CDRLS.pdf
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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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. 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:
A TDP
TM OTHER
MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
F-15 Supply Services FD2060-16-96010 TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A001 Status of Government Furnished Equipment (GFE) Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MGMT-80269 PWS Para. 3.4, 3.5, 4.10.5 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D MTHLY 30DAC b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Final
N/A See Block 16 N/A See Block 16 Draft Reg. Repro
16. REMARKS AFLCMC/WW
QIA
0 1 0
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 10, 12, and 13: The Contractor shall submit a GFE report each month by the 15th calendar day of the month as an attachment to the Monthly Status Report (CDRL A007). The final GFE Report shall be delivered to the USG 30 days prior to the completion of the contract PoP.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
QK
0 1 0
See Block 16
15. TOTAL 0 2 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Brittany Prouty 11/10/2015 11/30/2015 DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 19 Pages
TWINING.BRUCE.L.11840
52640
Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=TWINING.BRUCE.L.1184052640 Date: 2015.11.30 13:32:31 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A002 Phase-Out Transition Plan Demobilization/Remobilization Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MGMT-81945 PWS Para. 4.9.1., 4.9.2 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
DD D ONE/P 60 DAC b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
A See Block 16 N/A ASREQ Draft Reg. Repro
QIA
1 1 0
Block 4:
DID Tailoring: DID Tailoring: Delete content item 2g.
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 10, 12, and 13: The USG shall have 30 days to review and comment on initial draft. The Contractor has 30 calendar days to submit final demobilization and remobilization plan. The USG shall have an additional 30 days for review and approval of the resubmitted plan.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
1 1 0
15. TOTAL 2 2 0
Brittany Prouty 11/10/2015 DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 2 of 19 Pages
11/23/15TWINING.BRUCE.L.1184052640 Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=TWINING.BRUCE.L.1184052640 Date: 2015.11.23 13:31:57 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A003 Management Plan Program Management Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MGMT-80004A PWS Paras. 4.10, 4.10.2 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
DD D ONE/P 30 DAC b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
A See Block 16 N/A See Block 16 Draft Reg. Repro
QIA
1 1 0
Block 4:
DID Tailoring: Delete specific contents item number(s): 3.2a, 3.2b, 3.2c, 3.2d, 3.2i and security items 3.7a, 3.7b
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 10 and 13: The USG shall have 30 days to review and comment on initial draft. The Contractor has 30 calendar days to submit final Management Plan.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 3 of 19 Pages
TWINING.BRUCE.L.11840526
Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=TWINING.BRUCE.L.1184052640 Date: 2015.11.30 14:26:18 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions of law, no person shall be subject to any penalty for failing to comply wi th a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the
ADMN
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A004 Conference Agenda Meeting Agenda
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-ADMN-81249A PWS Paras. 4.10.4.1, 4.10.4.3, 4.10.4.4
AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
QIA
0 1 0
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 10, 12, and 13: Meeting agendas shall be submitted no later than 10 business days prior to the anticipated meeting date.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
Brittany Prouty 11/10/2015 11/30/2015 DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 4 of 19 Pages
TWINING.BRUCE.L.1184052640
Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2015.11.30 13:34:34 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A005 Briefing Material
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MGMT-81605 PWS Paras. 4.10.4.1, 4.10.4.3, 4.10.4.4
AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
QIA
1 1 0
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 10, 12, and 13: Briefing materials shall be submitted no later than 5 business days prior to the meeting, and a final copy shall be provided to the USG no later than 5 business days after the meeting has concluded in conjunction with CDRL A006.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 5 of 19 Pages
TWINING.BRUCE.L.118405264
Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2015.11.30 13:36:06 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
ADMN
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A006 Conference Minutes Meeting Minutes
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-ADMN-81250A PWS Paras. 4.10.4.1, 4.10.4.2, 4.10.4.3, 4.10.4.4
AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
QIA
0 1 0
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 10, 12, and 13: Meeting minutes shall be submitted no later than 5 business days after the meeting has concluded in conjunction with CDRL A005.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 6 of 19 Pages
TWINING.BRUCE.L.118405
Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.11.30 13:37:46 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A007 Status Report Monthly Status Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MGMT-80368A See Block 16 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D MTHLY 30DAC b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
N/A See Block 16 N/A ASREQ Draft Reg. Repro
QIA
0 1 0
Block 4:
DID Tailoring: Delete the following status categories: Para 3.2.1d, 3.2.1e, 3.2.3
Block 5: PWS Paras. 4.10.5, 4.14.3, 4.15.1.1, 4.15.1.1.3, 4.15.5.4, 5.2.5
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Block 13: Subsequent submissions shall be no later than the 15th calendar day of each month.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
Brittany Prouty 11/10/2015 11/23/15 DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 7 of 19 Pages
TWINING.BRUCE.L.1184052640
Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2015.11.23 13:14:47 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A008 Contract Funds Status Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MGMT-81468 PWS Para. 4.10.5, 4.10.6 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D MTHLY 30DAC b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
QIA
0 1 0
Block 4:
DID Tailoring: Para. 10.2.3.1: replace “fiscal year” with “calendar year”.
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 12 and 13: The CFSR report shall be delivered to the Government by the 15th day of the following month for which expenses were incurred as an attachment to the Monthly Status Report (CDRL A007).
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 8 of 19 Pages
DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2015.11.30 13:39:07 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A009 Data Accessions List (DAL)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MGMT-81453A PWS Para. 4.10.5, 4.11, AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D ASREQ 30DAC b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
QIA
0 1 0
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 12 and 13: The Contractor shall notify the USG of any changes to the data listed on the DAL within the reporting month by the 15th calendar day of each month as an attachment to the Monthly Status Report (CDRL A007).
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
Brittany Prouty 11/10/2015 11/30/2015 DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 9 of 19 Pages
TWINING.BRUCE.L.1184052
Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2015.11.30 13:40:50 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
MISC
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A00A Technical Report – Study/Services Management Information System (MIS) Final Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MISC-80508B PWS Para. 4.12 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
DD D ANNLY ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
A See Block 16 N/A See Block 16 Draft Reg. Repro
QIA
1 1 0
Block 4: The Contractor shall deliver this final report to the USG in digital (MS Office – Excel) format. Otherwise, Contractor format is acceptable.
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 12 and 13: The Contractor shall submit a draft report 30 calendar days prior to the end of each ordering period/PoP. The USG will have 10 calendar days to review and comment. The Contractor shall provide a final MIS Report at the end of the ordering period/PoP that includes data as of the end of the ordering period/PoP.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 10 of 19 Pages
DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2015.11.30 13:42:12 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A00B Trip/Travel Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MISC-81943 PWS Para. 4.5, 4.10.5 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
QIA
0 1 0
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 12 and 13: The Contractor shall submit a trip report for each trip completed within the reporting month by the 15th calendar day of each month as an attachment to the Monthly Status Report (CDRL A007).
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
Brittany Prouty 11/10/2015 11/23/2015 DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 11 of 19 Pages
DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2015.11.23 13:29:27 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A00C Technical Report-Study/Services Supply Services Studies and Reports
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MISC-80508B PWS Para. 4.14.2 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
QIA
0 1 0
Block 4: Contractor format acceptable.
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 10, 12, and 13: The Contractor shall submit reports and recommendations no later than three (3) days after completion of requested assessment and analysis.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 12 of 19 Pages
DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2015.11.30 13:43:23 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A00D Technical Report-Study/Services Supply Support Studies and Reports
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MISC-80508B PWS Para. 4.14.2 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
QIA
0 1 0
Block 4: Contractor format acceptable.
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 10, 12, and 13: The Contractor shall submit a summary of all reports completed and delivered within the reporting month by the 15th calendar day of each month as an attachment to the Monthly Status Report (CDRL A007).
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 13 of 19 Pages
DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2015.11.30 13:44:46 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A00E Technical Report-Study/Services Forecasting Methodology Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MISC-80508B PWS Paras. 4.15.2.1, 4.15.3.1 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D ASREQ 90DAC b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
QIA
0 1 0
Block 4: Contractor format acceptable.
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 12 and 13: Any changes to the forecasting methodology will require resubmission.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 14 of 19 Pages
TWINING.BRUCE.L.1184052
Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2015.11.30 13:45:53 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. 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:
A TDP TM OTHER
QCIC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
F-15 Supply Services FD2060-16-96010 TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A00F Government Industry Data Exchange Program (GIDEP) Alert/Safe-Alert Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-QCIC-80125B PWS Para. 4.5 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT A ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Final
N/A See Block 16 N/A Draft Reg. Repro
16. REMARKS AFLCMC/WW
QIA
0 1 0
Block 9: Approved for public release: distribution unlimited.
Block 10, 12, and 13: The Contractor shall submit reports based on specific requests from the PM through the PCO. Subsequent submissions shall be delivered as required.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
QK
0 1 0
See Block 16
15. TOTAL 0 2 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Brittany Prouty 11/10/2015 11/30/2015 DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 15 of 19 Pages
TWINING.BRUCE.L.11840
52640
Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.11.30 14:25:40 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. 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:
A TDP TM OTHER
QCIC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
F-15 Supply Services FD2060-16-96010 TBD
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A00G Government Industry Data Exchange Program (GIDEP) Alert/Safe-Alert Response
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-QCIC-80126B PWS Para. 4.5 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT A ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Final
N/A See Block 16 N/A S Draft Reg. Repro
16. REMARKS AFLCMC/WW
QIA
0 1 0
Block 4: Contractor format acceptable.
Block 9: Approved for public release: distribution unlimited.
Block 10, 12, and 13: The Contractor shall submit reports based on specific requests from the PM through the PCO. Subsequent submissions shall be delivered as required.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
QK
0 1 0
See Block 16
15. TOTAL 0 2 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Brittany Prouty 11/10/2015 11/30/2015 DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 16 of 19 Pages
TWINING.BRUCE.L.1184
052640
Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.11.30 14:24:25 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
SAFT
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A00J Systems Safety Program Plan (SSPP) Safety and Health Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-SAFT-81626 PWS Para. 5.5.4 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
DD D ONE/P 30 DAC b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
A See Block 16 N/A See block 16 Draft Reg. Repro
QIA
1 1 0
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 10, 12, and 13: The USG shall have 30 days to review and comment on initial draft. The Contractor has 30 calendar days to submit final safety and health plan. The USG shall have an additional 30 days for review and approval of the resubmitted plan.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 19 of 19 Pages
TWINING.BRUCE.L.11840
52640
Digitally signed by TWINING.BRUCE.L.1184052640 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, Date: 2015.12.01 13:27:44 -05'00'
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provisions 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 address. Send completed form to the Government Issuing Contracting Officer for the
SAFT
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A00H Accident/Incident Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-SAFT-81563 PWS Para. 5.5.3 AFLCMC/WWQIA TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
LT D ASREQ ASREQ b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
QIA
0 1 0
Block 9: Distribution authorized to Department of Defense and DoD Contractors only. (Administrative or Operational Use) (21 September 2015).
Other requests for this document shall be referred to AFLCMC/WWQIA, 235 Byron St. STE 19, Robins AFB, GA 31098.
Blocks 10, 12, and 13: The accident/incident report shall be submitted no later than 15 calendar days after the occurrence of the incident being reported.
Block 14: The Contractor shall provide all CDRLs electronically to the USG Program Manager and Procurement Contracting Officer. All e-mail addresses will be provided within ten (10) working days of Contract Award.
AFLCMC/WW
Brittany Prouty 11/10/2015 11/23/2015 DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 18 of 19 Pages
DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, Date: 2015.11.23 13:43:11 -05'00'
File details come from the government source that posted it. Updated .