DD1423_FA8534-17-R-0007.docx
DOCX document 82 KB Posted
- Attached to
- Noise Suppressor Sustainment Federal contract opportunity
- Solicitation number
- FA8534-17-R-0007
About this file
This Contract Data Requirements List (CDRL) outlines nine required data items for the Noise Suppressor sustainment contract between the contractor and the Air Force Materile Command Lifecycle Management Center. Key deliverables include status reports, test procedures and reports, engineering change proposals, and an integrated master schedule. Submission due dates vary by item but are typically monthly or as required. The CDRL specifies distribution as limited to U.S. government agencies and their contractors for administrative or operational use. It identifies the approving authority for each data item as AFLCMC/WN-SEV/NOISE SUPPRESSORS and requires government approval of submissions.
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CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
TM
OTHER
X
D. SYSTEM/ITEM
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Status Report
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-MGMT-80368A
5. CONTRACT REFERENCE
PWS paragraph 4.4.1.30 , 4.4.16
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
30 DAC
14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
Monthly Draft Final Reg Repro
16. REMARKS
Block 4: Contractor format acceptable. Data Item to be used as a guide for content.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11: Frequency shall be monthly, NLT the 10 th working day of the month.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Repairable Item Inspection Report
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-ILSS-80386
5. CONTRACT REFERENCE
PWS paragraph 4.4.2.3
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.
Media shall be submitted as one copy on paper and one in electronic format.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11: As required Blocks 12, 13: Report shall be turned in IAW PWS Table 2, Contractor Response Time. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
G. PREPARED BY
Lauren Janelle
H. DATE
12 June 2017
I. APPROVED BY
J. DATE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
)DD FORM 1423, AUG 96
PREVIOUS EDITION MAY BE USED.
Page 1 of x Pages Adobe Professional 8.0
Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Statement of Work
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-MGMT-81606
5. CONTRACT REFERENCE
PWS paragraph 4.4.2.4
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.
Media shall be submitted as one copy on paper and one in electronic format.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11: As required Blocks 12, 13: Report shall be turned in IAW PWS Table 2, Contractor Response Time. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
Test Procedure
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-NDTI-80603A
5. CONTRACT REFERENCE
PWS paragraph 4.4.3
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.
Media shall be submitted as one copy on paper and one in electronic format.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
G. PREPARED BY
Lauren Janelle
H. DATE
12 June 2017
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
)DD FORM 1423, AUG 96
PREVIOUS EDITION MAY BE USED.
Page 2 of x Pages
Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PWS paragraph 4.4.3
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.
Media shall be submitted as one copy on paper and one in electronic format.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Contract S ummary Report
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-ADMN-80447A
5. CONTRACT REFERENCE
PWS paragraph 4.4.5
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.
Media shall be submitted as one copy on paper and one in electronic format.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
G. PREPARED BY
Lauren Janelle
H. DATE
12 June 2017
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
)DD FORM 1423, AUG 96
PREVIOUS EDITION MAY BE USED.
Page 3 of x Pages Adobe Professional 8.0
CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Status Report
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-MGMT-80368A
5. CONTRACT REFERENCE
PWS paragraph 4.4.6
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
Monthly
12. DATE OF FIRST SUBMISSION
30 DAC
14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
Monthly Draft Final Reg Repro
16. REMARKS
B lock 4:
Media shall be submitted as one copy on paper and one in electronic format.
The contractor shall develop and maintain a spreadsheet including all major components and subsystems repaired for the duration of this effort. The information shall be sortable by location, frequency, type of repair, and component. An example spreadsheet will be provided for reference.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Block 11: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM
Engineering Change Proposal (ECP)
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-SESS-80639D
5. CONTRACT REFERENCE
PWS paragraph 4.4.
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.
Media shall be submitted as one copy on paper and one in electronic format.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Bloc ks 10, 11, 12, 13: As required.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
G. PREPARED BY
Lauren Janelle
H. DATE
12 June 2017
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
)DD FORM 1423, AUG 96
PREVIOUS EDITION MAY BE USED.
Page 4 of x Pages Adobe Professional 8.0
CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A010
2. TITLE OF DATA ITEM
Notice of Revision (NOR)
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-SESS-80642
5. CONTRACT REFERENCE
PWS paragraph 4.4.
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.
Media shall be submitted as one copy on paper and one in electronic format.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11, 12, 13: As required.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A012
2. TITLE OF DATA ITEM
Conference Agenda
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-ADMN-81249A
5. CONTRACT REFERENCE
PWS paragraph 4.4.
12.1, 4.4.12.2, 4.4.19
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.
Media shall be submitted as one copy on paper and one in electronic format.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
G. PREPARED BY
Lauren Janelle
H. DATE
12 June 2017
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
)DD FORM 1423, AUG 96
PREVIOUS EDITION MAY BE USED.
Page 5 of x Pages Adobe Professional 8.0
CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A013
2. TITLE OF DATA ITEM
Conference Minutes
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
D
I-ADMN-81250A
5. CONTRACT REFERENCE
PWS paragraph 4.4.
12.1, 4.4.12.2, 4.4.20
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
As required
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.
Media shall be submitted as one copy on paper and one in electronic format.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A015
2. TITLE OF DATA ITEM
Integrated Master Schedule
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-MGMT-81650
5. CONTRACT REFERENCE
PWS paragraph 4.4.
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
30 DAC
14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
Monthly Draft Final Reg Repro
16. REMARKS
Block 4: Contractor format acceptable. Data Item to be used as a guide for content.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11: Frequency shall be monthly, NLT the 10 th working day of the month.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
G. PREPARED BY
Lauren Janelle
H. DATE
12 June 2017
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
)DD FORM 1423, AUG 96
PREVIOUS EDITION MAY BE USED.
Page 6 of x Pages Adobe Professional 8.0
CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A016
2. TITLE OF DATA ITEM
Government Industry Data Exchange Program (GIDEP) Alert/Safe-Alert Report
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-QCIC-80125B
5. CONTRACT REFERENCE
PWS paragraph 4.
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
Block 4: GIDEP Response format shall be at the contractor’s discretion. Contractor shall adhere to the policies and directives of GIDEP.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11, 12, 13: As required.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
GIDEP OPS CTR
Code 30G Corona, CA 92878-8000
15. TOTAL
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A017
2. TITLE OF DATA ITEM
Response to a Government Industry Data Exchange Program (GIDEP) Alert/Safe-Alert Report
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-QCIC-80126
B
5. CONTRACT REFERENCE
PWS paragraph 4.8
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
Block 4: GIDEP Response format shall be at the contractor’s discretion. Contractor shall adhere to the policies and directives of GIDEP.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11, 12, 13: As required.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
GIDEP OPS CTR
Code 30G Corona, CA 92878-8000
15. TOTAL
G. PREPARED BY
Lauren Janelle
H. DATE
12 June 2017
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
)DD FORM 1423, AUG 96
PREVIOUS EDITION MAY BE USED.
Page 7 of x Pages Adobe Professional 8.0
CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188 The public reporting burden for this collection of information is estimated to average 440 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.
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A018
2. TITLE OF DATA ITEM
Accident/Incident Report
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
D
I-ADMN-81250A
5. CONTRACT REFERENCE
PWS paragraph
5.5.2.1
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
LT
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
B lock 4: Contractor format acceptable. Data Item to be used as a guide for content.
Media shall be submitted as one copy on paper and one in electronic format.
Block 7: Letter of Transmittal containing CDRL name, CDRL number, contract number, and applicable DID will be sent to the WR-ALC/PK contracting officer with each submission of this CDRL.
Block 8: Government approval is required. AFLCMC/WN-SEV/NOISE SUPPRESSORS is the Approving Authority.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks 10, 11, 12, 13: As required. Approval/Disapproval will be provided within 14 calendar days after receipt of report by the Approving Authority.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
TDP
Noise Suppressor
E. CONTRACT/PR NO.
FA8534-17-R-0007
F. CONTRACTOR
1. DATA ITEM NO.
A019
2. TITLE OF DATA ITEM
Environmental Health and Safety Plan
3. SUBTITLE
4. AUTHORITY
(Data Acquisition Document No.)
DI-ENVR-81375
5. CONTRACT REFERENCE
PWS paragraph 5.5.2.3
6. REQUIRING OFFICE
AFLCMC/WN-SEV/NOISE SUPPRESSOR
S
7. DD 250 REQ
DD
9. DIST STATEMENT REQUIRED
C
10. FREQUENCY
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16 14.
DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
See Block 16
13. DATE OF SUBSEQUENT SUBMISSION
See Block 16 Draft Final Reg Repro
16. REMARKS
Block 4: Contractor format acceptable.
Block 7:
The Government will accept the Receiving Report through WAWF/ iRAPT . Contractor shall submit the Receiving Report upon final submission.
Block 8 , 10-12 Contractor shall submit a Health and Safety Plan within 14 calendar days after contract award. Written Government acceptance/comments will be submitted within 14 calendar days after receipt of data. Contractor final submission shall be submitted within 14 calendar days of receiving Government comments. Acceptance by the Government is required prior to formal distribution.
Block 9: Distribution Statement C: Distribution authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use as determined 1 June 2017. Other requests for this document referred to AFLCMC/WN-SEV/NOISE SUPPRESSORS, Robins AFB, GA 31098.
Blocks
11, 13:
If, during the performance of this contract, changes to the Safety and Health Plan are required, submit the revised Safety and Health Plan to AFLCMC/WN-SEV/NOISE SUPPRESSORS. Procedures identified for Blocks 10-12 shall apply.
AFLCMC/WN-SEV/
NOISE SUPPRESSORS
235 Byron Street Suite 19-A Robins AFB, GA 31098-1813
15. TOTAL
G. PREPARED BY
Lauren Janelle
H. DATE
12 June 2017
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
)DD FORM 1423, AUG 96
PREVIOUS EDITION MAY BE USED.
Page 8 of x Pages
File details come from the government source that posted it. Updated .