CDRL_A003_Tech_Report.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 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:

XXXX A TDP ___X____ TM ________ OTHER ________

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

AIR-5.1 ISEET Department Support TBD TBD

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

A003 Technical Report–Study/Services Technical Reports

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

DI-MISC-80508B (See Block 16) SOW Task 3.3.3

AIR 5.1.1

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

D

(See Block 16)

AS REQ As REQ b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Final

A N/A ASREQ Draft Reg.

Repro

16. REMARKS NAVAIR 5.1D

COR

1 1 0

BLK 4: Format will be determined by the content and government corporate applications available, verify report format with TPOC prior to the requirement delivery.

BLK 9: Distribution authorized to U.S. Government Agencies only.

BLK 10, 12, 13: Determined by the TPOC.

BLK 14b: Physical copies such as handouts may be requested by the TPOC

(ODC).

Other: Electronic submittal is required. Prearrange electronic submittal over

5MB.

NAVAIR 5.1.1

TPOC

1 1 As

RQD

15. TOTAL 0 2 1

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

Chris Barrett 6/3/2016

William Denenea

6/7/2016

DD Form 1423-2 Feb 01 Previous editions are obsolete. Page 1 of 1 Page

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE