Attachment_06b_CDRL_B002.docx

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Restricted Time (TCIR/DART)

LT

BLOCK 4: Replace instructions of para 10 with the following: Submit your Total Case Injury

Rates (TCIR) and Days Away, Restricted and/or Transferred (DART) rates or injury and illness rates (for the Standard Industrial Classification Systems (SICS) code or the North American Industrial Classification Systems (NAICS) code) for the applicable industry annually using the Bureau of Labor Statistics (BLS) formula IAW CSP 03-01-003, Voluntary Protection Programs (VPP): Policies and Procedures Manual, Appendix A. If TRICR/DART rates or injury and illnesses rates are not maintained due to OSHA authorized exclusions, submit comparable insurance rates or compensation injury rates.

BLK 9: THE FOLLOWING STATEMENT SHALL BE INCLUDED IN THE DELIVERABLE:

DISTIBUTION C: DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT AGENCIES AND THEIR CONTRACTORS, (ADMINISTRATIVE OR OPERATIONAL USE), (10 NOV 2009). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO THE CONTRACTING OFFICER, MCIEAST, CONTRACTING OFFICE, PSC BOX 8018, BLDG. 159, MCAS CHERRY POINT, NC 28533-0018.

BLOCK 11: TCIR/DART rates are based on calendar year (as of date 31 Dec).

BLOCK 12: no later than the final working day in the month of January of each calendar year.

Report shall be developed using MS Office Tools, such as Word or Excel.

NAVAIR 5252.246-9514 DOES NOT APPLY TO THIS CDRL AS LONG AS A SUMMARY OF THE DATA REQUIRED UNDER THIS CDRL IS INCLUDED IN B001.

MCIEAST PCO

MCIEAST CS

FRCE TOCOR

SHANE DALPIAZ

ACQUISITION PROGRAM SPECIALIST 6.1.3.2