HERA-CDRLsA001-A012APPVD13Mar2008.doc

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

B. EXHIBIT

FA9451-08-D-XXXX

C. CATEGORY

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

System Safety Hazard Analysis Report (SSHA)

3. SUBTITLE

4. AUTHORITY

DI-SAFT-80101B

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

None

AFRL/RDKP

Lt

ACO

Lt

15. TOTAL:

16. REMARKS

Block 9: All documentation shall be marked with the following Distribution Statement "D" and Export Control Warning:

Distribution authorized to DOD and U.S. DOD contractors only: Critical Technology, Date of Submittal. Other requests shall be referred to AFRL/RDHP, 3550

Aberdeen Ave SE, Kirtland AFB, NM 87117-5776.

Warning - This document contains technical data whose export is restricted by the ARMS EXPORT CONTROL ACT (Title 22, USC, Sec 2751 et seq) or the EXPORT ADMINISTRATION ACT OF 1979, as amended, Title 50, USC, appl 2401 et seq. Violations of these export laws are subject to severe criminal penalties.

Block 10, 12 and 13: Prior to any experimental testing, a SSHA will be generated for each PCO approved TO.

Block 14: In addition to scheduled hard copies, a single soft on (CD, Zip disk, or DVD) copy of the final document, for each TO, will be delivered via U.S. Postal Service (not emailed) or hand delivered to the COR. The format will be in an industry standard, commercially available, office desktop format compatible with WIN 2000/XP Personal Computers (PCs).

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

DD Form 1423-1, SEP 97 (EG) (Computer Generated)

PREVIOUS EDITIONS ARE OBSOLETE

Page 1 of 12 Pages CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

D. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

E. EXHIBIT

FA9451-08-D-XXXX

F. CATEGORY

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Safety Assessment Report (SAR)

3. SUBTITLE

N/A

4. AUTHORITY

DI-SAFT-80102B

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

None

AFRL/SE

AFRL/RDKP

Lt

ACO

Lt

22. TOTAL:

23. REMARKS

Block 4: Delete paragraphs 10.1, 10.2.2(a), 10.2.2(b), 10.2.5(a).

Block 9: See CDRL A001 for Distribution Statement "D" and Export Control Warning.

Block 10, 12 and 13: A report is required for each PCO approved TO, or when test(s) scenario(s) change beyond the scope of the original SAR. First report is due 10 workdays before start of the first test. Subsequent submissions are due 10 workdays before the start of each subsequent "new" test.

Block 14: In addition to scheduled hard copies, a single soft (CD, Zip disk, or DVD) copy of the final document, for each TO, will be delivered via U.S. Postal Service

(not emailed) or hand delivered to the COR. The format will be in an industry standard, commercially available, office desktop format compatible with WIN 2000/XP PCs.

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

24. PRICE GROUP:

25. ESTIMATED TOTAL PRICE:

Page 2 of 12 Pages

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

G. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

H. EXHIBIT

FA9451-08-D-XXXX

I. CATEGORY

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Presentation Materials

3. SUBTITLE

N/A

4. AUTHORITY

DI-ADMN-81373

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

None

AFRL/RDHP (COR)

AFRL/RDHP (TOO)

AFRL/RDKP

Lt

ACO

Lt

16. REMARKS

Block 4: Format of materials will be in accordance with paragraphs 3.1 and 10.1.

Block 9: See CDRL A001 for Distribution Statement "D" and Export Control Warning.

Block 10, 12 and 13: The contractor will submit formal briefing presentation materials five working days after request from Task Order Officer (TOO) or Contracting

Officer Representative (COR). No data item is required for informal briefings.

Block 14: In addition to scheduled hard copies, a single soft (CD, Zip Disk, or DVD) copy of the final document, for each TO, will be delivered via U.S. Postal Service

(not emailed) or hand delivered to the COR. The format will be in an industry standard, commercially available, office desktop format compatible with WIN 2000/XP PCs.

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 3 of 12 Pages

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

J. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

K. EXHIBIT

FA9451-08-D-XXXX

L. CATEGORY

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

N/A

4. AUTHORITY

DI-MGMT-80368A

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

None

AFRL/RDHP (COR)

AFRL/RDHP (TOO)

AFRL/RDKP

Lt

ACO

Lt

16. REMARKS

Block 7: Normally, only a letter of transmittal is required. However, a DD 250Z shall accompany the closeout PSR.

Block 9: See CDRL A001 for Distribution Statement "D" and Export Control Warning.

Block 10, 12 and 13: Individual task orders will specify the exact frequency, such as monthly or quarterly, of the Periodic Status Report (PSR). The first PSR is due within 20 calendar days after the end of the first full calendar month after date of approval (DOA), with subsequent submissions due within 20 calendar days of the first day of each period (individual task orders will specify the exact period, such as month or quarter) for the duration of the contract. A final technical PSR showing just technical effort status is due within 20 calendar days of the task order’s technical completion date. A final cost PSR showing just cost status is due within 20 calendar days following the end of the month in which the task order’s technical completion date occurs. A closeout PSR showing final cost status is due within 20 calendar days after the first full month after the contractor has submitted the final version of the final report. For the Combined Functions Task Order and any other task order(s) not requiring a final Scientific and Technical Report, the Closeout PSR is due 120 days after the end of period of performance of the task order. Test Reports may be required at a greater frequency, as specified in a PCO approved TO. Quick Look Reports will be generated within five working days of each test. Contractor's format is acceptable. Meeting Minutes, or Conferences…, as required by the TOO, provided the requirement is presented in writing prior to the event. Said report will be generated within 10 working days after the event. If a Test Report, Quick Look Report, or Meeting Minutes… are called out as a separate document in a PCO approved TO, then said data does not need to be repeated in the PSR. Rather, a single statement in the PSR shall be made reflecting delivery of the item(s) to the appropriate TOO.

Block 14: In addition to scheduled hard copies, a single soft copy (CD, or Zip Disk) of each PSR, for each PCO approved TO, will be delivered via U.S. Postal Service (not emailed) or hand delivered to the COR. This is not to include any additional Test Reports or Quick Look Reports, which are required outside of the periodic Status Report cycle. The format will be in an industry standard, commercially available, office desktop format compatible with WIN 2000/XP PCs.

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 4 of 12 Pages

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

M. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

N. EXHIBIT

FA9451-08-D-XXXX

O. CATEGORY

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Scientific and Technical Report (S&T)

3. SUBTITLE

Final Report

4. AUTHORITY

DI-MISC-80711A

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

None

16. REMARKS

Block 4: The Final Report shall be prepared I.A.W. PRS Pamphlet 61-201, Preparation of Technical Reports. PRS Pamphlet 61-201 may be accessed via the internet at: http://www.kirtland.af.mil/shared/media/document/AFD-070502-055.doc. The contractor shall complete and submit an SF 298 Report Documentation Page, which is available at: http://www.kirtland.af.mil/shared/media/document/AFD-070425-037.doc. The contractor shall incorporate all required changes upon receipt of the technically reviewed and edited draft. Deliver electronic copies for both the draft and final version of the report (hard copy only of draft for RDO). The electronic copy shall be a .pdf file or the most recent version of Microsoft Word. A CD-ROM (CD-RW) or a Zip Disk are the acceptable media for submittal. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unecrypted or unsecure email is not permitted.

THE REPORT WILL BE PUBLISHED WITH THE DEFENSE TECHNICAL INFORMATION CENTER (DTIC) BY AFRL/RDO. Under no circumstances shall the contractor submit either the draft or the final technical report to DTIC.

Block 7: Submit draft Final Report with letter of transmittal. Submit final version of the report to the designated AFRL technical project manager. In preparing the final DD 250 for the task order, code the shipment number with a “Z” and submit to the designated technical project manager with the final version of the report.

Block 9: All documentation shall be marked I.A.W. DoDD 5230.24 with Distribution Statement D. See CDRL A001 for Distribution Statement D and Export Control Warning.

Blocks 10, 12 & 13: The contractor shall deliver the Final Scientific and Technical Report, in draft, no later than the date specified in the Schedule, CLIN 0002. The USAF will review, edit and return the draft no later than the date specified in the Schedule, CLIN 0002. Upon receipt of the reviewed and edited draft, the contractor shall deliver the final version of the report no later than the date specified in the Schedule, CLIN 0002.

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 5 of 12 Pages

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

P. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

Q. EXHIBIT

FA9451-08-D-XXXX

R. CATEGORY

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Developmental Design Drawings and Associated Lists

3. SUBTITLE

N/A

4. AUTHORITY

DI-SESS-81002D

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

None

AFRL/RDHP (COR)

AFRL/RDHP (TOO)

AFRL/RDKP

Lt

ACO

Lt

15. TOTAL:

16. REMARKS

Block 4: Paragraph 3. Format. Developmental Design Drawings/Models and Associated Lists shall be in either the contractor's or the Government's format as specified on the TDP Option Selection Worksheet incorporated into the contract or purchase order.

Block 9: See CDRL A001 for Distribution Statement "D" and Export Control Warning.

Block 10, 12 and 13: As required by Procurement Contracting Officer (PCO) approved Task Order (TO).

Block 14: Block 14: In addition to scheduled hard copies, a single soft (CD, zip disk, or DVD) copy of the final drawings/document, will be delivered via U.S. Postal Service (not emailed) or hand delivered to the COR.

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 6 of 12 Pages

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

S. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

T. EXHIBIT

FA9451-08-D-XXXX

U. CATEGORY

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Test Plan

3. SUBTITLE

N/A

4. AUTHORITY

DI-NDTI-80566A

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

None

AFRL/RDHP (COR)

AFRL/RDHP (TOO)

AFRL/RDKP

Lt

ACO

Lt

15. TOTAL:

16. REMARKS

Block 9: See CDRL A001 for Distribution Statement "D" and Export Control Warning.

Block 10, 12 and 13: The document will be due 30 calendar days (not via e-mail) before the start of an experiment or demonstration for a Procurement Contracting Officer (PCO) approved Task Order (TO). The document needs to be generated only once per TO, unless testing parameters or type change.

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 7 of 12 Pages

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

V. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

W. EXHIBIT

FA9451-08-D-XXXX

X. CATEGORY

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Environmental Health and Safety Plan (HSP)

3. SUBTITLE

N/A

4. AUTHORITY

DI-ENVR-81375

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

None

AFRL/RDHP (COR)

AFRL/RDHP (TOO)

AFRL/RDKP

Lt

ACO

Lt

15. TOTAL:

16. REMARKS

Block 9: See CDRL A001 for Distribution Statement "D" and Export Control Warning.

Block 12 and 13: The first submission shall be provided within 90 days after contract award. Subsequent submissions will be due annually.

Block 14: In addition to scheduled hard copies, a single soft (CD or Zip Disk) copy of the final document, for each Task Order (TO), will be delivered via U.S.

Postal Service (not emailed) or hand delivered to the COR. The format will be in an industry standard, commercially available, office desktop format compatible with

WIN 2000/XP PCs.

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 8 of 12 Pages

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Y. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

Z. EXHIBIT

FA9451-08-D-XXXX

AA. CATEGORY

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Computer Program End Item Documentation

3. SUBTITLE

N/A

4. AUTHORITY

DI-IPSC-80590B

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

None

AFRL/RDHP (COR)

Lt

AFRL/RDHP (TOO)

AFRL/RDKP

Lt

ACO

Lt

15. TOTAL:

16. REMARKS

Block 4: Paragraph 3.1.3. Executable programs. All executable programs and databases shall be developed on the media as specified by the DD Form 1423.

Block 9: See CDRL A001 for Distribution Statement "D" and Export Control Warning

Block 10, 12 and 13: As required by PCO approved TO.

Block 14: In addition to scheduled hard copies, a single soft (CD, Zip Disk) copy of the final document, for each TO, will be delivered via U.S. Postal Service (not emailed) or hand delivered to the COR. The format will be in an industry standard, commercially available, office desktop format compatible with WIN 2000/XP PCs.

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 9 of 12 Pages

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

AB. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

AC. EXHIBIT

FA9451-08-D-XXXX

AD. CATEGORY

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Software User's Manual

3. SUBTITLE

N/A

4. AUTHORITY

DI-IPSC-81443A

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

None

AFRL/RDHP (COR)

AFRL/RDHP (TOO)

AFRL/RDKP

Lt

ACO

Lt

15. TOTAL:

16. REMARKS

Block 9: See CDRL A001 for Distribution Statement "D" and Export Control Warning.

Block 10, 12 and 13: As required by Procurement Contracting Officer (PCO) approved Task Order (TO).

Block 14: In addition to scheduled hard copies, a single soft (electronic) copy of the final document will be given delivered to the COR. The format will be in an industry standard, commercially available, office desktop format, WIN 2000/XP compatible for PCs.

Block 14: In addition to scheduled hard copies, a single soft (CD or Zip Disk) copy of the final document, for each TO, will be delivered via U.S. Postal Service (not emailed) or hand delivered to the Contracting Officer Representative (COR). The format will be in an industry standard, commercially available, office desktop format compatible with WIN 2000/XP PCs.

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 10 of 12 Pages

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

AE. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

AF. EXHIBIT

FA9451-08-D-XXXX

AG. CATEGORY

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

Technical Report-Study Services

3. SUBTITLE

MIL-STD-882D “Standard Practice for System Safety” Excerpts

4. AUTHORITY

DI-MISC-80508B

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

None

AFRL/RDHP (COR)

Lt

AFRL/RDHP (TOO)

AFRL/RDKP

Lt

ACO

Lt

16. REMARKS

Block 4: Contractor shall comply with all sections/subsections of paragraph 4 (entitled "General Requirements") of MIL-STD-882D.

Block 9: See CDRL A001 for Distribution Statement "D" and Export Control Warning.

Block 10, 12 and 13: As required by Procurement Contracting Officer (PCO) approved Task Order (TO).

Block 14: In addition to scheduled hard copies, a single soft (CD or Zip Disk) copy of the final document, for each TO, will be delivered via U.S. Postal Service (not emailed) or hand delivered to the COR. The format will be in an industry standard, commercially available, office desktop format compatible with WIN 2000/XP PCs.

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 11 of 12 Pages

CONTRACT DATA REQUIREMENTS LIST (Data Item) Form Approval 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 commends regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

AH. CONTRACT LINE ITEM NO.

HERA/HPM Technologies

AI. EXHIBIT

FA9451-08-D-XXXX

AJ. CATEGORY

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

Operations and Maintenance Instructions

3. SUBTITLE

N/A

4. AUTHORITY

DI-MISC-81414

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

N/A

AFRL/RDHP (COR)

Lt

AFRL/RDHP (TOO)

AFRL/RDKP

Lt

ACO

Lt

16. REMARKS

Block 4: Comprehensive system operating manual describing operation and maintenance.

Block 9: See CDRL A001 for Distribution Statement "D" and Export Control Warning. Draft and final versions shall be marked with the appropriate distribution statement and restrictive legends that apply as determined by the Project Officer (PO). Upon approval by the PO and AFRL Public Affair Office, the manuals may be treated as unrestricted with unlimited distribution.

Blocks 10, 12, and 13: As required by Procuring Contracting Officer (PCO) approved task order (TO).

Electronic versions must be submitted in a manner consistent with protecting export control and limited information.

17. PRICE GROUP:

18. ESTIMATED TOTAL PRICE:

Page 12 of 12 Pages

FA9451-08-D-0XXX