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Contract Data Requirements List A001

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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 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 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

1_DATA_ITEM_NO: A001
2_TITLE_OF_DATA_ITEM: Funds and Man-Hours Expenditure Report
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: DI-FNCL-80331A
5_CONTRACT_REFERENCE: See PWS paragraph 4.8.4.3
6_REQUIRING_OFFICE: AFLCMC/WNZDA
7_DID_250_REQ: NO
8_APP_CODE: NA
DIST_STATEMENT: E
10_FREQUENCY: See block 16
11_AS_OF_DATE: See block 16
12_DATE_OF_FIRST_SUBMISSI: See block 16
13_DATE_OF_SUBSEQUENT_SUB: See block 16
addressee1: AFLCMC/WNZDA
draft1: 1
reg1: 1
repro1:
addressee2: See block 16
draft2:
reg2:
repro2:
addressee3:
draft3:
reg3:
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addressee38:
draft38:
reg38x:
repro38:
total_draft: 1
total_repro: 0
16_REMARKS: BLK 8: Approval will be based upon format, technical, and cost data.

BLK 9: Distribution Statement E: Distribution authorized to DoD components only due to Critical Technology and Direct Military Support, date of determination 07 November, 2011. Other request for this document shall be referred to the AF DCGS Controlling Distribution Office (CDO) AFLCMC/WNZDA, 235 Byron St, Suite 19A, Robins AFB GA 31098-1670.

BLKS 10-13: Deliver initial submission NLT 30 days after contract award. Submit subsequent reports NLT 15 working days after end of each month.

BLK 14: Submission via Government approved electronic format to WNZDA in Microsoft (MS) Office 2003 or later.

Mailing address for Unclassified:

AFLCMC/WNZDA

ATTN: WNZDA

235 Byron St, Suite 19A

RAFB, GA 31098-1670

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
Page: 1
reg38t: 1
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT: A
TDP:
TM:
OTHER: FNCL
DSYSTEMITEM: SLICC/SLIP
E_CONTRACTPR_NO: FD2060-18-30793
FCONTRACTOR: SelectTech Services Corporation 7W030
of_pages: 1
Reset:
2018-02-23T11:57:14-0500
HARRIS.VANCE.C.1027013623
2018-02-23T12:01:18-0500
CROVO.KENNETH.L.II.1047208803

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