Form1423_0920004_00_1.pdf

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Repair of JHMCS Prime Mission Equipment
Solicitation number
FA8522-09-R-20004
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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved QMB 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 and Communications 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 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:

0013 B TM OTHER X

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

JOINT HELMET MOUNTING CUEING FD2060-09-20004 Vision Systems International

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

A002 Contractor’s Progress, Status and Management Technical Progress Report

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

DI-MGMT-80227 PBWS PARA 4.8.1 407 SCMS/PKHCB

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED 10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

LT** Monthly SEE BLK 16 b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF

SUBSEQUENT

SUBMISSION

a. ADDRESSEE

FINAL

N/A SEE BLOCK

SEE BLK 16 Draft Reg Repro

16. REMARKS

Block4: Delete Blocks 3, 7, and 10 of DI-MGMT-80227, Technical Progress Reports shall be delivered Microsoft Office 2000 product suite and/or Microsoft Project format.

Block 11: Progress reports shall be as of the last day of the monthly reporting period.

Block 12: Deliver first report within 10 days of the end of the first full calendar moth of the contract performance.

Block 13: Deliver subsequent reports within 10 days after last day of every following monthly period for the duration of contract.

Block 14: Deliver monthly reports via Email to the following addresses:

garett.nelson@robins.af.mil ; Ron.Buck@robins.af.mil ; Roger.Davis@robins.af.mil

407SCMS/GULB

460 Richard Ray Blvd. Ste 200 Robins AFB, GA 31098-

See Block 16 "ADDRESSEE"

15. TOTAL 1 0 2

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

ROGER DAVIS/407 SCMS/GUEA 27 Oct 08 Levern Keels/407 SCMS/GULB 27 Oct 08

DD Form 1423-1, Feb 2001 PREVIOUS EDITIONS ARE OBSOLETE. PAGE___1_ OF __1__ PAGES

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