Exhibit F.pdf
PDF 771 KB Posted
- Attached to
- ALE-47 Countermeasures Dispenser System (CMDS) Hardware Procurement Federal contract opportunity
- Solicitation number
- FA8523-24-R-0007
About this file
This document is a Contract Data Requirements List (CDRL) that lists multiple data items the contractor must provide for a federal contract opportunity. The key details are:
The contract is for the procurement of the AN/ALE-47 Countermeasures Dispenser System (CMDS) hardware. The contractor must submit various plans, reports, and other data items on a recurring basis, including a Reliability and Maintainability Test Plan, Status Reports, Lead-Free Control Plan, Production Status Reports, Integrated Master Schedule, Meeting Agendas and Minutes, Data Accession List, Government Furnished Equipment Detail Transaction Status Data, Engineering Change Proposals, Notice of Revisions, Request for Variances, Parts Management Plan, Safety Assessment Report, Counterfeit Prevention Plan, Reliability Test Reports, and an Environmental, Safety, and Occupational Health Plan. The contractor shall provide the required documents in editable electronic format per the specified timelines. Distribution of the documents is limited to the Department of Defense and DoD contractors only.
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Text version
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER SESS
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F001
2. TITLE OF DATA ITEM
Reliability and Maintainability Test Plan
3. SUBTITLE
Environmental Stress Screening (ESS) Procedures
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-81585A/T
5. CONTRACT REFERENCE
2.1.1, 2.2.1
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
180 DPTT
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
NA
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contractor format is acceptable. DI-NDTI-81585A paragraphs 3.n through 3.r not required.
Block 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay B Room 205, Robins AFB, GA 31098.
BLOCKS 8, 10, 11, 12, AND 13: Initial Plan shall be delivered 180 calendar days before test event in the Integrated Master Schedule.
Plan updates shall be delivered within 30 days of discovery of issue or next test event. Government approval will be within 15 business days of receipt. The Contractor shall incorporate USG comments and resubmit within 10 business days after receipt of USG comments.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages
17. PRICE GROUP
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F002
2. TITLE OF DATA ITEM
Status Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80368A
5. CONTRACT REFERENCE
2.2.1, 2.5
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
MTHLY
12. DATE OF FIRST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
EOM
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contractor format is acceptable.
BLK 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay B Room 205, Robins AFB, GA 31098.
Blocks 11, 12 & 13: The first report shall be submitted by the 15th of the second full month after contract award to cover from contract award through the first full month. The Contractor shall submit subsequent reports on the 15th of each month to cover the full previous month.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F003
2. TITLE OF DATA ITEM
Lead-Free Control Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT- 81772
5. CONTRACT REFERENCE
2.4
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
SEE BLKC 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
45 DACA
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Contract format is acceptable.
Block 8 and 13: The Lead-Free Control Plan shall be submitted NLT 45 calendar days after contract award. Modifications to the plan shall be documented with future submissions.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay B Room 205, Robins AFB, GA 31098.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 1 0 1
15. TOTAL 1 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F004
2. TITLE OF DATA ITEM
Production Status Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81255
5. CONTRACT REFERENCE
2.5.4
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
MTHLY
12. DATE OF FIRST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
EOM
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay B Room 205, Robins AFB, GA 31098.
Blocks 12 & 13: Contractor shall submit their proposed format 60 calendar days ARO. Formal submittal shall begin on the 15th of the month preceding the first production article and monthly thereafter.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F005
2. TITLE OF DATA ITEM
Integrated Master Schedule (IMS)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81650
5. CONTRACT REFERENCE
2.5
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
QTRLY
12. DATE OF FIRST SUBMISSION
60 DACA
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
EOQ
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Blocks 8 through 13: The initial submission of the IMS shall be delivered NLT 60 calendar days after contract award. Subsequent submissions shall be delivered NLT the 15th of the month following the reporting period. Government response will be provided with 30 business days after submittal. Resubmit, if required, to incorporate Government comments within 20 business days of receipt of Government comments.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay B Room 205, Robins AFB, GA 31098.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER ADMN
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F006
2. TITLE OF DATA ITEM
Meeting Agenda
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-ADMN-81249C
5. CONTRACT REFERENCE
SEE BLK 16
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
N/A
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
BLK 4: Contract format is acceptable.
Block 6: SOW para. 2.5.1, 2.5.2, 2.5.3, 2.8.5.1, 2.8.5.2
BLK 7: The contractor shall provide a Letter or Transmittal for each submission and a final LT for the cumulative CDRL.
Block 12, 13: The Meeting Agenda shall be submitted Not Later Than (NLT) 10 business days prior to the meeting.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay B Room 205, Robins AFB, GA 31098.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER ADMN
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F007
2. TITLE OF DATA ITEM
Meeting Minutes
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-ADMN-81250C
5. CONTRACT REFERENCE
SEE BLK 16
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
N/A
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Contract format is acceptable.
Block 6: SOW para. 2.5.1, 2.5.2, 2.5.3, 2.8.5.1, 2.8.5.2
BLK 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 12, 13: The Meeting Minutes shall be submitted Not Later Than (NLT) 15 business days after the conclusion of the meeting.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F008
2. TITLE OF DATA ITEM
Data Accession List
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81453B
5. CONTRACT REFERENCE
2.7.1
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
QTRLY
12. DATE OF FIRST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
EOQ
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Blocks 8 through 13: The initial submission of the Data Accession List (DAL) shall be delivered NLT 60 calendar days after contract award. Subsequent submissions shall be delivered NLT the 15th of the month following the reporting period. Government response will be provided with 30 business days after submittal. Resubmit, if required, to incorporate Government comments within 20 business days of receipt of Government comments.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F009
2. TITLE OF DATA ITEM
Government Furnished Equipment Detail Transaction Status Data
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80377
5. CONTRACT REFERENCE
2.7.2
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
60 DACA
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contractor format is acceptable.
BLK 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
Blocks 10 & 13: Revise and resubmit as changes occur.
Block 14: See separate sheet marked “Mail List” for full address.
Deliver “Draft” and "Repro" copies via Email. “Reg” copies mean paper copy.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER SESS
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F00A
2. TITLE OF DATA ITEM
Engineering Change Proposal (ECP)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80639E
5. CONTRACT REFERENCE
2.8.1
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
N/A
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Contract format is acceptable.
BLK 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 8: The Requiring Office will provide approval or disapproval/comments of the draft within 60 days of receipt (first submission). The Contractor shall revise and resubmit within 30 days of disapproval/comments receipt. Submit final within 15 days of Government approval of draft. The Government will provide approval or disapproval/comments of the final within 30 days of receipt. Extent of approval requirements include format and content.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 1 0 1
15. TOTAL 1 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER SESS
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F00B
2. TITLE OF DATA ITEM
Notice of Revision (NOR)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80642E
5. CONTRACT REFERENCE
2.8.1
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
N/A
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Contract format is acceptable.
BLK 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 8: The Requiring Office will provide approval or disapproval/comments of the draft within 60 days of receipt (first submission). The Contractor shall revise and resubmit within 30 days of disapproval/comments receipt. Submit final within 15 days of Government approval of draft. The Government will provide approval or disapproval/comments of the final within 30 days of receipt. Extent of approval requirements include format and content.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 1 0 1
15. TOTAL 1 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F00C
2. TITLE OF DATA ITEM
Request for Variance
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SESS-80640E
5. CONTRACT REFERENCE
2.8.1
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
N/A
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
BLK 4: Contract format is acceptable.
BLK 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 8: The Requiring Office will provide approval or disapproval/comments of the draft within 60 days of receipt (first submission). The Contractor shall revise and resubmit within 30 days of disapproval/comments receipt. Submit final within 15 days of Government approval of draft. The Government will provide approval or disapproval/comments of the final within 30 days of receipt. Extent of approval requirements include format and content.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 1 0 1
15. TOTAL 1 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER SDMP
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F00D
2. TITLE OF DATA ITEM
Parts Management Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SDMP-81748
5. CONTRACT REFERENCE
2.8.3
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
60 DACA
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contract format is acceptable.
Block 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
Block 12, 13: The Parts Management Plan shall be submitted 60 days after contract award. Government response will be provided with 30 business days after submittal. Resubmit, if required, to incorporate Government comments within 10 working days of receipt of Government comments. Modifications to the plan shall be documented with future submissions as needed.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER SAFT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F00E
2. TITLE OF DATA ITEM
Safety Assessment Report (SAR)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SAFT-80102C
5. CONTRACT REFERENCE
2.9
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
45 DACa
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contract format is acceptable.
Block 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
Block 12, 13: The Safety Assessment Report shall be submitted NLT 45 calendar days after contract award. Modifications to the plan shall be documented with future submissions.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER MISC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F00F
2. TITLE OF DATA ITEM
Counterfeit Prevention Plan (CPP)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81832
5. CONTRACT REFERENCE
2.8.4
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
45 DACA
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contract format is acceptable.
Block 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
Block 12, 13: The Counterfeit Prevention Plan (CPP) shall be submitted NLT 45 calendar days after contract award. Modifications to the plan shall be documented with future submissions.
BLK 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER SESS
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F00G
2. TITLE OF DATA ITEM
Reliability Test Reports
3. SUBTITLE
Environmental Stress Screening (ESS) Report
4. AUTHORITY (Data Acquisition Document No.)
DI-TMSS-81586B/T
5. CONTRACT REFERENCE
2.1.1
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASGEN
12. DATE OF FIRST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contractor format is acceptable. DI-SESS-81628B paragraphs 3.2, 3.7, 3.5, 3.9 are not required.
Block 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
BLOCKS 8, 10, 11, 12, AND 13: Initial Plan shall be delivered 180 calendar days before test event in the Integrated Master Schedule.
Plan updates shall be delivered within 30 days of discovery of issue or next test event. Government approval will be within 15 business days of receipt. The Contractor shall incorporate USG comments and resubmit within 10 business days after receipt of USG comments.
Separate One/R submittals required for each LRU.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
15. TOTAL 0 0 0
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER SAFT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F00H
2. TITLE OF DATA ITEM
ENVIRONMENTAL, SAFETY, AND OCCUPATIONAL HEALTH (ESOH)
PLAN
3. SUBTITLE
SAFETY PLAN
4. AUTHORITY (Data Acquisition Document No.)
DI-SAFT-82313
5. CONTRACT REFERENCE
2.12
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
30 DACA
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contractor's format is acceptable.
Block 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
Block 10-12: The Environmental Safety and Occupational Health (ESOH) Plan shall be submitted NLT 30 calendar days after contract award.
Modifications to the plan shall be documented with future submissions.
BLK 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER ADMN
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F00J
2. TITLE OF DATA ITEM
PRESENTATION MATERIALS
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-ADMN-81373
5. CONTRACT REFERENCE
SEE BLK 16
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
N/A
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
BLK 4: Contract format is acceptable.
Block 6: SOW para. 2.5.1, 2.5.2, 2.5.3, 2.8.5.1, 2.8.5.2
BLK 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
BLK 12, 13: The Presentation Material shall be submitted No Later Than (NLT) 5 days prior to scheduled meeting.
BLK 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
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 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.
200X
B. EXHIBIT
F
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
VENDOR X
1. DATA ITEM NO.
F00K
2. TITLE OF DATA ITEM
Government Property (GP) Inventory Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80441D
5. CONTRACT REFERENCE
3.1
6. REQUIRING OFFICE
AFLCMC/HBY
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
SEE BLK 16
13. DATE OF SUBSEQUENT
SUBMISSION
SEE BLK 16
Draft
Final
Reg Repro
16. REMARKS
Block 4: Contract format is acceptable.
Block 7: The contractor shall provide a Letter of Transmittal for each submission and a final LT for the cumulative CDRL.
Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DOD contractors only [Controlled Technical Information (CTI)] [22 October 2024]. Other requests for this document shall be referred to AFLCMC/HBY 320 Richard Ray Blvd, Bldg. 300 West Wing, Bay C Room C303, Robins AFB, GA 31098.
Block 12, 13: The Government Property (GP) Inventory Report shall be submitted 90 calendar days after receipt of all Government Furnished Property. Modifications to the plan shall be documented with future submissions. Government approval/comments will be provided within 30 calendar days after submittal. Resubmit, if required, to incorporate Government comments within 10 working days of receipt of Government comments.
Block 14: Data Copies shall be submitted in accordance with (IAW) the General Notes. Data shall be in editable electronic document format and Microsoft Office 2016 or newer.
AFLCMC/HBY 0 0 1
15. TOTAL 0 0 1
G. PREPARED BY
NOE.JENNIFER.LYN.1049097049
H. DATE
2024/10/29
I. APPROVED BY
MEDINA UPSHAW
J. DATE
2024/10/29
18. ESTIMATED
TOTAL PRICE
File details come from the government source that posted it. Updated .