TE E-A003 EmergencyContact List.docx

DATA ITEM DESCRIPTION

Form Approved

OMB NO. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing 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, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503.

1. TITLE

A003/TE E, Emergency Contact List

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

To provide the Government the Contractor contact information to be used in case of emergency and contact management and lead Contractor personnel after normal duty hours.

4. APPROVAL DATE (YYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)

USAOTC FSTD-AMDTD

6a. DTIC APPLICABLE

6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

This Data Item Description is applicable to this specific contract.

8. APPROVAL LIMITATION

9a. APPLICABLE FORMS

9b. AMSC NUMBER

10. PREPARATION INSTRUCTIONS

10.1 Provide a list of management and key personnel to include names, job title/function, duty hour and off-duty hour phone numbers.

10.2 Manage and key personnel include the Program Manager, Site Manager, Risk Management Framework (RMF) System Administrator, Test Task Leads, and leaders of the major sections/divisions within the Contractor organization.

11. DISTRIBUTION STATEMENT

DISTRIBUTION STATEMENT A: Approved for public release; distribution unlimited.

DD Form 1664, APR 89 Previous editions are obsolete Page 1 of 1