The file's text, extracted by GovTribe without its formatting.
HC1028-16-R-0010
Attachment J-5 CDRL
CONTRACT DATA REQUIREMENTS LIST
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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 |
| C. CATEGORY: |
TM
OTHER X Mngmt
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Installation Kits |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| Report, Record of Meeting/Minutes |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-ADMN-81505 |
| SOW 6.2 |
| SFAE-CCC-MC |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| D |
| SEE BLOCK 16 |
| SEE BLOCK 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| SEE BLOCK 16 |
| SEE BLOCK 16 |
| 16. REMARKS |
| SFAE-CCC-MC |
| 0 |
| 1 |
| 1 |
Block 4: Prepare document in contractor format, in accordance with DID and SOW requirements.
Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.
Block 10, 11, 12, 13: The Contractor shall deliver Meeting Minutes five (5) business days after meetings. Minutes shall include list and status of all action items.
The Government shall review and provide comments on Meeting Minutes within thirty (30) calendar days of receipt of the Meeting Minutes The final reproduced version is due back to the Government within fifteen (15) calendar days following the receipt of comments. No Government response within forty-five (45) calendar days of submission constitutes approval. Government response on Shipping Reports is not required.
Submission shall be made to the Government by posting to the Contractor IDE and emailing the Technical POC (burke.l.andrejko.civ@mail.mil). Submissions shall be in Microsoft Office products.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 9 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus burden estimate or any other aspect of this collection o f 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 |
| C. CATEGORY: |
TM
OTHER X Mngmt
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Installation Kits |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A002 |
| Contractor’s Progress, Status, and Management Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-80227 |
| SOW 6.3 |
| SFAE-CCC-MC |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| D |
| SEE BLOCK 16 |
| SEE BLOCK 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| SEE BLOCK 16 |
| SEE BLOCK 16 |
| 16. REMARKS |
| SFAE-CCC-MC |
| 0 |
| 1 |
| 1 |
Block 4: Prepare document in contractor format, in accordance with DID and SOW requirements.
Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.
Block 10, 11, 12, 13: The Contractor shall deliver on a monthly basis throughout the POP, starting thirty (30) calendar days after award. The Government shall review and provide comments within fifteen (15) calendar days of receipt. Updates due to Government comments shall be submitted in the following month’s report. No Government response within twenty (20) calendar days of submission constitutes approval.
Submission shall be made to the Government by posting to the Contractor IDE and emailing the Technical POC (burke.l.andrejko.civ@mail.mil). Submissions shall be in Microsoft Office products.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 2 |
| of |
| 9 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus 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 |
| C. CATEGORY: |
TM
OTHER X Test
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Installation Kits |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A003 |
| First Article Qualification Test Plan and Procedures |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-NDTI-81307A |
| SOW 6.7.2 |
| SFAE-CCC-MC |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| D |
| SEE BLOCK 16 |
| SEE BLOCK 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| SEE BLOCK 16 |
| SEE BLOCK 16 |
| 16. REMARKS |
| SFAE-CCC-MC |
| 1 |
| 1 |
| 1 |
Block 4: Prepare in contractor format, in accordance with DID and SOW requirements.
Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.
Block 10, 11, 12, 13: The Contractor shall deliver ninety (90) calendar days prior to test. The Government shall review and provide comments within thirty (30) calendar days of receipt of the document. The final reproduced version is due back to the Government within thirty (30) calendar days following the receipt of comments.
Submission shall be made to the Government by posting to the Contractor IDE and emailing the Technical POC (burke.l.andrejko.civ@mail.mil). Submissions shall be in Microsoft Office products.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 3 |
| of |
| 9 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus 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 |
| C. CATEGORY: |
TM
OTHER X Test
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Installation Kits |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A004 |
| First Article Qualification Test Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-QCIC-81890 |
| SOW 6.7.2 |
| SFAE-CCC-MC |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| D |
| SEE BLOCK 16 |
| SEE BLOCK 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| SEE BLOCK 16 |
| SEE BLOCK 16 |
| 16. REMARKS |
| SFAE-CCC-MC |
| 1 |
| 1 |
| 1 |
Block 4: Prepare in contractor format, in accordance with DID and SOW requirements.
Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.
Block 10, 11, 12, 13: The Contractor shall deliver no later than thirty (30) calendar days after test. The Government shall review and provide comments within thirty (30) calendar days of receipt of the document. The final reproduced version is due back to the Government within thirty (30) calendar days following the receipt of comments.
Submission shall be made to the Government by posting to the Contractor IDE and emailing the Technical POC (burke.l.andrejko.civ@mail.mil). Submissions shall be in Microsoft Office products.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 4 |
| of |
| 9 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus 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 |
| C. CATEGORY: |
TM
OTHER X ECP
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Installation Kits |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A005 |
| Engineering Change Proposal |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-CMAN-80639C |
| SOW 6.9 |
| SFAE-CCC-MC |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| D |
| SEE BLOCK 16 |
| SEE BLOCK 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| SEE BLOCK 16 |
| SEE BLOCK 16 |
| 16. REMARKS |
| SFAE-CCC-MC |
| 1 |
| 1 |
| 1 |
Block 4: Prepare in contractor format, in accordance with DID and SOW requirements.
Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.
Block 10, 11, 12, 13: The Contractor shall deliver forty-five (45) calendar days after identification of required need for an ECP. The Government shall review and provide comments within thirty (30) calendar days of receipt of the document. The final reproduced version is due back to the Government within thirty (30) calendar days following the receipt of comments.
Submission shall be made to the Government by posting to the Contractor IDE and emailing the Technical POC (burke.l.andrejko.civ@mail.mil). Submissions shall be in Microsoft Office products.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 5 |
| of |
| 9 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus 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 |
| C. CATEGORY: |
TM
OTHER X
Safety
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Installation Kits |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A006 |
| Safety Assessment Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-SAFT-80102B NOT 1 |
| SOW 6.9 |
| SFAE-CCC-MC |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| D |
| SEE BLOCK 16 |
| SEE BLOCK 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| SEE BLOCK 16 |
| SEE BLOCK 16 |
| 16. REMARKS |
| SFAE-CCC-MC |
| 1 |
| 1 |
| 1 |
Block 4: Prepare in contractor format, in accordance with DID and SOW requirements.
Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.
Block 10, 11, 12, 13: The Contractor shall deliver in conjunction with all ECP submissions. The Government shall review and provide comments within thirty (30) calendar days of receipt of the document. The final reproduced version is due back to the Government within thirty (30) calendar days following the receipt of comments.
Submission shall be made to the Government by posting to the Contractor IDE and emailing the Technical POC (burke.l.andrejko.civ@mail.mil). Submissions shall be in Microsoft Office products.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 6 |
| of |
| 9 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus 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 |
| C. CATEGORY: |
TM
OTHER
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Installation Kits |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A007 |
| Product Drawings, Spec, & Associated Lists |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| Contractor Format/ Block 16 |
| SOW 6.9 |
| SFAE-CCC-MC |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| D |
| SEE BLOCK 16 |
| SEE BLOCK 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| SEE BLOCK 16 |
| SEE BLOCK 16 |
| 16. REMARKS |
| SFAE-CCC-MC |
| 1 |
| 1 |
| 1 |
Block 4: Parts list shall be supplied in .PDF and .XML formats. The drawings shall be delivered in native CAD files, DWG, and PDF formats. Prepare in contractor format, in accordance with SOW requirements.
Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.
Block 10, 11, 12, 13: The Contractor shall deliver in conjunction with all ECP submissions. The Government shall review and provide comments within thirty (30) calendar days of receipt of the document. The final reproduced version is due back to the Government within thirty (30) calendar days following the receipt of comments.
Submission shall be made to the Government by posting to the Contractor IDE and emailing the Technical POC (burke.l.andrejko.civ@mail.mil). Submissions shall be in Microsoft Office products.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 7 |
| of |
| 9 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus 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 |
| C. CATEGORY: |
TM
OTHER X Technical
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Installation Kits |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A008 |
| Interface Control Document |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-CMAN-81248A Rev A |
| SOW 6.9 |
| SFAE-CCC-MC |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| D |
| SEE BLOCK 16 |
| SEE BLOCK 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| SEE BLOCK 16 |
| SEE BLOCK 16 |
| 16. REMARKS |
| SFAE-CCC-MC |
| 1 |
| 1 |
| 1 |
Block 4: Prepare in contractor format, in accordance with DID and SOW requirements.
Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.
Block 10, 11, 12, 13: The Contractor shall deliver in conjunction with all ECP submissions. The Government shall review and provide comments within thirty (30) calendar days of receipt of the document. The final reproduced version is due back to the Government within thirty (30) calendar days following the receipt of comments.
Submission shall be made to the Government by posting to the Contractor IDE and emailing the Technical POC (burke.l.andrejko.civ@mail.mil). Submissions shall be in Microsoft Office products.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 8 |
| of |
| 9 |
| Pages |
CONTRACT DATA REQUIREMENTS LIST
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 thus 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 |
| C. CATEGORY: |
TM
OTHER X
Logistics X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Installation Kits |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A009 |
| Engineering Data for Provisioning |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-SESS-81874 |
| SOW 6.9 |
| SFAE-CCC-MC |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| D |
| SEE BLOCK 16 |
| SEE BLOCK 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| SEE BLOCK 16 |
| SEE BLOCK 16 |
| 16. REMARKS |
| SFAE-CCC-MC |
| 1 |
| 1 |
| 1 |
Block 4: Prepare in contractor format, in accordance with DID and SOW requirements.
Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.
Block 10, 11, 12, 13: The Contractor shall deliver in conjunction with all ECP submissions. The Government shall review and provide comments within thirty (30) calendar days of receipt of the document. The final reproduced version is due back to the Government within thirty (30) calendar days following the receipt of comments.
Submission shall be made to the Government by posting to the Contractor IDE and emailing the Technical POC (burke.l.andrejko.civ@mail.mil). Submissions shall be in Microsoft Office products.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 8 |
| of |
| 9 |
| Pages |