A007NOR.pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 comm ents 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 subjec t 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:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A10 CTS FD2060-15-91418 CTSI

A007 Notice of Revision (NOR)

DI-CMAN-80642C PWS Para 4.8 AFLCMC/WNA

DD

A D

MTHLY

N/A

See Blk 16

N/A 235 Byron St 1 Suite 19A Robins AFB, GA 31098

0 1 0

BLOCK 12 - Report shall be submitted according to the government-appro ved program schedule.

Jared Brown Digitally signed by BROWN.JARED.MARCUS.1274135723 DN: c=US, o=U.S . Government, ou=DoD, ou=PKI, ou=USAF, cn=BROWN.JARED.MARCUS.1274135723 Date: 2015.03.18 10:13:52 -04' 00'

3/18/15 SLAY.DIMITRA.R.10679276

Digitally signed by SLAY.DIMITRA. R.1067927644 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=SLAY.DIMITRA. R.1067927644 Date: 2015.04.03 16:18:06 -04' 00'

04/03/2015

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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

TDP ________ TM _______ OTHER

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

16. REMARKS (Cont inued)

DD FORM 1423-1, FEB 2001 Page of Pages

A10 CTS FD2060-15-91418 CTSI

Reset

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instruct ions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory .

Item B. Self-explanatory .

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as " Provisioning," " Configurat ion Management," etc.

Item D. Enter name of system/item being acquired that data w ill support.

Item E. Self -explanator y (to be f illed in after contract aw ard).

Item F. Self -explanatory (to be f illed in after contract aw ard).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL w as prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL w as approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter t it le as it appears on data acquisit ion document cited in Item 4.

Item 3. Enter subt it le of data item for further def init ion of data item (opt ional entry).

Item 4. Enter Data Item Descript ion (DID) number, military specif icat ion number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-t ime DID number, that def ines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical off ice responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspect ion/accep tance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparat ion of the f inal data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribut ion statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of t imes data items are to be delivered.

Item 11. Specify as-of date of data item, w hen applicable.

Item 12. Specify w hen f irst submittal is required.

Item 13. Specify w hen subsequent submittals are required, w hen applicable.

Item 14. Enter addressees and number of draft / f inal copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft / f inal copies to be delivered.

Item 16. Use for addit ional/clari fying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarif icat ion of submittal dates in Items 12 and 13; Explanat ion of reproducible copies in Item 14. ; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group f rom one of the follow ing groups of effort in developing est imated prices for each data item listed on the DD Form 1423.

a. Group I. Def init ion - Data w hich is not otherw ise essent ial to the contractor' s performance of the primary contracted ef fort (product ion, development, test ing, and administrat ion) but w hich is required by DD Form 1423.

Est imated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance w ith Government requirements, and the administrat ion and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Def init ion - Data w hich is essent ial to the performance of the primary contracted effort but the contractor is required to perform addit ional w ork to conform to Government requirements w ith regard to depth of content, format, f requency of submittal, preparat ion, control, or quality of the data item.

Est imated Price - Costs to be included under Group II are those incurred over and above the cost of the essent ial data item w ithout conforming to Government requirements, and the administrat ive and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Def init ion - Data w hich the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substant ial change to conform to Government requirements w ith regard to depth of content, format, f requency of submit tal, preparat ion, control, and quality of the data item.

Est imated Price - Costs to be included under Group III are the administ rat ive and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Def init ion - Data w hich is developed by the contractor as part of his normal operat ing procedures and his ef fort in supplying these data to the Government is minimal.

Est imated Price - Group IV items should normally be show n on the DD Form 1423 at no cost .

Item 18. For each data item, enter an amount equal to that port ion of the total price w hich is est imated to be at tributable to the product ion or development for the Government of that item of data.

These est imated data prices shall be developed only from those costs w hich w ill be incurred as a direct result of the requirement to supply the data, over and above those costs w hich w ould otherw ise be incurred in performance of the contract if no data w ere required. The est imated data prices shall not include any amount for rights in data. The Government ' s right to use the data shall be governed by the pert inent provisions of the contract.

DD FORM 1423-1 (BACK), FEB 2001