F-15_Supply_Services_CDRL_-_A00A_DI-MISC-80508.pdf_-__-_01-07-2016.pdf

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

MISC

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

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. ADDRESSEE Final

A See Block 16 N/A See Block 16 Draft Reg. Repro

16. REMARKS AFLCMC/WW

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

QK

1 1 0

See Block 16

15. TOTAL 2 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 10 of 19 Pages