CDRL MD-04 Monthly and Quarterly Sensitive Items Inventory Reporting.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

Maint

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

MD-04 Monthly and Quarterly Sensitive Items Inventory Reporting

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

TOTAL PRICE

PWS Para. 5.11.2.1 Maintenance Division / COR

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

NO Monthly See Blk 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

Last day of previous month

NLT the 3rd business day of each month

Reg Repro

16. REMARKS COR 1

Block 12 – As required by regulation or COR after notice to proceed date

Report to be submitted utilizing the Maintenance Inventory Tracking System

(MITS).

a. The contractor shall perform monthly/quarterly serial number sensitive items inventories in accordance with AR 190-11 and AR 190-51.

b. The contractor shall perform an automated comparison between the Maintenance and Inventory Tracking System (MITS) and the Defense Property Accountability System (DPAS) prior to the beginning of these inventories and utilize MITS to perform all inventories.

c. The contractor shall report the results of this inventory to the government

NLT the 3rd business day of the month succeeding the inventory month.

ALL DAYS INDICATED ARE CALENDAR DAYS UNLESS OTHERWISE

ANNOTATED.

Maintenance Division

Physical Security Officer

15. TOTAL 3

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