RFP_Attachment_2_MPSCIV_CDRLs_12Apr22.pdf
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- Mission Planning Support Contract IV (MPSC IV)
- Solicitation number
- FA8217-22-R-0001
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17. PRICE GROUP
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Management Plan
3. SUBTITLE
Integrated Master Plan
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80004A
5. CONTRACT REFERENCE
PWS: 2.1.1.2, 2.5.1.1
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ANNLY
12. DATE OF FIRST SUBMISSION
60 DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ Draft Final
Reg Repro
16. REMARKS
Blk 4: Contractor format is acceptable.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 10, 12, 13: The IMP shall be submitted NLT 60 days after contract award for approval by the Government. The IMP shall be reviewed annually and updated as required.
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC CORs: Christianna.McElheny@us.af.m il
AFLCMC/HBZBC Section Chief: Mandy.Medina-Harris@us.af.mil
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
CORs 2 Section Chief 1
15. TOTAL 0 3 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRIST Digitally signed by
MCELHENY.CHRISTIANNA.1257
IANNA.1257718790 718790
Date: 2022.04.12 15:23:20 -06'00'
J. DATE
4/12/22 mailto:Christianna.McElheny@us.af.m mailto:Mandy.Medina-Harris@us.af.mil
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Contract Performance Report
3. SUBTITLE
Performance and Cost Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81466A
5. CONTRACT REFERENCE
FAR: 52.232-20
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
MTHLY
12. DATE OF FIRST SUBMISSION
Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
15th
13. DATE OF SUBSEQUENT
SUBMISSION
Blk 16 Draft Final
Reg Repro
16. REMARKS
Blk 4:Contractor format is acceptable.
DI-MGMT-81466A was canceled; but (format 3) is suggested as a "guide".
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 10, 12, 13: Submit the first report NLT 15 days after the first month of contract performance. Subsequent reports shall be submitted NLT the 15th of each month.
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC COR: Christianna.McElheny@us.af.mil
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
COR 1
15. TOTAL 0 1 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2023
I. APPROVED BY
MCELHENY.CHRIST Digitally signed by
MCELHENY.CHRISTIANNA.12577
IANNA.1257718790 18790
Date: 2022.04.12 15:30:22 -06'00'
J. DATE
4/12/22 mailto:Christianna.McElheny@us.af.mil
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Status Report
3. SUBTITLE
Monthly Activity Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80368A
5. CONTRACT REFERENCE
Blk 16
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
MTHLY
12. DATE OF FIRST SUBMISSION
Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
10th
13. DATE OF SUBSEQUENT
SUBMISSION
Blk 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: The Monthly Activity Report shall include information requested by the CORs for tracking metrics as well as a summary of all activities from the System Support Facility (SSF) and System Support Representatives (SSRs). Contractor format is acceptable.
Blk 5: PWS: 2.1.1.2, 2.2.4, 2.4.1.1.3, 2.7.1.5, 2.8.1.10, 2.10.1.2
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 12, 13: Submit the first report NLT 10 days after the first full month of contract performance. Subsequent reports shall be submitted NLT the 10th of each month.
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC CORs: Christianna.McElheny@us.af.mil
AFLCMC/HBZBC Section Chief: Mandy.Medina-Harris@us.af.mil
Subset of information distributed to respective MAJCOM Reps:
ACC
AMC
etc...
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
CORs 2 Section Chief 1
MAJCOM Reps ?
15. TOTAL 0 3 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRIST Digitally signed by
MCELHENY.CHRISTIANNA.1257
IANNA.1257718790 718790
Date: 2022.04.12 15:36:03 -06'00'
J. DATE
4/12/22
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Scientific and Technical Report
3. SUBTITLE
Analysis and Recommendation
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80711A
5. CONTRACT REFERENCE
PWS: 2.7.1.5, 2.11.1.5
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ Draft Final
Reg Repro
16. REMARKS
Blks 4, 10, 12, 13: An "Analysis and Recommendation" report shall be prepared (as required) to study a problem or opportunity for improvement, compare the pros and cons of different solutions, and recommend a course of action to be taken. When a new product (or new version of an existing product) is recommended, the report shall include a Requirements Traceability matrix (RTX), milestone schedule, and resources required to provide that solution. The pros and cons comparison shall include the data (including the different: requirements fulfilled, cost/time savings benefits, delivery schedules, resources, costs, etc.) to show the differences between various options and the reasoning behind the recommendation. Contractor format is acceptable.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC Mission Planning PM:
Christianna.McElheny@us.af.mil AFLCMC/HBZBC Technical COR:
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
MP PM 1
COTR 1
15. TOTAL 0 2 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRIST Digitally signed by
MCELHENY.CHRISTIANNA.12577
IANNA.1257718790 18790
Date: 2022.04.12 15:46:59 -06'00'
J. DATE
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
Trip/Travel Report
3. SUBTITLE
Trip Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81943
5. CONTRACT REFERENCE
PWS: 2.1.1.6, 2.8.1.10, 2.10.1.8&10
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
Blk 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: Contractor format is acceptable; but the following content shall be provided:
a. Attendees: provide the names of the travelers, and others in attendance.
b/c Itinerary: List location(s) visited, inclusive dates, and key personnel contacted.
d. Purpose: Briefly state the reason for the trip. the report should answer the questions:
who, what, when, where, why, and how much; and then provide recommendations and conclusions. Attach meeting minutes or other documents that provide more detailed information, if needed.
e. Discussion: Include the objective of the trip, problems encountered, findings, future commitments made, and your contributions to the event.
f. Conclusions/Recommendations: Summarize your findings and/or recommended actions.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 12, 13: Submit a trip report NLT five (5) working days after completion of Government directed travel.
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC CORs: Christianna.McElheny@us.af.mil
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
CORs 2
15. TOTAL 0 2 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRIST Digitally signed by
MCELHENY.CHRISTIANNA.12577
IANNA.1257718790 18790
Date: 2022.04.12 15:51:35 -06'00'
J. DATE
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Conference Minutes
3. SUBTITLE
Meeting Notes
4. AUTHORITY (Data Acquisition Document No.)
DI-ADMN-81250C
5. CONTRACT REFERENCE
Blk 16
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
Blk 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: Contractor format is acceptable.
Blk 5: PWS: 2.2.1.3.16, 2.10.1.7, 2.11.1.7, 2.11.5.2.23
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 10, 12, 13: Provide meeting notes within 5 business days following a contractor attended meeting.
Blk 14: Distribution shall be by electronic submission via email to the list of attendees of the meeting.
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
BLK 16
15. TOTAL 0 0 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRIST Digitally signed by
MCELHENY.CHRISTIANNA.12577
IANNA.1257718790 18790
Date: 2022.04.12 15:54:52 -06'00'
J. DATE
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Status Report
3. SUBTITLE
MPC Monthly Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80368A
5. CONTRACT REFERENCE
PWS: 2.11.1.6, 2.11.5.2
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
Monthly
12. DATE OF FIRST SUBMISSION
Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
10th
13. DATE OF SUBSEQUENT
SUBMISSION
Blk 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: The MPC Monthly Report shall present a detailed status (including schedules) of the "Mission Planning Central" products, projects, and maintenance activities. Contractor format is acceptable.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 12, 13: Submit the first report NLT 10 days after the first full month of contract performance. Subsequent reports shall be submitted NLT the 10th of each month.
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC MPC PM: Christian.LeDuc@us.af.mil AFLCMC/HBZBC Technical COR:
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
MPC PM 1
COTR 1
15. TOTAL 0 2 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRIST Digitally signed by
MCELHENY.CHRISTIANNA.12577
IANNA.1257718790 18790
Date: 2022.04.12 15:58:12 -06'00'
J. DATE
mailto:Christian.LeDuc@us.af.mil
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Time Compliance Technical Orders - Preparation
3. SUBTITLE
TOs and TCTOs
4. AUTHORITY (Data Acquisition Document No.)
MIL-DTL-38804F
5. CONTRACT REFERENCE
PWS: 2.6.1
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
BLK 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: TOs in accordance with TO 00-5-1; TCTOs in accordance with TO 00-5-1-15. This CDRL (a letter of transmittal) is used for tracking the contractors completion of TOs and TCTOs by the Government office.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 10, 12, 13: Provide TO supplements or TCTOs in accordance with TO 00-5-1 and TO 00-5-1-15 timelines.
Blk 14: A letter of transmittal shall be submitted via email after the TOs or TCTOs have been posted to ETIMS:
AFLCMC/HBZBC CORs: Christianna.McElheny@us.af.mil
AFLCMC/HBZBC ES: Lonny.Clippinger@us.af.mil
AFLCMC/HBZBC
CORs 2
ES 1
15. TOTAL 0 3 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRIST Digitally signed by
MCELHENY.CHRISTIANNA.12577
IANNA.1257718790 18790
Date: 2022.04.12 16:02:06 -06'00'
J. DATE
4/12/22 mailto:Lonny.Clippinger@us.af.mil
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
First Article Inspection Report
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PWS: 2.7.1.3
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
BLK 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: Contractor format is acceptable.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 10, 11, 12, 13: Provide a first article inspection report within 5 business days following the software/hardware testing.
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC CORs: Christianna.McElheny@us.af.mil
AFLCMC/HBZBC Logistics Manager: Brenton.Schrock.2@us.af.mil
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
CORs 2 Log Mngr 1
15. TOTAL 0 3 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRISTI Digitally signed by
MCELHENY.CHRISTIANNA.1257
ANNA.1257718790 718790
Date: 2022.04.12 16:06:55 -06'00'
J. DATE
4/12/22 mailto:Brenton.Schrock.2@us.af.mil
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A010
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
Acceptance Report
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PWS: 2.7.1.3
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
BLK 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: Contractor format is acceptable.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 10, 11, 12, 13: Provide an acceptance report within 5 business days following the inspection and acceptance of any software/hardware items.
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC CORs: Christianna.McElheny@us.af.mil
AFLCMC/HBZBC Logistics Manager: Brenton.Schrock.2@us.af.mil
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
CORs 2 Log Mngr 1
15. TOTAL 0 3 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRISTI Digitally signed by
MCELHENY.CHRISTIANNA.1257
ANNA.1257718790 718790
Date: 2022.04.12 16:13:31 -06'00'
J. DATE
4/12/22
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A011
2. TITLE OF DATA ITEM
Accident/Incident Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-SAFT-81563
5. CONTRACT REFERENCE
Appendix "C"
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
BLK 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: Contractor format is acceptable.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 10, 12, 13: Report any serious accident or incident as soon as possible.
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC CORs: Christianna.McElheny@us.af.mil
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
CORs 2
15. TOTAL 0 2 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRISTI Digitally signed by
MCELHENY.CHRISTIANNA.12577
ANNA.1257718790 18790
Date: 2022.04.12 16:18:12 -06'00'
J. DATE
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A012
2. TITLE OF DATA ITEM
Site Survey Report
3. SUBTITLE
FMS Site Survey
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81381
5. CONTRACT REFERENCE
PWS: 2.10.1.14
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
Blk 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: Contractor format acceptable.
DI-MISC-81381 is suggested as a guide.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 12, 13: Conduct site surveys (either in-country or via electronic means) and provide status report for newly-established/fielded FMS country MP capability; ASREQ or as directed by the USG.
Blk 14: A letter of transmittal shall be submitted via email after the site survey report has been delivered to HBMZ, or posted and available on MPC
AFLCMC/HBZBC CORs: Christianna.McElheny@us.af.mil
AFLCMC/HBZM Country Program Manager (varies)
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
CORs 2
AFLCMC/HBZM
Country PM 1
15. TOTAL 0 3 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRIST Digitally signed by
MCELHENY.CHRISTIANNA.12577
IANNA.1257718790 18790
Date: 2022.04.12 16:22:38 -06'00'
J. DATE
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A013
2. TITLE OF DATA ITEM
Training Materials
3. SUBTITLE
FMS Training Materials
4. AUTHORITY (Data Acquisition Document No.)
DI-ILSS-80872
5. CONTRACT REFERENCE
PWS: 2.10.1.2, 2.10.1.4, 2.10.1.9
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B, F - Blk 16
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
Blk 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: This CDRL (a letter of transmittal) is used for tracking the contractors completion.
Actual training material will be delivered to the trainees in the foreign country:
Training material will be submitted in binder format to include the following contents:
A. Work Station Binders (Comb Bound or Plastic Bound technique) Table of Contents:
1.0 Mission Planning Description
1.1 Squadron, what SW and version is latest, what capability does it possess, what was superseded, what was added in this latest version, POC for system and training issues, date delivered, date familiarization occurred and to whom, date accepted and by whom.
2.0 Pocket / Quick reference Guide
3.0 Familiarization
3.1 Familiarization Briefing
3.2 Work-arounds
3.3 Exercise Handout
B. Squadron MPS Binders Table of Contents:
1.0 Mission Planning Description
1.1 Squadron, SW and version, what capability does it possess, what was superseded, what was added in this latest version, POC for system and training issues, date delivered, date familiarization occurred and to whom, date accepted and by whom.
1.2 System description (not MPE Letter but contents of: Tested HW Configuration, Runtime configuration, High level GOTS SW installed)
2.0 Installation Procedures
3.0 Familiarization
3.1 Familiarization Briefing
3.2 Work arounds
3.3 Exercise Handout
4.0 Pocket / Quick reference Guide
5.0 Hardware
5.1 Squadron Network
5.2 HW inventory list
6.0 Documentation Disks (disks that include Soft copies of the above)
-- Continued on next page --
AFLCMC/HBZBC
CORs 2
AFLCMC/HBMZ
Country PM (Blk 16) 1 In-Country (Blk 16)
15. TOTAL 1 2 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRIST Digitally signed by
MCELHENY.CHRISTIANNA.12577
IANNA.1257718790 18790
Date: 2022.04.12 16:26:33 -06'00'
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
A
C. CATEGORY: MGMT
TDP TM OTHER
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
16. REMARKS (Continued)
-- CDRL B013 continued --
7.0 Runtime Media (Disks that include the latest Runtime media)
8.0 Application Media (Disks that include the latest application media). Note classified disks are stored elsewhere and should have its own binder.
9.0 Resource Media (Disks that include the latest Resource media)
10.0 Other materials
11.0 Archived materials
12.0 Squadron Managed Virus Protection (Media and instructions) C. Computer Based Training (CBT)/E-Learning Media Table of Contents:
Format for FMS CBTs and E-Learning training material shall be sufficient for self pace or lectured instruction.
The Work Station and Squadron MPS Binders material shall be sufficient for self paced or lectured instruction.
Contractor format is acceptable.
DI-ILSS-80872 is suggested as a guide.
Blk 9: For letter of transmittal: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
For actual training material: DISTRIBUTION STATEMENT F: Further dissemination only as directed by (AFLCMC/HBMZ) (Date of Contract Award) or higher DoD authority.
For actual training material: WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 10, 11, 12, & 13: FMS country training material draft copy shall be provided to HBMZ via MPC or email attachment no later than 30 days after delivery of final Mission Planning Software to SSF. If no comment is received from HBMZ within 15 days, the SSF shall have an additional 15 days to develop final drafts after review is complete. Final copies shall be delivered by electronic submission via email and hard copy (binder format).
Technical publications, training syllabus, agenda, and software user’s manual/training material delivered in-country, in accordance with the respective country platform and MPC Product/capability modules, ASREQ with final delivery no later than 45 days prior to the scheduled I&CO.
Delivery of CBT and E-Learning support documentation, user guidance, and/or installation guidance shall be provided to customers by electronic submission via email; ASREQ or as directed by trainees in the field.
Blk 14: Draft delivery shall be provided to HBMZ Country Program Manager via MPC or email attachment. Final delivery in-country (quantity: based on CAF/MAF Squadron-type/# of assets-typically between 3-24) shall be delivered by electronic submission via email and hard copy (binder format).
A letter of transmittal shall be submitted via email after training material have been delivered to the trainees in the field, or posted and available on
MPC.
AFLCMC/HBZBC CORs: Christianna.McElheny@us.af.mil ??????@us.af.mil
AFLCMC/HBMZ: Country Program Manager (varies)
DD FORM 1423-1, FEB 2001 Page 2 of 2 Pages
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A014
2. TITLE OF DATA ITEM
Scientific and Technical Report
3. SUBTITLE
MPC Quarterly Review
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80711A
5. CONTRACT REFERENCE
PWS: 2.11.3.5; MPC ATO/ATC cntrls
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
QTLY
12. DATE OF FIRST SUBMISSION
Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
10th
13. DATE OF SUBSEQUENT
SUBMISSION
Blk 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: This report will include a list of all sites, lists, and list items throughout each site collection on MPC. It also will include lists of each user and group that has access to each of the sites (along with the level of access). Additional data may be requested by the Government Site Collection Officers as they work with the contractor SharePoint administrators to review and re-validate each user's need and access each quarter.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 11, 12, 13: Submit the first report NLT 10 days of the beginning of each quarter (Jan, Apr, Jul, Oct) after the first full month of contract performance. Subsequent reports shall be submitted NLT the 10th day of the beginning of each quarter (Jan, Apr, Jul, Oct).
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC MPC PM: Christian.LeDuc@us.af.mil AFLCMC/HBZBC Technical COR:
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
MPC PM 1
COTR 1
15. TOTAL 0 2 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRIS Digitally signed by
MCELHENY.CHRISTIANNA.12577
TIANNA.1257718790 18790
Date: 2022.04.12 16:38:34 -06'00'
J. DATE
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
A
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
A015
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
ACAS Scan Reports
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80809B
5. CONTRACT REFERENCE
PWS: 2.8.1.9, 2.8.1.10,
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
2 Wks
12. DATE OF FIRST SUBMISSION
Blk 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
Blk 16
13. DATE OF SUBSEQUENT
SUBMISSION
Blk 16 Draft Final
Reg Repro
16. REMARKS
Blk 4: This test report shall show the ACAS Scan results of all Mission Planning Systems with a single report summarizing total number of systems, and configurations, number of failed credentials, number of CAT I, II, III vulnerabilities and Vulnerability Index. Testing data should be presented in a format that will allow for the analysis/tracking/reporting by site, MAJCOM, and/or platform.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 10, 11, 12, 13: Submit the 1st report NLT 2 weeks after contract award. Subsequent reports shall be submitted every 2 weeks.
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC CORs: Christianna.McElheny@us.af.mil
AFLCMC/HBZBC Section Chief Mandy.Medina-Harris@us.af.mil
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
CORs 2
Section Chief 1
15. TOTAL 0 3 0
G. PREPARED BY
Roger Hall
H. DATE
09 Nov 2021
I. APPROVED BY
MCELHENY.CHRIST Digitally signed by
MCELHENY.CHRISTIANNA.1257
IANNA.1257718790 718790
Date: 2022.04.12 16:42:02 -06'00'
J. DATE
4/12/22
Adobe Professional 7.0
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-0188
The 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 the burden, to the Department of Defense, Executive Services (0704-0188). 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 of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. 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
B
C. CATEGORY:
TDP TM OTHER MGMT
D. SYSTEM/ITEM
MPSC IV
E. CONTRACT/PR NO.
FA8217-22-R-0001; FD20202276606
F. CONTRACTOR
1. DATA ITEM NO.
B001
2. TITLE OF DATA ITEM
Management Plan
3. SUBTITLE
Integrated Master Plan
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80004A
5. CONTRACT REFERENCE
PWS: 2.1.1.2, 2.5.1.1
6. REQUIRING OFFICE
AFLCMC/HBZBC
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
B
10. FREQUENCY
ANNLY
12. DATE OF FIRST SUBMISSION
60 DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ Draft Final
Reg Repro
16. REMARKS
Blk 4: Contractor format is acceptable.
Blk 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Contractor Performance Evaluation) (Date of Contract Award). Other requests for this document shall be referred to (AFLCMC/HBZBC).
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
Blks 10, 12, 13: The IMP shall be submitted NLT 60 days after contract award for approval by the Government. The IMP shall be reviewed annually and updated as required.
Blk 14: Distribution shall be by electronic submission via email:
AFLCMC/HBZBC CORs: Christianna.McElheny@us.af.mil
AFLCMC/HBZBC Section Chief: Mandy.Medina-Harris@us.af.mil
Email attachments shall be formatted for opening/viewing "searchable" files with Microsoft Office Products (Word, Excel, PowerPoint, Access, Project, etc.) and/or Adobe Acrobat.
AFLCMC/HBZBC
CORs 2 Section Chief 1
15. TOTAL 0…
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