Attachment_2_-_CDRL_Trip_Report.pdf

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, Washington Headquarters Services, Directorate of Information Operations and Reports (0701-0188).

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

C. CATEGORY:

OTHER – Equipment Management

D. SYSTEM/ITEM

MARCORSYSCOM/PfM CES

Equipment and Logistics Management

E. CONTRACT/PR NO.

M67854-18-R-2003

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Technical Report/Trip Report

3. SUBTITLE

None.

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81943

5. CONTRACT REFERENCE

PWS Para. 2.5.1

6. REQUIRING OFFICE

MARCORSYSCOM/PfM CES

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

D

10. FREQUENCY

Weekly

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLOCK

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Blocks 10 thru 13 – Begin submission to the Contracting Officer’s Representative (COR) and applicable equipment specialist(s) at the close of business each Thursday unless otherwise determined by the COR and continue weekly until contract completion. Data will be accurate as of close of business the day prior to the report due date.

Block 14 - Deliverable format shall be provided by Government at start of work meeting. Formatting may change during the course of the contract. A new format may be provided by the Government as needed.

DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only

(Administrative or Operational Use) (TBD- CONTRACT

AWARD DATE). Other requests shall be referred to

Commander, Marine Corps Systems Command (Attn: CES), 2200 Lester Street, Quantico, VA 22134-6050.

Note: All CDRLS shall be marked appropriately according to DoDM

5200.01, Vol. 2, Marking of Classified Information or DoDM

5200.01, Vol. 4, Controlled Unclassified Information (CUI).

Deliverables sent electronically that contain For Official Use Only

(FOUO) information are required to be encrypted while in transmission.

Applicable Equipment

Specialist

COR 1

15. TOTAL 2

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE