CDRL_A003_Monthly_Test_Reports.pdf
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- Solicitation number
- W911QY-18-R-0018
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CDRL A003 - Monthly Test Reports
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CONTRACT DATA REQUIREMENTS LIST Form Approved
(1 Data Item) 0MB 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 0MB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the ContracVPR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
0004 A003 TDP TM
OTHER Program Management
D.SYSTEM/ITEM
I
E. CONTRACT/PR NO. F. CONTRACTOR
ETSSLS W911QY-19-R-0003
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3.SUBTITLE
Monthly Status Reports
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80555A ETSSLS SOW C.13.3 PdM-FSS
7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD REQUIRED MTHLY SEE BLOCK 16 b. COPIES
8.APP CODE
A
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final
SUBMISSION Draft SEE BLOCK 16 Reg Repro
16. REMARKS SAFE-CSS-FP-F 1
The contractor shall submit monthly status reports IAW applicable requirements of DI-MGMT-80555A for the ETSSLS. The report shall discuss progress on active CLINs to include any delays in the original plan. The report shall discuss plans for the next reporting period. The report shall include a Gantt chart depicting the current status and future activities. Past and future activities shall be depicted as a single line entry showing completion dates or expected durations.
Initial submission date shall be 30 Days after contract award.
Contractor formatted digital submissions in MS Word 2013 or Portable Document Format are acceptable
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
GRANT.JEREM Digitally signed by GRANEY. ROBER �t°�1��t;itirn124s994e9 Y. M. 1250695140 g:�Jci����r�1!�:�g.::. T.N .1245994695
DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED.
Date: 2018.06.05 10:12:25-04'00'
Page __ of __ Pages Designed using Perform Pro, WHS/DIOR, Aug 96
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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