A07_Exhibit_A_DD_1423_Contract_Data_Requirements_List_Redacted.pdf
PDF 2 MB Posted
- Attached to
- Screening Obscuration Module (SOM) RFP Federal contract opportunity
- Solicitation number
- W911SR-16-R-0002
About this file
Exhibit A - DD 1423 Contract Data Requirements List (CDRL)
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A07_W911SR-16-R-0002_Amendment_0001.pdf | ||
| A07_Attachment_7_Past_Performance_Questionnaire_Blank_Amd_0001.pdf | ||
| A02_RFP_Q A_W911SR-16-R-0002.pdf | ||
| A07_Attachment_3_LPD_Attribute_Selection_Worksheet.pdf | ||
| A07_Attachment_4_TM_Content_Selection_Matrix.pdf | ||
| A07_Attachment_7_Past_Performance_Questionnaire_Blank.pdf | ||
| A07_Attachment_5_ILA_Checklist.pdf | ||
| A07_W911SR-16-R-0002_20160520.pdf | ||
| A07_Attachment_8_Cost_Template_W911SR-16-R-0002.xlsx | XLSX spreadsheet | |
| A07_Attachment_2_DD_254_Contract_Security_Classification_Specification.pdf | ||
| A07_Attachment_6_GFP_Listing.pdf |
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CONTRACT DATA REQUIREMENTS LIST
(2 Data Items)
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FR
11. AS
16. REMARKS
G. PREPARED BY
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
QUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE
sherri.snow Rectangle sherri.snow Rectangle sherri.snow Rectangle sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9 DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
7 DD 250
REQ
9 DIST STATEMENT
REQUIRED
11. AS
16. REMARKS
G. PREPARED BY
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE
8. APP CODE
sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9 DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
G. PREPARED BY
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
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Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
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3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
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Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
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Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
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Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
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Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
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Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
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Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
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Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
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Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
sherri.snow Rectangle
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
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Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 Directorate (0704-0188). 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 C. CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
b. COPIES
8. APP CODE
16. REMARKS
11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE Draft
Final
Reg Repro
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
15. TOTAL
4. AUTHORITY (Data Acquisition Document No.)
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
Reset
3. SUBTITLE
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
13. DATE OF SUBSEQUENT a. ADDRESSEE
SUBMISSION
b. COPIES
Draft Final
Reg Repro
15. TOTAL
H. DATE I. APPROVED BY J. DATE G. PREPARED BY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY
8. APP CODE
16. REMARKS
11. AS OF DATE
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref.
DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when…
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