CONTRACT DATA REQUIREMENT LIST
Form Approved
OMB NO. 0704-0188
Public reporting burden for this collection of information is estimated to average 440 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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 address. 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: |
| TM______ |
| TM______ |
| OTHER______ |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO |
| F. CONTRACTOR |
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 0001 |
| Contractor's Quality Control Program |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0001 |
| Part 3, Para 5.a |
| COR |
| 18. Est. Total |
| 7. DD 250 Req |
| 9. Dist Statement |
| 10. Frequency |
| 12. Date of 1st Submission |
| 14. Distribution |
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
N/A
16. Remarks
Basic version submitted with proposal. Updated version submitted on contract start date.
Schedules I, II, and III.
15. Total
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0002 |
| Part 1, Para A.2.b |
| COR |
| 18. Est. Total |
| 7. DD 250 Req |
| 9. Dist Statement |
| 10. Frequency |
| 12. Date of 1st Submission |
| 14. Distribution |
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
N/A
16. Remarks
Weight tickets not required on inbound shipments unless reweigh is ordered.
15. Total
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 0003 |
| Household Goods Descriptive Inventory |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0003 |
| Part 1, Para A.5.i |
| COR |
| 18. Est. Total |
| 7. DD 250 Req |
| 9. Dist Statement |
| 10. Frequency |
| 12. Date of 1st Submission |
| 14. Distribution |
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
N/A
16. Remarks
Inventories not required on Inbound shipments.
Schedules I and III.
15. Total
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0004 |
| Part 1, Para A.5.1 |
| COR |
| 18. Est. Total |
| 7. DD 250 Req |
| 9. Dist Statement |
| 10. Frequency |
| 12. Date of 1st Submission |
| 14. Distribution |
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
See 16
16. Remarks
Exception sheets are made on shipments from NTS when contractor's representative and storage contractor's representative disagree on condition of goods. Maintained in contractor’s file and made available to claims office.
Schedule I.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| CONTRACT DATA REQUIREMENT LIST |
| Form Approved |
OMB NO. 0704-0188
Public reporting burden for this collection of information is estimated to average 440 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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 address. 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: |
| TM______ |
| TM______ |
| OTHER______ |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO |
| F. CONTRACTOR |
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 0005 |
| Report of Government Owned Containers |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0005 |
| Part 1, Para A.8.k.(2) |
| COR |
| 18. Est. Total |
| 7. DD 250 Req |
| 9. Dist Statement |
| 10. Frequency |
| 12. Date of 1st Submission |
| 14. Distribution |
| DS |
| Required |
| See 16 |
| See 16 |
| a. Addressee |
| b. Copies |
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
16. Remarks
Initial report due 15 days after contract start date. Weekly reports are due on the 2nd workday of each week for the previous week.
Monthly reports are due five workdays after the end of the previous month.
Schedules I and II.
15. Total
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 0006 |
| Joint Statement of Loss & Damage at Delivery |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0006 |
| Part 1, Para A.14 |
| COR |
| 18. Est. Total |
| 7. DD 250 Req |
| 9. Dist Statement |
| 10. Frequency |
| 12. Date of 1st Submission |
| 14. Distribution |
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
See 16
16. Remarks
DD Form 1840.
Schedules II and III.
15. Total
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 0007 |
| Claims Correspondence |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0007 |
| Part 1, Para A.14 |
| COR |
| 18. Est. Total |
7. DD 250 Req
9. Dist Statement
10. Frequency
| 12. Date of 1st Submission |
| 14. Distribution |
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
16. Remarks
Each time any correspondence regarding a claim is received from anyone other than the local TO, the contractor must furnish the TO an information copy.
15. Total
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 0008 |
| Government Bill of Lading |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0008 |
| Part 1, Para A.9.d |
| COR |
| 18. Est. Total |
| 7. DD 250 Req |
| 9. Dist Statement |
| 10. Frequency |
| 12. Date of 1st Submission |
| 14. Distribution |
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
N/A
16. Remarks
Original and copies 2, 3, and 4 are given to the carrier. Copies 5, 6 and 7 to the TO and copy 8 maintained by the contractor. In instances where computer generated PPGBL/BLs are used, enough copies must be made to ensure the right number of copies will be submitted.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| CONTRACT DATA REQUIREMENT LIST |
| Form Approved |
OMB NO. 0704-0188
Public reporting burden for this collection of information is estimated to average 440 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 (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, Respondents should be aware that notwithstanding any other provision of law, no person will be subject to 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 address. 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: |
| TM______ |
| TM______ |
| OTHER______ |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO |
| F. CONTRACTOR |
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 0009 |
| Contractor’s Weekly Report |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0009 |
| Part 1, Para A.9.j |
| COR |
| 18. Est. Total |
| 7. DD 250 Req |
| 9. Dist Statement |
| 10. Frequency |
| 12. Date of 1st Submission |
| 14. Distribution |
| DS |
| Required |
| WKLY |
| See 16 |
| a. Addressee |
| b. Copies |
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
16. Remarks
Block 11- As of previous Friday Block 12 – First Monday after contract start date.
Schedule I
15. Total
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 0010 |
| Report of Shipments on Hand |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0010 |
| Part 1, Para A.10.h |
| COR |
| 18. Est. Total |
| 7. DD 250 Req |
| 9. Dist Statement |
| 10. Frequency |
| 12. Date of 1st Submission |
| 14. Distribution |
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
See 16
16. Remarks
Blocks 10 and 11 – Determined by the TO.
Negative reports are required. Should Identify when reports are submitted to TO Schedule II
15. Total
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 0011 |
| Outsized Cargo Report |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0011 |
| Part 1, Para A.9.g |
| COR |
| 18. Est. Total |
| 7. DD 250 Req |
| 9. Dist Statement |
| 10. Frequency |
| 12. Date of 1st Submission |
| 14. Distribution |
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
See 16
16. Remarks
As required.
15. Total
| 1. Data Item No. |
| 2. Title of Data Item |
| 3. Subtitle |
| 17. Price Group |
| 0012 |
| Report of Strikes, Port Congestion, Fires, Pilferage, Vandalism, etc. |
| 4. Authority (Data Acquisition Document No.) |
| 5. Contract Reference |
| 6. Requiring Office |
| 0012 |
| Part III, Para 5.b |
| TO |
| 18. Est. Total |
| 7. DD 250 Req |
| 9. Dist Statement |
| 10. Frequency |
| 12. Date of 1st Submission |
| 14. Distribution |
DS
AS REQ
8. App Code
| 11. As of Date |
| 13. Subsequent Submit |
Final
AS REQ
16. Remarks
Report incidents which produce loss, damages, or delay to shipments under contractor control.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |