A01_-_ExhibitC_CDRL_ADMN.pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved 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 the burden, to the Department of Defense, Executive Services and Communications 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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 C

ADMN

Persistent Surveillance Systems – Tethered TBD TBD

C001 Program Protection Implementation Plan (PPIP) Countermeasures Implementation Plan

DI-ADMN-81306 PWS Para 1.13 SFAE-IEW-TA

LT

N/A D

QRTLY

See Item 16

QRTLY

See Block 6 1

CCAP-CCC 1

DCMA 1

0 3 0

BLOCK 4: Deliverables shall provide information required by BLOCK 5 PWS reference and shall be submitted electronically in editable Microsoft Word/Excel/Powerpoint/Project file format. Contractor format is acceptable. The requiring office in BLOCK 6 may specify alternate or additional formats.

BLOCK 8: The Government will have the opportunity to review and provide comments within 30 days of receipt of the deliverable.

BLOCK 12: Submit within 30 calender days after receiving countermeasures and provide subsequent quarterly countermeasure implementation and status reports.

29May2015 29May2015FRANK.THOMAS.M.1370138814 Digitally signed by FRANK.THOMAS.M.1370138814 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=FRANK.THOMAS.M.1370138814 Date: 2015.05.29 11:10:47 -04'00'

CHELLIN.MATTHEW.D.1266374

Digitally signed by CHELLIN.MATTHEW.D.1266374131 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=CHELLIN.MATTHEW.D.1266374131 Date: 2015.05.29 16:43:15 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved 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 the burden, to the Department of Defense, Executive Services and Communications 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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 C

ADMN

Persistent Surveillance Systems – Tethered TBD TBD

C002 Conference Minutes

DI-ADMN-81250A PWS Para 3.1.1 SFAE-IEW-TA

LT

N/A D

ASREQ

See Block 16

See Block 6 1

CCAP-CCC 1

DCMA 1

0 3 0

BLOCK 4: Deliverables shall provide information required by BLOCK 5 PWS reference and shall be submitted electronically in editable Microsoft Word/Excel/Powerpoint/Project file format. Contractor format is acceptable. The requiring office in BLOCK 6 may specify alternate or additional formats.

BLOCK 8: The Government will have the opportunity to review and provide comments within 30 days of receipt of the deliverable.

BLOCK 11, 12 & 13: Submit within seven (7) business days after the program kick-off meeting, each program management review (PMR) , each technical interchange meeting (TIM), and each integrated logistics support management team (ILSMT) meeting.

29May2015 29May2015FRANK.THOMAS.M.1370138814 Digitally signed by FRANK.THOMAS.M.1370138814 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=FRANK.THOMAS.M.1370138814 Date: 2015.05.29 11:10:47 -04'00'

CHELLIN.MATTHEW.D.1266374

Digitally signed by CHELLIN.MATTHEW.D.1266374131 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, Date: 2015.05.29 16:43:15 -04'00'

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved 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 the burden, to the Department of Defense, Executive Services and Communications 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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 C

ADMN

Persistent Surveillance Systems – Tethered TBD TBD

C003 Conference Report

DI-ADMN-81308A PWS Para 4.1 SFAE-IEW-TM

LT

N/A D

ASREQ

See Block 16

ASREQ

See Block 6 1

CCAP-CCC 1

DCMA 1

0 3 0

BLOCK 4: Deliverables shall provide information required by BLOCK 5 PWS reference and shall be submitted electronically in editable Microsoft Word/Excel/Powerpoint/Project file format. Contractor format is acceptable. The requiring office in BLOCK 6 may specify alternate or additional formats.

BLOCK 8: The Government will have the opportunity to review and provide comments within 30 days of receipt of all reports.

BLOCK 12: The Contractor will submit all conference reports 2 days after the end of each conference.

29May2015 29May2015FRANK.THOMAS.M.1370138814 Digitally signed by FRANK.THOMAS.M.1370138814 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, cn=FRANK.THOMAS.M.1370138814 Date: 2015.05.29 11:11:26 -04'00'

CHELLIN.MATTHEW.D.1266374

Digitally signed by CHELLIN.MATTHEW.D.1266374131 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA, Date: 2015.05.29 16:43:33 -04'00'