SP330016R0019_Attachment_J.3_CDRL_A002_for_Travel_CLIN.pdf

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SP3300-16-R-0019
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SP3300-16-R-0019 Attachment J.3 CDRL A002 for Travel CLIN

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications Directorate (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 collection 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 C. CATEGORY:

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

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

Page of Pages

1_DATA_ITEM_NO: A002
2_TITLE_OF_DATA_ITEM: Monthly Cost Report for Travel/Training CLIN
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: N/A
5_CONTRACT_REFERENCE: Section G, Paragraph G-4
6_REQUIRING_OFFICE: DLA Distribution J-7
7_DID_250_REQ: See Block 16
8_APP_CODE:
DIST_STATEMENT: B
10_FREQUENCY: Monthly
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: See Block16
13_DATE_OF_SUBSEQUENT_SUB: See Block 16
addressee1: J-7 Contract Spec
draft1:
reg1:
repro1: 1
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total_draft: 0
total_repro: 1
16_REMARKS: Tailored to permit contractor's format inclusive of all requirements below.

IAW Invoicing Instructions - submitted not later than the fifth (5th) working day of each month covering the previous month's charges inclusive of all final subcontractor billings for the prior month previously approved attendance for travel by the KO or COR.

For CLIN - Travel IAW PWS paragraph C-1.3:

Provide data for the following cost elements:

1) Item Description

2) Employee Name

3) Cost

a) Per Diem Cost

b) Travel Cost

4) Material Handling OR G&A Rate ____%

5) Total Travel Cost

6) Internal Order Number (ION)

Block 7 - Inspection and acceptance requirements:

The COR will review and accept CDRL A002.

Block 14 - Distribution - Contractor to submit original to COR and copy to the Contract Specialist.

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY:
H_DATE: 6 Mar 13
1_APPROVED_BY:
J_DATE: 3/6/2013
Page: 1
reg38t: 1
A_CONTRACT_LINE_ITEM_NO: X003
B_EXHIBIT: A
TDP:
TM:
OTHER:
DSYSTEMITEM:
E_CONTRACTPR_NO: SP3300-16-R-0019
FCONTRACTOR:
of_pages: 1
Reset:
2013-03-06T11:28:32-0500
RAINFORD.JENNIFER.K.1229019640
2013-03-06T14:43:52-0500
SNAVELY-HOWE.ROSE.M.1228965037

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