FA8650-18-S-5006-Atch1.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

( 1 Data Item) 0MB 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 i0704-0188). 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 0MB 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:

0001 A TOP TM OTHER

0. SYSTEM/ITEM

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E. CONTRACT/PR NO. F. CONTRACTOR

FA8650-18-S-5006

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

A001 SCIENTIFIC AND TECHNICAL REPORTS Final Report

4. AUTHORITY {Data Acqw:5ition Document No.J 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

D1-M1SC-80711A/T csow AFRURXAP

7. OD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12- DATE OF FIRST SUBM1SSION 14. DISTRIBUTION xx REQUIRED ONE/R See Block 16* b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D SUBMISSION A End of Tech Effort See Block 16*

16. REMARKS

Blk 4:Tailored to allow for attached ANSI based AFRL

Format Guidelines Standard Form 298. Also to include, if the Final Report contains data that is be delivered with less than unlimited rights, the data with less-than-unlimited rights shall be delivered in an appropriately marked appendix to the Final

Report.Block 10, is clarified so that, "Pursuant to

DFARS 252.235-7011, the Government will forward the to the Defense Technical Information ctpJ:!LUv;;;;;u L�.t?ULL..

Center (DTIC)."

BLOCK 9: D: Distribution authorized to DoD and us DoD contractors only. Other requests for this document shall be referred to

WARNING - This document contains technical data whose export is restricted by the Arms :C.:A.t:.JO.L L.. Control Act (Title u.s.c., sec 2778 et seq.) or the Export Administration

Act of 1979, as amended, Title 50, u.s.c. App 2401 et seq. Violations of these export laws are subject to severe criminal Disseminate in accordance with of DoD Directive 5230.25.

Electronic submittals shall be euC.1..yJ::.l l .... or password

IP ·nt- -�t-.,,.r1

Block. 11:

Block 12:

.n.t:Jl;-'.LVVC!.

End of Technical Effort.

30 days from Block 11.

i � - --i.-,.--VVC!. by letter from Program Manager within 0 days after the Air Force

Disapproval ... (continued on next page)

G. PREPARED BY H_ DATE I. APPROVED BY

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AFRL/RXAP

AFRL/RXOB-ARM

Hi. TOTAL

Matthew A. Lange 08-fEB-2018 RAGLANDJ<AREN.E.1230136412

AFRL/RXAP, (937)656-5711

Draft Reg Repro

1 1 0

1 1 0

2 2 0

J_ DATE

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DD FORM 1423�1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page� of 10 Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

FA8650-18-S-5006

Attachment 1