TE X-Common Access Card Log.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

A011/TE X, Common Access Card (CAC) Log

2. IDENTIFICATION NUMBER

3. DESCRIPTION/PURPOSE

To provide a written description of how the contractor intends to accomplish an assigned tasking and what resources are required.

4. APPROVAL DATE (YYMMDD)

5. OFFICE OF PRIMARY RESPONSIBILITY (OPR)

USAOTC FSTD-AMDTD

6a. DTIC APPLICABLE

6b. GIDEP APPLICABLE

7. APPLICATION/INTERRELATIONSHIP

This Task implementation Plan (TIP) is the contractor’s plan for executing tasks described in the Task Order, along with an estimate of the resources (labor, supplies, funding) required to accomplish the work. Before the contractor can provide services under a TAR, the Contracting Officer must approve the associated TIP.

8. APPROVAL LIMITATION

N/A 9a. APPLICABLE FORMS N/A 9b. AMSC NUMBER N/A

10. PREPARATION INSTRUCTIONS

10.1 The contractor shall provide the CAC Log by electronic submission.

10.2 The CAC Log shall be submitted to the Government (COR) as one document, consisting of:

a. Last, First and Middle Names

b. Work number

c. Email address

d. Issue

e. Revoked/ Turned in

f. Duty location

g. Duty section

h. Expiration date

11. DISTRIBUTION STATEMENT

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

DD Form 1664, APR 89 Previous editions are obsolete Page 2 of 3