J-5_DD_Form_1423-1_Contract_Data_Requirement_List_(CDRL).docx

DOCX document 99 KB Posted

Attached to
Army Installation Kits (IK) Production
Solicitation number
HC108419R0014
Issued by

About this file

This Contract Data Requirements List (CDRL) outlines ten data items required under an Army contract for Installation Kit production and engineering support. The contractor must submit monthly progress reports, meeting agendas and materials, minutes, and a quality assurance plan. Test and evaluation requirements include first article test plans and reports for government-furnished equipment. The contractor must also submit data delivery documentation, a data accession list tracking deliverables, and quarterly reports on government equipment usage. Delivery due dates and distribution statements are specified for each data item. The Defense Information Systems Agency is the contracting agency, with proposals for the Small Business set-aside contract due by July 31, 2019 under solicitation HC108419R0014.

CDRLs

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J-3_IK_Price_Template_v6_Amend_0002.xlsx XLSX spreadsheet
HC108419R0014_Conformed_Copy.pdf PDF
HC108419R0014_Amend_0002.pdf PDF
HC108419R0014_Amend_0001.pdf PDF
HC108419R0014_Conformed_Copy.pdf PDF
HC108419R0014_RFP.docx DOCX document
J-1_IK_Statement_of_Work.docx DOCX document
J-3_IK_Price_Template_v4.xlsx XLSX spreadsheet
J-6_DISA_Non-Disclosure_Agreement_(NDA).pdf PDF

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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:
Contract #
A
TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT|PR NO.
F. CONTRACTOR
IK
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A001
Contractor’s Progress and Status Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-81928
SOW para 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
Reg
Repro
16. REMARKS
SFAE-CCC-MC
0
1
0

Block 4: Prepare document in contractor format, in accordance with DID and SOW requirements. The CPSR shall include a master schedule updated on a monthly basis. The CPSR shall address the cost, schedule, and performance of each Delivery Order. The CPSR shall also include Risk Management data.

Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use); 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.

Block 14: Submissions for PM MC shall be posted to Contractor’s IDE with email notification to the Contracting Officer’s Representative and designated Technical Point of Contact.

DITCO-Scott
0
1
0
15. Total
0
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

SFAE-CCC-MC

SFAE-CCC-MC

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:
Contract #
A
TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT|PR NO.
F. CONTRACTOR
IK
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A002
Conference Agenda
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-ADMN-81249B
SOW para 6.2.1, 6.2.3, 6.7.2
SFAE-CCC-MC
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
N/A
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
Reg
Repro
16. REMARKS
SFAE-CCC-MC
0
1
0

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 (Administrative or Operational Use); further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.

Block 10, 11, 12 & 13: The Contractor shall deliver five (5) calendar days prior to meeting. No Government response after two (2) calendar days constitutes approval.

Block 14: Submissions for PM MC shall be posted to Contractor’s IDE with email notification to the Contracting Officer’s Representative and designated Technical Point of Contact.

DITCO-Scott
0
1
0
15. Total
0
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

SFAE-CCC-MC

SFAE-CCC-MC

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:
Contract #
A
TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT|PR NO.
F. CONTRACTOR
IK
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A003
Briefing Material
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-81605
SOW para 6.2.1, 6.2.3, 6.7.2
SFAE-CCC-MC
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
N/A
SEE BLOCK 16
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
Reg
Repro
16. REMARKS
SFAE-CCC-MC
0
1
0

Block 4: Prepare document in contractor format, in accordance with DID and SOW requirements. All briefing matierals shall be provided in Microsoft PowerPoint.

Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use); further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.

Block 10, 11, 12 & 13: The Contractor shall deliver two (2) calendar days prior to meeting. No Government response after one (1) calendar day constitutes approval.

Block 14: Submissions for PM MC shall be posted to Contractor’s IDE with email notification to the Contracting Officer’s Representative and designated Technical Point of Contact.

DITCO-Scott
0
1
0
15. Total
0
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

SFAE-CCC-MC

SFAE-CCC-MC

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:
Contract #
A
TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT|PR NO.
F. CONTRACTOR
IK
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A004
Conference Minutes
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-ADMN-81250B
SOW para 6.2.1, 6.2.3, 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
Reg
Repro
16. REMARKS
SFAE-CCC-MC
0
1
0

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 (Administrative or Operational Use); further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.

Block 10, 11, 12 & 13: The Contractor shall deliver five (5) calendar after meeting. No Government response after fifteen (15) calendar days constitutes approval.

Block 14: Submissions for PM MC shall be posted to Contractor’s IDE with email notification to the Contracting Officer’s Representative and designated Technical Point of Contact.

DITCO-Scott
0
1
0
15. Total
0
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

SFAE-CCC-MC

SFAE-CCC-MC

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:
Contract #
A
TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT|PR NO.
F. CONTRACTOR
IK
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A005
Contractor IDE Data Delivery
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
N/A
SOW para 6.3
SFAE-CCC-MC
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
N/A
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
Reg
Repro
16. REMARKS
SFAE-CCC-MC
0
1
0

Block 4: Prepare document in contractor format, in accordance with DID and SOW requirements. Delivery shall be made via DVD.

Block 9: Distribution D: Distribution authorized to the Department of Defense and U.S. DoD contractors only (Export Controlled); further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC. 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 in accordance with provision of DoD Directive 5230.25.

Block 10, 11, 12 & 13: The Contractor shall deliver five (5) business days after the expiration of the contract.

Block 14: Submissions for PM MC shall be mailed to the Contracting Officer’s Representative address to be provided by the Contracting Officer’s Representative at Contractor’s request.

DITCO-Scott
0
1
0
15. Total
0
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

SFAE-CCC-MC

SFAE-CCC-MC

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:
Contract #
A
TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT|PR NO.
F. CONTRACTOR
IK
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A006
Data Accession List
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-81453A NOT 1
SOW para 6.3.2
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
Reg
Repro
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 (Administrative or Operational Use); 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 after award of contract. The Contractor shall deliver three hundred sixty-five (365) calendar days after award of contract. The Contractor shall deliver seven hundred thirty (730) calendar days after award of contract. The Contractor shall deliver one thousand ninety-five (1095) calendar days after award of contract. The Contractor shall deliver one thousand four hundred sixty (1460) calendar days after award of contract. The Contractor shall deliver one thousand seven hundred (1700) calendar days after award of contract.

The Contractor shall deliver ninety (90) calendar days after exercise of each option. The Contractor shall delivery thirty (30) calendar days prior to contract expiration.

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) business days following the receipt of comments.

Block 14: Submissions for PM MC shall be posted to Contractor’s IDE with email notification to the Contracting Officer’s Representative and designated Technical Point of Contact.

DITCO-Scott
0
1
1
15. Total
0
2
2
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

SFAE-CCC-MC

SFAE-CCC-MC

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:
Contract #
A
TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT|PR NO.
F. CONTRACTOR
IK
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A007
Quality Assurance Program Plan
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-QCIC-81794 NOT 1
SOW para 6.5
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
Reg
Repro
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 (Administrative or Operational Use); further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.

Block 10, 11, 12 & 13: The Contractor shall deliver sixty (60) calendar days after award of contract. If the Contractor throughout the course of the contract makes changes to the Quality Assurance Program Plan after Government approval, the Contractor shall resubmit for Government review and approval.

The Government shall review and provide comments within fourteen (14) 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.

Block 14: Submissions for PM MC shall be posted to Contractor’s IDE with email notification to the Contracting Officer’s Representative and designated Technical Point of Contact.

DITCO-Scott
0
1
1
15. Total
0
2
2
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

SFAE-CCC-MC

SFAE-CCC-MC

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:
Contract #
A
TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT|PR NO.
F. CONTRACTOR
IK
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A008
First Article Qualification Test Plans/Procedures
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-NDTI-81307A
SOW para 6.7.3
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
Reg
Repro
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 (Test & Evaluation); further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.

Block 10, 11, 12 & 13: The Contractor shall deliver sixty (60) calendar days after award of any of the CLINs listed in Section B of the contract selected for FAQT by the Government.

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.

Block 14: Submissions for PM MC shall be posted to Contractor’s IDE with email notification to the Contracting Officer’s Representative and designated Technical Point of Contact.

DITCO-Scott
0
1
1
15. Total
0
2
2
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

SFAE-CCC-MC

SFAE-CCC-MC

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:
Contract #
A
TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT|PR NO.
F. CONTRACTOR
IK
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A009
First Article Qualification Test Plans/Procedures
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-NDTI-81307A
SOW para 6.7.3
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
Reg
Repro
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 (Test & Evaluation); further distribution at the direction of Project Manager, Mission Command, SFAE-CCC-MC.

Block 10, 11, 12 & 13: The Contractor shall deliver sixty (60) calendar days after award of any of the CLINs listed in Section B of the contract selected for FAQT by the Government.

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.

Block 14: Submissions for PM MC shall be posted to Contractor’s IDE with email notification to the Contracting Officer’s Representative and designated Technical Point of Contact.

DITCO-Scott
0
1
1
15. Total
0
2
2
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

SFAE-CCC-MC

SFAE-CCC-MC

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:
Contract #
A
TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT|PR NO.
F. CONTRACTOR
IK
TBD
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A010
Government Furnished Equipment (GFE) Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-80269
SOW para 12
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
Reg
Repro
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 (Administartive or Operational Use); 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 after award of contract and quarterly thereafter.

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) business days following the receipt of comments.

Block 14: Submissions for PM MC shall be posted to Contractor’s IDE with email notification to the Contracting Officer’s Representative and designated Technical Point of Contact.

DITCO-Scott
0
1
1
15. Total
0
2
2
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

SFAE-CCC-MC

SFAE-CCC-MC

File details come from the government source that posted it. Updated .