ._G:lck 4: ne~e.te ·.<!,l~-: See: ·attached sb·eets. f"Or ·instructions, Dq.);~ s)lal_l bl'! 9/;i!P,era:i:ed by.. n~nt•F-<1ctoi::

when' maint·enan~e ,is ai;!comp:i_is'hed_.

2. i:;locks 7,, 14: LE!t_t!;lr ..,r T:r;:ansnU,'ttal s_ha~l. _be mailed .the last day. of· the month in which tran_sactions :~cc:u~~d:; .co~ering all reports t~anSlll.it'ted - .

electronicall. for the peceeding men.th. "Letter of transmit'ta-ls ·s1la11· be. tnailed to address in block 1.4, or ·ael.i:v:ered. e1-ectronica:11 to the following eniaii:

:ch:r_±s ~ Chffeicket:tS@us. a.£ .mil

-~, Bl.eek Q: No. DfstributJ:on ·$tatemel;lt iS ·re;q~ried :as .

. da·!::f!. ·s,ha·ll be enl;e:i;d :).'.nto. D~IL~-' a maint;i::ncti;ice data:

9atal:i~se. ·n~-ferei:i_c~ -I?~ILS Field T.echnician Guide, da0tei;:t,_ zoo~.

-4. Bl'ocks -;i.o, il1 1'_2, -13; Data shall be entered into PRILS as the da.ta is genezated. in real tt--j,rne~

H. DATE. LAf:PROVED'BY

23, lQ.r 16

14. DISlRIBLJTldN

b. co'PIES

""'' D•ft l--~--11 -~~9· R~P.i.'.o

416- SC::MS-/ 1

f,.~O'L;oDGo;=.. 1~2~1~3--f---f--+------11

HILL 'AFB U'L'

·84050:

SEE .BLK 16

1-----+-+--+------11

15, TOTAL--> .0 1

J:-DATE

1~ AUg 16

I I I

FD2020-15-00452-01

CONTRACT DATA REQUIREMENTS LIST

-· - (.~- b8pi_!tem).

Form AppiOved

OMS N0.-07.04--0188

PUblic. rcpcrtillg tmfderi.lor this aolledlon·of_]itfcrmatlcrr I~ es~mallld IO'avamge. 110 ~OIHS por respOJJG9, including tu~ iime m< ra\/lawinrrinslttlCikiw, oearchin(,J a>lisling, .iatasooFCE~, uQ1h.,\iig,and Mirl!aining 1ha iki~ RG~; and oom~mlng·Md ravlewlnQ the coliilC_llDn lil ii>rormallO<l. Send commeim fe!la<rin[! lhls burde~ "5ilm111e or ri.fiyothlJI: l!Sfl<ll::i-o(lhi:!·coi9clion Ol-t~forinalion. lnclutirl~-st!S08$ti0n• fCf.redU¢lnp 11\1$ b.,mien, 10: 09Jl11rtll)en! ot !Wence, Washlngt~n.Ha11dque"era·SeMco~, DirecWral~forWormar.i~ o~r!Oll$ ond RapOllB, 1Z15 JelfarsM.Da\'ls Hi!111111ay, Slliu!-1~, Arllngltlrl VA·22202..ii3o2. and m the OU!ca oi Mana-t aru1 Butlll•l, PapeJWM<-RedlJClion Projed-'(G(n4-iit!!!I),_ WllSlliJlllllm, cC·aOS~ ".'louo oo· NOT RET\JR;.J ,YQIJT !Om! rvlll1har011h~5~'1'lddm&0;. SW'ld CMIPIOl&d ~to Iha Govl!!fl1£nMEruing Colllra~g Ottlt:B• lor the CCmbact!P.A No. lls\00 lh Bloc~ E-

A. CONTRACT UNE-iTEM NJ?. B EXi-llB!T 16: CATEGORY· A TOP TM Oll:lER' MGM'X! I

'""g-.,s=il'o=s=r=~-.-~=. =EM-------"·-· -~,-. co=NT=R=A=o=T=re=R=. "NO=.------p=F-.. c=o=N=r=R=A=('T=o=R~-----------11 ~~ I l~--r.,-.o"A"'"'''TE°"'M'""o~·."z'·'TiTL""e"o"'""oA•T"'"''''"M,-----'------------,,<;""--·""-·1.""--~-------------11

·AO'o:j · Statu~ Ref?:'Ort !Monthly. ·Status· Report, •4. A.UTHO~TY {~·all! AcQlsioition Doci.JmenfNo.)

. Dl:-.MG:IT-'8 03'.6'8A/T

5. CONT~CT REFERENCE

·~s J?ar.a.9rapb: 4.4.3

.6. REQUIRING OFF!C:E

'416 Sq.IS/~ l

",-.-,-,,-,-~-JE-.-,--<

TOTA!.Pfl1Ce l-,c,•0°0•:200=R•.e=u· -="s.'0"1ST". "ST=A•Te"M'e"m"''"oc .. F"R"e"o~u"e"N"c"v----,.,""· "o•"r"e"o".'''"''RS'°T'•"u"BM1=s0s•1o"N..+--------------;, Lil' REOUIREr:i . M~HL; BLK 16 f----"-· ~D,~SJ_RTIB~Ull-0«'-----11!1 Bo.APPCODi:;

N b.9Qf'IES l------

13, DATE OF SUBSEQUENT I

a, AODRESiSi:E F$1 S.l,JBMISS.l.9N l?ralt r--~---<I ~E BLK i5 ·BLK 16· Reg. :Repro.

1 s, l;'IE;Mf,!'IK$

1. .B10Ck. 4: C.Ontr~ctOr :E6~t ,is iiPC_efitable .

. 2. Bl"oc:~ ·9" DISTRIBUTION. STA~.iµ.rENT c ;. 'Di.!.<,tribµl;,.iorf '!'J.UthOri;z;·e,c;l tP. U-.S. ~av~meht Agencies_ apd t;\leir .i;:·ont@c.t.ors for AQmi:nis~rat,ive- 9r Oper~~iori:<;tl Use.

Pfl-tia 9_f ,Determi·nation, _i:s August. 201:6, Ot'her .i;'e~est :for thip docum~nt -shal.1 be referreQ. to 416 SCMS/'GQMAB ..

.Ji.X'J?oRT CON'.I'ROti -~I~G-: All t~chnic;al docwnents tP,at are dete·rmined to i::ontain export-controlled technical d~ta, .shal:J: be ~-kea' w~hh the following '!'la~.i~g_-:

it1ARNIN_G: _This <loc·Urneri't· contains teCfuiical dat"a Whose ·expor·t ;is ;restrict-eel by·. th'e Atni.S -Ex,Po:i:'i:. collt"rdl -Act (Title' 22", U;S,"C., $ec-2751.'et sBq.) .O:r t:be ExpOr.t.

J):dr(tlnisl';ra'.tipn ·Act of_ 1-9_7.9 {Ti\:le 50·, U.-:sJ:.-, l\.pP.

:2401 i;it a.-eg. J, as af!lenq:ed, -ViolatiP:i;i. of these -expO:rt'-cont:i.:ol law_s ,is :sµbject t_o s-everf! c;timinal p·enalti.e's.. pi~,s_emil_l'/ii.te: iti: accb;r~a:n.ce wi-th the p:t!o:v_is'ions _of DoD :qir-ect~ve 5230,25.

DES.'l!RQC'I'IPN° Noi'J:CE;: Destroy .W an;t method th_a,t; Will pr~vent :di!;clo~µre. at:· ~ontents_ or- r~construct~pn of the docwnent, 'J.·. :Blocks 10 r 11, 1:2, 13:

submitted at .the ~nd·of the

First Report. shall be firS't :fU-11 month ,afte:t'

.C_ontract- award, subsequent rE:!pbrts shali b'e subrnit.'bed on the 10,th Of ·the. month -with :the. as·· of date Elle last da'y- of the p:r'oceed'iQg moxlth. ~elecon'fel::eh¢e requested fo±" t.he se.cona we·ek o-f --~very rn"q;ith·:·

4 .· Block 14: .Submitt'a.l shal~ ~. dell.veret;l.

Elect;rou;ic/emC!-Jl t.a ~e following ?-¢kiressees!

chris. checketts@uSc .-af .mil l-~~0~7~0~G~UM'°='L=N'-f~'-f~-i-~-il

BLDG._1213

HILL "AFB U'l' 84056

·SEE BLK 16

1----+----+--+--ll l----+---+---+--11 1S:TOJAL~ 1 o'

_J. DA"TE-!3.-P.Nt:P. E:D~Y H,f?J\TE: r,_~~OVEDB~

Ii A S'r LEY n /. 23 _Mar 1-6 .C~~ ~· ~CHF,.Cff'rs(, _d.A//

', ~ D ·• . ~~.,~·:p,~@-=b=;;;;;--~""~·~··!··~~·~'*:·~·~··;,u~1~~L~~~_JI 12 Aug 16

DD For_m· 1423~ 1, JUN 90 0 · _CcimpLiler,Gerierate~ P<8'/ioussdill<>QSaie ol>soleta_ Page__1_ 01_1_Pages·

FD2020-15-00452-01

CONTRACT DATA ljEQUIREMENT$ LIST (1 Data Item)

Form Approved OMB No. 0704-0188

Public mpol1inlJ bufd~(Of-thlB"CC>l!ei:tjo;I oU\lCPf!llmjon la eslima\IUI to-a\10<a9!' 110 hgiirs f"'nnpollS~, mciudh.g the time tor <G~ lnsuvctions, se:an:hlng eids!ong _dmii 50ll~, ji~theiing aii!I ~alnITTg1he dala needed: arid-completin~ ant;! ielll<lwing ihe coUec\lon <>I illlonmtlon; Sand emvnlOIS regnrdln[i !his b.l!rden e!rtlma1a or -any ottlilir a.o;jiec1 orthis ~<!llecllOfl'Ol.in!ormatiO(I; !nduillng Sl.IOOfiSllons kir~ '!II" burden, 1<1: Oepailmllllt ol,Pel9nee,:W~:OO lfeadquarlers·S"e<v«:~ Olreetom!_e loi"inlotmlillon e>Mralions aryd R_opg<is1 .121!rdel1e_ri;O[I Davis·Ji9iway,~e 12114; Arli~~-ton-VA2~, and_ to too Offioe o1MaoopGil>Snl8lld Budgel, 'PapeJW<J!l(RGductron f>rOJ&Cl {07114-01BB), Woshi"!ltoo,-OC 20503: Pl~a DO NOT RETtlRl'I: yourlonn I<> eilherol 1hes_e addm&HS, Santi COOl!lleli!dJOrm to-the ~OvermM1·liiWlng Con~ Olticor!cirlhe Comiaclll?R'No. li$t&d In Block-S ·

. gp%~~\5¢M

GU~-16-.032:

I tl. CATEGORY rop

• COt>fTMCT_ I PEI (IJO .

1. DATA ITEM NO. 2. TITLE OF DATA IJEM

A004 Cortt-r.actor·•:s Counterfeit -Pre_venti_on_ Plan

TM

17;PfUCE_GFjOUP

4, AUTHORITY (Data A'c:qtJ/siUOn q~urn•nt No:) 5. CONTRAC1' REFERENCE ·y. R5Pl.1rRllilO_OFR.C,l; 1e· <iSTIMA.TED ·PBWS ·pa.t.agrap'h: 4..4.5 I 'ior11.LPR1CE

DI-M.t$c-s1S3i 4·l6 SCMS/~ h7~_=00~,~,=•="="'~.~T,.~0~1,=r=s=T~=,=.,,~,.,~,=0~.fll=.=,=ahUEN~c=v~~~t,T~.=o=A=r,Ta=F=f=1•=s=r=s~u=eM~.1=ss=1a=N..+~~~~~~~~~~~~-il-~~~~" R'QUIR"" 14. DiSTRIBUTic;iN

'LT """ bTIME BL:K 1"6 J;l. 90PIE!:!

8 APPCOOt: D· 111.·AS'OF.DATE" 13:DATE"OFSUSSEQUENT I ·." . SUBMISSION a. AOO'Ressee. Final A BLK ·10 M.K . i'6 . Draft >--R-,g~-,..-P-,-0-1

'16. AEMr ..... ~ NOTE: changes· to .Qffice ·&ymbol.s ·ai'i.d/or .e..,mail -a·dd:i:'~sses, .when ·!'J,e'cess·acy· Shall. ·l:!e -ma.Qe '·by 1,etter' .thrO.uglf the C0f.'AC.9- without .fi,ri:-ther" rev:i.siOri to this c~.

·B.loc.ks· .fl 1 ·19, 11, 1;i.,. .\13.: ,~o_ntrq."ct·or' s:pa:;Ll a_el.iver· ·~~- Cpunterf:e:i_t: Pr_ey~ntri~n- P.1~ NLT 30 cal_endar pays _afte,:t· _contra~t award. The Goverrun.e~t co~nts wif-1 ~e.

.proi,;i.,;ied· to· the con:tr~ctor,_ w~~hin ~4.· c~lentjar Uays __ a..-ft.e:c- rece'"'ipt. The cori;tractor sha.ll resu;bmit. J)-!L'.\' 7 c.aiendard ·d~ys aftel" rece~pt of governmerlt comments.

·Block 9~ DISTRI:BU.TioN ST.ii.TEMENT 'b. Dist.rib1.lt:fon authOri·zei:i t&_ the neptl.f'tiheb'.:t 0:f .Defeii.s·e :aria U. s-. n·o_D coii:tractOrs .ob:lY for admirtistrat10n alld rop.erationl'\1 pu:r:p'osEis.. bate. of. Detl:!;i;m~nation, Aug-Ui'i.!;: :201'6, .Othel:

rl'!queStS, "fpr this document ·,s':Q.a'l,.l Pe r~terred t:o ~'l.f.i

SGMS/Q~-S.

EXPORT CONTRQL ·:WARNINI,">-: ~11;11 ti:idchnical 'dQ'CUll!en_ts _that a·:r:-e determ;i'.ne9" to .con!:'.ain expoi:;t-cOnt"toll-ed _tech.nical gat.13-·, shall ·b:e ~rt.ad. witp. 1:-hj;! following wa.rning·:

WARNING: Th:j.s ·document contains t{acbnical d1J,ta whose ~orf: _is z.est:r:ict;ed ·by the Arms Exp,ort control (T.it'ie ·i2·, u.S.c., .sec. 21s·1, et sag.) or the Export AaiUinistration ACt of 19'7.9 ('.i>it"le So', u.-s.;c,., A:pp .

. i4·b1 ·et s~.), as amended, violations of the-Se export laws ·ar·e sub;j"ec'.t to s!;ivere crimi:na:l p-Eiittalti.eS,, · Disf!'em:inate_ irl .aCCprda·nce~ witlf prOvisions. -pf Dori Oi'l'.:¢Ctive 'S-2:$Q.ZS.

:PES'.l'l!-UCTIO!'l NQ'l'lCE: J?a~trpy by ~ny µ!12:¥-S t<ha:.t w:i:1+ pr~\l"ant dis«:i9s.u;i;i:: .of tJ.ie con.ten.ts ·OJ;" r.e.c_oqs~uct.i(j>n of th_e do<'.:tun~t.

l;l,OATI;.

23 Mar 16

'416. SCMS/ 1

60'70 ~ LN

HILL ."AFB UT

8'4056 5.8"2"6

SEE ·:et.K 10

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FD2020-15-00452-01

CONTRACT DATA REQUIREMENTS LIST FoITn Apj:im'11ed ·<i oata 11em) OMB N.il._ 0704'0,188· l'ubllr: reporting burden for this <:Oll;cllcm of 11\!aQTlalfon-b DSllrrialed to u.eraga..1-10 """'"" P"~fl'~i>oi;;.,, lnclodi~11 U.e lime_·r"! i•Yiewilio ln"11}io1i<1f1S. ~•an:lllng Wiirm date.so1uo;e11,.gli!ll9riflo IU'ld.mQlntai~lng \he data needed, ancl ecmpl~g lind reYleWliig Ille: collection Qi i:ll1wmillon, S'en<f crn:mm!II!• !"!larding \Ids burden eslITT!a!& or any Oilier aspect of U!liccollecliM DI iriiormatlo~. including.s_tl'ilgeSl!oris !<>< rad""irlll' tfiis !ru•deii, to~ Oepa~IT!fl:rt of Ohlerice. Wash\niito~ He1ulq~ai1ais SPM:le,., Eliil)(:IO~ate !cl)n!Omiailon'Oi>ar•lloOO Md Roprx~ 1216 JO(i\irStin fuwj~ HigliWll~, Su~a 12ll4, A~iogk>n VA ~-4302,:and lo'lfie Pf.Ilea.of Mnnatiiirite~\-iimf~, P.ap\!ffl<l1k'"f'.19d!ictioii Pi<Jfeo! {0704-0l~8J, w~iitutoO. DC)!05ll3.' Ple\)Sll.l)O NO'r RETJ,JR!i.yburfoiril lb; al!llel"Jlf tfiese'~, Serid comp1eltid lorin tCl'lhe Govil!JIWnl-/sWrig C<l"ltraCtiog·_Offl!:iirfi>r.tha ConlrWll'fl l!lo. r!Stlld Ill Bl¢k E.

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FD2020-15-00452-01