Attachment_4_-_CDRL.pdf

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. .... : 0001 D. SYSTEM/ITEM ......... : Business And Technology Management Administration

B. EXHIBIT ..................................... : A E. CONTRACT/PR NO. . : TBD

C. CATEGORY ............................... : OTHER F. CONTRACTOR ......... : TBD

1. DATA ITEM NO. ........................ : A001

2. TITLE OF DATA ITEM.............. : Status Reports

3. SUBTITLE .................................. : Monthly Status Report

4. AUTHORITY .............................. : DI-MGMT-80368A

5. CONTRACT REFERENCE ........ : PWS Paragraph 3.1.2.2

6. REQUIRING OFFICE ................. : AFRL/RDFS 9. DIST. STATEMENT REQUIRED ....... : “B” 12. DATE OF FIRST SUBMISSION: (See Block 16)

7. DD 250 REQ ............................... : LT 10. FREQUENCY ...................................... : (See Block 16) 13. DATE OF SUBSEQUENT SUBM.: (See Block 16)

8. APP CODE .................................. : No 11. AS OF DATE ....................................... : (See Block 16)

14. DISTRIBUTION A. ADDRESSEES

B. COPIES

DRAFT FINAL

AFRL/RDF 1

Det 8 AFRL/RVKDT 1 ACO Ltr

15. TOTAL: 2

16. REMARKS

BLOCK 04: TAILORING. Contractor's format is acceptable but must be approved by the designated Contracting Officer’s Representative (COR) and AFRL/RVKDT Contracting Officer, first submission only. The Contractor shall report ALL ACTIVITIES to the TASK ORDER LEVEL. Monthly Reports shall provide an updated listing that includes: the contractor labor category, government customer name and organization, name of contractor (or subcontractor if applicable), and security clearance required;

show total cost, labor hours available; funding received and funding expensed; address Program Management activity; Quality Control Plan (QCP) Self-Inspection Report; Travel activity pending/incurred changes to the contract and each task order for new hires with start dates; and provide calculations showing compliance with FAR Clause 52.219-14, Limitations on Subcontracting. Reports shall be summarized by task order through contract completion, as required in the PWS paragraph 3.1.2.2.

BLOCK 9: All documentation shall be marked I.A.W. DoD 5230.24 using the DISTRIBUTION STATEMENT "B" DISTRIBUTION STATEMENT B: Distribution authorized to U.S. Government agencies only; Proprietary Information; September 29th, 2010. Other requests for this document shall be referred to Air Force Research Laboratory/RDFS, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.

BLOCK 10: MONTHLY for all task orders unless specifically directed to do otherwise in the task order PWSs.

BLOCKS 11, 12, 13: The contractor shall deliver the first Status Report within 15 calendar days after completion of the first full contractor accounting month. Subsequent status reports shall be delivered within 15 calendar days after the end of each subsequent accounting month (monthly) thereafter through completion of the final task order. **Delivery via email is preferred. Submission via unencrypted or unsecured emails is not permitted.

DESTRUCTION NOTICE: All technical data (including electronic media) shall be marked with the following statement:

“DESTRUCTION NOTICE- For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Leslie R. Ledbetter I. APPROVED BY: Leah Ransom

H. DATE: 12 February 2015 J. DATE: 5 Aug 15

D Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 1 Pages