Attachment_003_SEMA_CDRL_Enclosure
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- Attached to
- Contractor Logistics Support (CLS) Services for Special Electronic Mission Aircraft (SEMA) W58RGZ15R0045
- Solicitation number
- W58RGZ15R0045
About this file
PLEASE SEE THE UPDATED DRAFT RFP ATTACHMENTS. THE PRIOR DRAFT RFP ATTACHMENTS UPLOADED BY KAREN FLETCHER ARE NOT WORKING AT THIS TIME.
Text of this file
SFAE-AV-FW
6. REQUIRING OFFICE
PWS Para 3.3.2
5. CONTRACT REFERENCE
DI-MGMT-81837/T
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
Contingency Operations PlanningMobilization Plan
2. TITLE OF THE DATA ITEM
A001
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER MGMT
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A
8. APP CODE
LT
7. DD 250 REQ
C
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
See Block 16
12.DATE OF FIRST
SUBMISSION
ASREQ
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 4: See contract Attachment 002, Document Summary List, for tailoring.
Block 8: The Government will have 21 days after receipt of data to review and provide disposition. If disapproved, the contractor shall resubmit within 10 working days after receipt of Government comments.
Block 9: Distribution Statement C, see Enclosure 1
Blocks 10, 12 and 13: Initial and subsequent submittals shall be due 21 days after notification from the Procuring Contracting Officer. A final submittal shall be due 30 days prior to execution of the plan.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
Export Control Act Warning - Not Required
16. REMARKS 011See Block 16
011 15. TOTAL
18.ESTIMATED
TOTAL PRICE
17. PRICE GROUP
Page 1 of 1 PagesPREVIOUS EDITION MAY BE USED.DD FORM 1423-1, FEB 2001
PWS Para 3.4.7
5. CONTRACT REFERENCE
DI-MISC-81419
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
Contractor Employee Census ReportPersonnel Report
2. TITLE OF THE DATA ITEM
A002
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER MISC
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
N/A
8. APP CODE
LT
7. DD 250 REQ
C
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
See Block 16
30DAC
12.DATE OF FIRST
SUBMISSION
MTHLY
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 9: Distribution Statement C, see Enclosure 1
Blocks 10, 11, 12 and 13: Information shall be current as of the 25th day of each month. Initial submittal shall be due 30 days after contract award. Subsequent submittals are required the first day of the following month.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
Export Control Act Warning - Not Required
16. REMARKS 010See Block 16
010 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.4.8
5. CONTRACT REFERENCE
DI-MGMT-81834A/T
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
Contractor's Personnel Roster
2. TITLE OF THE DATA ITEM
A003
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER MGMT
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
N/A
8. APP CODE
LT
7. DD 250 REQ
C
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
15DAC
12.DATE OF FIRST
SUBMISSION
WEKLY
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 4: See contract Attachment 002, Document Summary List, for tailoring.
Block 9: Distribution Statement C, see Enclosure 1
Blocks 10, 12 and 13: Initial submittal shall be due 15 days after contract award. Subsequent submittals shall be due every Monday and shall contain prior week's status.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
Export Control Act Warning - Not Required
16. REMARKS 010See Block 16
010 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.7.2
5. CONTRACT REFERENCE
DI-MGMT-81468
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
Contract Funds Status Report (CFSR)
2. TITLE OF THE DATA ITEM
A004
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER MGMT
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
N/A
8. APP CODE
LT
7. DD 250 REQ
D
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
See Block 16
12.DATE OF FIRST
SUBMISSION
MTHLY
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 9: Distribution Statement D, see Enclosure 1
Blocks 10, 12 and 13: Initial submittal shall be due one (1) month after full contract performance begins. Monthly submittals shall be due NLT 15 days after the end of the contractor's accounting month.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
Export Control Act Warning - Not Required
16. REMARKS 010See Block 16
010 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.7.4.1
5. CONTRACT REFERENCE
DI-MGMT-81334D
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
CWBS DictionaryContract Work Breakdown Structure
2. TITLE OF THE DATA ITEM
A005
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER MGMT
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A
8. APP CODE
LT
7. DD 250 REQ
D
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
See Block 16
365DAC
12.DATE OF FIRST
SUBMISSION
ONE/R
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 8: The Government will have 30 days after receipt of data to review and provide disposition. If disapproved, the contractor shall resubmit within 15 days after receipt of Government comments.
Block 9: Distribution Statement D, see Enclosure 1
Blocks 10, 11, 12 and 13: Prepare the CWBS in accordance with DI-MGMT-81334D (or the most recently approved version) and the OSD Deputy Director, Cost Assessment (DDCA)-approved contract CSDR Plan. The DID, DI-MGMT-81334D, is available from the Defense Cost and Resource Center (DCARC) website at http:
//dcarc.cape.osd.mil. The CSDR Plan is included as a contract attachment.
Contractors shall be required to submit the CWBS Dictionary at frequencies specified in the OSD DDCA-approved contract CSDR plan and in the contract. The contract CSDR plan uses the event field as the driver for the submission of the reports, not the "as of date." If the event slips, the contractor must notify the Government Program Office that a date change is needed. It is the responsibility of the Government Program Office to submit a request for change in the event-driven date for reporting through the CSDR Submit-Review system for DCARC approval before the date reflected in the OSD DDCA-approved CSDR Plan.
The CWBS Dictionary shall be submitted electronically using the CSDR Submit-Review System. Data submitters shall register through the DCARC website and possess a DoD-approved ECA digital certificate or a DoD-issued CAC to obtain a DCARC Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the DCARC Portal and requesting a CSDR submitter user role. After the registration information has been verified, the DCARC will authorize the user account and requested role. All DCARC Portal accounts need to be renewed at least annually.
Subcontractor Reporting. Prime contractors shall be responsible for flowing down CSDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds specified in the DoDI 5000.02, or as required by the CWIPT. This includes requiring subcontractors to electronically report directly to the DCARC using the CSDR Submit-Review System.
The prime contractor shall be required to work with the CWIPT and all appropriate subcontractors to prepare separate subcontract CSDR plans for submission to the DCARC for DDCA approval.
Block 14: The contractor shall electronically deliver the transmittal letter to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW) immediately following submittal of CCD.
Export Control Act Warning - Not Required
16. REMARKS
010DCARC
010See Block 16
020 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.7.5.1
5. CONTRACT REFERENCE
DI-FNCL-81565C
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
Contractor Cost Data Reporting (CCDR)Cost Data Summary Report (DD Form 1921)
2. TITLE OF THE DATA ITEM
A006
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER FNCL
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
N/A
8. APP CODE
LT
7. DD 250 REQ
D
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
See Block 16
See Block 16
12.DATE OF FIRST
SUBMISSION
ANNLY
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 9: Distribution Statement D, see Enclosure 1
Blocks 10, 11, 12 and 13: Prepare the Cost Data Summary Report (CDSR) in accordance with DI-FNCL-81565C (or the most recently approved version) and the OSD Deputy Director, Cost Assessment (DDCA)-approved contract CSDR Plan. The DID, DI-FNCL-81565C, is available from the Defense Cost and Resource Center (DCARC) website at http://dcarc.cape.osd.mil.
The CSDR Plan is included as a contract attachment.
Contractors shall be required to submit the Contractor Cost Data Reports (CCDRs) at frequencies specified in the OSD DDCA-approved CSDR plan and in the contract. The contract CSDR plan uses the event field as the driver for the submission of the reports, not the "as of date." If the event slips, the contractor shall notify the Government Program Office that a date change is needed. It is the responsibility of the Government Program Office to submit a request for change in the event-driven date for reporting through the CSDR Submit-Review system for DCARC approval before the date reflected in the OSD DDCA-approved CSDR Plan.
All CCDRs shall be submitted electronically using the CSDR Submit-Review System. The required form and file type for each CCDR is specified in its Data Item Description (DID). Data submitters shall register through the DCARC website and possess a DoD-approved ECA digital certificate or DoD-issued CAC to obtain a DCARC Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the DCARC Portal and requesting a CSDR submitter user role. After the registration information has been verified, the DCARC will authorize the user account and requested roles. All DCARC Portal accounts need to be renewed at least annually.
Subcontractor Reporting. Prime contractors shall be responsible for flowing down CSDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds specified in the DoDI 5000.02, or as required by the CWIPT. This includes requiring subcontractors to electronically report directly to the DCARC using the CSDR Submit-Review System.
The prime contractor shall be required to work with the CWIPT and all appropriate subcontractors to prepare separate subcontract CSDR plans for submission to the DCARC for DDCA approval.
Block 14: The contractor shall electronically deliver the transmittal letter to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW) immediately following submittal of
DD 1921.
Export Control Act Warning - Not Required
16. REMARKS
010DCARC
010See Block 16
020 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.7.6.1
5. CONTRACT REFERENCE
DI-FNCL-81566C
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
Contractor Cost Data Reporting (CCDR)Functional Cost-Hour Report (DD Form 1921-1)
2. TITLE OF THE DATA ITEM
A007
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER FNCL
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
N/A
8. APP CODE
LT
7. DD 250 REQ
D
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
See Block 16
See Block 16
12.DATE OF FIRST
SUBMISSION
ANNLY
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 9: Distribution Statement D, see Enclosure 1
Blocks 10, 11, 12 and 13: Prepare the Functional Cost Hour Report (FCHR) in accordance with DI-FNCL-81566C (or the most recently approved version) and the OSD Deputy Director, Cost Assessment (DDCA)-approved contract CSDR Plan. The DID, DI-FNCL-81566C, is available from the Defense Cost and Resource Center (DCARC) website at http://dcarc.cape.osd.mil.
The CSDR Plan is included as a contract attachment.
Contractors shall be required to submit the Contractor Cost Data Reports (CCDRs) at frequencies specified in the OSD DDCA-approved CSDR plan and in the contract. The contract CSDR plan uses the event field as the driver for the submission of the reports, not the "as of date." If the event slips, the contractor shall notify the Government Program Office that a date change is needed. It is the responsibility of the Government Program Office to submit a request for change in the event-driven date for reporting through the CSDR Submit-Review system for DCARC approval before the date reflected in the OSD DDCA-approved CSDR Plan
All CCDRs shall be submitted electronically using the CSDR Submit-Review System. The required form and file type for each CCDR is specified in its Data Item Description (DID). Data submitters must register through the DCARC website and possess a DoD-approved ECA digital certificate or DoD-issued CAC to obtain a DCARC Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the DCARC Portal and requesting a CSDR submitter user role. After the registration information has been verified, the DCARC shall authorize the user account and requested roles. All DCARC Portal accounts need to be renewed at least annually.
Subcontractor Reporting. Prime contractors shall be responsible for flowing down CSDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds specified in the DoDI 5000.02, or as required by the CWIPT. This includes requiring subcontractors to electronically report directly to the DCARC using the CSDR Submit-Review System.
The prime contractor shall be required to work with the CWIPT and all appropriate subcontractors to prepare separate subcontract CSDR plans for submission to the DCARC for DDCA approval.
Block 14: The contractor shall electronically deliver the transmittal letter to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW) immediately following submittal of
DD 1921-1.
Export Control Act Warning - Not Required
16. REMARKS
010DCARC
010See Block 16
020 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.7.7
5. CONTRACT REFERENCE
DI-FNCL-81765B
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
Contractor Cost Data Reporting (CCDR)See Block 16
2. TITLE OF THE DATA ITEM
A008
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER FNCL
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
N/A
8. APP CODE
LT
7. DD 250 REQ
D
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
See Block 16
See Block 16
12.DATE OF FIRST
SUBMISSION
See Block 16
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 2: Contractor Business Data Report (DD Form 1921-3)
Block 9: Distribution Statement D, see Enclosure 1
Blocks 10, 11, 12 and 13: Contractors shall be required to submit 1921-3 Contractor Business Data Report on an annual basis within 60 days subsequent to the end of the contractor's fiscal year for the life of the contract in accordance with DI-FNCL-81765B (or most recently approved version). Only one report is required to be completed and submitted by each FPR (Forward Pricing Rate) unit (e.g., plant, site, business unit) per year, independent of the number of contracts within the FPR unit which contain this CDRL item. The Contractor Business Data Report is to be prepared by and for the business entity (e.g., plant, site, or business unit) responsible for submitting the Forward Pricing Rate Proposal (FPRP) representing the basis for Forward Pricing Rate Agreement (FPRA) negotiations with the Government. In the absence of the FPR requirement, the term "FPR unit" shall be interpreted for reporting purposes as "business unit" as defined in the FAR.
The Defense Cost and Resource Center (DCARC) is responsible for administration of this requirement. The DCARC website is located at http://dcarc.cape.osd.mil.
All 1921-3 reports shall be submitted electronically using the 1921-3 and FPR Submit-Review System. The required form and file type for each 1921-3 report is specified in its Data Item Description (DID). Data submitters shall register through the DCARC website and possess a DoD-approved ECA digital certificate or DoD-issued CAC to obtain a DCARC Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the DCARC Portal and requesting a CSDR submitter user role. After the registration information has been verified, the DCARC will authorize the user account and requested roles. All DCARC Portal accounts need to be renewed at least annually.
Block 14: The contractor shall electronically deliver the transmittal letter to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW) immediately following submittal of
DD 1921-3.
Export Control Act Warning - Not required
16. REMARKS
010DCARC
010See Block 16
020 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.9.1.2
5. CONTRACT REFERENCE
DI-SAFT-81626
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
System Safety Program Plan (SSPP)
2. TITLE OF THE DATA ITEM
A009
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER SAFT
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A
8. APP CODE
LT
7. DD 250 REQ
D
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
60DAC
12.DATE OF FIRST
SUBMISSION
See Block 16
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 8: The Government will have 30 days after receipt of data to review and provide disposition. If disapproved, the contractor shall resubmit within 30 days after receipt of Government comments.
Block 9: Distribution Statement D, see Enclosure 1
Blocks 10, 12 and 13: Initial submittal shall be due 60 days after contract award. Subsequent submittals shall be due annually from time of initial submittal or NLT 90 days after change in procedures are identified.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
Export Control Act Warning - Not Required
16. REMARKS 011See Block 16
011 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.9.2.1
5. CONTRACT REFERENCE
DI-SAFT-81563
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
Class A, B and CAccident/Incident Report
2. TITLE OF THE DATA ITEM
A010
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER SAFT
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A
8. APP CODE
LT
7. DD 250 REQ
D
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
See Block 16
12.DATE OF FIRST
SUBMISSION
ASREQ
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 8: The Government will have 30 days after receipt of data to review and provide disposition. If disapproved, the contractor shall resubmit within 15 days after receipt of Government comments.
Block 9: Distribution Statement D, see Enclosure 1
Blocks 10, 12 and 13: Initial and subsequent submittals shall be due NLT 24 hours after occurrence for incidents defined as Class A, B and C accidents/incidents by AR 385-10 after occurrence.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
Export Control Act Warning - Not Required
16. REMARKS 010See Block 16
010 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.9.2.2
5. CONTRACT REFERENCE
DI-SAFT-81563
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
Other Accident/Incident ReportsAccident/Incident Report
2. TITLE OF THE DATA ITEM
A011
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER SAFT
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A
8. APP CODE
LT
7. DD 250 REQ
D
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
See Block 16
12.DATE OF FIRST
SUBMISSION
ASREQ
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 8: The Government will have 30 days after receipt of data to review and provide disposition. If disapproved, the contractor shall resubmit within 15 days after receipt of Government comments.
Block 9: Distribution Statement D, see Enclosure 1
Blocks 10, 12 and 13: Initial and subsequent submittals shall be due NLT 5 working days after occurrence for all accident/incident reports other than Class A, B, and C.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
Export Control Act Warning - Not Required
16. REMARKS 010See Block 16
010 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.11.1.3
5. CONTRACT REFERENCE
DI-SAFT-81563/T
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
Info Assurance/Cybersecurity IncidentAccident/Incident Report
2. TITLE OF THE DATA ITEM
A012
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER SAFT
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
N/A
8. APP CODE
LT
7. DD 250 REQ
D
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
See Block 16
12.DATE OF FIRST
SUBMISSION
ASREQ
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 4: See contract Attachment 002, Document Summary List, for tailoring.
Block 9: Distribution Statement D, see Enclosure 1
Blocks 10, 12 and 13: Initial and subsequent submittals shall be due within 72 hours of discovery.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
Export Control Act Warning - Not Required
16. REMARKS 010See Block 16
010 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.12.1
5. CONTRACT REFERENCE
DI-MGMT-81398C
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
See Block 16
2. TITLE OF THE DATA ITEM
A013
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER MGMT
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A
8. APP CODE
LT
7. DD 250 REQ
C
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
120DAC
12.DATE OF FIRST
SUBMISSION
ONE/R
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 2: Hazardous Materials Management Program (HMMP) Plan
Block 8: The Government will have 45 days after receipt of data to review and provide disposition. If disapproved, the contractor shall resubmit within 15 days after receipt of Government comments.
Block 9: Distribution Statement C, see Enclosure 1
Blocks 10, 12 and 13: Initial submittal to be due 120 days after contract award. Subsequent submittals shall be due NLT 30 days after substantive changes have occurred or per the direction of the Procuring Contracting Officer.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
AMSAM-ENV-PM
Bldg 5308 Attn: AMCOM G-4 PM Support Branch Redstone Arsenal AL 35898
Export Control Act Warning - Not Required
16. REMARKS
011AMSAM-ENV-PM
011See Block 16
022 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 3.12.3
5. CONTRACT REFERENCE
DI-MISC-81397C
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
See Block 16
2. TITLE OF THE DATA ITEM
A014
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER MISC
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A
8. APP CODE
LT
7. DD 250 REQ
C
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
180DAC
12.DATE OF FIRST
SUBMISSION
ANNLY
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 2: Hazardous Materials Management Program (HMMP) Report
Block 8: The Government will have 60 days after receipt of data to review and provide disposition. If disapproved, the contractor shall resubmit within 15 days after receipt of Government comments.
Block 9: Distribution Statement C, see Enclosure 1
Blocks 10, 12 and 13: Initial submittal shall be due 180 days after contract award. Subsequent submittals shall be due annually from time of initial submittal.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
AMSAM-ENV-PM
Bldg 5308 Attn: AMCOM G-4 PM support Branch Redstone Arsenal AL 35898
Export Control Act Warning - Not Required
16. REMARKS
011AMSAM-EN
011See Block 16
022 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 4.2.1
5. CONTRACT REFERENCE
DI-MGMT-81948
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
See Block 16
2. TITLE OF THE DATA ITEM
A015
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER MGMT
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
A
8. APP CODE
LT
7. DD 250 REQ
C
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
120DAC
12.DATE OF FIRST
SUBMISSION
ASREQ
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 2: Diminishing Manufacturing Sources and Material Shortages (DMSMS) Management Plan
Block 8: The Government will have 30 days after receipt of data to review and provide disposition. If disapproved, the contractor shall resubmit within 30 days after receipt of Government comments.
Block 9: Distribution Statement C, see Enclosure 1
Blocks 10, 12 and 13: Initial submittal shall be due 120 days after contract award. Subsequent submittals shall be due NLT 30 days after change in procedures have been identified.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
Export Control Act Warning - Not Required
16. REMARKS 011See Block 16
011 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 4.2.2
5. CONTRACT REFERENCE
DI-MGMT-81941
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
Obsolescence Alert Notice
2. TITLE OF THE DATA ITEM
A016
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER MGMT
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
N/A
8. APP CODE
LT
7. DD 250 REQ
C
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
See Block 16
12.DATE OF FIRST
SUBMISSION
ASREQ
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 9: Distribution Statement C, see Enclosure 1
Blocks 10, 12, 13: Initial and subsequent submittals shall be due NLT 30 days after a pending or emergent issue has been determined.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW). Files over 150MG shall be delivered via AMRDEC SAFE Exchange (https://safe.amrdec.army.mil) using the designated FW data manager's email address with the transmittal letter uploaded to CDRLvue.
Export Control Act Warning - Not Required
16. REMARKS 010See Block 16
010 15. TOTAL
18.ESTIMATED
TOTAL PRICE
PWS Para 4.2.2
5. CONTRACT REFERENCE
DI-SESS-81656/T
4. AUTHORITY (Data Acquisition Document No.)
3. SUBTITLE
DMSMS ForecastSee Block 16
2. TITLE OF THE DATA ITEM
A017
1. DATA ITEM NO.
SEMA TBD
F. CONTRACTOR
TBD
E. CONTRACT/PR NO.
RC-12/EO-5
D. SYSTEM/ITEM
TDP
C. CATEGORY
TM OTHER SESS
B. EXHIBITA. CONTRACT LINE ITEM NO.
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 the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding 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.
Form Approved OMB No. 0704-0188
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
N/A
8. APP CODE
LT
7. DD 250 REQ
C
9. DIST STATEMENT
REQUIRED
13.DATE OF SUBSEQUENT
SUBMISSION
See Block 16
11. AS OF DATE
N/A
See Block 16
12.DATE OF FIRST
SUBMISSION
See Block 16
10. FREQUENCY
ReproReg
Final
Draft
b. COPIES
a. ADDRESSEE
14. DISTRIBUTION
30-JUL-2015
J. DATE
Floyd, David
I. APPROVED BY
30-JUL-2015
H. DATEG. PREPARED BY
Conway, Teresa
Block 2: Source Data for Forecasting Diminishing Manufacturing Sources and Material Shortages (DMSMS)
Block 4: See contract Attachment 002, Document Summary List, for tailoring.
Block 9: Distribution Statement C, see Enclosure 1
Blocks 10, 12 and 13: Initial and subsequent submittals shall be due NLT 30 days after a pending or emergent obsolescence issue has been determined.
Block 14: Electronic submission using Microsoft Office Suite and/or Adobe Acrobat is required. The contractor shall electronically deliver the data to the Government via CDRLvue (https:
//topvue.peoavn.army.mil/TopVue-FW).
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