RFP_Attachment_9_CDLR_A003_Trip_Report.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 DBtB Item) OMB No. 0704-0188

The public reporting burden for this collection of information is estimeted to everage 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 co~lectjon of information, lncluding suggestions for reducing the burden, to the Oepartment of Defense, Executive Services Directorate {0704~01a8}. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for faning to comply with a collection of information if it does not display a currently valid OMS control number. Plea" do not return you~ form to the above organization. Send completed form to the Government IlIuing Contracting Officer for the Contract/PR No. Ii_ted In alock E.

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

TM XMISCi A TOP .. OTHER

D. SYSTEM liTEM ,I E. CONTRACTIPR NO. F.CONTRACTOR

C2ISR Division (Non-core IPTslWrkctrs) PR FX2399-13-00117 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

AOO3 Conference Report Trip Report (TP)

4. AUTHORITY ID.t. Acquisition Document No.} IS' CONTRACT REFERENCE 8. REQUIRING OFFICE

DI-MISC-80508B PWS paras 1.3.4.2 and 4.2.3 WR-ALC/GRCBD

7.00250 REQ , 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

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I REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APPCODE 11. AS OF DATE 13. DATE OF SUBSeQUENT a. ADDRESSEE

Final E SUBMISSION DraftN/A I SEE BLK 16 SEE BLK 16 Reg Repro

111. REMARKS . WR-ALC/GRCKC 1

Block 4: Report format and content as stated in Data Item Description. Item 3(d) only as 235 Bl::!on Street needed to complete the thoroughness ofthe trip report. Purpose ofthis Contract Data Suite 19A Requirement List is to provide guidance/format regarding preparation oftrip report. Robins AFB GA 31098

Block 9: Distribution Statement E: Distribution authorized to DoD components only WR-ALC/GRCBD 1 (Critical Technology and Direct Military Support) (21 February 2012). Other requests shall : 235 Byron Street be referred to WRALC/GRCBA, 235 Byron Street, Suite 19A, Robins AFB, GA 'Suite 19A 31098-1670. Robins A FB GA 31098

Blocks 10-\3: Report to be submitted within seven (7) days after the completion of the Intelink--See Blk 16 1 travel assignment.

Block 14: Submission via Government approved electronic format (Intelink), in Microsoft (MS) Office 2003, or later. NotifY Government Procurement Contracting Officer (PCO) and CO's Representative (COR) 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 Intelink site at www.intelink.gov/. Once Intelink access is granted, contractor shall post data to the following URL address:

https:llwww.intelink.gov/sites/isrdcgsafiOEMlC2ISR%20Division%20Support''1020and%

20Services/Formsi AJlItems.aspx

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

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G. PREPARED BY H.DATE

J. ::'VED BY "/:::?'~~ J.DATE

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DO FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _1_ of_l_ Pages Adobe Professional 8,0

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