FTR_CDRLs_-_AFRL_final_report_template.pdf

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Attached to
Warfighter Analytics using Smartphones for Health (WASH) Federal contract opportunity
Solicitation number
HR001117S0032
Issued by
Defense Advanced Research Projects Agency

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Text version

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T

(1 Data I tem)

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 this burden estimate or any other aspect of this collection of information, including sug gestions 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

TDP TM- OTHER MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

DARPA FINAL REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711A/T

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ

DD

9. DIST

STATEMENT

REQUIRED

TBD

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

NOTE: THE CONTRACTOR SHALL NOT DELIVER ANY TECHNICAL DATA WITH RESTRICTIVE

MARKINGS UNLESS THE TECHNICAL DATA ARE LISTED ON AN ATTACHMENT TO THIS

CONTRACT ENTITLED “IDENTIFICATION AND ASSERTION OF RESTRICTIONS ON THE

GOVERNMENT’S USE, RELEASE OR DISCLOSURE OF TECHNICAL DATA OR COMPUTER

SOFTWARE.” UNLESS WAIVED BY THE AFRL TECHNICAL DIRECTOR, IF THE FINAL REPORT

CONTAINS DATA THAT IS DELIVERED WITH LESS-THAN-UNLIMITED RIGHTS (e.g. LIMITED

RIGHTS, GOVERNMENT PURPOSE RIGHTS, SPECIFICALLY NEGOTIATED LICENSE RIGHTS),

THE DATA WITH LESS-THAN-UNLIMITED RIGHTS SHALL BE DELIVERED IN AN

APPROPRIATELY MARKED APPENDIX TO THE FINAL REPORT. THEREFORE, THE FINAL

REPORT WITHOUT THE APPENDIX SHALL BE CONSIDERED TO BE DELIVERED WITH

UNLIMITED RIGHTS.BLOCK 4: DID-MISC-80711A/T AND REFERENCE

• ANSI/NISO Z39.18-2005 BASED AFRL FORMAT GUIDELINES

• STANDARD FORM 298

• AFRL TECHNICAL QUALITY CHECKLIST AFRL FORM 25

(AVAILABLE AT https://www.fbo.gov/spg/USAF/AFMC/AFRLrrs/Reference-Number- FTRguidelines/listing.html)

BLOCK 9: DISTRIBUTION STATEMENT F: FURTHER DISSEMINATION ONLY AS DIRECTED BY

AFRL/RIGB , ROME, NY 13441

NOTE: THIS DISTRIBUTION STATEMENT IS PRELIMINARY ONLY. FINAL DISTRIBUTION

STATEMENT SHALL BE DETERMINED BY THE GOVERNMENT DURING THE REVIEW

PROCESS.

(IF APPLICABLE) "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 IAW THE PROVISIONS OF DOD DIRECTIVE 5230.25"

BLOCK 11: COMPLETION OF TECHNICAL EFFORT, SEE SECTION F CLIN 0001.

(CONTINUED)

SEE BLOCK 16

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

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

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T

(1 Data I tem)

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 this burden estimate or any other aspect of this collection of information, including su ggestions 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

TDP TM- OTHER MISC

D. SYSTEM/ITEM

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

A012 C0NT'D

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

DARPA FINAL REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711A/T

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD250 REQ

DD

9. DIST

STATEMENT

REQUIRED

TBD

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

a. ADDRESSEE Draft

Final

Reg Repro

16. REMARKS

BLOCK 12, 13 & 14 CONTRACTOR SHALL DELIVER THE UNCLASSIFIED FINAL REPORT WITH

SF 298 AND THE COMPLETED TECHNICAL QUALITY CHECKLIST (AFRL FORM 25) WITHIN

FIFTEEN (15) CALENDAR DAYS AFTER THE COMPLETION OF THE TECHNICAL EFFORT.

ELECTRONIC DELIVERY VIA UPLOAD UNCLASSIFIED REPORTS (.DOC, .PDF, .RTF) TO THE

T-FIMS STORAGE AREA (PROJECT CLOSE-OUT-FINAL REPORT). PROVIDE A COPY TO

AFRL/RIOSI(STINFO) ON CDR/DVD. THE GOVERNMENT WILL REVIEW, EDIT, AND RETURN

FOR CORRECTIONS IF NEEDED WITHIN THIRTY (30) DAYS. THE CONTRACTOR SHALL

INCORPORATE ALL REQUIRED CHANGES AND RESUBMIT THE FINAL REPORT, SF 298,

AND AFRL FORM 25 TO T-FIMS AND AFRL/RIOSI(STINFO) WITHIN FIFTEEN (15) DAYS.

REPRODUCTION AND DISTRIBUTION CONTROL OF THIS DOCUMENT IS THE

RESPONSIBILITY OF THE PROCURING ACTIVITY. SUBMISSION OF THE FINAL UPDATED

REPORT SATISFIES THE REQUIREMENT AT DFARS 252.235-7011 TO SUBMIT FINAL

REPORTS TO DTIC.

NOTE: FOR CLASSIFIED (UP TO AND INCLUDING SECRET): SUBMIT ONE (1) HARDCOPY

AND ONE (1) CDR/DVD, MARKED APPROPRIATELY AND DELIVERED VIA AN APPROVED

MAILING SERVICE FOR CLASSIFIED TO EACH OF THE FOLLOWING:

DEFENSE ADVANCED RESEARCH PROJECTS AGENCY/I2O

ATTN: ANGELOS KEROMTIS

675 NORTH RANDOLPH STREET

ARLINGTON, VA 22203-2114

AND

AFRL/RIOSI

26 ELECTRONIC PARKWAY

ROME, NEW YORK 13441-4514

ALL OTHER FTR CDRL CONDITIONS APPLY.

INCLUDE ON THE COVER PAGE OF THIS REPORT:

"THE VIEWS AND CONCLUSIONS CONTAINED IN THIS DOCUMENT ARE THOSE OF THE

AUTHORS AND SHOULD NOT BE INTERPRETED AS REPRESENTING THE OFFICAL

POLICIES, EITHER EXPRESSED OR IMPLIED, OF THE DEFENSE ADVANCED RESEARCH

PROJECTS AGENCY OR THE US GOVERNMENT."

SEE BLOCK 16

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

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

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