Section_J _Atch_D _FY17_CDRLS_IDIQ_102715_2.pdf
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved OMB No. 0704-0188
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER X MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A001 Engineering and Technical Services Accomplishment Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MGMT-80061A PWS para 3.1.3 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT D
ASREQ SEE 16 b. COPIES
SECT. B
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
A N/A SEE 16
Reg
Repro
16. REMARKS:
Block 8: The Government will approve/disapprove within 14 calendar days of receipt. If disapproved, contractor shall resubmit with Government comments incorporated within 14 calendar days after receipt.
BLK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only;
Administrative or Operational Use, 27 Jul 16; Other requests shall be referred to:
Project Manager’s Office Unmanned Aircraft Systems Bldg 5300, 2nd Floor
SFAE-AV-UAS-TUAS
Redstone Arsenal, AL 35898-7459
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.)
or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
BLKS 10, 12 & 13: Submit within 30 days of completion of each Task order.
BLK 14: Distribution may be made electronically in Microsoft Office format.
Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil
SFAE-AV-UAS-TUAS 0
15. TOTAL 0 0 1
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
21 Oct 15 DD Form 1423-1, 1 Jun 90
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A002 Integrated Product Management Report (IPMR) Format 1-7
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MGMT-81861 PWS 3.2.1.3.1 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION IN
LT MTHLY 45 DAC b. COPIES
SECT. B
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
A N/A SEE BLK 16
Repr o
16. REMARKS:
Block 8: The Government will approve/disapprove within 14 calendar days of receipt.
If disapproved, contractor shall resubmit with Government comments incorporated within 14 calendar days after receipt.
Block 9: Distribution Statement B: Distribution authorized to U.S. Government Agencies; Administrative or Operational Use, 27 Jul 16; Other requests shall be referred to:
Project Manager’s Office Unmanned Aircraft Systems Bldg 5300, 2nd Floor
SFAE-AV-UAS-TUAS
Redstone Arsenal, AL 35898-5000.
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.
Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
Block 10/11/13: The monthly IMPR Formats 1,2,3,4,5 and 6 shall be submitted by the 14th business day after the end of the contractor’s close of monthly accounting period.
The Format 7 shall be submitted annually. Final submission is due when the last significant milestone/deliverable as defined by the contract has been achieved and remaining risk areas have been mitigated, with government concurrence.
Block 14: Delivery/notification shall be made by ftp site or email in Microsoft Office format and XML or X12. Emails shall be addressed to:
Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil.
Add the DCARC as a distribution point as follows. All CPR-related forms shall be electronically forwarded to the central repository at the DCARC Web site at https://dcarc.pae.osd.mil/DCARCPortal/. DoD approved XML schemas located at (https://www.acq.osd.mil/evm/) for Formats 1, 2, 3, 4, and 7. Format 5 shall use the.
SFAE-AV-UAS-TUAS
DCARC
contractor’s native electronic file format. Format 6 shall use Microsoft Project. 15. TOTAL
0 1 1 https://dcarc.pae.osd.mil/DCARCPortal/ https://www.acq.osd.mil/evm/
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER X MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A003 Contract Funds Status Report (CFSR)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MGMT-81468 PWS para 3.2.1.3.2 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT D
QRTLY SEE 16 b. COPIES
SECT. B
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
A N/A QRTLY
Block 4: Column 11a shall be by Task Order. Separate reports are required for each fiscal year and appropriation type.
Block 8: The Government will approve/disapprove within 14 calendar days of receipt. If disapproved, contractor shall resubmit with Government comments incorporated within 7 calendar days after receipt.
Block 9: Distribution Statement B: Distribution authorized to U.S. Government Agencies; Administrative or Operational Use, 27 Jul 16; Other requests shall be referred to:
Project Manager’s Office Unmanned Aircraft Systems Bldg 5300, 2nd Floor
SFAE-AV-UAS-TUAS
Redstone Arsenal, AL 35898-5000
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
Block 11/12/13: The As of Date shall be the end of the contractor’s accounting period followed by Quarterly submittals.
Block 14: Delivery/notification shall be made by ftp site or email in Microsoft Office format. Emails shall be addressed to: Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil. Add the DCARC as a distribution point as follows. All CFSR related forms must be electronically forwarded to the central repository at the DCARC Web site at https://dcarc.pae.osd.mil/DCARCPortal/.
Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil
SFAE-AV-UAS-TUAS
DCARC
15. TOTAL 0 1 1
https://dcarc.pae.osd.mil/DCARCPortal/
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER X FNCL
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A004 Cost Breakdown Structure Summary Report
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-FNCL-80165A PWS para 3.2.1.3.2 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT MTHLY 45DAC b. COPIES
SECT. B
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
Draft Final
N/A N/A SEE 16
Block 9: Distribution Statement B: Distribution authorized to U.S.
Government Agencies; Administrative or Operational Use, 27 Jul 16;
Other requests shall be referred to:
Project Manager’s Office, Unmanned Aircraft Systems, Bldg 5300, 2nd Floor, SFAE-AV-UAS-TUAS, Redstone Arsenal, AL 35898-5000.
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
BLK 13: Subsequent submissions shall be submitted by the 14th business day after the end of the contractor’s close of monthly accounting period.
BLK 14: Distribution shall be electronically in Microsoft Office format.
SFAE-AV-UAS-CA 0
15. TOTAL 0 1 0
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER X MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A005 Contract Work Breakdown Structure
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MGMT-81334D PWS para 3.2.1.3.3 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT D
AS REQ SEE 16 b. COPIES
SECT. B
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Block 8: The Government will review and approve/disapprove with consolidated comments within 14 calendar days after receipt. If disapproved the contractor shall correct and resubmit within 14 calendar days after notification of comments. The contractor shall address all of the Governments comments in their resubmission.
Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use, 27 Jul 16;
Other requests shall be referred to:
Project Manager’s Office, Unmanned Aircraft Systems, Bldg 5300, 2nd Floor, SFAE- AV-UAS-TUAS, Redstone Arsenal, AL 35898-5000.
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.
Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
Block 12/13: First submission shall be within 60 calendar days of contractually required post award CSDR conference or, in the absence of a conference within 60 calendar days of contract award or contract modification. Subsequent submissions shall be within 7 calendar days after each update to the CWBS and Dictionary.
Block 14: Delivery/notification to SFAE-AV-UAS-TUAS shall be made by ftp site or email in Microsoft Office format. Emails shall be addressed to: Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil.
Delivery to DCARC shall be electronically to the DCARC Website at http://dcarc.pae.osd.mil. Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC website and to obtain an ECA certificate from a 3rd party vendor.
SFAE-AV-UAS-TUAS
DCARC
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER X MISC
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A006 Technical Report – Study/Services Integrated Master Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80508B PWS para 3.2.1.6 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT D
AS REQ SEE 16 b. COPIES
SECT. B
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
N/A N/A SEE 16
BLK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only;
Administrative or Operational Use, 27 Jul 16; Other requests shall be referred to:
Project Manager’s Office Unmanned Aircraft Systems Bldg 5300, 2nd Floor
SFAE-AV-UAS-TUAS
Redstone Arsenal, AL 35898-5000 Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.)
or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
BLK 10 and 13: Submit as required by the Government and applicable task order.
BLKs 12: Submit at IBR or Limited Scope Review (subject to task order)
BLK 14: Distribution shall be made electronically in Microsoft Office format.
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER FNCL
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A007 Cost Data Summary Report (DD Form 1921) Contractor Cost Data Reporting
(CCDR)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-FNCL-81565C PWS para 3.2.1.7 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT ASREQ SEE 16 b. COPIES
SECT. B
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
Draft Final
A SEE 16 SEE 16
16. REMARKS:
Block 8: The Government will approve/disapprove within 30 calendar days after receipt. Upon Government disapproval, resubmit with Government comments/changes incorporated within 30 calendar days.
Block 9: Distribution Statement B: Distribution authorized to U.S. Government Agencies; Administrative or Operational Use, 27 Jul 16; Other requests shall be referred to:
Project Manager’s Office Unmanned Aircraft Systems Bldg 5300, 2nd Floor
SFAE-AV-UAS-TUAS
Redstone Arsenal, AL 35898-5000.
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.
Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
Block 10/11/12/13: Prepare in accordance with the OSD Deputy Director, Cost Assessment (DDCA)-approved Cost and Software Data Reporting (CSDR) Plan provisions, the WBS Data Dictionary, and the CSDR manual (DoDM5000.04-M-1). The CSDR Plan is included as contract attachment xx.
The CSDR Manual is available from the Defense Cost and Resource Center (DCARC) website at http://dcarc.pae.osd.mil. Contractors shall be required to submit CCD reports at frequencies specified in the OSD DDCA-approved CSDR plan and in the contract. All CCD reports shall be submitted electronically using the CSDR Submit-Review System. The required file format for each CCD report is specified in its Data Item Description (DID).
Prime contractors are responsible for flowing down CCDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds. This includes requiring subcontractors to electronically report directly to the DCARC.
SFAE-AV-UAS-TUAS
DCARC
http://dcarc.pae.osd.mil/
CDRL A007 (Functional Cost-Hour Report (DD Form 1921-1)) Continuation Sheet
Block 14: Delivery shall be made to SFAE-AV-UAS electronically in Microsoft Office format via email or an ftp site at Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil. All CSDR-related forms must be electronically forwarded to the DCARC web site at http://dcarc.pae.osd.mil . Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC web site and obtain an ECA certificate from a 3rd party vendor.
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER FNCL
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A008 Functional Cost-Hour Report (DD Form 1921-1) Contractor Cost Data Reporting
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-FNCL-81566C PWS para 3.2.1.7 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT ASREQ SEE BLOCK 16 b. COPIES
SECT. B
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
Draft Final
A SEE BLOCK
SEE BLOCK 16
Re pro
16. REMARKS:
Block 8: The Government will approve/disapprove within 30 calendar days after receipt. Upon Government disapproval, resubmit with Government comments/changes incorporated within 30 calendar days.
Block 9: Distribution Statement B: Distribution authorized to U.S. Government Agencies; Administrative or Operational Use, 27 Jul 16; Other requests shall be referred to:
Project Manager’s Office Unmanned Aircraft Systems Bldg 5300, 2nd Floor
SFAE-AV-UAS-TUAS
Redstone Arsenal, AL 35898-5000.
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.
Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25..
Block 10/11/12/13: Prepare in accordance with the OSD Deputy Director, Cost Assessment (DDCA)-approved Cost and Software Data Reporting (CSDR) Plan provisions, the WBS Data Dictionary, and the CSDR manual (DoDM5000.04-M-1). The CSDR Plan is included as contract attachment xx.
The CSDR Manual is available from the Defense Cost and Resource Center (DCARC) website at http://dcarc.pae.osd.mil. Contractors shall be required to submit CCD reports at frequencies specified in the OSD DDCA-approved CSDR plan and in the contract. All CCD reports shall be submitted electronically using the CSDR Submit-Review System. The required file format for each CCD report is specified in its Data Item Description (DID).
Prime contractors are responsible for flowing down CCDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds. This includes requiring subcontractors to electronically report directly to the DCARC.
SFAE-AV-UAS-TUAS
CDRL A008 (Functional Cost-Hour Report (DD Form 1921-1)) Continuation Sheet
Block 14: Delivery shall be made to SFAE-AV-UAS electronically in Microsoft Office format via email or an ftp site at Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil. All CSDR-related forms must be electronically forwarded to the DCARC web site at http://dcarc.pae.osd.mil . Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC web site and obtain an ECA certificate from a 3rd party vendor.
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER FNCL
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A009 Progress Curve Report (DD Form 1921-2) Contractor Cost Data Reporting
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-FNCL-81567C PWS para3.2.1.7 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT SEE 16 SEE 16 b. COPIES
SECT. B
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
Draft Final
16. REMARKS:
Block 8: The Government will approve/disapprove within 30 calendar days after receipt. Upon Government disapproval, resubmit with Government comments/changes incorporated within 30 calendar days.
Block 9: Distribution Statement B: Distribution authorized to U.S. Government Agencies; Administrative or Operational Use, 27 Jul 16; Other requests shall be referred to:
Project Manager’s Office Unmanned Aircraft Systems Bldg 5300, 2nd Floor
SFAE-AV-UAS-TUAS
Redstone Arsenal, AL 35898-5000.
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.
Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
Block 10/11/12/13: Prepare in accordance with the OSD Deputy Director, Cost Assessment (DDCA)-approved Cost and Software Data Reporting (CSDR) Plan provisions, the WBS Data Dictionary, and the CSDR manual (DoDM5000.04-M-1). The CSDR Plan is included as contract attachment xx.
The CSDR Manual is available from the Defense Cost and Resource Center (DCARC) website at http://dcarc.pae.osd.mil. Contractors shall be required to submit CCD reports at frequencies specified in the OSD DDCA-approved CSDR plan and in the contract. All CCD reports shall be submitted electronically using the CSDR Submit-Review System. The required file format for each CCD report is specified in its Data Item Description (DID).
Prime contractors are responsible for flowing down CCDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds. This includes requiring subcontractors to electronically report directly to the DCARC.
SFAE-AV-UAS-TUAS
DCARC
CDRL A009 (Progress Curve Report (DD Form 1921-2)) Continuation Sheet
Block 14: Delivery shall be made to SFAE-AV-UAS electronically in Microsoft Office format via email or an ftp site.
Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil. All CSDR-related forms must be electronically forwarded to the DCARC web site at http://dcarc.pae.osd.mil . Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC web site and obtain an ECA certificate from a 3rd party vendor..
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER FNCL
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A010 Contractor Business Data Report (DD Form 1921-3) Contractor Cost Data Reporting (CCDR)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-FNCL-81765B PWS para 3.2.1.7 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT ASREQ SEE 16 b. COPIES
SECT. B
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
Draft Final
16. REMARKS:
Block 4: Prepare in accordance with the OSD CAIG Chair-approved Cost and Software Data Reporting (CSDR) Plan provisions, the WBS Data Dictionary, and the CSDR Manual (DoD 5000.04-M-1). The CSDR Plan is included as contract attachment xx.
The CSDR Manual is available from the Defense Cost and Resource Center (DCARC) Web site at http://dcarc.pae.osd.mil
Block 8: The Government will approve/disapprove within 30 calendar days after receipt. Upon Government disapproval, resubmit with Government comments/changes incorporated within 30 calendar days.
Block 9: Distribution Statement B: Distribution authorized to U.S. Government Agencies; Administrative or Operational Use, 27 Jul 16; Other requests shall be referred to:
Project Manager’s Office, Unmanned Aircraft Systems, Bldg 5300, 2nd Floor, SFAE- AV-UAS-TUAS, Redstone Arsenal, AL 35898-5000.
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.
Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
Block 11: The As of Date shall be the end of the contractor’s accounting period.
Block 10/12/13: The DD Form 1921-3 is a mandatory requirement for all prime contractors and subcontractors performing work on contracts which contain CSDR requirements. As such, the contractor must ensure that its Forward Pricing Rate (FPR) unit submits a completed DD Form 1921-3 within 60 days subsequent to the end of the contractor’s fiscal year. Only one DD Form 1921-3 submission is required per Rev 5, 20090603 5 FPR unit, independent of the number of contracts with CSDR requirements held by the business entity.
Block 14: Delivery shall be made to SFAE-AV-UAS electronically in Microsoft Office format via email or an ftp site. Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil. All CSDR-related forms must be electronically forwarded to the DCARC web site at http://dcarc.pae.osd.mil . Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC web site and obtain an ECA certificate from a 3rd party vendor. Prime contractors are responsible for flowing down CSDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds. This includes requiring subcontractors to electronically report directly to the DCARC.
SFAE-AV-UAS-TUAS
DCARC
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER FNCL
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A011 Contractor Sustainment Report (DD Form 1921-4) Contractor Cost Data Reporting (CCDR)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-FNCL-81831 PWS para 3.2.1.7 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT ASREQ SEE 16 b. COPIES
SECT. B
8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
Draft Final
16. REMARKS:
Block 4: Prepare in accordance with the OSD CAIG Chair-approved Cost and Software Data Reporting (CSDR) Plan provisions, the WBS Data Dictionary, and the CSDR Manual (DoD 5000.04-M-1). The CSDR Plan is included as contract attachment xx.
The CSDR Manual is available from the Defense Cost and Resource Center (DCARC) Web site at http://dcarc.pae.osd.mil
Block 8: The Government will approve/disapprove within 30 calendar days after receipt. Upon Government disapproval, resubmit with Government comments/changes incorporated within 30 calendar days.
Block 9: Distribution Statement B: Distribution authorized to U.S. Government Agencies; Administrative or Operational Use, 27 Jul 16; Other requests shall be referred to:
Project Manager’s Office, Unmanned Aircraft Systems, Bldg. 5300, 2nd Floor, SFAE- AV-UAS-TUAS, Redstone Arsenal, AL 35898-5000.
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.
Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
Block 11: The As of Date shall be the end of the contractor’s accounting period.
Block 10/12/13: The DD Form 1921-3 is a mandatory requirement for all prime contractors and subcontractors performing work on contracts which contain CSDR requirements. As such, the contractor must ensure that its Forward Pricing Rate (FPR) unit submits a completed DD Form 1921-3 within 60 days subsequent to the end of the contractor’s fiscal year. Only one DD Form 1921-3 submission is required per Rev 5, 20090603 5 FPR unit, independent of the number of contracts with CSDR requirements held by the business entity.
Block 14: Delivery shall be made to SFAE-AV-UAS electronically in Microsoft Office format via email or an ftp site. Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil. All CSDR-related forms must be electronically forwarded to the DCARC web site at http://dcarc.pae.osd.mil . Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC web site and obtain an ECA certificate from a 3rd party vendor. Prime contractors are responsible for flowing down CSDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds. This includes requiring subcontractors to electronically report directly to the DCARC.
SFAE-AV-UAS-TUAS
DCARC
mailto:AVNUASCM@PeoAvn.Army.Mil
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A012 Software Resources Data Reporting - Initial Developer Report and Data
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MGMT-81739B PWS para 3.2.1.7 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT SEE 16 120 DAC b. COPIES
SECT. B
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
Draft Final
Block 8: The Government will approve/disapprove within 30 calendar days after receipt. Upon Government disapproval, resubmit with Government comments/changes incorporated within 30 calendar days.
Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use, 27 Jul 16; Other requests shall be referred to:
Project Manager’s Office, Unmanned Aircraft Systems, Bldg 5300, 2nd Floor, SFAE-AV-UAS-TUAS, Redstone Arsenal, AL 35898-5000.
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.)
or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
BLKs 10, 12 and 13: Submit within 120 calendar days after contractor award and 30 calendar days after each revision.
Block 14: Delivery/notification shall be made by ftp site or email in Microsoft Office format. Emails shall be addressed to: Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil. Delivery to DCARC shall be electronically to the DCARC Website at http://dcarc.pae.osd.mil. Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC website and to obtain an ECA certificate from a 3rd party vendor.
SFAE-AV-UAS-TUAS
DCARC
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER MGMT
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A013 Software Resources Data Reporting - Final Developer Report and Data Dictionary
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-MGMT-81740A PWS para 3.2.1.7 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT SEE 16 SEE 16 b. COPIES
SECT. B
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
Draft Final
BLK 8: Government will approve/disapprove within 30 calendar days after receipt. Upon government disapproval, resubmit with government comments/changes incorporated within 30 calendar days.
Block 9 Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use, 27 Jul 16;
Other requests shall be referred to:
Project Manager’s Office, Unmanned Aircraft Systems, Bldg 5300, 2nd Floor, SFAE- AV-UAS-TUAS, Redstone Arsenal, AL 35898-5000.
Export Control Act Warning – Required (DODI 5230.24, Enclosure. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended.
Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
BLKs 10, 12 and 13: Submit NLT 30 calendar days after each software release and NLT 30 calendar days after each revision, or when applicable, as directed in the Task Order.
Block 14: Delivery/notification shall be made by ftp site or email in Microsoft Office format. Emails shall be addressed to: Usarmy.redstone.peo-avn.list.avn-uas-cm@mail.mil Delivery to DCARC shall be electronically to the DCARC Website at http://dcarc.pae.osd.mil. Electronic submission to the DCARC requires the contractor to register for a user account via the DCARC website and to obtain an ECA certificate from a 3rd party vendor.
SFAE-AV-UAS-TUAS
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER X SESS
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A014 Technical Report – Study/Services Configuration Management Plan
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
DI-SESS-80858C PWS para 3.2.2.1 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT D
AS REQ SEE 16 b. COPIES
SECT. B
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
BLK 8: Government will approve/disapprove within 30 calendar days after receipt. Upon government disapproval, resubmit with government comments/changes incorporated within 30 calendar days.
BLK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use, 27 Jul 16; Other requests shall be referred to:
Project Manager’s Office Unmanned Aircraft Systems Bldg 5300, 2nd Floor
SFAE-AV-UAS-TUAS
Redstone Arsenal, AL 35898-5000
Export Control Act Warning – Required (DODI 5230.24, Encl. 4, Section 2(g)) WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
BLKs 10, 12 and 13: First submittal shall be within 60 calendar days of contract award. Subsequent submittals shall be as required by the Government and applicable task order.
BLK 14: Distribution shall be made electronically in Microsoft Office format.
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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
A TDP TM OTHER X SESS
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
Technical Products and Field Support W911QY-16-R-0009 xxxx
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
A015 Engineering Change Proposal (ECP)
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-SESS-80639D PWS para 3.2.2.3 SFAE-AV-UAS-TUAS INSERT
7. DD 250 REQ 9.DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION 14. DISTRIBUTION IN
LT D
AS REQ SEE 16 b. COPIES
SECT. B
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
BLK 8: Government shall approve/disapprove within 7 calendar days after receipt. Upon Government disapproval, resubmit with comments/changes incorporated within 7 calendar days.
BLK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S.
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