CDRL CD-03 DD Form 2734-1 IPMR Format 1 Work Break Down Structure.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 220 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 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

Logistic Support Services W52P1J-15-R-0195

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

CD-03 DD Form 2734-1 Format 1, Work Breakdown Structure

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

PWS Para. 1.10.5 COR

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO See block 16 See block 16 b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

Date of request Date of request Reg Repro

16. REMARKS COR 1

Block 10 – As required by regulation or COR.

Block 12 – As required by regulation, COR or 60 days after notice to proceed.

Contractor format acceptable.

The contractor shall provide COR with DD Form 2734-1 Work Breakdown Structure upon request from COR. The contractor shall provide specific workload and inventory information at specific intervals for government use in planning, programming, budgeting and execution. The accuracy of this data is paramount to proper execution of the required logistics functions on the installation. Each functional area within the task order will be addressed as well as the financial status of the effort. The contractor shall ensure the three elements of the financial summary as complete and accurate at the time of submission.

a. The contractor shall provide COR with a DD Form 2734-1 Format 1, Work Breakdown Structure.

ALL DAYS INDICATED ARE CALENDAR DAYS UNLESS OTHERWISE

ANNOTATED.

G8/S8 1

15. TOTAL 2

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages