Telehandler_CDRL_A001.doc

CONTRACT DATA REQUIREMENTS LIST

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

The 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 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 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 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

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

TELEHANDLER

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Transportability Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-PACK-80880D

5. CONTRACT REFERENCE

SOW para 3.1.4

6. REQUIRING OFFICE

MARCORSYSCOM, PM-CSS, PdM-ES

7. DD 250 REQ

DD

9. DIST

STATEMENT

D

10. FREQUENCY

ONE/R

12. DATE OF 1ST SUBMISSION

30 Days ARO

14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION ASREQ

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only; Administrative-Operational Use; 01 January 2009. Other requests shall be referred to MARCORSYSCOM, PM-CSS, PdM-ES WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., sec. 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25

BLK - 14 Submission shall be via Electronic mail (E-mail) to the addresses below. All deliverables will use Microsoft Office 2007 or 2010 software (MS Word, MS Excel, MS PowerPoint).

MCSC (PdM-ES):

Benjamin.s.Hipkins@usmc.mil Francky.Louis@usmc.mil Michael.j.Farley@usmc.mil

Letters of transmittal only shall be provided to the following address:

MCSC (CTQ):

Thomas.Anable@usmc.mil

MCSC:

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE