A01_-_ExhibitK_CDRL_MISC.pdf
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- W56KGY-15-R-0016
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Exhibit K - MISC CDRLs
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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 K
MISC
Persistent Surveillance Systems – Tethered TBD TBD
K001 Personnel Report
DI-MISC-81419 PWS Para 3.1.5 SFAE-IEW-TA
LT
A D
BI-WE
30DAC
BI-WE
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.
The Contractor will include changes in overall manpower structure, personnel responsibilities, and manpower cost information.
BLOCK 8: The Government will have the opportunity to review and provide comments within 30 days of receipt of the deliverable.
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 K
MISC
Persistent Surveillance Systems – Tethered TBD TBD
K002 Scientific and Technical Reports
DI-MISC-80711A PWS Para 3.2.5.3 SFAE-IEW-TA
LT
N/A D
MTHLY
30DAC
MTHLY
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.
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 K
MISC
Persistent Surveillance Systems – Tethered TBD TBD
K003 Inventory Checklist/Record (ICL/R)
DI-MISC-81191A NOT 1 PWS Para 3.3.2.2 SFAE-IEW-TM
LT
A D
MTHLY
O
60 DAC
MTHLY
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.
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 11:16:16 -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 16:46:59 -04'00' eric.r.ireland Typewritten Text
(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 K
MISC
Persistent Surveillance Systems – Tethered TBD TBD
K004 Technical Report – Study/Services
DI-MISC-80508B PWS Para 3.4.5 and 3.4.6.1 SFAE-IEW-TA
LT
N/A D
ASREQ
DFDEL
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 submit comments within 30 days of receipt of the deliverable.
Block 10, 12, & 13: Submit within 30 days of completion or as otherwise required by the Government.
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 11:16:45 -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 16:47:24 -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 K
MISC
Persistent Surveillance Systems – Tethered TBD TBD
K005 Contractor Validation Plan
DI-MISC-80759A PWS Para 3.2.10 SFAE-IEW-TA
LT
N/A D
ASREQ
DFDEL
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 submit comments within 30 days of receipt of the deliverable.
Block 10, 12, & 13: Submit as required by the Government.
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 11:17:16 -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 16:48:03 -04'00'
| SignedMC_Base CDRL-K001 Personnel Report PSST |
| SignedMC_Base CDRL-K002 Integrated Master Schedule PSST |
| SignedMC_Base CDRL-K003 Scientific and Technical Reports PSST |
| SignedMC_Base CDRL-K004 Inventory Checklist-Record (ICL-R) PSST |
| SignedMC_Base CDRL-K005 Technical Report PSS-T |
| SignedMC_Base CDRL-K006 Contractor Validation Plan PSS-T |
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