A10. STO - Exhibit A.doc

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

JACCE

E. CONTRACT/PR NO.

FA8750-20-R-1004/0001

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 4.7.1 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

a.

ADDRESSEE

16. REMARKS

REFERENCE BLOCK 4, TAILORING DID DI-MISC-81612B, DELETE THE REQUIREMENTS FOR 1.1.3, 1.2 – 1.2.2.3, 1.2.2.5, 1.2.2.6, 3.1.4, 3.1.6-3.1.6.3 & 3.2.2

CONTRACTOR FORMAT ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN MS OFFICE COMPATIBLE FORMAT, RTF OR PDF AS COORDINATED WITH THE COTR.

FOR DELIVERY VIA EMAIL, INCLUDE THE CONTRACT NUMBER IN THE SUBJECT LINE.

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

SUBMIT THE COMPLETE REPORT TO THE COTR.

SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE.

SUBMIT EXPORT CONTROLLED DATA AS COORDINATED WITH THE REQUIRING OFFICE.

PROVIDE ADDITIONAL DISTRIBUTION AS COORDINATED WITH THE REQUIRING OFFICE.

CONTINUED ON NEXT PAGE.

COTR

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

DONALD R LUBECKI

H. DATE

28 JUL 2020

I. APPROVED BY

THOMAS J. PARISI

J. DATE

28 JUL 2020

DD Form 1423-1, SEP 97 (EG) (Computer Generated)

PREVIOUS EDITIONS ARE OBSOLETE

Page of Pages

NTRACT DATA REQUIREMENTS LIST

(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.

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 4.7.2 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

SEE BLOCK 16

14.

b.

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

a.

ADDRESSEE

16. REMARKS

REFERENCE BLOCK 4, TAILORING DID DI-MISC-81612B, DELETE THE REQUIREMENTS FOR 1.1.3, 1.2 – 1.2.2.3, 1.2.2.5, 1.2.2.6, 3.1.4, 3.1.6-3.1.6.3 & 3.2.2

CONTRACTOR FORMAT ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN MS OFFICE COMPATIBLE FORMAT, RTF OR PDF AS COORDINATED WITH THE COTR.

FOR DELIVERY VIA EMAIL, INCLUDE THE CONTRACT NUMBER IN THE SUBJECT LINE.

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

SUBMIT THE COMPLETE REPORT TO THE COTR.

SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE.

SUBMIT EXPORT CONTROLLED DATA AS COORDINATED WITH THE REQUIRING OFFICE.

PROVIDE ADDITIONAL DISTRIBUTION AS COORDINATED WITH THE REQUIRING OFFICE.

COTR

AFRL/RIF

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(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.

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

PARA 4.7.3 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

SEE BLOCK 16

14.

b.

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

a.

ADDRESSEE

16. REMARKS

CONTRACTOR FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, AS COORDINATED WITH THE COTR.

FOR DELIVERY VIA EMAIL, INCLUDE THE CONTRACT NUMBER IN THE SUBJECT LINE.

THE CONTRACTOR SHALL SUBMIT DRAFT PRESENTATION MATERIAL THREE (3) DAYS PRIOR TO EACH PRESENTATION.

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

SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE.

SUBMIT EXPORT CONTROLLED DATA AS COORDINATED WITH THE REQUIRING OFFICE.

SEE BLOCK 16

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(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.

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 4.6.1.5 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

SEE BLOCK 16

14.

b.

8. APP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

a.

ADDRESSEE

16. REMARKS

CONTRACTOR FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, PDF OR RTF, AS COORDINATED WITH THE COTR.

FOR DELIVERY VIA EMAIL, INCLUDE THE CONTRACT NUMBER IN THE SUBJECT LINE.

THE CONTRACTOR SHALL SUBMIT THIS DOCUMENT NOT LATER THAN TEN (10) DAYS AFTER EACH ACTIVITY.

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

SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE.

SUBMIT EXPORT CONTROLLED DATA AS COORDINATED WITH THE REQUIRING OFFICE.

COTR

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(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.

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 4.1.1.4, 4.1.3 AND 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

SEE BLOCK 16

14.

b.

8. APP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

a.

ADDRESSEE

16. REMARKS

CONTRACTOR FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, PDF OR RTF, AS COORDINATED WITH THE COTR.

FOR DELIVERY VIA EMAIL, INCLUDE THE CONTRACT NUMBER IN THE SUBJECT LINE.

THE CONTRACTOR SHALL SUBMIT THIS DOCUMENT NOT LATER THAN TEN (10) DAYS AFTER EACH ACTIVITY.

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

SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE.

COTR

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(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.

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 4.6.1.1 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

SEE BLOCK 16

14.

b.

8. APP CODE

A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

a.

ADDRESSEE

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, AS COORDINATED WITH THE COTR.

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.

COTR

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(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.

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

PARA 4.6.1.2 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

SEE BLOCK 16

14.

b.

8. APP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

a.

ADDRESSEE

16. REMARKS

CONTRACTOR FORMAT IS ACCEPTABLE. PREFER ELECTRONIC DELIVERY IN MICROSOFT OFFICE SUITE COMPATIBLE FORMAT, PDF OR RTF, AS COORDINATED WITH THE COTR.

FOR DELIVERY VIA EMAIL, INCLUDE THE CONTRACT NUMBER IN THE SUBJECT LINE.

THE CONTRACTOR SHALL SUBMIT THIS DOCUMENT AT THE COMPLETION OF CLIN 0001.

THE GOVERNMENT WILL RETURN COMMENTS NOT LATER THAN FIFTEEN (15) DAYS AFTER RECEIPT.

SUBMIT UPDATED DOCUMENT NOT LATER THAN FIFTEEN (15) DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS.

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

SUBMIT CLASSIFIED DATA (UP TO AND INCLUDING SECRET) VIA THE SIPRNET OR AS COORDINATED WITH THE REQUIRING OFFICE.

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(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.

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

PARA 4.6.1.5 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

SEE BLOCK 16

14.

b.

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

N/A a.

ADDRESSEE

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.

COTR

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(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.

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 4.7.4 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.

b.

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLK 16

a.

ADDRESSEE

16. REMARKS

BLOCK 4:REFERENCE DI-MISC-80711A/T AND

· ANSI/NISO Z39.18-2005 BASED AFRL FORMAT GUIDELINES

· STANDARD FORM 298

· FORMAT GUIDELINES CAN BE FOUND AT (https://www.wpafb.af.mil/afrl/ri/)

NOTE 1: FOR UNCLASSIFIED: MAIL TO AFRL/RIOSI(STINFO), 26 ELECTRONIC PARKWAY, ROME NY 13441-4514 AND AFRL/RIGA(COTR), 525 BROOKS RD, ROME NY 13441-4505

NOTE 2: FOR CLASSIFIED (UP TO AND INCLUDING SECRET): DELIVER APPROPRIATELY MARKED VIA AN APPROVED MAILING SERVICE FOR CLASSIFIED, TO AFRL/RIOSI, 26 ELECTRONIC PARKWAY, ROME NY 13441-4514 AND AFRL/RIGA(COTR), 525 BROOKS RD, ROME NY 13441-4505. ALL OTHER FTR CDRL CONDITIONS APPLY.

NOTE 3: FOR ALL CLASSIFICATION LEVELS (INCLUDING UNCLASSIFIED) WHEN DD 254 BLOCK 10.e.1 or 2 IS MARKED “YES” DELIVER APPROPRIATELY MARKED THROUGH PROPER CHANNELS TO AFRL/RIEE/SSO, 525 BROOKS RD, ROME, NEW YORK 13441-4505 PER INSTRUCTIONS IN THE DD254. ALL OTHER FTR CDRL CONDITIONS APPLY.

SUBMIT A NOTIFICATION OF SSO DELIVERY TO AFRL/RIOSI AND COTR VIA EMAIL .

CONTINUED ON NEXT PAGE

SEE BLOCK 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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CLIN 0002

A

FA8750-20-R-1004/0001

A009 cont’d

BLOCK 16 CONTINUED

BLOCK 9: DISTRIBUTION STATEMENT F: FURTHER DISSEMINATION ONLY AS DIRECTED BY THE CONTROLLING DOD OFFICE.

NOTE: THE ABOVE DISTRIBUTION STATEMENT IS PRELIMINARY ONLY. FINAL DISTRIBUTION STATEMENT SHALL BE DETERMINED BY THE GOVERNMENT.

(IF APPLICABLE, INCLUDE) "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.

BLOCK 12: NOT LATER THAN FIFTEEN (15) CALENDAR DAYS AFTER THE COMPLETION OF THE TECHNICAL EFFORT

BLOCK 13: NOT LATER THAN FIFTEEN (15) CALENDAR DAYS AFTER RECIEPT OF GOVERNMENT COMMENTS

BLOCK 14: DELIVER THE FINAL TECHNICAL REPORT, AS ONE EDITABLE TEXT FORMAT (MS WORD) FILE, WITH THE COMPLETED SF 298 EMBEDDED. FOR UNCLASSIFIED, DELIVER ELECTRONIC VERSION ONLY (CDR/DVD), ALL OTHER DELIVER ONE (1) HARDCOPY AND ONE (1) ELECTRONIC VERSION (CDR/DVD).

THE GOVERNMENT WILL REVIEW, EDIT AND RETURN FOR CORRECTIONS IF REQUIRED NOT LATER THAN THIRTY (30) CALENDAR DAYS AFTER RECEIPT.

UPON RECEIPT OF THE WRITTEN GOVERNMENT COMMENTS, AND IF APPLICABLE, ORCON REQUIREMENTS, THE CONTRACTOR SHALL INCORPORATE ALL REQUIRED CHANGES AND RESUBMIT THE REPORT, SF 298 AND ANNOTATED CHANGE PAGES TO THE CONTROLLING OFFICE, USING THE SAME DELIVERY METHOD AND DESTINATION AS INITIAL SUBMISSION.

REPRODUCTION AND DISTRIBUTION OF THIS DOCUMENT IS THE RESPONSIBILITY OF CONTROLLING DOD OFFICE. SUBMISSION OF THE FINAL UPDATED REPORT SATISFIES THE REQUIREMENT AT DFARS 252.235-7011.

DATA RIGHTS ASSERTIONS:

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.

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