CDRL TD-02 GSA Vehicle Dispatch Record.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

General

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

TD-02 General Services Administration (GSA), Vehicle Dispatch Record (VDR)

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

TOTAL PRICE

PWS Para. 3.4.1 Installation Transportation

Division

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

NO Monthly NLT 45 days after Notice to Proceed (NTP) date

b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

Last calendar day of previous month

10th Calendar day of the month

Reg Repro

16. REMARKS COR 1

Government format provided or Contactor format, if acceptable by COR.

The contractor shall request, complete and turn-in monthly the Vehicle Dispatch Record (VDR) for each government provided GSA vehicle to the Government TD office in accordance with the current written GSA vehicle procedures.

ALL DAYS INDICATED ARE CALENDAR DAYS UNLESS OTHERWISE

ANNOTATED.

KO 1

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