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CONTRACT DATA REQUIREMENTS LIST (CDRL)
(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 |
| C. CATEGORY: |
ASK \* MERGEFORMAT
| TDP ____ |
| TM _____ |
| OTHER FNCL |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| AIR-4.3/5.4 AIR VEHICLE, MFS/ACETEF |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A002 |
| PERFORMANCE AND COST REPORT |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-FNCL-80912 |
| PBSOW para 7.2 |
| AIR-4.3.2.3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| DD |
| REQUIRED |
| MONTHLY |
| SEE BLOCK 16 |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
N/A
| 16. REMARKS |
| AIR-4.3.2.3 |
| 1 |
| 3 |
TO BE SUBMITTED BY THE 10TH DAY OF EACH MONTH. REPORT WILL INCLUDE THE PROJECT STATUS, MAN HOURS EXPENDED, LABOR, MATERIAL, TRAVEL, AND OTHER COSTS. THE REPORTING PERIOD WILL BE IN CONJUNCTION WITH BILLING PERIOD OF EACH INVOICE. THE REPORT WILL BE SUBDIVIDED BY EACH ASSIGNED PROJECT NUMBER, DELIVERY ORDER, OR TECHNICAL DIRECTION LETTER AND WILL LIST THE TOTAL COST OF THE SPECIFIC PROJECT, THE AMOUNT FUNDED (BY CLIN), THE AMOUNT EXPENDED (BY CLIN AND LABOR CATEGORY), AND THE TOTAL AMOUNT REMAINING TO BE EXPENDED. THE REPORT WILL DETAIL THE MONTHLY LABOR HOURS AND CHARGES PER EACH INDIVIDUAL ON THAT PROJECT, AND THE TOTAL MATERIAL ITEMS (AND THEIR COST) WILL BE LISTED.
SUBMIT REPORT ELECTRONICALLY TO THE DESIGNATED GOVERNMENT POC AT ALEXANDER.KOKOLIOS@NAVY.MIL.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| PREPARER'S NAME, AIR-XXXX |
| PD'S NAME, AIR-XXXX |
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED
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