CDRL 20 v1.pdf

CONTRACT DATA REQUIREMENTS LIST (1 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 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.

D. SYSTEM/ITEM: R&D Integrated Space Experiments (RISE)

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: C

C. CATEGORY..............................: OTHER - IDIQ Contract

E. CONTRACT/PR NO.:

F. CONTRACTOR.........:

1. DATA ITEM NO........................: A020

2. TITLE OF DATA ITEM............: Technical and Management Work Plan

3. SUBTITLE..................................:

4. AUTHORITY.............................: DI-MGMT-81117

5. CONTRACT REFERENCE......: Task Order Specific

6. REQUIRING OFFICE..............: AFRL/RVE 9. DIST. STATEMENT REQUIRED......: See Blk 16 12. DATE OF FIRST SUBMISSION: See Blk 16

7. DD250 REQ................................: Lt 10. FREQUENCY.....................: As Required 13. DATE OF SUBSEQUENT SUBM.: N/A

8. APP CODE.................................: No 11. AS OF DATE......................: Contract Award

14. DISTRIBUTION

Refer to Block 16 and Task Orders of the RISE contract for additional distribution instructions. Instructions vary per Task Order and provide additional guidance in regard to the requirements for Blocks 14A and 14B of this CDRL.

A. ADDRESSEES

B. COPIES

DRAFT FINAL

ACO 0 LT

PCO 0 LT

AFRL/RVE COR 0 1

RVE TASK MGR 0 1

15. TOTAL: 0 2,LT

16. REMARKS

Blk 4: The contractor shall provide a Technical and Management Work Plan as described in DI-MGMT-81117, but tailored to the specific Task Order to which this CDRL is assigned. It should address the contractor’s plan to manage the specific mission assurance/risk class and level of complexity of the flight experiment efforts as indicated in the Task Order Statement of Work.

Blk 9: The Technical and Management Work Plan shall be marked IAW DoDD 5230.24 and AFI 61-204 with the following distribution statement: “DISTRIBUTION STATEMENT D. Distribution authorized to DoD and U.S. DoD contractors only; Critical Technology; [contractor fill in date of report]. Other requests for this document shall be referred to Air Force Research Laboratory/RVE, 3550 Aberdeen Ave SE, Kirtland AFB, NM 87117-5776”.

EXPORT CONTROL WARNING: All technical data shall be marked as follows: “WARNING — This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751, 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 penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”

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.”

Blk 10-13: As agreed to between Government and Contractor

Contractor Format is acceptable.

Submission via unencrypted or unsecure email is not permitted.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Richard K. de Jonckheere, AFRL/RVE I. APPROVED BY: , AFRL/RVKC H. DATE: 23 Feb 2017 J. DATE:

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

DRAFT