Exhibit_A_DD1423.doc

Template last updated 08/22/2016

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Program Management Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

C.11.2

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

Dist C

10. FREQUENCY

bi-annual basis

12. DATE OF FIRST SUBMISSION

No Later Than (NLT) 35 DAYS After Contract Award (ACA)

14.

DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See BLK 16

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

15. TOTAL

G. PREPARED BY

TBD

H. DATE

11/15/2016

I. APPROVED BY

Phillip Amador

J. DATE

11/15/2016

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED.

Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

3. SUBTITLE

Financial Reports

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.11.3

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

DIST. C

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

No Later Than (NLT) the tenth day of every month After Contract Award (ACA)

14.

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

SUBSEQUENT SUBMISSIONS SHALL BE MADE NLT THE 10TH DAY OF THE MONTH FOLLOWING THE PERIOD OF PERFORMANCE REPORTING ON.

15. TOTAL

G. PREPARED BY

H. DATE

11/15/2016

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

3. SUBTITLE

Notification of Program Manager (PM)

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.11.2.4

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

Dist C

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

SEE PWS SECTION C.11.2.4

14.

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

15. TOTAL

G. PREPARED BY

H. DATE

11/15/2016

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

3. SUBTITLE

Management Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80004A

5. CONTRACT REFERENCE

C.11.4 (Task Order Deliverable)

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

Dist C

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

TBD

14.

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

15. TOTAL

G. PREPARED BY

H. DATE

11/15/2016

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

3. SUBTITLE

Work Management Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81911

5. CONTRACT REFERENCE

C.11.4 (Task Order Deliverable)

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

Dist C

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

TBD

14.

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

15. TOTAL

G. PREPARED BY

H. DATE

11/15/2016

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

DI-MGMT-81797

3. SUBTITLE

Program Management Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81797

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

Dist C

10. FREQUENCY

AS REQIRED

12. DATE OF FIRST SUBMISSION

TBD

14.

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

15. TOTAL

G. PREPARED BY

H. DATE

11/15/2016

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

3. SUBTITLE

Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

Dist C

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

TBD

14.

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

15. TOTAL

G. PREPARED BY

H. DATE

11/15/2016

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

3. SUBTITLE

Funds and Man-Hours Expenditure Report

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-80331A

5. CONTRACT REFERENCE

C.11.4 (Task Order Deliverable)

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

Dist C

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

TBD

14.

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

15. TOTAL

G. PREPARED BY

H. DATE

11/15/2016

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

3. SUBTITLE

Cost Data Summary Report

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-81565C

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

Dist C

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

TBD

14.

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

15. TOTAL

G. PREPARED BY

H. DATE

11/15/2016

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

3. SUBTITLE

Contractor Business Data Report

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-81765B

5. CONTRACT REFERENCE

C.11.4 (Task Order Deliverable)

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

Dist C

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

TBD

14.

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

15. TOTAL

G. PREPARED BY

H. DATE

11/15/2016

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

3. SUBTITLE

Contractor’s Personnel Roster (include pending vacancies)

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81834A

5. CONTRACT REFERENCE

C.11.4 (Task Order Deliverable)

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

Dist C

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

TBD

14.

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

15. TOTAL

G. PREPARED BY

H. DATE

11/15/2016

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 collecton 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 (0704-1088). 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

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Integrated Operations for High Performance Computing - Scientific, Engineering, Analysis, and Outreach Support Services

E. CONTRACT/PR NO.

0010950605

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

3. SUBTITLE

Contractor’s Progress, Status and Management Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-8227

5. CONTRACT REFERENCE

C.11.4 (Task Order Deliverable)

6. REQUIRING OFFICE

RDRL-CIH-C

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

Dist C

10. FREQUENCY

AS REQUIRED

12. DATE OF FIRST SUBMISSION

TBD

14.

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

16. REMARKS

BLK 4: EACH REPORT SHALL BE DELIVERED ELECTRONICALLY IN A MEDIA SELECTED BY THE GOVERNMENT AT TIME OF DELIVERY. SOME MEDIA TYPES WHICH CAN BE ACCEPTED INCLUDE: FTP (FILE TRANSFER PROTOCOL), CD-ROM AND DVD-ROM.

15. TOTAL

G. PREPARED BY

H. DATE

11/15/2016

I. APPROVED BY

J. DATE

EXHIBIT A – ATTACHMENT 1

ARMY RESEARCH LABORATORY

Report Title Goes Here

Any Subtitles Go Here

By Some Author and Another Author

Month XXXX

Prepared by

Whatever Technology Corporation

0000 Research Drive

Anywhere, ST 20006-1000

Under contract

W911QX-XX-C-XXXX

DISTRIBUTION STATEMENT GOES HERE

EXHIBIT A – ATTACHMENT 2

The findings in this report are not to be construed as an official Department of the Army position unless so designated by other authorized documents.

Citation of manufacturer's or trade names does not constitute an official endorsement or approval of the use thereof.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.