Attachment_9_CDRLS_21_Nov_14.pdf
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- Integrated Computerized Deployment System -Version 7 Federal contract opportunity
- Solicitation number
- HTC711-14-R-D006
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Attachment 9 - CDRLS
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CONTRACT DATA RI:.. _JIREMENTS LIST . m Approved ( 1 Data Item) OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response , inc luding 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents s hould be aware that notwithstanding any other provision of law, no person sha ll be subject to any penalty for failing to comply w ith a collection of information if it does not disp lay a current ly valid OMS control number. Please do not return your form to the a bove organization. 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:
0001 A TOP TM OTHER MGMT
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F.CONTRACTOR
I CODES
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
001 SEE BLK 16
4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
Dl-MGMT-80368 1.3 .1.1 ICODES PMO
7. DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. CO PIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Re pro
16. REMARKS ICODESCOR I
BLK 2: Title in PWS: Quarterly Status Report (QSR)
ASSIST DID Title: STATUS REPORT
(https://assist.dla. mi I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agencies and their Contractors (Adm inistrati ve or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC !CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS IO, 12, and 13: Deliver documents in accordance with the PWS.
BLK 14: Desired medium for de li very. Electronic mail. Document will be formatted to fit 8
1/2" X 11 " Microsoft Office document with I" marg ins and portrait orientation .
15. TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J.DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
I
I I
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DAT A RE'-.JIREMENTS LIST , _, m Approved (1 Data Item) OMB No. 0 704 -01 88
The public reporting burden fo r t his collect ion of information is estimat ed t o average 1 10 hours per response, including t he time for reviewing in structions, searchin g existing data sources , gathering and maintaini ng the data needed, and com pleting and reviewing the co llection of information. Send comments regard ing this burden est imat e or any other aspect of this collection of information , including suggestions for reducing the burden, to the Department of Defense , Executive Services Directorate (0704-0188) . Respondents should be aware t hat notwithstanding any othe r provision of law , no person shall be subject to any penalty for fai ling to comply with a collection of information if it does not display a currently valid OMB control number . Please do no t return your form to the above organization. Send complet ed form to the Gove rnme nt Issuing Contracting Office r fo r the Contract /PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
0001 B TOP TM OTHER MGMT
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
I CODES
1. DATA ITEM NO, 2. TITLE OF DAT A ITEM 3. SUBTITLE
001 SEE BLK 16
4. AUTHORITY (Data Acquisition Document No.} 1 5. CONTRACT REFEREN CE 6, REQUIRING OFFICE
DI-MGMT-8 186 1 1.3.1.2 !CODES PMO
7. DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12, DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE B LK 16 SEE B LK 16 YES b. COPIES
8 . APP CODE 11 , AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Repro
16, REMARKS ICODESCOR I
BLK 2: Tit le in PWS: Program Management Review (PMR) Presentati on Materials
ASS IST DID Title: Integrated Program Mgmt Report (https://assistd la.mi I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agencies and thei r Contractors (Adm inistrative or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS IO, 12, and 13: Deliver documents in accordance with the PWS.
BLK 14: Desired medium for de li very. Electronic mail. Document wi ll be formatted to fit 8
1/2" X 11 " Microsoft Office document with I" margins and portrait orientat ion.
15. TOTAL . 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
CONTRACT DATA RE:~JIREMENTS LIST ' . m Approved (1 Data Item) OMB No. 0704-0188
The public report ing burden for t his co llection of in fo rmation is est imated t o average 110 hours per response , including the t ime for reviewing instruct ions , searching exist ing dat a sources , gathering and maintaining t he data neede d, and c ompleting and reviewing the co llection of information. Send comments regarding this burden est imate or a ny other aspect of this collection of informat ion , includ ing suggestions fo r reducing the bu rden , t o the Department of Defense, Executi ve Serv ices Direct o rate (0704-01 88) . Responde nts s hould be aware th at not w ithst anding any othe r provisi on of law , no pe rs on s hall be s ubject t o a ny penalty fo r fa iling to comply w ith a co llec tion of information if it does not di spla y a c urrently valid OMB control number. Please do not return your form to the above organization . 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:
0001 c TOP TM OTHER ADMN
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F.CONTRACTOR
I CODES
1. DATA ITEM NO. 2 . TITLE OF DATA ITEM 3 . SUBTITLE
001 SEE BLK 16
4 . AUTHORITY (Data A cquisition Document No.) , 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-ADMN-81505 1.3 .1.2 ICODES PMO
7 . DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
YES SEE BLK 16 SEE BLK 16 b. CO PIES
8. APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Dr aft NIA SEE BLK 16 Reg Re pro
16. REMARKS ICODES COR I
BLK 2: Ti tle in PWS: Program Management Rev iew (PMR) Minutes
ASS IST DID Title: Report, Record of Meeting/Minutes (https://assist.dla. mi I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agencies and their Contractors (Admini strati ve or Operati onal Use), 5 May 2009. Other requests shall be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS IO, 12, and 13: Deli ver documents in accordance with the PWS.
BLK 14: Des ired medium for de li very. Electronic mai l. Document wi ll be fo rmatted to ti t 8 1/2" X 11 " Microsoft Offi ce document with I" margins and portrait orientation.
15. TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
I
I
17. PRICE GROUP
CONTRACT DAT A RE--.JIREMENTS LIST 1 _ . m Approved
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching exist ing data sources , gathering and maintaining the data needed , and completing and rev iewing the collection of information . Send comments regarding this burden estimate o r any other aspect of this collection of information , including suggestions for reducing the burden , to the Department of Defense, Executive Services Directorate {0704-0 188). Respondents s hould be aware that notwithstanding any othe r provision of law , no person s hall be subject to any penalty for failing to comply w ith a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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:
0001 D TOP TM OTHER MISC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
I CODES
1. DATA ITEM NO. 2. TITLE OF DAT A ITEM 3 . SUBTITLE
001 SEE BLK 16
4 . AUTHORITY (Data Acquisition Document No.} 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
Dl-MISC-81943 1.3.1.3 !CODES PMO
7. DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. COPIES
8. APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDR ESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Rep ro
16. REMARKS ICODES COR I
BLK 2: Tit le in PWS: Trip Report
ASS IST DID T itle: Trip Travel Report
(https://ass ist.dla.mi I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agencies and their Contractors (Admini strative or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: Deliver documents in accordance with the PWS.
BLK 14: Desired medium for delivery. Electronic mail. Document will be formatted to fit 8
1/2" X 11 " Microsoft Office document with I" margi ns and portrait orientati on.
15. TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J . DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
I
17. PRICE GROUP
CONTRACT DAT A RE1....JIREMENTS LIST r -· m Approved (1 Data Item} OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per res ponse, inc luding the time fo r reviewing inst ructions, searching existing data sources , gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate o r any other aspect of this co llection of information , including s uggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents s hould be aware t hat notwithstanding any other provision of law , no person shall be subject t o any penalty for fai ling to comply w ith a collection of information if it does not d isplay a currentl y va lid OMB control number. Please do not return your form to the above organization. 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:
0001 E TOP TM OTHER MISC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
!CODES
1. DATA ITEM NO. 2 . TITLE OF DATA ITEM 3 . SUBTITLE
001 SEE BLK 16
4. AUTHORITY (Da ta Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MISC-814 I 9 1.3.1.4 !CODES PMO
7. DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. COPIES
8 . APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Repro
16. REMARKS !CODES COR I
BLK 2: T itle in PWS: Employment Status Report
ASS IST DID Ti tle: Personnel Report
(https: //assist.d la. mi I)
BLK 9 : Distribution Statement C: Distribution authorized to US Government agenci es and their Contractors (Admini strative or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC !CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225 .
BLKS IO, 12, and 13 : Deliver documents in accordance with the PWS.
BLK 14: Desired medium for de li very. Electronic ma il. Docum ent will be formatted to fit 8
1/2" X 14" Microsoft Office document wi th I" marg ins and landscape orientation.
Tailer DDID:
I 0. 1 Provide a 2-part report to inc lude a Microsoft Work document that tracks signifi cant changes throughout the contract by week and an excel document that can be used as a tracker for a ll current and past em ployees.
I 0.2.3 Each Persons ( I) Last Name, (2) First Name, (3) Middle Name, (4) Work ema il address, (5) Work phone number, (6) C itizenship, (7) Start date, (8) Name of person being replaced, (9) Non-Disc losure Agreement Submitted Yes/No, ( I 0) Employment Status
Full-Time/Part-T ime, ( 11 ) Annual Securi ty Refresher Training FYXX , ( 12) Company
Name, ( 13) Location, ( 14), Rep laced Employee N ame, (15) End Date
15. TOTAL 0 I 0
G. PREPARED BY H.DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
CONTRACT DAT A RE:. AREMENTS LIST n Approved
The public reporting burden for this co llec tion of information is estimated to average 110 hours per response, including the time for reviewing instructions, searc hing existing data sou rces , 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 co llection of information , including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law , no person sh all be sub ject to any penalty for fai ling to comply with a collection of information if it does not display a c urrently va lid OMB control number. Please do not return your form to the a bove organization. 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:
0001 F TOP TM OTHER MGMT
D. SYSTEM/ITEM IE . CONTRACT/PR NO. F.CONTRACTOR
!CODES
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
001 SEE BLK 16
4 . AUTHORITY (Data Acquisition Document No.} 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
Dl-MGMT-80227 1.3 .1.5 JCODES PMO
7. DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. COPIES
8 . APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Re pro
16. REMARKS ICODESCOR I
BLK 2: Tit le in PWS: Contractor Management Report (CM R) Annual
ASSIST DID Title: Contractor's Progress, Status and Management Report
(https://ass ist.dla. m ii )
BLK 9 : Distribution Statement C : Distribution authorized to US Government agencies and their Contractors (Admi ni strative or Operational Use), 5 May 2009. Other requests shal l be referred to the SDDC !CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: Deliver documents in accordance with the PWS.
TAILOR DID :
I. Format: The CMR Annual Report will be entered into the Contractor Manpower
Reporting website (https://cmra.army.mil) per the website guidance.
Disregard Figures I and 2.
15.TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional B.O
I
I
I
17. PRICE GROUP
CONTRACT DAT A RE ..... JIREMENTS LIST r ~· m Approved (1 Data Item) OMB No. 0 704-01 88
T he publ ic reporting burden for th is co llection of information is estimated to average 11 0 hours per response, includ ing t he t ime fo r rev iewing inst ructions, searching existing dat a 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 co llection of information , including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0 188). Respondents s hould be aware that notwit hstanding any other provis ion of law, no person sha ll be subject to any penalty for fai li ng to comply with a collection of information if it does not display a c urrent ly va lid OMB control number. Please do not return your fo rm to the above organization. Se nd completed form to t he Government Issuing Contracting Officer for the Cont ract /PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
000 1 G TOP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
I CODES
1. DATA ITEM NO. 2 . TITLE OF DATA ITEM 3. SUBTITLE
00 1 SEE BLK 16
4. AUTHORITY (Data Acquisition Document No .) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-I PSC-8 1435 1.3.2. 1.1 !CODES PMO
7. DD 2 50 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. CO PIES
8. APP CODE 11. AS OF DATE 13 . DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Re pro
16. REMAR KS !CODES COR I
BLK 2: Tit le in PWS: Draft Software Design Document (SOD)
ASS IST DID Title: Software Design Description (SOD) (https://assist.dla.mi I)
BLK 9: Distri bution Statement C: Distribution authorized to US Government agenc ies and their Contractors (Administrative or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS IO, 12, and 13: Deliver documents in accordance with the PWS.
BLK 14: Desired medium for de li very. Electronic mai l. Document wi ll be formatted to fit 8 1/2" X 11 " Microsoft Office document with I" margins and portrait orientation.
15. TOTAL 0 I 0
G. PREPARED BY H.DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
I
I
I
I
I
17. PRICE GROUP
CONTRACT DAT A RE: ...... ..JIREMENTS LIST , - · m Approved
The public report ing burden fo r th is collection of information is est imat ed to average 1 10 hours per response, includ ing t he time for rev iewing instructions , searching existin g data sources, gathering and mainta ining the data needed, and completing and reviewing t he collec tion of informat ion. Send comments regarding this burden est imate or any other aspect of t his collec tion of informat ion , including suggestions for reducing the burden , to the De partment of Defense , Executive Services Directorate {0704·0 188). Responde nts s hould be aware that notwi ths t anding any othe r provis ion of law , no person s hall be s ubject to a ny penalty fo r fai ling to com ply wi th a co llec tion of informat ion if it does not displa y a c urrently valid OMB cont rol number. Please do not re turn your form to the above organization. Send comple ted form to the Government Issuing Contracting Officer for the Contract/PR No . li s ted in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
0001 G TOP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
I CODES
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3 . SUBTITLE
002 SEE BLK 16
4 . AUTHORITY (Data Acquisition Document No.) , 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
Dl-IPSC-81435 1.3.2. 1.1 !CODES PMO
7. DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
YES SEE BLK 16 SEE BLK 16 b. CO PIES
8 . APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draf t NIA SEE BLK 16 Reg Re pro
16. REMARKS ICODESCOR I
BLK 2: Title in PWS: Draft Software Design Document (SOD)
ASS IST DID Title: Software Design Description (SDD) (https://assist.dla.m i I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agencies and their Contractors (Administrative or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: Deli ver documents in accordance with the PWS.
BLK 14: Desired medium for de li very. Electronic mail. Document will be fo rm atted to fi t 8 1/2" X 11 " Microsoft Office document with I" margins and portrait orientation.
15. TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
I
I
I
17. PRICE GROUP
CONTRACT DAT A RE _ AREMENTS LIST 11 Approved
The public re porting burden for this co llection of information is estimated to average 110 hours per response , including t he time fo r 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 s uggest ions fo r reducing the burden , t o the Department of Defense , Execut ive Services Directorate (0704-0188 ). Respondents should be aware that notwithstanding any other provision of law , no person s hall be subject to any penalty for fai ling to comply wi th a collection of informat ion if it does not display a currently valid OMB control number . Please do not return your form to the above organization. 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:
0001 G TOP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
I CODES
1. DATA ITEM NO. 2 . TITLE OF DATA ITEM 3 . SUBTITLE
003 SEE BLK 16
4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6 . REQUIRING OFFICE
Dl-IPSC-81435 1.3 .2.1.1 !CODES PMO
7 . DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 Y ES b . CO PIES
8 . APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESS EE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Repro
16. REMARKS !CODES COR l BLK 2: T itle in PWS: Design Documentation Updates
ASS IST DID Title: Software Design Description (SOD) (https://assist. dla. mi I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agencies and their Contractors (Admini strative or Operational Use), 5 May 2009. Other requests sha ll be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: Deliver documents in accordance with the PWS.
BLK 14: Des ired medium for deli very. Electron ic mai l. Document will be formatted to fit 8
1/2" X 11 " Microsoft Office document with I" margins and portrait orientation.
15. TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8 .0
I
I
17. PRICE GROUP
CONTRACT DATA RE:~.JIREMENTS LIST ' m Approved
The public reporting burden for this collection of information is estimated to average 110 hours per response, including t he time for reviewing instructions , searching existing data sources, gathering and maintaining the data needed, and complet ing and reviewing the co llection of information. Send comments regarding thi s burden estimate or any other aspect of this co llection of information , including suggestions for reducing the burden , to the Department of Defense , Executive Services Directorate {0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be s ubject to any penalty for failing to comply w ith a collection of information if it does not display a current ly valid OMB control number. Please do not return your form to the above organization. Se nd completed form to the Government Issuing Contracting Officer for the Contract/PR No. li s ted in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
0001 H TOP TM OTHER SESS
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
!CODES
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
001 SEE BLK 16
4. AUTHORITY (Data Acquisition Document N o.) , 5. CONTRACT REFERENCE 6 . REQUIRING OFFICE
DI-SESS-81757 1.3 .2. 1.1 ICODES PMO
7. DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Re pro
16. REMARKS ICODESCOR 1
BLK 2: T itle in PWS: Program Design Review (PDR)
ASSIST DID Title: Design Review Information Package (DRIP)
(https://assist.d la. mi I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agenc ies and their Contractors (Administrative or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: Deliver documents in accordance with the PWS.
BLK 14: Desired medium for delivery. Electronic mail. Document will be formatted to fit 8
1/2" X 11" Microsoft Office document with I" margins and portrait orientation .
15. TOTAL 0 I 0
G. PREPARED BY H.DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8. O
I
I
I I
I
17. PRICE GROUP
CONTRACT DATA RE--.JIREMENTS LIST ' .n Approved ( 1 Data Item) OMB No. 0 704-0188
The publ ic reporting burden for this collection of information is est imated to average 1 10 hours per response , including the time fo r rev iewing 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply wi th a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organiza tion. Se~d completed fo rm to the Gove rnme nt Issuing Contracting Officer fo r t he Contract/PR No . listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
0001 J TOP TM OTHER MGMT
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
I CODES
1. DATA ITEM NO. 2. TITLE OF DAT A ITEM 3. SUBTITLE
001 SEE BLK 16
4 . AUTHORITY (Dara Acquisition Document No.} 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-81334 1.3.2. 1.1 !CODES PMO
7. DD 250 REQ 9. DIST ST A TEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Repro
16 . REMARKS !CODES COR 1
BLK 2: Title in PWS: Draft Work Breakdown Schedule (WBS)
ASSIST DID Title: Contract Work Breakdown Structure
(https://assist.dla. mi I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agencies and their Contractors (Administrative or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC I CO DES Program Manager, I Sold ier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: Deliver documents in accordance with the PWS.
BLK 14: Desired medium for del ivery. Electronic mail. Document will be formatted to tit 8
1/2" X 11 " Microsoft Office document with I" margins and portrait orientation.
15. TOTAL 0 I 0
G. PREPARED BY H.DATE I. APPROVED BY J . DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
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17. PRI CE GROUP
CONTRACT DAT A RE. ,IREMENTS LIST n Approved
The public reporting burden for this co llection of information is estimated to average 110 hours per response, including the time for rev iewing instructions , searching ex isting data sources , gathering and maintaining the data neede d, and completing and reviewing the collection of information . Send comments regarding this burden es timate or any other aspec t of this collection of information , including suggestions for reducing the burden, to the Department of Defense , Exec utive Services Directorate (0704-0 188) . Respondents s hould be aware th at notwiths tanding any other provision of law , no person shall be subject to any penalty for failing to c omply w ith a c ollection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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:
0001 J TDP TM OTHER MGMT
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
I CODES
1. DATA ITEM NO. 2. TITLE OF DAT A ITEM 3. SUBTITLE
002 SEE BLK 16
4. AUTHORITY (Data Acquisition Document No.} 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
Dl-MGMT-81334 1.3.2. 1.1 !CODES PMO
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
YES SEE BLK 16 SEE BLK 16 b. COPIES
8 . APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Repro
16. REMARKS !CODES COR I
BLK 2: Title in PWS: Final Work Breakdown Schedu le (WBS)
ASSIST DID Title: Contract Work Breakdown Structure (https://ass ist.dla. mi I)
BLK 9: Di stribution Statement C: Di stribution authorized to US Government agenci es and the ir Contractors (Administrative or Operational Use), 5 May 2009. Other requests sha ll be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: De liver documents in accordance with the PWS.
BLK 14: Desired medium for delivery . Electronic mail. Document wil l be formatted to tit 8 1/2" X 11 " Microsoft Office document with I" margins and portrait orientation.
15.TOTAL 0 I 0
G. PREPARED BY H.DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
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17. PRICE GROUP
CONTRACT DATA RE, jREMENTS LIST . 1 Approved
The public reporting burden for this collection of information is estimated to average 110 hours pe r response , includ ing 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 co llection of information , including s uggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law , no pe rson shall be subject to any penalty for fai ling to comply w ith a collect ion of information if it does not display a currently va lid OMB control number . Please do not return your form to the a bove organization. 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:
0001 K TOP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F.CONTRACTOR
I CODES
1. DATA ITEM NO. 2 . TITLE OF DATA ITEM 3 . SUBTITLE
001 SEE BLK 16
4 . AUTHORITY (Data Acquisition Document No.) , 5 . CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-IPSC-81488 1.3.2.2 !CODES PMO
7 . DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. CO PIES
8 . APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft N/A SEE BLK 16 Reg Re pro
16. REMARKS ICODESCOR I
BLK 2: Tit le in PWS: Prototype Software
ASS IST DID Title: Computer Software Product
(https://assist.dla.mi I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agencies and their Contractors (Adm inistrative or Operational Use), 5 May 2009. Other req uests shall be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: Deliver documents in accordance with the PWS.
BLK 14: Desired medium for delivery. Software DVD.
15. TOTAL 0 I 0
G. PREPARED BY H.DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
17. PRICE GROUP
CONTRACT DATA REQUIREMENTS LIST Form Approved
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewi ng instructions, searching existing data sources, gathering and maintain ing the data neede d, 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 the burden, to the Department of Defense, Executive Services Directorate (0 704-0188). Respondents should be aware that notwiths tanding any other provision of law, no person sha ll be subject to any penalty for failing to comply w ith a collection of information if it does not display a c urrently va lid OMB control number. Please do not return your form to the above organization. Send completed fo rm to the Government Issuing Contracting Officer for the Contract/PR Nq. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
0001 K TOP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F.CONTRACTOR
!CODES
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
002 SEE BLK 16
4. AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6 . REQUIRING OFFICE
DJ-IPSC-81488 1.3.2.2 !CODES PMO
7. DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. COPIES
8 . APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Repro
16. REMARKS !CODES COR I
BLK 2: Title in PWS: Production Candidate for Government Acceptance Test
ASSIST DID Title: Computer Software Product
(https://ass ist.dla.m i I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agenc ies and their Contractors (Administrative or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC ICODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13 : Deliver documents in accordance with the PWS.
BLK 14: Desired medium for delivery. Software DVD.
15. TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
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17. PRICE GROUP
CONTRACT DAT A REQUIREMENTS LIST Form Approved
The public reporting burden for this collect ion of information is estimated to average 110 hours per response, including the time fo r rev iewing instructions , searchin g existing dat a sources , gathering and maintaining the data needed, and completing and revie wing t he collec t ion of informat ion. Send comments regarding this burden estimate or any other aspect of th is collection of information , including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate {0704-0 188). Respondents s hould be aware that notwithstanding any other provision of law , no person shall be s ubject to any pe nalty for failing t o com ply with a co llection of informat ion if it does not display a c urrentl y valid OMB control number. Please do not return your form to the above organization. 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:
0001 K TDP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
I CODES
1. DATA ITEM NO. 2 . TITLE OF DATA ITEM 3 . SUBTITLE
003 SEE BLK 16
4 . AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-IPSC-81488 1.3.2 .2 ICODES PMO
7 . DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. COPIES
8 . APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a . ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Re pro
16. REMARKS ICODESCOR I
BLK 2: Title in PWS: Government Accepted Production Software
ASS IST DID Title: Computer Software Product
(https://assist.dla. mi I)
BLK 9: Distribution Statement C: Distribution authorized to US Govern ment agencies and thei r Contractors (Administrative or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC !CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS IO, I2, and I3: Deliver documents in accordance with the PWS.
BLK 14: Desired medium for delivery. Software DVD.
15. TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J . DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Profess ional 8.0
I
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I
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I
17. PRICE GROUP
The publ ic reporting burden for th is collection of information is estimated to average 110 hours per response, including the time fo r rev iewing ins t ructions , searching exist ing data sources, gathering and maintain ing the data needed , and completing and reviewing the collection of informat ion. Send comments regarding this burden es timate or any other aspect of this collection of information, including suggest ions for reducing the burden , to the Department of Defen se, Executive Services Directorate (0704-0 188). Respondents s hould be aware t hat notwithstanding any other provision of law , no pe rson s hall be subject to any penalty for fa iling to comply with a collection of information if it does not disp lay a c urrently valid OMB control number. Please do not return your form to the above o rganization. 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:
0001 K TOP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
!CODES
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3 . SUBTITLE
004 SEE BLK 16
4. AUTHORITY (Data Acquisition Document No .) , 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-IPSC-81488 1.3.2.2 !CODES PMO
7 . DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
YES SEE BLK 16 SEE BLK 16 b. COPIES
8 . APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Re pro
16. REMARKS ICODES COR l BLK 2: Tit le in PWS: Software Install
ASS IST DID T itle: Com puter Software Product
(https://assist.dla. mi I)
BLK 9: Distribution Statement C : Distribution authorized to US Government agencies and their Contractors (Adm inistrative or Operationa l Use), 5 May 2009. Other requests shall be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13 : Deliver documents in accordance with the PWS.
BLK 14: Desired medium for delivery. Software DVD.
15. TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J . DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Protess1ona1 8.0
I
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17. PRICE GROUP
The public reporting burden for this co llection of inform ation is esti mated to average 110 hours per response, including the time for reviewing instructions , searching exist ing data sources , gathering and maintaining t he data needed , and completing and reviewing the co llection of information. Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing the burden , to the Department of Defense , Executive Serv ices Directorate (0704-0188) . Respondents should be aware that notwithstanding any other provision of law , no person s hall be subject to any penalty for fai ling to comply w ith a collection of infor mat ion if it does not display a c urrently valid OMB control number. Please do not return your form to the above organization. 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:
0001 K TOP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
!CODES
1. DATA ITEM NO. 2. TITLE OF DAT A ITEM 3 . SUBTITLE
005 SEE BLK 16
4 . AUTHORITY (Data Acquisition Document No. } 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-IPSC-81488 1.3.2.2 !CODES PMO
7. DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. CO PIES
8. APP CODE 11 . ASOFDATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Re pro
16. REMARKS ICODES COR I
BLK 2: T it le in PWS: Base-l ined Source Code
ASS IST DID Title: Computer Software Product
(https://assist.d la.m i I)
BLK 9: Di stribution Statement C: Distribution authorized to US Government agencies and their Contractors (Administrat ive or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC !CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: Deliver documents in accordance with the PWS.
BLK 14: Desired medium for de li very. Software DVD.
15.TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Profo33\onal 8 .0
I
I
17. PRICE GROUP
( 1 Data Item} OMB No. 0704-0188
The public reporting burden for t his collect ion of information is estimated to average 110 hours per response , including t he time for rev iewing instruc t ions, searc hing exis t in g data sources , gathe ring and maintaining the dat a needed, and complet ing and reviewing t he collect ion of info rmat ion. Send comment s regarding this burden estimate or any other aspect of t his collection of informat ion , including sugges tions for reducing t he burden, to t he Department of Defense, Executive Services Directorate (0704-0188) . Res pondents s hould be aware t hat notwi ths tanding any ot her provis ion of law , no pers on shall be subject to any penalty for fai ling to comply w ith a collec tion of informat ion if it does not display a c urrently valid OMB control numbe r. Please do not return your form to the above organization. Se nd completed form to the Gove rnment Iss uing Contracting Officer for the Contrac t/PR No . liste d in Bloc k E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
0001 K TOP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F.CONTRACTOR
I CODES
1. DATA ITEM NO. 2 . TITLE OF DATA ITEM 3. SUBTITLE
006 SEE BLK 16
4 . AUTHORITY (Data A cquis ition Document No.) , 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
Dl-IPSC-81488 1.3 .2.2 !CODES PMO
7. DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
YES SEE BLK 16 SEE BLK 16 b. CO PI ES
8 . APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Fina l c SUBMISSION Draft NIA SEE BLK 16 Reg Rep ro
16. REMARKS ICODES COR I
BLK 2: Tit le in PWS: Software Changes
ASS IST DID T itle: Computer Software Product
(https://assist.dla.mi 1)
BLK 9: Distribution Statement C: Distribution authorized to US Government agencies and the ir Contractors (Admi ni strati ve or Operational Use), 5 May 2009. Other req uests shall be refe rred to the SDDC I COD ES Program Manager, 1 Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: Deliver documents in accordance with the PWS.
BLK 14: Desired medium fo r de li very. Software DVD.
15. TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
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17. PRICE GROUP
( 1 Data Item) OMB No. 0 704-0188
The publ ic reporting burden fo r th is c ollect ion of informat ion is estimated to average 11 0 hours per response, including t he time fo r re viewing in structions , searc hing existin g data sources , gathering and maintaining t he data needed, and completing and reviewing the co llection of information. Send c omments regarding th is burden est imate or any other aspect of t his collection of information , including suggestions for reducing t he burden , to t he Dep artment of Defense , Executive Services Direc torate (0704-0188) . Res ponde nts s hould be aware t hat notwithstanding any othe r provision of law , no person s hall be s ubject t o any penalty fo r fa ili ng to com ply w it h a co llection of info rmation if it does not di splay a c urre ntly valid OMB control number. Please do not return your form to t he above orga nization . Se nd comple ted form to the Gove rnment Issuing Contracting Office r for the Contract/PR No . li s te d in Bloc k E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
0001 K TDP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
I CODES
1. DATA ITEM NO. 2. TITLE OF DAT A ITEM 3 . SUBTITLE
007 SEE BLK 16
4 . AUTHORITY (Data Acquisition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
Dl-IPSC-81488 1.3.2.2 !CODES PMO
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b . COPIES
8 . APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draf t NIA SEE BLK 16 Reg Re pro
16. REMARKS ICODES COR 1
BLK 2 : T itle in PWS: Non-COTS Software
ASS IST DID Title: Computer Software Prod uct
(https://assist. dla.mil )
BLK 9: Di stribution Statement C: Distribution authorized to US Government agencies and the ir Contractors (Admi nistrative or Operational Use), 5 May 2009. Other requests shall be refe rred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: Deli ver documents in accordance with the PWS.
BLK 14: Desi red medium for de li very. Software DVD.
15. TOTAL 0 I 0
G. PREPARED BY H.DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
I
I
I
I I
I
I
17. PRICE GROUP
The public reporting burden for this co llection of information is estimated to average 110 hours per response , includ ing the time for reviewing instructions, searching existing data sources , gathering and maintaining the data needed, and completing and reviewing the co llection of information . Send comments regarding this burden estimate or any other aspect of this collection of information , including suggestions for reducing the burden , to the Department of Defense, Executive Services Direc t orate (0704-0 188). Respondents should be aware that notwithstanding any other prov ision of law , no person shall be subject to any penalty for failing to comply w ith a collection of information if it does not display a c urrently valid OMS control number. Please do not return your form to the a bove organization. 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:
0001 L TOP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
!CODES
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3 . SUBTITLE
001 SEE BLK 16
4 . AUTHORITY (Data Acquisition Document No.) , 5 . CONTRACT REFERENCE 6. REQUIRING OFFICE
Dl-IPSC-81443 1.3 .2.3 !CODES PMO
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
YES SEE BLK 16 SEE BLK 16 b. COPIES
8 . APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Repro
16. REMARKS ICODESCOR I
BLK 2: T itle in PWS: Draft Documentation and User Guides
ASS IST DID Ti tle: Software User Manual (SUM)
(https://ass ist.dla. mi I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agencies and their Contractors (Administrati ve or Operational Use), 5 May 2009. Other req uests shall be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS IO, 12, and 13: De liver documents in accordance with the PWS.
BLK 14: Desired medium fo r deli very. Electronic mail. Document wi ll be formatted to fit 8
I /2" X 11 " Microsoft Office document with I" margi ns and portrait orientation.
15. TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
I
I
I
I
I
I
I
I
I
I
I
17. PRICE GROUP
The public reporting burden for this co llection 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 s uggestions for reducing the burden , to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person s hall be s ubject to any penalty for fai ling to comply w ith a collection of information if it does not display a c urre ntly valid OMB control number . Please do not return your form to the above organization. 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:
0001 L TOP TM OTHER IPSC
D. SYSTEM/ITEM IE. CONTRACT/PR NO. F. CONTRACTOR
I CODES
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
002 SEE BLK 16
4 . AUTHORITY (Data Acquisition Document No.} 15. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-IPSC-81443 1.3 .2.3 ICODES PMO
7. DD 250 REQ 9 . DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
SEE BLK 16 SEE BLK 16 YES b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a . ADDRESSEE Final c SUBMISSION Draft NIA SEE BLK 16 Reg Rep ro
16. REMARKS ICODESCOR I
BLK 2: Title in PWS: Final Documentation and User Guides
ASS IST DID Title: Software User Manual (SUM)
(https: //ass ist. dla. mi I)
BLK 9: Distribution Statement C: Distribution authorized to US Government agencies and their Contractors (Administrative or Operational Use), 5 May 2009. Other requests shall be referred to the SDDC I CODES Program Manager, I Soldier's Way, Scott
AFB, IL 62225.
BLKS 10, 12, and 13: Deliver documents in accordance with the PWS.
BLK 14: Desi red medium for de li very. Electronic mail. Document will be formatted to fit 8
1/2" X I I" Microsoft Office document with I" margins and portrait orientation.
15. TOTAL 0 I 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
I
17. PRICE GROUP
The public reporting burden for this collection of information is estimated to average 110 hours per response , including the time for rev iewing instructions, searching existing data sources, gathering and maintaining t he data needed , and completing and reviewing the collection of…
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