Exhibit A - Contract Data Requirements List - DD1423.pdf

EXHIBIT A – CONTRACT DATA REQUIREMENTS LIST - DD FORM 1423, FEB 2001

CONTRACT DATA REQUIREMENT LIST, PREVIOUS EDITION MAY BE USED Form Approval OMB

No. 0704-0188

The 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, 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.: 1001

B. EXHIBIT: A

C. CATEGORY:

TDP ____ TM ____ OTHER _X___

D. SYSTEM/ITEM: Digital Video Distribution Box

E. CONTRACT/PR NO.: TBD/EH9L0691EH

F. CONTRACTOR: DRS

1. DATA ITEM NO: A001

2. TITLE: Government Furnished Equipment Repair Status Report

3. SUBTITLE: N/A

4. AUTHORITY:DI-ILSS-80620

5. CONTRACT REFERENCE: C.3.2.3, C.3.2.4, C.3.3, C.5.3, C.9.1

6. REQUIRING OFFICE: AMSTA-LCG-FB

7. DD250 REQ: No

8. APP CODE: N/A

9. DIST. STATEMENT REQ: E (See Block 16)

10. FREQUENCY: MTHLY

11. AS OF DATE: N/A

12. DATE OF FIRST SUBMISSION: 15th of the Month following month of Award month

13. DATE OF SUBS. SUBMISSION: 15th of each month

14. DISTRIBUTION:

A. ADDRESSEE: See section 16.

COR: Phil Johnson at earle.p.johnson.civ@army.mil

Item Manager: Manny Romasanta at immanuel.a.romasanta.civ@army.mil

B. COPIES:

DRAFT:

FINAL: 2

REG REPRO:

15. TOTAL COPIES: 2

16. REMARKS:

mailto:earle.p.johnson.civ@army.mil mailto:immanuel.a.romasanta.civ@army.mil

The Government Furnished Equipment Repair Status Report shall be cumulative and document all Delivery Orders. The contractor shall include the Delivery Order

Number in report.

DISTRIBUTION STATEMENT E. Distribution authorized to DoD Components only;

Proprietary Information;Sep 2020. Other requests shall be referred to the TACOM

Integrated Logistics Support Center (ILSC),Infantry Support Group; AMSTA-LCG-

FBB,6501 EAST 11 MILE ROAD, Detroit Arsenal. MI 48397. THIS DOCUMENT IS NOT

RELEASABLE TO THE PUBLIC OR MEDIA.

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

1. DATA ITEM NO: A002

2. TITLE: Record of Meetings/Minutes Report

3. SUBTITLE: N/A

4. AUTHORITY:DI-ADMN-81505

5. CONTRACT REFERENCE:SOW C.9.2

6. REQUIRING OFFICE: AMSTA-LCG-FB

7. DD250 REQ: No

8. APP CODE: N/A

9. DIST. STATEMENT REQ: E

10. FREQUENCY: ASREQ

11. AS OF DATE: N/A

12. DATE OF FIRST SUBMISSION: ASREQ

13. DATE OF SUBS. SUBMISSION: ASREQ

14. DISTRIBUTION:

A. ADDRESSEE:

COR: Phil Johnson at earle.p.johnson.civ@army.mil

Item Manager: Manny Romasanta at immanuel.a.romasanta.civ@army.mil

B. COPIES:

DRAFT:

FINAL: 2

REG REPRO:

15. TOTAL COPIES: 2

16. REMARKS:

Block 9: DISTRIBUTION STATEMENT E. Distribution authorized to DoD Components only; Proprietary Information;Sep 2020. Other requests shall be referred to the

TACOM Integrated Logistics Support Center (ILSC),Infantry Support Group; AMSTA-

LCG-FBB,6501 EAST 11 MILE ROAD, Detroit Arsenal. MI 48397. THIS DOCUMENT IS NOT

RELEASABLE TO THE PUBLIC OR MEDIA.

17. PRICE GROUP: N/A

18. ESTIMATED TOTAL PRICE: N/A

mailto:earle.p.johnson.civ@army.mil mailto:immanuel.a.romasanta.civ@army.mil