CDRL_A001_-_Monthly_Status_Report_(MSR).pdf

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T (1 Data Item)

Form Approved OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP________TM_______OTHER___MISC______

D. SYSTEM/ITEM

Afghan C-130H

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Monthly Status Report (MSR)

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

C-130H PWS Paras 2.1, 3.12, 4.1,

4.6.7 and 4.8.3

6. REQUIRING OFFICE

AFLCMC/WLNIG

7. DD250 REQ

LT

9. DIST

STATEMENT

REQUIRED

See BLK 16

10. FREQUENCY

MTHLY

12. DATE OF FIRST

SUBMISSION

See BLK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

MTHLY

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor format is acceptable.

BLK 7: The Contractor shall invoice in Wide Area Work Flow (WAWF) to collectively account for all data submitted by Letter of Transmittal (LT) after the submission of final report.

BLK 9: Distribution Statement C: Distribution authorized to US Government Agencies and their Contractors. Other request shall be referred to AFLCMC/WLNIG, Robins

AFB, GA 31098-1640

BLKs 12 & 13: Provide a Monthly Status Report (MSR) No Later Than (NLT) ten (10) working days after the last day of the month

BLK 14: Data shall be submitted to the AFLCMC/WLNIG e-mail addresses provided below. Deliver the data electronically in Microsoft Office format. Alternate method is by electronic file or CD-ROM.

E-mail addresses:

Security Assistance Program Manager: james.wright.79@us.af.mil Contracting Officer: carla.clark@us.af.mil

Address for alternate method of delivery:

AFMC AFLCMC/WLNIG

235 Bryon St., Suite 19A Robins AFB, GA 31098-1640

See BLK 16

15. TOTAL 0 0

G. PREPARED BY

H. DATE

10 June 2014

I. APPROVED BY

J. DATE

10 June 2014

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