Exhibit_A__Contract_Data_Requirements_List_(CDRLs).xls

XLS spreadsheet 333 KB Posted Jun 30, 2015

Attached to: Advance Planning Notice for Technical, Engineering, and Management Support Services
Solicitation number: N00421-15-R-0030
Issued by: Department of the Navy Naval Air Systems Command Naval Air Warfare Center

About this file

From the source

Exhibit A-CDRLs

View the file

Other files

File	Type	Posted
Amendment_3.docx	DOCX document	Jul 30, 2015
N00421-15-R-0030-0002_7-22-2015.docx	DOCX document	Jul 22, 2015
N00421-15-R-0030_9Jul15.doc	DOC document	Jul 9, 2015
Attachment_7-List_of_Authorized_Subcontractors.doc	DOC document	Jun 30, 2015
Attachment_4-_DataTransmittal_Form.doc	DOC document	Jun 30, 2015
Attachment_-P5-Past_Performance_Questionnaire_Package.doc	DOC document	Jun 30, 2015
Attachment_P6-CLIN_Breakout_Spreadsheet.xls	XLS spreadsheet	Jun 30, 2015
Attachment_6-_List_of_Key_Personnel.doc	DOC document	Jun 30, 2015
Attachment_P7-Fully_Burdened_Labor_Rates.xlsx	XLSX spreadsheet	Jun 30, 2015
Attachment_8-_ScheduledGovernmentFurnishedPropertryFORM.pdf	PDF	Jun 30, 2015
Attachment_1-Quality_Assurance_Surveillance_Plan_(QASP).docx	DOCX document	Jun 30, 2015
Attachment_2-_DoD_Contract_Security_Classification_Specification_DD_Form_254.pdf	PDF	Jun 30, 2015
Attachment_9-_RequisitionedGovernmentFurnishedPropertyFORM.pdf	PDF	Jun 30, 2015
Attachment_3-_OCI_List.doc	DOC document	Jun 30, 2015
N00421-15-R-0030_06-30-2015.doc	DOC document	Jun 30, 2015
Attachment_5-_NAVAIR_Established_Tripwires.docx	DOCX document	Jun 30, 2015
Advance_Planning_Notice.doc	DOC document	Jun 5, 2015
CDRL_5_7_15_ATC_TEMS_N00421-15-R-0030.pdf	PDF	Jun 5, 2015
N00421-15-R-0030_06-05-2015.doc	DOC document	Jun 5, 2015

Show all 19

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

A001

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A001	Scientific and Technical Report					Technology Assessment Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MISC-80711A			PBWS PARA. 3.2, 3.3.16, 3.4.2, 3.6.4				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR-4.11.7		1	0
Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not
been transmitted within 30 days of transmittal, the CDRL is considered accepted.
Block 10, 11, 12, & 13: Submit by the 20th working day after completion of new technology analysis.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	1	of	23
1007/183

A002

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A002	Basic Facilities Requirements (BFR) Documentation					DD FORM 1391
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
Contractor Format			PBWS PAR: 3.3.3.1.1				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
LT		See Block 16		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 10: Submit as necessary to meet technical program objectives and milestones.
Block 11, 12, & 13: Submit by the 10th working day after requirement requested.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	2	of	23
1007/183

A003

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A003	Report, Record of Meeting/Minutes					Meeting/Conference Minutes
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-ADMN-81505			PBWS PARA. 3.3.3.1.3 & 3.3.21				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
LT		See Block 16		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 10: Submit for major milestone meetings such as Program Reviews, PDRs and CDRs; not required for normal
weekly and monthly meetings.
Block 11, 12, & 13: Submit by the 5th working day after meeting/conference is held.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	3	of	23
1007/183

A004

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A004	Training Documentation
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
Contractor Format			PBWS PARA. 3.3.3.1.2 & 3.3.4				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
LT		See Block 16		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 10: Submit as necessary to meet technical program objectives and milestones.
Block 11, 12, & 13: Submit by the 5th working day after requirement requested.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	4	of	23
1007/183

A005

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A005	Contractor's Configuration Management Plan					Engineering Report (Configuration Management Documentation)
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-CMAN-80858B			PBWS PARA. 3.3.18				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not
been transmitted within 30 days of transmittal, the CDRL is considered accepted.
Block 10: Submit as necessary to meet technical program objectives and milestones.
Block 11, 12, & 13: Submit by the 10th working day after requirement requested.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	5	of	23
1007/183

A006

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A006	Technical Report-Study/Services					Systems Engineering Analysis Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MISC-80508B			PBWS PAR: 3.3.1.1, 3.3.7, 3.3.8, & 3.3.19				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
LT		SEE BLOCK 16		SEE BLOCK 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		SEE BLOCK 16		SEE BLOCK 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 10: Submit as necessary to meet technical program objectives and milestones.
Block 11, 12, & 13: Submit by the 10th working day after requirement requested.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	6	of	23
1007/183

A007

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A007	Contract Field Service Report					New Construction Documentation/Recommendations Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MGMT-81238			PBWS PARA. 3.3.3.1 & 3.3.20				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not
been transmitted within 30 days of transmittal, the CDRL is considered accepted.
Block 10: Submit as necessary to meet technical program objectives and milestones.
Block 11, 12, & 13: Submit by the 10th working day after requirement requested.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	7	of	23
1007/183

A008

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A008	Integrated Logistic Support Plan					ILS Documentation
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-ILSS-80095			PBWS PARA. 3.3.12 & 3.3.22				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not
been transmitted within 30 days of transmittal, the CDRL is considered accepted.
Block 10: Submit as necessary to meet technical program objectives and milestones.
Block 11, 12, & 13: Submit by the 10th working day after requirement requested.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	8	of	23
1007/183

A009

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A009	Scientific and Technical Reports					System Performance Analysis
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MISC-80711A			PBWS PARA.3.4.1				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not
been transmitted within 30 days of transmittal, the CDRL is considered accepted.
Block 10: Submit as necessary to meet technical program objectives and milestones.
Block 11, 12, & 13: Submit the 10th working day after requirement requested.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	9	of	23
1007/183

A010

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A010	Implementation Plan					Systems Integration Plan
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MGMT-81737			PBWS PARA 3.4.3				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not
been transmitted within 30 days of transmittal, the CDRL is considered accepted.
Block 10: Submit as necessary to meet technical program objectives and milestones.
Block 11, 12, & 13: Submit the 10th working day after requirement requested.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	10	of	23
1007/183

A011

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A011	Test Plans/Test Procedures					System Test Plans
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-SESS-81704			PBWS Para. 3.5.1				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not
been transmitted within 30 days of transmittal, the CDRL is considered accepted.
Block 10: Submit as necessary to meet technical program objectives and milestones.
Block 11, 12, & 13: Submit the 10th working day after requirement requested.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	11	of	23
1007/183

A012

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A012	Quality Assessment Report					Evaluation Reports
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-QCIC-81187			PBWS PARA. 3.3.15 & 3.5.4				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 7: XX-Acceptance will be by the COR via the Data Item Transmittal/Rejection Form (Attachment 6). If this format has not
been transmitted within 30 days of transmittal, the CDRL is considered accepted.
Block 10: Submit as necessary to meet technical program objectives and milestones.
Block 11, 12, & 13: Submit the 20th working day after completion of testing.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	12	of	23
1007/183

A013

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A013	Acquisition Tracking Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
Contractor Format			PWBS PARA. 3.6.5				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
LT		Monthly		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	13	of	23
1007/183

A014

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A014	Contract Field Service Report					LAN Technical Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MGMT-81238 NOT 1			PBWS PARA. 3.8				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
LT		Monthly		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	14	of	23
1007/183

A015

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A015	Technical Assistance Activity Accomplishment Report					FASFAC JAX Operational Site Maintenance Status Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MGMT-80911			PBWS PARA. 3.9				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
LT		Monthly		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	15	of	23
1007/183

A016

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A016	Contractor Progress Status and Management Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MGMT-80227			PBWS PARA. 4.1				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
LT		Monthly		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	16	of	23
1007/183

A017

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A017	Funds & Time Expenditure Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
Contractor Format			PBWS PARA. 4.2				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
LT		Monthly		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	17	of	23
1007/183

A018

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A018	Funds and Man Hour Expenditure Report					Voucher Reconciliation Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-FNCL-80331A			PBWS PARA. 4.3				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
LT		Monthly		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	0
Block 10, 11, 12, & 13: Report is due 10 working days after receipt of Funds & Time Expenditure Report CDRL A019.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	0
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	18	of	23
1007/183

A019

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A019	Material Tracking Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
Contractor Format			PBWS PARA. 4.5				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION
	REQUIRED							b. COPIES
LT		Monthly		See Block 16
8. APP CODE	C	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION			a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16					Reg	Repro
16. REMARKS							AIR- 4.11.7		1	1
Block 10, 11, 12, & 13: Submit by the 15th of each month reporting activities for the preceding month.
Block 14: Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Deliverable Manager
AIR-4.11.7
NAVAIRWARCENACDIV
17454 Webster Field Rd.
St. Inigoes, MD 20684-4012
							15. TOTAL	0	1	1
G. PREPARED BY	M. Passfeld		H. DATE	I. APPROVED BY		L. Whites		J. DATE
DD Form 1423-1, JUN 90			Previous editions are obsolete				Page	19	of	23

A020

CONTRACTS DATA REQUIREMENTS LIST						Form Approved
(1 Data Item)						OMB No. 0704-0188
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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 20503. Please DO NOT RETURN your form to
either of these addresses. 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:
		A		TDP_________	TM	Other ________X_______
D. SYSTEM/ITEM			E. CONTRACT/PR NO.			F. CONTRACTOR
Air Traffic Control Systems
1. DATA ITEM NO.	2. TITLE OF DATA ITEM					3. SUBTITLE
A020	Technical Report - Study/Services					Trip Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE				6. REQUIRING OFFICE
DI-MISC-80508B			PBWS Para. 6.0				AIR-4.11.7
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION			14. DISTRIBUTION

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Nov 14, 2017.