F-15_Supply_Services_CDRL_-_A00H_DI-SAFT-81563.pdf_-__-_01-07-2016.pdf
Data Item Description Jan 7, 2016 PDF 108 KB Posted
- Attached to
- RSAF F-15 Supply Services
- Solicitation number
- FA8505-16-R-0004
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CDRL - A00H DI-SAFT-81563
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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
SAFT
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
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
a. ADDRESSEE Final
N/A See Block 16 N/A ASREQ 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 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
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 11/23/2015 DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 18 of 19 Pages
| 2015-11-23T13:43:11-0500 | |
| TWINING.BRUCE.L.1184052640 |
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