A.2_CDRL_A001.pdf

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ANCC/ATC Support Systems (Norfolk, Naples, Bahrain)- sole source action
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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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 C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

1_DATA_ITEM_NO: A001
2_TITLE_OF_DATA_ITEM: TECHNICAL REPORT - STUDY/SERVICES
3_SUBTITLE: Monthly Progress Report
4_AUTHORITY_Data_Acquisit: DI-MISC-80508A
5_CONTRACT_REFERENCE: SOW PARA 11.0
6_REQUIRING_OFFICE: NCTAMS LANT N5/N8
7_DID_250_REQ: N/A
8_APP_CODE: N/A
DIST_STATEMENT: SOW para 10
10_FREQUENCY: Monthly
11_AS_OF_DATE: Start of PoP
12_DATE_OF_FIRST_SUBMISSI: 30 days after start of PoP
13_DATE_OF_SUBSEQUENT_SUB: Monthly
addressee1: COR/ACOR
draft1: 1
reg1: 1
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total_draft: 1
total_repro: 0
16_REMARKS: Blocks 11 and 12: PoP = Period of Performance

Block 14: E-mail distribution preferred

The report shall be formatted in Microsoft Office compatible file to provide work performed, projects in progress, completed projects, status of staffing, cost for the current period, cost to date, the total amount negotiated, the amount remaining, and an Estimate To Completion (ETC). ODCs shall be reported similarly. The report is due to the COR by the 10th of the month preceding the month being reported.

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY: Jugal Patel
H_DATE: 7/2/2019
1_APPROVED_BY: Christopher Jensen
J_DATE: 7/2/2019
Page: 1
reg38t: 1
A_CONTRACT_LINE_ITEM_NO:
B_EXHIBIT:
TDP:
TM:
OTHER:
DSYSTEMITEM:
E_CONTRACTPR_NO:
FCONTRACTOR: TBD
of_pages: 1
Reset:

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