CDRL 3 v1.pdf

Exhibit A: FA9453-11-R-0285

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.

A. CONTRACT LINE ITEM NO.:

B. EXHIBIT....................................: A

C. CATEGORY..............................: IDIQ Contract

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

E. CONTRACT/PR NO.:

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

1. DATA ITEM NO........................: A003

2. TITLE OF DATA ITEM............: Scientific and Technical Report and Checklist

3. SUBTITLE..................................: Final Report

4. AUTHORITY.............................: DI-MISC-80711A

5. CONTRACT REFERENCE......:

6. REQUIRING OFFICE..............: AFRL/RVE

7. DD250 REQ................................: DD

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED......: See Block 16

10. FREQUENCY......................................: See Block 16

11. AS OF DATE........................................: See block 16

12. DATE OF FIRST SUBMISSION: See Block 16

13. DATE OF SUBSEQUENT SUBM.: See Block 16

14. DISTRIBUTION

A. ADDRESSEES

B. COPIES

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

FINAL CRC

ACO Lt Lt

PCO Lt Lt

PM 1 1

15. TOTAL: 1 1

16. REMARKS

THE REPORT WILL BE PUBLISHED WITH THE DEFENSE TECHNICAL INFORMATION CENTER (DTIC) BY AFRL STINFO OFFICE. Under no circumstances shall the contractor submit either the final report or the camera-ready technical report to DTIC.

Blk 4: GUIDANCE FOR PREPARATION OF THE REPORT: The Scientific and Technical Report shall be prepared I.A.W. the most current AFRL ANSI/NISO Standard Z39.18-2005 located at:

http://www.kirtland.af.mil/prs If the Final Report contains data that is being delivered with company proprietary data rights IAW data rights assertions in this contract, the company proprietary data rights material shall be delivered as a separate, appropriately-marked Volume* to the Final Report.

The contractor shall complete and submit an SF 298 Report Documentation Page, with the final report. The SF 298 is available at: http://www.kirtland.af.mil/shared/media/document/AFD- 070425-037.doc. The contractor shall complete the following blocks of the SF298: Blocks 2-5a, 6, 7, 8 and 13 (if applicable), 14-16c.

The contractor shall complete and sign the most current AFRL Form 25, AFRL Quality Final Technical Report Checklist, and submit it with the final report. The checklist is available at: http://www.kirtland.af.mil/prs. If the completed and signed AFRL Form 25 does not accompany the final report, the deliverable is considered incomplete. Incomplete final reports will be immediately returned to the contractor. Following AFRL technical and STINFO reviews, any revisions required will be returned to the contractor.

The contractor shall deliver editable electronic copies of the final report. The electronic copies shall be an editable .pdf file and the most current version of Microsoft Word. A CD-ROM (CD-R) is the acceptable media for submittal. (CD-RWs are not acceptable.) Electronic media shall be marked IAW the AFRL ANSI/NISO Standard Z39.18-2005 guidelines.

Submission via unencrypted or unsecure email is not permitted.

Blk 7: Submit Final Report with letter of transmittal and the DD 250 to the designated project manager. In preparing the final DD 250 for the contract, code the shipment number with a “Z”.

Blk 9: All technical data containing unlimited rights data (including electronic media) shall be marked I.A.W. DoDD 5230.24 with Distribution Statement E; Distribution authorized to DoD Components only: Critical Technology and Contractor Performance Evaluation, 5Aug11.. Other requests for this document shall be referred to AFRL/RVE, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776. ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT EXCEPT THE SF298.

*Any Volume containing company proprietary data rights material (including electronic media) shall be marked I.A.W. DoDD 5230.24 with Distribution Statement E: Distribution authorized to DoD Components only; Proprietary Information: DFARS Data Rights; [fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to Air Force Research Laboratory/RVE, 3550 Aberdeen Avenue, SE, Kirtland AFB, NM 87117-5776. ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE

VOLUME THAT CONTAINS COMPANY PROPRIETARY DATA, EXCEPT THE SF298.”

EXPORT CONTROL WARNING: All technical data (including electronic media) 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 I.A.W. the provisions of the 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.”

Blks 10 - 13: The contractor shall deliver the Scientific and Technical Report, in final format, no later than the date specified in the Schedule, CLIN 0002. The USAF will review and, if necessary, return the final report with comments no later than the date specified in the Schedule, CLIN 0002. If the report is returned to the contractor with comments, the contractor shall deliver the camera-ready copy of the report no later than the date specified in the Schedule, CLIN 0002.

NOTE: Headings in Block 14B, Copies, have been changed. “Draft” is changed to “Final” and “Final” (in second column) is changed to “CRC” (camera-ready copy).

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

G. PREPARED BY: Stephen L. Lucero, AFRL/RVEI I. APPROVED BY: KIM KINIFICK

H. DATE: 18 Jan 2017 J. DATE:

DRAFT