45N_CDRL_A005.doc

CONTRACT DATA REQUIREMENTS LIST

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 instruction, 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 Contract Office for the Contract/PR No. listed in Block E.

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Risk Management Status Report

3. SUBTITLE

Risk Management Report

4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)

DI-MGMT-81809

5. CONTRACT REFERENCE

SOW Para 3.3.1.2

6. REQUIRING OFFICE

AD4.5.14

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

10. FREQUENCY

ONE/R

12 DATE OF FIRST

See BLK 16

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

13. DATE OF SUBSEQUENT See BLK 16

Reg Repro

16. REMARKS

BLOCK 4: Contractor format acceptable. Data Item Description cited as a guide only.

BLOCK 8: and 13: The Government has 45 working days for review and acceptance or rejection. Contractor has 30 days for re-submittal if accepted with comments or rejected.

BLOCK 9: DISTRIBUTION STATEMENT D, Department of Defense and U.S. DoD contractors only (Critical Technology) (Date). Other requests shall be referred to (Cognizant Program Office assigned at time of award).

BLOCK 12: Report to be submitted NLT 45 days after completing studies, research, development, test and evaluation.

BLOCK 14: One (1) soft copy (Reg). Soft copy shall be delivered in the original and modifiable application (e.g., Microsoft Office, AutoCAD, etc.) to:

Building 2185 RM 1130

22347 Cedar Point Road

Patuxent River, MD 20670

DESTRUCTION NOTICE: Follow the procedures in DoD 5220.22-M, NISPOM, Section 5-705.

4.5.14 (See Block 16)

15.TOTAL

G. PREPARED BY

H. DATE

13 September 2018

I. APPROVED BY

J. DATE

DD FORM 1423, JUN 90 Previous editions are obsolete Page of Pages

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

_1598688181.pdf

DATA ITEM DESCRIPTION

Title: Risk Management Status Report

Number: DI-MGMT-81809 Approval Date: 20100426 AMSC Number: N9132 Limitation: N/A DTIC Applicable: N/A GIDEP Applicable: N/A Preparing Activity: SH/PMS-408 Applicable Forms: N/A

Use/relationship: The Contractor’s Risk Management Status Report will be used to document the contractor’s progress for: risk identification; risk mitigation planning: risk management plan implementation; and risk tracking. This data will allow management to make informed decisions.

This Data Item Description (DID) contains the format, content, and preparation instructions for the data product resulting from the work task specified in the contract.

Requirements:

1. Format. The Risk Management Report shall be in contractor’s format.

2. Content. The report shall contain a title page identifying the following:

a. Contractor’s Name

b. Contract Number and Dates of Award (including the latest modification)

c. All dates inclusive to the tasks for the reporting period.

2.1. The report shall contain the contractor’s progress in risk identification, analysis, implementation of mitigation, and tracking.

2.2. The report shall identify efforts made in assessing the current consequence of the identified performance (P), schedule (S), and cost (C) risks on the program, and shall contain a projection of the risk mitigation implementation.

2.3. The report shall contain a five (5) by five (5) matrix to identify risks to Performance (P), Schedule (S), and Cost (C). A vertical axis shall indicate the “Likelihood” and the horizontal axis shall indicate the “Consequence” of a root cause occurrence. The level of risk for each root cause shall be identified as green low, yellow for moderate, or red for high.

2.4. The report shall contain a narrative briefly describing the risk, title, type (P, S, or C), root cause, current mitigations, and planned mitigations efforts identified , along with critical dates (risk reduction milestones).

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DI-MGMT-81809

Page 2 of 2 Pages

3. Media requirements. The report shall be presented in electronic media, MS Word version 2003-2007.

4. END OF DID DI-MGMT-81809.

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