Attachment_4_CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response. includng the time for reviewing instructions, sewching existing data sources , gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding thus burden estimate or any other aspect of this collection of information, includng 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, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the G011emment Issuing Contracting Officer for the ContractJPR No. listed in Block E.

A. CONTRACT LINE ITEM NO. I B. EXHIBIT I c. CATEGORY:

TOP TM OTHER

D. SYSTEM ITEM E. CONTRACT/PR NO. F. CONTRACTOR

AC-130 SASS FD2060-13-30562 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A001 Accident/Incident Report Mishap Notification and Reporting

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

01-SAFT -81563ff PWS Para. 4.6.2 78 ABW/SEG

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

DO AS REQ AS REQ b. COPIES

8. APPCODE B 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE ORA FINAL

SUBMISSION FT

N/A SEE BLK 16 AS REQ Reg Repr

16. REMARKS See Blk 16 3

BLOCK 4: Contractor shall submit a report on ALL mishaps, damage to DoD property, and employee injury, to the Installation Safety Office telephonically within four (4) hours after initial notification. Written report shall be submitted within three (3) calendar days of mishap. Electronic submissions are acceptable. Information that is not available at the time of the initial notification shall be provided within 20 calendar days after the mishap.

Block 7: Wide Area Workflow (WAWF) ACCEPTOR: The Government will accept the Receiving Report through WAWF. Contractor shall submit Receiving Report to attention of cindy. hall@robins.af.mil upon each submission. The Government will approve/disapprove within five (5) business days of receipt.

BLOCK ·9: Distribution authorized to US Government agencies only. Other requests for this document shall be referred to 78 ABW/SEG, Telephone, 478-926-6271.

Block 11: Submit written report within three (3) calendar days of mishap.

78ABW.SE.mishag@robins.af.mil cindy.hall@robins.af.mil edward.lemon@robins.af.mil

15. Total 3

""' -G. PREPARED BY H. DATE

I.Ar~~ t!Jfl J. DATE CindyM. Hall 13 June 2013 ~JUL 0 9 201 DO FORM 1423-1, Feb 2001 Previous edition may beused. 0 Page 1 of 1 Pages

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

Patrick.Virgilio Text Box

0004AA

CONTRACT DATA REQUIREMENTS LIST I

Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, induding the time for reviewing instructions, searching existing data soiXces, gathering and maintaining the data needed, and completing and reviewing the collection of inforrration. Send comments regarding this burden estimate or any other aspect of this collection of information, induding suggestions for reducing this burden to Departmeri of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN you form to either of these addresses. 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 TOP TM OTHER X

D. SYSTEM/ITEM I E.

CONTRACT I PR NO. F. CONTRACTOR

AC-130 SASS FD2060-13-30562 TBD

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

A002 STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80368A PWS PARAS 4.15, 4.17.1 AFLCMC /WIUAA

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

LT SEE BLOCK 16 SEE BLOCK 16

8. APPCODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES c SUBMISSION

FINAL a. ADDRESSEE N/A Draft

SEE BLOCK 16 SEE BLOCK 16 Reg Repro

AFLCMC/WIUAA 1

16. REMARKS

cindy.hall Block 7: The contractor shall submit DD Form 250 each report. The final report shall be @robins.af.mil submitted with aDD Form 250 through Wide Area Work Flow (WA WF) to DoDAAC

F A8509, attention: cindy.hall@robins.af.mil to collectively account for data previously submitted by Letters ofTransmittal. The Government will approve/disapprove within five

(5) business days of receipt.

AFLCMC /WIKAA 1

Block 9: Distribution approved for US Government Agencies and their Contractors. edward .lemon

@ro bins.af.mil Blocks 10 - 13: The information associated with this deliverable shall be submitted no later than the 151 h of each month beginning 30 calendar days after contract award.

Block 14: Electronic versions of each preliminary and final report shall be emailed to the listed offices and individuals:

- .J1.. TOTAL 2

G. PREPARED BY H. DATE I. T-O'EDBY /1JAi6L:s J. DATE

Cindy M. Hall 13 June 2013 --;IJA.u.. JUL 0 9 201~

- 0

Patrick.Virgilio

0004AB

CONTRACT DATA REQUIREMENTS LIST

I

Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, induding 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, induding suggestions for reducing this burden to Departmert of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN you form to either of these addresses. Send completed form to the Govemmert Issuing Contracting Officer for the Contract. PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT c. CATEGORY

A TOP TM OTHER X

D. SYSTEM/ITEM I E.

CONTRACT I PR NO. F. CONTRACTOR

AC-130 SASS FD2060-13-30562 TBD

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

A003 CONTRACT FUNDS STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-81468/T PWS PARA 4.17.2 AFLCMC /WIUAA

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

LT SEE BLOCK 16 SEE BLOCK 16

8. APPCODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

A SUBMISSION

FINAL a. ADDRESSEE N/A Draft

SEE BLOCK 16 SEE BLOCK 16 Reg Repro

AFLCMC/WIUAA 1

16. REMARKS

cindy.hall

Block 4: The Data Item DI-MGMT-81468 is tailored as follow: @ro bins.af.mil

Contractor format is acceptable.

Block 7: The contractor shall submit DD Form 250 each report. The final report shall be submitted with a DD Form 250 through Wide Area Work Flow (WA WF) to DoDAAC FA8509, attention :

AFLCMC /WIKAA 1

cindy .hall@robins.af.mil to collectively account for data previously submitted by Letters of Transmittal.

The Government will approve/disapprove within five (5) business days of receipt.

edward .lemon

@robins.af.mil

Block 9: Distribution approved for public release, distribution is unlimited.

Blocks I 0 - 13 : The information associated with this deliverable shall be submitted no later than the 4th

Tuesday after the end of each quarter and shall report the previous months funds status and then submit a final report within 25 calendar days after the close of the accounting quarter in which the contract is completed/terminated.

Block 14: Electronic versions of each preliminary and final report shall be emailed to the listed individuals:

.1"\ 1§... TOTAL 2

G. PREPARED BY H. DATE I. A"(_O'fWBY If)~

J. DATE

Cindy M. Hall 13 June 2013

JUL 0 9 2013

Patrick.Virgilio

0004AC

Form Approved (1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, induding 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, induding suggestions for redudng this burden to Departmert of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN you form to either of these addresses. 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 X

D. SYSTEM/ITEM I E.

CONTRACT I PR NO. F. CONTRACTOR

AC-130 SASS FD2060-13-30562 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM Engineering Change Proposal A004

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-CMAN-80639C PWS PARA4.17.3 AFLCMC/WIUAA

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

LT SEE BLK 16 SEEBWCK 16

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES c SUBMISSION

FINAL a. ADDRESSEE N/A Draft

SEE BLK 16 SEE BLK 16 Reg Repro

AFLCMC/WIUAA 1

16. REMARKS

cindy.hall

Block 7: The Contractor shall submit aDD Form 250 through Wide Area Work Flow @ro bins.af.mil

(W A WF) to DoDAAC F A8509, attention: cindy.hall@robins.af.mil to collectively account for data previously submitted by Letters of Transmittal. The Government will approve/disapprove within five (5) business days of receipt.

AFLCMC/WIKAA 1

Block 9: Distribution approved for US Government Agencies and their Contractors.

edward .lemon

Blocks 10 - 13: The information associated with this deliverable shall be submitted ten (10) @ro bins.af.mil working of determining the need for an ECP. Submit the proposed Specification Change Notices (SCN's) to the affected Situational Awareness Systems (SAS) as part ofthe

Engineering Change Proposal. AFLCMC/WIUEE 1 mark.garner Block 14: Electronic versions of the Engineering Change Proposal shall be emailed to the @robins.af.mil listed individuals.

./"\ '!.§.....TOTAL 3

G. PREPARED BY H. DATE I. A"{_O'f-DBY !U~

J. DATE

Cindy M. Hall 13 June 2013

:;J~ JUL 0 9 2013

Patrick.Virgilio

0004AD

Form Approved (1 Data Item) OMB No. 0704-0188

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 soLJ"ces, 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 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington , DC 20503. Please DO NOT RETURN you form to either of these addresses. Send completed form to the Govemmert Issuing Con1racting Officer for the Cootract. PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT c. CATEGORY

A TOP TM OTHER X

D. SYSTEM/ITEM I E.

CONTRACT I PR NO. F. CONTRACTOR

AC-130 SASS FD2060- 13-30562 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM) Conference Agenda

AOOS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-ADMN-81249A PWS PARA 4.16.3 , 4.17.4 AFLCMC/WIUAA

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

LT SEE BWCK 16 SEE BLOCK 16

8. APPCODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

A SUBMISSION

FINAL a. ADDRESSEE N/A Draft

SEE BLOCK 16 SEE BLOCK 16 Reg Repro

AFLCMC/WIUAA 1

16. REMARKS

cindy.hall

Block 7: The contractor shall submit DO Form 250 each report. The final report shall be submitted with @ro bins.af.mil aDD Form 250 through Wide Area Work Flow(WAWF) to DoDAAC FA8509, attention :

cindy .hall@robins.af.mil to collectively account for data previously submitted by Letters of Transmittal.

The Government will approve/disapprove within five (5) business days of receipt.

AFLCMC /WIKAA 1

Block 9: Distribution approved for public release, distribution is unlimited.

edward .lemon

Blocks I 0 - 13: The information associated with this deliverable shall be submitted no later than two (2) @robins.af.mil working days before the meeting by electronic means.

Block 14: Electronic versions of conference agenda shall be emailed to the listed individuals:

~TOTAL 2

G. PREPARED BY H. DATE I. ArO.,..OBY !/..)3/zs

J. DATE

Cindy M. Hall 9 July 2013

?~ JUL 0 9 2013

u

Patrick.Virgilio

0004AE

Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, induding 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, induding 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 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN you form to either of these addresses. Send completed form to the Government Issuing Con1racting Officer for the Ca1tract. PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT c. CATEGORY

A TOP TM OTHER X

D. SYSTEM/ITEM I E.

CONTRACT I PR NO. F. CONTRACTOR

AC- 130 SASS FD2060-13-30562 TBD

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

A006 Conference Minutes

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-81250A PWS PARA 4 .16.1 , 4.16.3, 4.17.4 AFLCMC/WIUAA

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

LT SEE BLOCK 16 SEE BLOCK 16

8. APPCODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

A SUBMISSION

FINAL a. ADDRESSEE N/A Draft

SEE BLOCK 16 SEE BLOCK 16 Reg Repro

AFLCMC/WIUAA 1

16. REMARKS

cindy.hall

Block 7: The contractor shall submit DD Form 250 each report. The final report shall be submitted with @ro bins.af.mil a DD Form 250 through Wide Area Work Flow (WA WF) to DoDAAC FA8509, attention :

cindy .hall@robins.af.mil to collectively account for data previously submitted by Letters of Transmittal.

The Government will approve/disapprove within five (5) business days of receipt.

AFLCMC/WIKAA 1

Block 9: Distribution approved for public release, distribution is unlimited.

edward .lemon

Blocks I 0 - 13: The Contractor shall prepare minutes for each meeting/conference. The Contractor shall @ro bins.af.mil provide the minutes within ten (10) business days after each meeting or conference. The Government will approve/disapprove within five (5) business days. If the minutes are disapproved, the Contractor shall have five (5) business days to incorporate Government comments and resubmit.

Block 14: Electronic versions of each preliminary and final report shall be emailed to the listed individuals:

-"" JA....TOTAL 2

G. PREPARED BY H. DATE I. A"f-_OfED BY !!.JJL-s J. DATE

Cindy M. Hall 9 July 2013

-:J~ JUL 0 9 2013

Patrick.Virgilio

0004AF

CONTRACT DATA REQUIREMENTS LIST I

Form Approved

(1 Data Item) OMB No. 0704-0188

,Public reporting burden for this collection of inforrration is estimated to average 110 hours per response, induding the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of inforrration. Send comments regarding this burden estimate or any other aspect of this collection of infonmation, induding suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for lnfonmation Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN you fonm to either of these addresses. Send completed fonm 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 X

D. SYSTEM/ITEM I E.

CONTRACT I PR NO. F. CONTRACTOR

AC- 130 SASS FD2060-13-30562 TBD

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

A007 Software Version Description (SVD)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-IPSC-81442A PWS PARA 4.17.6 AFLCMC/WIUAA

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

LT SEE BLOCK 16 SEE BWCK 16

8. APPCODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES c SUBMISSION

FINAL a. ADDRESSEE N/A Draft

SEE BLOCK 16 SEE BLOCK 16 Reg Repro

AFLCMC/WIUAA 1

16. REMARKS

cindy.hall

Block 7: The contractor shall submit DD Form 250 with each report. The Contractor shall provide a list @robins.af.mil of used hours with a list of remaining hours used quarterly to maintain software sustainment. Each quarterly report will be submitted with a DD Form 250 through Wide Area Work Flow (WA WF) to

DoDAAC FA8509, attention: cindy .hall@robins.af.mil to collectively account for data previously submitted by Letters of Transmittal. The Government will approve/disapprove within five (5) business days of receipt. AFLCMC /WIKAA 1 edward .lemon

Block 9: Distribution approved for US Government Agencies and their Contractors. @ro bins.af.mil

Blocks I 0 - 13 : The information associated with this deliverable shall be submitted no later than the on the 4th Tuesday after th; end of each quarter and shall report the previous quarters funds status and then

AFLCMC/WIUEE 1

submit a final report within 25 calendar days after the close of the accounting quarter in which the mark.garner contract is completed/terminated.

@ro bins.af.mil

Block 14: Electronic versions of each preliminary and final report shall be emailed to the listed individuals:

"' ~TOTAL 3

G. PREPARED BY H. DATE I.

Ar;~ /!_)~

J. DATE

Cindy M. Hall 13 June 2013

JUL 0 9 2013

u

Patrick.Virgilio

0004AG

Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, induding the time for reviewing instructions, searching existing data sol.l"ces, 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, induding suggestions for redudng this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN you form to either of these addresses. Send completed form to the Govemmert Issuing Conlracting Officer for the Contract. PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT c. CATEGORY

A TDP TM OTHER X

D. SYSTEMIITEM I E.

CONTRACT I PR NO. F. CONTRACTOR

AC-130 SASS FD2060-13-30562 TBD

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

A008 MILSTRIP Reconciliation Listing (MRL)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-FNCL-80496 PWS PARA4.17.7 AFLCMC/WIUAA

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

LT SEE BLOCK 16 SEE BWCK 16

8. APPCODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES c SUBMISSION

FINAL a. ADDRESSEE NJA Draft

SEE BLOCK 16 SEE BLOCK 16 Reg Repro

AFLCMC/WIUAA 1

16. REMARKS

cindy.hall

Block 7: The contractor shall submit a DO Form 250 with each report. The report shall maintain the @ro bins.af.mil

MILSTRIP reconciliation listing of requisitions placed, requisitions placed not received or cancelled by the contractor. The expended cost of the item and the remaining available funding shall be used to reconcile the contractors fund status against the status of funds maintained on the Contractor Requisition and Billing System. The final report will be submitted with a DO Form 250 through Wide Area Work

AFLCMC/WIKAA 1

Flow (WAWF) to DoDACC FA8509, attention : cindy.hall@robins.af.mil to collectively account for data previously submitted by Letters of Transmittal. The Government will approve/disapprove with five edward .lemon

(5) business days of receipt. @robins.af.mil

Block 9: Distribution approved for US Government Agencies and their Contractors.

Blocks I 0 - 13 : The information associated with this deliverable shall be submitted quarterly by electronic means.

Block 14: Electronic versions of the MILSTRIP reconciliation listing shall be emailed to the listed individuals.

/"\ [A TOTAL 2

G. PREPARED BY H. DATE I.

r;~ !f_)Jks J. .ra lE 0 9 2013 Cindy M. Hall 13 June 2013 u

Patrick.Virgilio

0004AH

( 1 Data Item) 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 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 C. CATEGORY:

TOP TM OTHER X

D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR

AC-130 SASS FD2060-13-30562 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A009 GOVERNMENT INDUSTRY DATA EXCHANGE

PROGRAM (GIDEP) ALERT/SAFE-ALERT REPORT

4. AUTHORITY (Data Acquisition Document No .) ,5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-QCIC-80125Bff PWS Para 4.7.2 AFLCMC/WIUAA

7. DO 250 REO 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

SEE BLK 16 SEE BLK 16 LT b. COPIES

8 . APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final A SUBMISSION Draft

N/A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS GIDEP 1

BLOCK 4: TAILORED TO PROVIDE SUBMISSION OF REPORT P.O. BOX 8000

ELECTRONICALLY, IN CONTRACTOR FORMAT. Corona, CA 92878-8000

BLOCK 7: THE GOVERNMENT WILL ACCEPT THE RECEIVING REPORT

THROUGH WIDE AREA WORKFLOW (WA WF). CONTRACTOR SHALL SUBMIT AFLCMC/WIUAA 1

THE FINAL RECEIVING REPORT TO ATTENTION: cindy.hall cindy.hall@robins.af.mil THE GOVERNEMNT WILL APPROVE/DISAPPROVE @robins.af.mil

WITHIN FIVE (5) BUSINESS DAYS OF RECEIPT.

AFLCMC/WIKAA 1

BLOCK 9: DISTRIBUTION APPROVED FOR PUBLIC RELEASE, DISTRIBUTION IS edward. lemon UNLIMITED. @robins.af.mil

BLOCK 10- 13: CONTRACTOR SHALL PREPARE AN ALERT, NO LATER THAN

THE 15TH CALENDAR DAY AFTER THE END OF THE MONTH TO NOTIFY THE

GOVERNMENT OF NONCONFORMING ITEMS, SUPPLIES, AND SERVICES OR

SAFETY PROBLEMS WHICH HAVE ADVERSELY IMPACTED OR HAVE THE

POTENTIAL TO ADVERSELY IMPACT THE PROGRAM DURING THE DURATION

OF THE CONTRACT.

BLOCK 14: ELECTRONIC VERSIONS OF THE REPORT SHALL BE EMAILED TO

THE LISTED INDIVIDUALS:

- 15.TOTAL 0 3 0

G. PREPARED BY H. DATE I.A~~DBY it Jv

J.DATE

Cindy M. Hall

13 Jun 2013 ::;~ ./~~ ~ JUL 0 9 2013 -- DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE{Jj-D. Page of Pages -- --

Adobe Professronal8. 0

I

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I

I

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17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

Patrick.Virgilio

0004AJ

(1 Data Item) OMB No. 0704-0188

The public reporting burden for this collection of information is esti ma~ed to average _110 hours per. response. including the time for reviewing .instructions. searc~ing existing data sources. gathering and maintaining the data needed. and completmg and rev1ewmg the collection of mformat1on . Send comments regardmg th1s burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden , to the Department of Defense, Executive Services 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 OMS 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 C. CATEGORY:

TOP TM OTHER X

D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR

AC-130 SASS FD2060-13-30562 TBD

1. DATA ITEM NO. 2 . TITLE OF DATA ITEM 3 . SUBTITLE

AOOA GOVERNMENT INDUSTRY DATA EXCHANGE

PROGRAM (GIDEP) ALERT/SAFE-ALERT RESPONSE

4 . AUTHORITY (Data Acquisition Document No.) ,5. CONTRACT REFERENCE 6 . REQUIRING OFFICE

DI-QCIC-801268/T PWS Para 4.7.2 AFLCMC/WIUAA

7. DO 250 REO 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

SEE BLK 16 SEE BLK 16 LT b . COPIES

8 . APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final A SUBMISSION Draft N/A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS GIDEP l

BLOCK 4: TAILORED TO PROVIDE SUBMISSION OF REPORT P.O. BOX 8000

ELECTRON! CALLY, IN CONTRACTOR FORMAT. Corona, CA 92878-8000

BLOCK 7: THE GOVERNMENT WILL ACCEPT THE RECEIVING REPORT

THROUGH WIDE AREA WORKFLOW (WA WF). CONTRACTOR SHALL SUBMIT AFLCMC/WIUAA l THE FINAL RECEIVING REPORT TO ATTENTION: cindy.hall cindy.hall@robins.af.mil THE GOVERNMENT WILL APPROVE/DISAPPROVE robins.af.mil

WITHIN FIVE (5) BUSINESS DAYS OF RECEIPT.

AFLCMC/WIKAA I

BLOCK 9: DISTRIBUTION APPROVED FOR PUBLIC RELEASE, DISTRIBUTION IS edward.lemon UNLIMITED. robins.af.mil

BLOCK 10- 13: CONTRACTOR SHALL SUBMIT A RESPONSE TO AN

ALERT/SAFE-ALERT NO LATER THAN THE 20th OF THE MONTH TO PROVIDE

THE GOVERNMENT WITH INFORMATION ON THE APPLICABILITY IMPACT,

CORRECTIVE ACTION, OR DISPOSITION OF ALERTED PARTS, ASSEMBLIES

AND UNITS DURING THE PERIOD OF PERFORMANCE OF THE CONTRACT.

BLOCK 14: ELECTRONIC VERSIONS OF THE REPORT SHALL BE EMAILED TO

THE LISTED INDIVIDUALS:

- 15. TOTAL 0 3 0

G. PREPARED BY H. DATE

I.AP~~ !f_)v J.DATE Cindy M . Hall

13Jun2013 ~ ) JUL 0 9 2013 DO FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE ~D. Page of Pages -- --

Adobe Professional8.0

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17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

Patrick.Virgilio

0004AK

Form Approved (1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, induding 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, induding suggestions for reducing this burden to Departmert of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN you form to either of these addresses. Send completed form to the Government Issuing Con1racting Officer for the Contract. PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT c. CATEGORY

A TOP TM OTHER X

D. SYSTEM/ITEM I E.

CONTRACT I PR NO. F. CONTRACTOR

AC-130 SASS FD2060-13-30562 TBD

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

AOOB Integrated Logistics Support Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-ILSS-80095/T PWS PARA4.17.5 AFLCMC /WIUAA

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

LT SEE BLOCK 16 SEE BLOCK 16

8. APPCODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES c SUBMISSION

FINAL a. ADDRESSEE N/A Draft

SEE BLOCK 16 SEE BLOCK 16 Reg Repro

AFLCMC/WIUAA 1

16. REMARKS

cindy.hall

Block 4: The Data Item DI-ILSS-80095ff is tailored as follow: @ro bins.af.mil

Contractor format is acceptable.

Block 7: The contractor shall submit DD Form 250 each report. The final report shall be submitted with a DD Form 250 through Wide Area Work Flow (W A WF) to DoDAAC FA8509, attention:

AFLCMC/WIKAA 1

cindy.hall@robins.af.mil to collectively account for data previously submitted by Letters of Transmittal.

edward .lemon The Government will approve/disapprove within five (5) business days of receipt.

@ro bins.af.mil

Block 9: Distribution approved for US Government Agencies and their Contractors.

Blocks I 0 - 13: The information associated with this deliverable shall be submitted no later than the 45 calendar days after contract award and updated throughout the contract as required. The Government will approve/disapprove the plan within ten (ten) business days . If disapproved, the Contractor shall have ten (I 0) business days to incorporate comments and resubmit.

Block 14: Electronic versions of each preliminary and final report shall be emailed to the listed individuals.

/'l .Jit-\TOTAL 2

G. PREPARED BY H. DATE I.

Ar;~ /)_)J:L::s J. DATE Cindy M. Hall 13 June 2013 JUL 0 9 2013 u

Patrick.Virgilio

0004AL

CONTRACT DATA REQUIREMENTS LIST (CDRL)

Form Approved

( 1 Data Item) 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 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. ~XHIBIT I c. CATEGORY:

TOP TM OTHER X

D. SYSTEM/ITEM I E. CONTRACT/PR NO. F. CONTRACTOR

AC-130 SASS FD2060-13-30562 TBD

1. DATA ITEM NO. 12. TITLE OF DATA ITEM 3. SUBTITLE

AOOC Management Plan Mission Essential Contractor Services Plan

4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

01-MGMT -80004AIT PWS .4.2.4.3 ~FLCMC/WIUAA

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED ASREQ 30DADO b. COPIES

8. APPCODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM. a. ADDRESSEE Final

A D

See Block 16 See Block 16 Draft

Reg Repro

16. REMARKS AFLCMCNI/IKAA 1 1

Block 4: PWS paragraph 4.2.4.3 specifies requirements that the contractor shall address in the Edward.Lemon@robins.af.mil Management Plan. Only PWS paragraph 4.2.4.3 applies to the submission of this Contract Data Requirements List (CDRL) .

Block 7: The contractor shall submit DO Form 250 each report. The final report shall be AFLCMCNI/IUAA 1 1 submitted with a DD Form 250 through Wide Area Work Flow (WAWF) to DoDAAC cindy.hall@robins.af.mil FA8509, attention: cindy.hall@robins.af.mil to collectively account for data previously submitted by Letters of Transmittal. The Government will approve/disapprove within five

(5) business days of receipt.

Block 8: Contractor has 30 business days to submit the draft plan to the Government. The Government has 15 business days to review the draft plan and provide comments back to contractor. The contractor has 15 business days to provide final plan to Government.

Block 9: Distribution authorized to the Department of Defense (DoD) and DoD contractors due o content of document. Other requests shall be referred to AFLCMC/WIUAA.

Blocks 10 - 13: The Management Plan shall be submitted to the contracting officer lAW PWS paragraph 4.2.4.3

Block 14: Electronic versions of each preliminary and final report shall be emailed to the listed individuals:

/""'\ 15 . T~--~ 2 2

G. PREPARED BY H. DATE

I.APPb~ /)_)~

J. DATE

Cindy M. Hall 13 June 2013 JUL 0 9 2013 u

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page_ of_ Pages APD PE v1 .00

Patrick.Virgilio

0004AM

Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, induding the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of inforrration. Send comments regarding this burden estimate or any other aspect of this collection of information, induding 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 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN you form to either of these addresses. Send completed form to the Government Issuing Conlracting Officer for the Cootract. PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT c. CATEGORY

A TOP TM OTHER X

D. SYSTEM/ITEM I E.

CONTRACT I PR NO. F. CONTRACTOR

AC-130 SASS FD2060-13-30562 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

AOOD STATUS REPORT TRANSITION REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80368A/T PWS PARAS 4.19 AFLCMC/WIUAA

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQUIRED SUBMISSION

LT SEE BLOCK 16 SEE BLOCK 16

8. APPCODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES c SUBMISSION

FINAL a. ADDRESSEE NjA Draft

SEE BLOCK 16 SEE BWCK 16 Reg Repro

AFLCMC/WIUAA 1

16. REMARKS

Block 4: Transition Period Report shall address critical path leading to a successful transition to include, cindy.hall but not I imited to, transfer of GFE/GFP from the current contractor to the new contractor and timel ine of @robins.af.mil events.

Block 7: The contractor shall submit DD Form 250 each report. The final report shall be submitted with a DD Form 250 through Wide Area Work Flow (W A WF) to DoDAAC FA8509, attention:

AFLCMC/WIKAA 1

cindy.hall@robins.af.mil to collectively account for data previously submitted by Letters of Transmittal.

The Government will approve/disapprove within five (5) business days of receipt.

edward .lemon

@robins.af.mil

Block 9: Distribution approved for US Government Agencies and their Contractors.

Blocks I 0 - 13: The Contractor shall deliver the Transition Period Report to the Government no later than ten (I 0) days after contract award.

Block 14: Electronic versions of the report shall be emailed to the listed offices and individuals:

/"} ~TOTAL 2

G. PREPARED BY H. DATE I. A"(.;_OfEOBY /!_).J;-ks J. DATE Cindy M. Hall 13 June 2013

::;:J~ JUL 0 9 2013

u

Patrick.Virgilio

0004AN