A01_-_DD1423.pdf

Template last updated 09/29/2017

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 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 (0704-1088). 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.

0003, 0006, 0009, 0012, 0015

B. EXHIBIT

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Curation of Archaeological Materials

E. CONTRACT/PR NO.

0011178239

F. CONTRACTOR

Maryland Department of Planning

Maryland Archaeological Conservation Laboratory

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Annual Curation Summary Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368-Status Report

5. CONTRACT REFERENCE

PWS C.1.5.6.1

6. REQUIRING OFFICE

IMAL-PWE

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

ANNLY

12. DATE OF FIRST

SUBMISSION

No Later Than (NLT) 15 day prior to the end of the current Period of Performance (PoP)

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION NLT 15 days prior to end of subsequent option year

Draft Final

Reg Repro

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.

IMAL-PWE 0 1 0

15. TOTAL 1

G. PREPARED BY

TO BE DETERMINED (TBD) AT TIME OF

AWARD

H. DATE

21 May 2018

I. APPROVED BY

Phillip Amador (Contracting Officer)

J. DATE

22 May 2018

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 5 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 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 (0704-1088). 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.

0003, 0006, 0009, 0012, 0015

B. EXHIBIT

A

C. CATEGORY:

TDP_____ TM ______ OTHER: MGMT

D. SYSTEM/ITEM

Curation of Archaeological Materials

E. CONTRACT/PR NO.

0011178239

F. CONTRACTOR

Maryland Department of Planning

Maryland Archaeological Conservation Laboratory

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Full Physical Inventory Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368-Status Report

5. CONTRACT REFERENCE

PWS C.1.5.6.1

6. REQUIRING OFFICE

IMAL-PWE

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

OTIME

12. DATE OF FIRST

SUBMISSION

No Later Than (NLT) 15 day prior to the end of the last option year

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION N/A

Draft Final

Reg Repro

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.

IMAL-PWE 0 1 0

15. TOTAL 1

G. PREPARED BY

TBD AT TIME OF AWARD

H. DATE

21 May 2018

I. APPROVED BY

Phillip Amador (Contracting Officer)

J. DATE

22 May 2018

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 2 of 5 Pages

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.