FA8650-19-S-5009_-_BAA__Attach_3_-_CDRLs.pdf

CONTRACT DAT A 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, Exec·utive 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 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 TDP

TM

OTHER

I

I

I

I

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

FA8650-19-S-5009

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

I

I 17. PRICE GROUP

A001 SCIENTIF IC AND TECHNICAL REPORTS Final Report

I

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

D1-MISC-80711A/T csow I

18. ESTIMATED

TOTAL PRICE

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

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final D SUBMISSION Draft

A End of Tech Effort See Block 16* Reg Repro I

16. REMARKS AFRL/RXCA 1 1 0

Blk 4:Tailored to allow for attached ANSI based AFRL AFRL/RXOP 1 1 0 I Format Guidelines including Standard Form 298. Also to include, if the Final Report contains data that is being 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

I

I

I

I approved report to the Defense Technical Information

Center (DTIC)." I

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

I Block 11: End of Technical Effort.

I Block 12: 30 days from Block 11.

I Approval/Disapproval by letter from the Air Force

Program Manager within 30 days after receipt. I

Disapproval requires correction/resubmission within 30 I days after receipt of Air Force comments.

I Block 13: End of Contract, ·go days from Block 11.

I Blocks 12 & 13: Contractor shall deliver the Final

Report within 30 calendar days after completion of the technical effort. The AFRL Program Manager will take no

I

I more than 30 calendar days to review, edit, and return to the contractor. Upon receipt of the combined I Technical and STINFO comments, the contractor shall take I no ... (continued on next page)

I

15.TOTAL 2 2 0

G. PREPARED BY H.DATE I. APPROVED BY J. DATE

John N. Wertz

05-FEB-2019

AFRL/RXCA (937) 255-2718

I

I DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page -2±_ of 10 Pages

FA8650-19-S-5009

Attachment 3

FA8650-19-S5009