Attch 11 CDRL Sample Order 0001.docx

CONTRACT DATA REQUIREMENTS LIST

(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.

CLIN 0002

B. EXHIBIT

A

C. CATEGORY

TDP TM- OTHER MISC

D. SYSTEM/ITEM

NEXT-GEN SRDN

E. CONTRACT/PR NO.

FA8750-12-R-0002/0001

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

RESEARCH AND DEVELOPMENT (R&D) PROJECT SUMMARY

3. SUBTITLE

AFRL PROGRAM MANAGEMENT REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81612B/T

5. CONTRACT REFERENCE

PARAGRAPH 4.3.1 OF THE WORK DESCRIPTION

6. REQUIRING OFFICE

AFRL/RIGA

7. DD250 REQ

NO

9. DIST STATEMENT REQUIRED

N/A

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

16. REMARKS

REFERENCE BLOCK 4, TAILOR DI-MISC-81612B

THE CONTRACTOR SHALL UTILIZE THE AFRL PROGRAM MANAGEMENT SYSTEM, KNOWN AS JIFFY (https://jiffy.rome.af.mil) TO INPUT THE REQUIRED STATUS, SUMMARY AND FINANCIAL INFORMATION.

ESTABLISH CONTRACTOR USER ACCOUNT BY CONTACTING JIFFY HELP DESK AT 315-330-3005.

NOTIFY THE RRS JIFFY HELP DESK (email: jiffy@rl.af.mil) WITHIN TEN (10) DAYS OF AWARD WITH NAMES OF ALL CONTRACT REPORTING INDIVIDUALS (REQUIRING JIFFY USER ACCOUNTS).

PRINCIPAL INVESTIGATOR (PI) OF RECORD (1.1.2.1)

FINANCIAL REPORTER (1.1.2.3)

PROGRAMMATIC/TECHNICAL STATUS REPORTER (1.1.2.4, IF NOT PI)

ORGANIZATIONAL STATUS REPORTING MONITORS (1.1.2.2)

VERIFY INFORMATION CONCURRENTLY WITH THE FIRST REPORT

CONTINUED ON NEXT PAGE.

G. PREPARED BY

DONALD R. LUBECKI

H. DATE

22 JUN 2011

I. APPROVED BY

THOMAS J. PARISI

J. DATE

22 JUN 2011

CONTRACT DATA REQUIREMENTS LIST, DD FORM 1423 CONTINUATION SHEET

CLIN 0002 FA8750-12-R-0002/0001 EXHIBIT A A001

BLOCK 16,

CONTINUED FROM PREVIOUS PAGE.

FINANCIAL DATA.

INPUT MONTHLY EXPENDITURE VALUES FOR THE ENTIRE PERFORMANCE PERIOD CONCURRENTLY WITH THE FIRST REPORT AND INCLUDE THE FOLLOWING.

REPORTED MONTH’S ACCRUED/ INCURRED EXPENDITURE (2.1), INPUT VALUE INTO THE FINANCIAL INPUT PAGE PROJECTED EXPENDITURES (2.4), INPUT PROJECTIONS FOR THE NUMBER OF MONTHS TO THE EXHAUSTION OF OBLIGATED FUNDS.

TECHNICAL STATUS.

UPLOAD REPORT AS A FILE OR INPUT NARRATIVE TO THE TECHNICAL STATUS INPUT PAGE

PROGRESS AGAINST PLANNED OBJECTIVES (3.1.1),

TECHNICAL ACCOMPLISHMENTS THIS PERIOD (3.1.2),

IMPROVEMENTS TO PROTOTYPES THIS PERIOD (3.1.3),

DELIVERABLES THIS PERIOD (3.1.5),

PUBLICATIONS THIS PERIOD (3.1.7) UPLOAD DIGITAL COPY OF PUBLICATION WITH STATUS REPORT OR AS SEPARATE UPLOAD

MEETINGS AND PRESENTATIONS THIS PERIOD (3.1.8),

ISSUES OR CONCERNS (3.1.9),

PLANNED ACTIVITIES (3.2.1), INFORMATION COVERING THE NEXT THREE (3) MONTHS.

ENTER THE FIRST REPORT WITHIN FORTY (40) DAYS AFTER CONTRACT AWARD AND MONTHLY THEREAFTER FOR THE PERIOD OF PERFORMANCE.

DO NOT INPUT DATA THAT IS CLASSIFIED TO JIFFY. SUBMIT SUCH DATA AS HARD COPY OR VIA THE SIPRNET AS COORDINATED WITH THE REQUIRING OFFICE.

INCLUDE THE FOLLOWING REPORTING DISTRIBUTION WITHIN JIFFY. (SELECT CC: CHECK BOXES)

GOVERNMENT TECHNICAL POINT OF CONTACT (REFERENCE BLOCK 6)

GOVERNMENT BUYER (SF26, BLOCK 5; DD1155, BLOCK 6)

ADMINISTRATIVE CONTRACTING POINT OF CONTACT (ACO, SF26 BLOCK 6; DD1155, BLOCK 7) (INPUT MANUALLY E-MAIL ADDRESS TO OUT-GOING E-MAIL NOTICE)

OTHER RECIPIENTS AS COORDINATED WITH THE REQUIRING OFFICE

(1 Data Item) Form Approved

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 MGMT

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

FA8750-12-R-0002/0001

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

CONTRACT FUNDS STATUS REPORT (CFSR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81468

5. CONTRACT REFERENCE

PARAGRAPH 4.3.2 OF THE WORK DESCRIPTION

6. REQUIRING OFFICE

AFRL/RIGA

7. DD250 REQ

NO

9. DIST STATEMENT REQUIRED

TBD

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

16. REMARKS

COMPLETE CONTRACT LINE ITEM OR APPROPRIATION REPORTING IN TOTAL SHALL BE ACCOMPLISHED ON A QUARTERLY CALENDAR BASIS, AND ALSO BY SEPARATE CONTRACT LINE ITEM WHEN AN INDIVIDUAL CONTRACT LINE ITEM IS VALUED OVER $1,500,000.

UTILIZE THE JIFFY UPLOAD DOCUMENTS/REPORTS ACTIONS DROP-DOWN MENU ITEM (FINANCIAL STATUS/COST/CFSR FILE CATEGORY) TO POST CONTRACTOR FORMATTED FILES FOR AUTOMATIC DISTRIBUTION.

CONTRACTOR FORMAT IS ACCEPTABLE PROVIDING ALL THE ELEMENTS REQUIRED ARE INCLUDED AND ADDRESSED. PREFER ELECTRONIC DELIVERY IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT OR RTF.

COMPILE AND SUBMIT BLOCK 12 INFORMATION OF DD FORM 1586, “OPEN COMMITMENTS” AND “ACCRUED EXPENDITURES” MONTHLY AS FOLLOWS: ACTUAL TO DATE (CURRENT MONTH), NEXT MONTH PROJECTION, THE FOLLOWING MONTH PROJECTION, THEN THE PROJECTION FOR EACH REMAINING FISCAL QUARTER. ALL OF THE ABOVE ARE CUMULATIVE FIGURES. ANY ADDITIONAL PROJECTIONS MAY BE ADDED BY THE CONTRACTOR SO LONG AS THE ELEMENTS ARE CLEARLY IDENTIFIED.

UTILIZE THE JIFFY "ENTER FINANCIAL INFORMATION" FEATURE TO POST MONTHLY ACCRUED VALUE FOR THE CURRENT PERIOD AND PROJECTED ACCRUED EXPENDITURES FOR THE NEXT THREE (3) MONTHS THROUGH CONTRACT COMPLETION.

THIS DATA ITEM RELATES TO THE R&D PROJECT SUMMARY (A001); DO NOT DUPLICATE REPORTING REQUIREMENTS ESTABLISHED THEREIN.

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(1 Data Item) Form Approved

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 ADMN

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

FA8750-12-R-0002/0001

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

PRESENTATION MATERIAL

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81373

5. CONTRACT REFERENCE

PARAS 4.1.5 AND 4.3.3 OF THE WORK DESCRIPTION

6. REQUIRING OFFICE

AFRL/RIGA

7. DD250 REQ

NO

9. DIST STATEMENT REQUIRED

TBD

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

16. REMARKS

CONTRACTOR FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT OR RTF.

THE CONTRACTOR SHALL SUBMIT DRAFT PRESENTATION MATERIAL WITHIN THREE (3) DAYS PRIOR TO EACH PRESENTATION. UPLOAD FILE TO JIFFY USING THE "CONTRACTOR PRESENTATION/QUAD CHARTS' CATEGORY. UPLOADED FILE SIZE IS LIMITED TO 12 MEGABYTES.

COORDINATE THE NUMBER OF COPIES AND DELIVERY MEDIA REQUIRED FOR EACH PRESENTATION WITH THE REQUIRING OFFICE.

SEE BLOCK 16

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(1 Data Item) Form Approved

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

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

FA8750-12-R-0002/0001

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

TECHNICAL INFORMATION REPORT

3. SUBTITLE

INSTALLATION REQUIREMENTS

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80652/T

5. CONTRACT REFERENCE

PARAGRAPH 4.1.4 OF THE WORK DESCRIPTION

6. REQUIRING OFFICE

AFRL/RIGA

7. DD250 REQ

NO

9. DIST STATEMENT REQUIRED

TBD

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

16. REMARKS

BLOCK 2 AND 4. REFERENCE DD FORM 1664 OR FACSIMILE, TAILORING. THE FOLLOWING PARAGRAPHS APPLY: 10.3.4 AND 10.3.5 CONTRACTOR FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT OR RTF. UPLOAD FILE TO JIFFY USING THE CENTER ACTION DROP-DOWN MENU “UPLOAD DOCUMENTS/REPORTS” ON PROJECT PAGE. NOTE THAT THE UPLOADS ARE SUBJECT TO FILE SIZE LIMITATIONS AS POSTED ON THE UPLOAD PAGE.

THE CONTRACTOR SHALL SUBMIT THIS DOCUMENT A MINIMUM OF NINETY (90) DAYS PRIOR TO THE INSTALLATION OF THE SRDN.

THE GOVERNMENT WILL RETURN COMMENTS WITHIN FIFTEEN (15) DAYS AFTER RECEIPT OF DRAFT DOCUMENT.

SUBMIT UPDATED DOCUMENT WITHIN FIFTEEN (15) DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS.

PROVIDE UPDATES AND SUPPLEMENTS TO THIS DOCUMENT, AS APPROPRIATE, DURING THE PERIOD OF PERFORMANCE. INCORPORATE CHANGE BARS OR SOME OTHER METHOD TO IDENTIFY CHANGES FROM PREVIOUS VERSIONS. PERMANENT CHANGE PAGES SHALL CONFORM TO THE REQUIREMENTS, QUALITY, STYLE AND FORMAT OF THE BASIC DOCUMENTATION.

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(1 Data Item) Form Approved

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

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

FA8750-12-R-0002/0001

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

TECHNICAL INFORMATION REPORT

3. SUBTITLE

DEMONSTRATION PLAN

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80652/T

5. CONTRACT REFERENCE

PARAGRAPH 4.1.6 OF THE WORK DESCRIPTION

6. REQUIRING OFFICE

AFRL/RIGA

7. DD250 REQ

NO

9. DIST STATEMENT REQUIRED

TBD

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

16. REMARKS

BLOCK 2 AND 4. REFERENCE DD FORM 1664 OR FACSIMILE, TAILORING. THE FOLLOWING PARAGRAPHS APPLY: 10.3.4 AND 10.3.5 CONTRACTOR FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT OR RTF. UPLOAD FILE TO JIFFY USING THE CENTER ACTION DROP-DOWN MENU “UPLOAD DOCUMENTS/REPORTS” ON PROJECT PAGE. NOTE THAT THE UPLOADS ARE SUBJECT TO FILE SIZE LIMITATIONS AS POSTED ON THE UPLOAD PAGE.

THE CONTRACTOR SHALL SUBMIT THIS DOCUMENT WITHIN FORTY-FIVE (45) DAYS PRIOR TO THE START OF THE FINAL DEMONSTRATION.

THE GOVERNMENT WILL RETURN COMMENTS WITHIN FIFTEEN (15) DAYS AFTER RECEIPT OF DRAFT DOCUMENT.

SUBMIT UPDATED DOCUMENT WITHIN FIFTEEN (15) DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS.

PROVIDE UPDATES AND SUPPLEMENTS TO THIS DOCUMENT, AS APPROPRIATE, DURING THE PERIOD OF PERFORMANCE. INCORPORATE CHANGE BARS OR SOME OTHER METHOD TO IDENTIFY CHANGES FROM PREVIOUS VERSIONS. PERMANENT CHANGE PAGES SHALL CONFORM TO THE REQUIREMENTS, QUALITY, STYLE AND FORMAT OF THE BASIC DOCUMENTATION.

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(1 Data Item) Form Approved

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 IPSC

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

FA8750-12-R-0002/0001

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

SOFTWARE PRODUCT SPECIFICATION (SPS)

3. SUBTITLE

EXECUTABLE SOFTWARE, SOURCE FILES AND PACKAGING REQUIREMENTS

4. AUTHORITY (Data Acquisition Document No.)

DI-IPSC-81441A/T

5. CONTRACT REFERENCE

PARAGRAPH 4.2.1.1 OF THE WORK DESCRIPTION

6. REQUIRING OFFICE

AFRL/RIGA

7. DD250 REQ

NO

9. DIST STATEMENT REQUIRED

TBD

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

16. REMARKS

BLOCK 2 AND 4, REFERENCE DD FORM 1664 OR FACSIMILE. TAILORING: ONLY PARAGRAPHS 3.1, 3.2 AND 3.3 APPLY. IN THE EVENT THE SOFTWARE PRODUCED HEREIN IS NOT A COMPUTER SOFTWARE CONFIGURATION ITEM (CSCI), DISREGARD CSCI REQUIREMENTS.

CONTRACTOR FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT OR RTF.

THE CONTRACTOR SHALL SUBMIT EXECUTABLE SOFTWARE, COMMENTED SOURCE CODE FILES AND PACKAGING REQUIREMENTS AT THE COMPLETION OF CLIN 0001. COORDINATE THE DELIVERY MEDIA WITH THE REQUIRING OFFICE.

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(1 Data Item) Form Approved

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

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

FA8750-12-R-0002/0001

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

TECHNICAL INFORMATION REPORT

3. SUBTITLE

INSTALLATION USER AND MAINTENANCE MANUAL

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80652/T

5. CONTRACT REFERENCE

PARAS 4.1.5 AND 4.2.1.2 OF THE WORK DESCRIPTION

6. REQUIRING OFFICE

AFRL/RIGA

7. DD250 REQ

NO

9. DIST STATEMENT REQUIRED

TBD

10. FREQUENCY

SEE BLOCK 16

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

16. REMARKS

BLOCK 2 AND 4. REFERENCE DD FORM 1664 OR FACSIMILE, TAILORING. THE FOLLOWING PARAGRAPHS APPLY: 10.3.4 AND 10.3.5 CONTRACTOR FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT OR RTF. UPLOAD FILE TO JIFFY USING THE CENTER ACTION DROP-DOWN MENU “UPLOAD DOCUMENTS/REPORTS” ON PROJECT PAGE. NOTE THAT THE UPLOADS ARE SUBJECT TO FILE SIZE LIMITATIONS AS POSTED ON THE UPLOAD PAGE.

THE CONTRACTOR SHALL SUBMIT THIS DOCUMENT WITHIN THIRTY (30) DAYS PRIOR TO THE START OF THE FINAL DEMONSTRATION.

THE GOVERNMENT WILL RETURN COMMENTS WITHIN FIFTEEN (15) DAYS AFTER RECEIPT OF DRAFT DOCUMENT.

SUBMIT UPDATED DOCUMENT WITHIN FIFTEEN (15) DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS.

PROVIDE UPDATES AND SUPPLEMENTS TO THIS DOCUMENT, AS APPROPRIATE, DURING THE PERIOD OF PERFORMANCE. INCORPORATE CHANGE BARS OR SOME OTHER METHOD TO IDENTIFY CHANGES FROM PREVIOUS VERSIONS. PERMANENT CHANGE PAGES SHALL CONFORM TO THE REQUIREMENTS, QUALITY, STYLE AND FORMAT OF THE BASIC DOCUMENTATION.

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(1 Data Item) Form Approved

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- TMSS OTHER

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

FA8750-12-R-0002/0001

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

COMMERCIAL OFF-THE-SHELF (COTS) MANUAL AND ASSOCIATED SUPPLEMENTAL DATA

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-TMSS-80527B

5. CONTRACT REFERENCE

PARAS 4.1.5 AND 4.2.1.5 OF THE WORK DESCRIPTION

6. REQUIRING OFFICE

AFRL/RIGA

7. DD250 REQ

NO

9. DIST STATEMENT REQUIRED

TBD

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

UTILIZE MIL-PRF-32216 FOR GUIDANCE AS COORDINATED WITH THE REQUIRING OFFICE.

THE CONTRACTOR SHALL SUBMIT ORIGINAL MEDIA COTS MANUALS AND SUPPLEMENTAL DATA CONCURRENT WITH EACH DELIVERY OF ASSOCIATED SOFTWARE OR HARDWARE AS APPLICABLE.

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

(1 Data Item) Form Approved

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

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

FA8750-12-R-0002/0001

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

FINAL TECHNICAL REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711A/T

5. CONTRACT REFERENCE

PARAGRAPH 4.3.4 OF THE WORK DESCRIPTION

6. REQUIRING OFFICE

AFRL/RIGA

7. DD250 REQ

DD

9. DIST STATEMENT REQUIRED

SEE BLK 16

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLK 16

16. REMARKS

NOTE: THE CONTRACTOR SHALL NOT DELIVER ANY TECHNICAL DATA WITH RESTRICTIVE MARKINGS UNLESS THE TECHNICAL DATA ARE LISTED ON AN ATTACHMENT TO THIS CONTRACT ENTITLED “IDENTIFICATION AND ASSERTION OF RESTRICTIONS ON THE GOVERNMENT’S USE, RELEASE OR DISCLOSURE OF TECHNICAL DATA OR COMPUTER SOFTWARE.” UNLESS WAIVED BY THE AFRL TECHNICAL DIRECTOR, IF THE FINAL REPORT CONTAINS DATA THAT IS DELIVERED WITH LESS-THAN-UNLIMITED RIGHTS (e.g. LIMITED RIGHTS, GOVERNMENT PURPOSE RIGHTS, SPECIFICALLY NEGOTIATED LICENSE RIGHTS), THE DATA WITH LESS-THAN-UNLIMITED RIGHTS SHALL BE DELIVERED IN AN APPROPRIATELY MARKED (PER DFARS 252.227-7013) APPENDIX TO THE FINAL REPORT. THE FINAL REPORT WITHOUT THE APPENDIX SHALL BE CONSIDERED TO BE DELIVERED WITH UNLIMITED RIGHTS. THE REQUIREMENT FOR A SEPARATE APPENDIX IS MANDATORY AND CAN ONLY BE WAIVED WITH WRITTEN APPROPRIATE AFRL TECHNICAL DIRECTOR APPROVAL VIA THE PROCURING CONTRACTING OFFICER (PCO).

BLOCK 4:REFERENCE ANSI/NISO Z39.18-2005 BASED AFRL FORMAT GUIDELINES INCLUDING STANDARD FORM 298 (AVAILABLE AT https://jiffy.rome.af.mil with AFRL TECHNICAL QUALITY CHECKLIST AFRL FORM 25) BLOCK 9: DISTRIBUTION STATEMENT F: FURTHER DISSEMINATION ONLY AS DIRECTED BY AFRL/RIGA, ROME, NY 13441.

NOTE: THIS DISTRIBUTION STATEMENT IS PRELIMINARY ONLY. FINAL DISTRIBUTION STATEMENT SHALL BE DETERMINED BY THE GOVERNMENT DURING THE REVIEW PROCESS.

(IF APPLICABLE) "WARNING - THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, USC, SEC 2751 ET SEQ) OR THE EXPORT ADMINISTRATION ACT OF 1979, AS AMENDED, TITLE 50, USC, APP 2401 ET SEQ. VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IAW THE PROVISIONS OF DOD DIRECTIVE 5230.25"

BLOCK 11: COMPLETION OF TECHNICAL EFFORT, SEE SECTION F CLIN0001.

BLOCKS 12, 13 & 14: CONTRACTOR SHALL DELIVER THE UNCLASSIFIED (SEE NOTE BELOW FOR CLASSIFIED) FINAL REPORT WITH SF 298 AND THE COMPLETED, SIGNED TECHNICAL QUALITY CHECKLIST (AFRL FORM 25) WITHIN FIFTEEN (15) CALENDAR DAYS AFTER THE COMPLETION OF THE TECHNICAL EFFORT, ELECTRONIC DELIVERY VIA JIFFY. REPORT SHALL BE IN ONE EDITABLE TEXT FORMAT (MS WORD) FILE, WITH THE COMPLETED SF 298 EMBEDDED IN THE REPORT. THE GOVERNMENT WILL TAKE NO MORE THAN THIRTY (30) CALENDAR DAYS TO REVIEW, EDIT AND RETURN TO THE CONTRACTOR FOR CORRECTIONS IF NEEDED. UPON THE RECEIPT OF THE WRITTEN GOVERNMENT COMMENTS, THE CONTRACTOR SHALL TAKE NO MORE THAN FIFTEEN (15) DAYS TO INCORPORATE ALL REQUIRED CHANGE AND RESUBMIT THE FINAL REPORT (MS WORD WITH EMBEDDED SF 298) AND COMPLETED, SIGNED CHECKLIST VIA JIFFY.

(CONTINUED ON THE NEXT PAGE)

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

BLOCK 16: CONTINUED

ACCEPTANCE CRITERIA SHALL BE IN ACCORDANCE WITH THE ANSI BASED AFRL FORMAT GUIDELINES AND THE AFRL QUALITY TECHNICAL REPORT (TR) CHECKLIST. REPRODUCTION AND DISTRIBUTION CONTROL OF THIS DOCUMENT IS THE RESPONSIBILITY OF THE PROCURING ACTIVITY. SUBMISSION OF THE FINAL UPDATED REPORT TO AFRL/RI JIFFY SATISFIES THE REQUIREMENT AT DFARS 252.235-7011 TO SUBMIT FINAL REPORTS TO DTIC.

NOTE: FOR CLASSIFIED (UP TO AND INCLUDING SECRET): DO NOT SUBMIT TO THE UNCLASSIFIED JIFFY SYSTEM. SUBMIT ONE (1) HARD COPY AND ONE (1) ELECTRONIC COPY ON CD-ROM, MARKED APPROPRIATELY AND DELIVERED VIA AN APPROVED MAILING SERVICE FOR CLASSIFIED, TO AFRL/RIOIP, 26 ELECTRONIC PARKWAY, ROME NY 13441-4515. ALL OTHER FTR CDRL CONDITIONS APPLY.