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CONTRACT DATA REQUIREMENTS LIST
(2 Data Items) 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 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.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY |
TM
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| To Be Determined |
| To Be Determined |
| To Be Determined |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| Center of Excellence Deliverable |
| Monthly Status Reports |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| Statement of Work |
| Statement of Work |
| Office of Naval Research, |
ManTech Program Office
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
D **
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
N/A
| 16. REMARKS |
| See Enclosure #1 |
* Block 7: The contractor shall submit Center of Excellence Monthly Status Reports in accordance with annual Navy ManTech Guidance.
** Block 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology) (TBD at time of award). Other requests shall be referred to the Office of Naval Research COR noted in the contract.
***Blocks 11 and 12: First report is due 20 days after completion of the first full calendar month of the Task Order.
****Block 13. Reports will be due every 30 days thereafter.
15. TOTAL
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A002 |
| Center of Excellence Deliverable |
| Funding Allocation Spreadsheets |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| Statement of Work |
| Statement of Work |
| Office of Naval Research, |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| DD* |
| REQUIRED |
| Semi Annual |
| *** |
D**
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
N/A
| 16. REMARKS |
| See Enclosure #1 |
* Block 7: The contractor shall submit Center of Excellence Funding Allocation Spreadsheets in accordance with annual Navy ManTech Guidance.
** Block 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology) (TBD at time of award). Other requests shall be referred to the Office of Naval Research COR noted in the contract
***Blocks 11 and 12: Report will be due on a semiannual basis. The contractor will have 15 days to provide the spreadsheets after request made by ONR Program Officer/COR.
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| Mary Helen Dent |
| 22 Mar 2018 |
| Mary Helen Dent |
DD FORM 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1
CONTRACT DATA REQUIREMENTS LIST
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 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.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY |
TM
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| To Be Determined |
| To Be Determined |
| To Be Determined |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A003 |
| Center of Excellence Deliverable |
| Expenditure Estimates |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| Statement of Work |
| Statement of Work |
| Office of Naval Research, |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT* |
| REQUIRED |
| Semi Annual |
| *** |
D **
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
N/A
| 16. REMARKS |
| See Enclosure #1 |
* Block 7: The contractor shall submit Center of Excellence Expenditure Estimates in accordance with annual Navy ManTech Guidance.
** Block 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology) (TBD at time of award). Other requests shall be referred to the Office of Naval Research COR noted in the contract
***Blocks 11 and 12: Report will be due on a semiannual basis. The contractor will have 15 days to provide the spreadsheets after request made by ONR Program Officer/COR.
15. TOTAL
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A004 |
| Center of Excellence Deliverable |
| Monthly Expenditure Reports |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| Statement of Work |
| Statement of Work |
| Office of Naval Research, |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
D **
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
N/A
| 16. REMARKS |
| See Enclosure #1 |
* Block 7: The contractor shall submit Center of Excellence Monthly Expenditure Reports in accordance with annual Navy ManTech Guidance.
** Block 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology) (TBD at time of award). Other requests shall be referred to the Office of Naval Research COR noted in the contract
***Blocks 11 and 12: First report is due 20 days after completion of the first full calendar month of the Task Order.
****Block 13. Reports will be due every 30 days thereafter.
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| Mary Helen Dent |
| 22 Mar 2018 |
| Mary Helen Dent |
DD FORM 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 2
CONTRACT DATA REQUIREMENTS LIST
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 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.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY |
TM
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| To Be Determined |
| To Be Determined |
| To Be Determined |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A005 |
| Center of Excellence Deliverable |
| Implementation Workbooks |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
Statement of Work
Statement of Work
Office of Naval Research,
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
D **
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
N/A
16. REMARKS
* Block 7: The contractor shall submit Center of Excellence Implementation Workbooks in accordance with annual Navy ManTech Guidance.
** Block 9: DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology) (TBD at time of award). Other requests shall be referred to the Office of Naval Research COR noted in the contract
***Blocks 11 and 12: Report will be due on a annual basis. The contractor will have 15 days to provide the spreadsheets after request made by ONR Program Officer/COR.
15. TOTAL
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| 16. REMARKS |
| See Enclosure #1 |
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| Mary Helen Dent |
| 22 Mar 2018 |
| Mary Helen Dent |
DD FORM 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 3
