RFP_Attachment_10_CDRL_A004_Excess_Airline_Ticket_Cost.pdf

CONTRACT OAT A REQUIREMENTS LIST Form Approved (1 Data item) OMB No. 0704-0188

The public reporting burden for this collection 01 information iiSC~~i;:t~~; to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed. and and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information" ' r reducing the burden, to the Department of Defense, Executive Services D1rec~orate (0704-0188). Respondents should be aware that notwithstand!ng 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, Pleue do not retum your form to the above organlzation, Send eomp4eted form to the Government I ..uing Contracting Ollicor for the Contract/PR No. Ii.tad in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TOP TM OTHER X MISC

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

C2ISR Division (Non-core IPTS/Wrkctrs) PR FX2399-13-00 117 TBD

1. DATA ITEM NO. 2. TiTlE OF DATA ITEM 3. SUBTiTlE

AOO4 Notice of Excess Commercial Airline Ticket Cost Excess Airline Ticket Cost Approval Request

4. AUTHORiTY ID8t. Acquisition Document No.) 16. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-81363 PWS paras 1.3.4.3 and 4.2.1 WR-ALC/GRCBD

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

SEEBLK 16 SEEBLK 16LT b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT •. ADDRESSEE Final E SUBMISSION DraftN/A SEEBLK 16 SEEBLK 16 Rag Repro

16. REMARKS i WR-ALC/GRCKC I Block 4: Approval request format and content as stated in Data Item Description. Purpose I 235 Byron Street ofthis Contract Data Requirement List is to provide guidance/format regarding Contractor's i Suite 19A request to gain Government approval when commercial airline ticket cost is other than least i Robins AFB GA 31098 costly airfare. !

WR-ALC/GRCBD 1

Block 9: Distribution Statement E: Distribution authorized to DoD components only . 235 Byron Street (Critical Technology and Direct Military Support) (21 February 2012). Other requests shall Suite 19A be referred to WRALC/GRCBA, 235 Byron Street, Suite 19A, Robins AFB, GA Robins AFB GA 31098 31098-1670.

lntelink--see Blk 16 1 Blocks 10-13: Approval request to be submitted no later than ten (l0) working days before the first day of the scheduled travel assignment.

Block 14: Submission via Government approved electronic format (lntelink), in Microsoft (MS) Office 2003, or later. NotifY Government Procurement Contracting Officer (PCO) and CO's Representative bye-mail of submission into Intelink. The PCO and COR e-mail addresses will be provided in the contract or in a separate contractual memorandum.

Contractor shall request access to lntelink site at www.intelink.gov/. Once lntelink access is granted, contractor shall post data to the following URL address:

https:llwww.intelink.gov/siteslisrdcgsaf/OEMlC2ISR%20Division%20Support%20and% 20Services/Formsl AlJItems.aspx

All electronically delivered files shall be screened for virus and delivered virus free.

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15. TOTAL • 0 3 0

G. PREPARED BY H. DATE I. APPROVED B~ ./ J.DATE

!>Po.,......"'J~IIl<WiJ ......._ 30 May 12 ~~~. J{,~ /;1.JOHNSON.DANNYJ, 1061683220 -='::4::£;:~·_1'--"'" ~vt.1N), JJ:Ft1i" DO FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. Page-L o,.~ Pages

Adobe ProlessionalS.O

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17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE