Contract Data Requirements List (CDRL DD Form 1423) - (A003) Cost Status Report.pdf

PDF 651 KB Posted

Attached to
Mission Systems Flying Test Bed Federal contract opportunity
Solicitation number
W911w623R0004
Issued by
Department of the Army Materiel Command Contracting Command Redstone Arsenal

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Text version

G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

B EXHIBIT:
TDP:
TM:
OTHER: X
E CONTRACTPR NO: W911W6-23-R-0004
F CONTRACTOR:
2 TITLE OF DATA ITEM: Performance and Cost Report
3 SUBTITLE: Cost Status Reports
6 REQUIRING OFFICE: FCDD-AMT-AMN
9 DIST STATEMENT REQUIRED: See BLK 16
11 AS OF DATE: SEE BLK 16
H DATE: 11/02/2021
a ADDRESSEERow1: FCDD-AMT-AMN
DraftRow1:
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a ADDRESSEERow2: CCAM-MZD-B
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Draft15 TOTAL:
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J DATE: 11/29/2021
17 PRICE GROUP:
18 ESTIMATED TOTAL PRICE:
Text1: 0003
Text2: Cost Status Reports
Text3: A003
5 CONTRACT REFERENCE:
Text 4: DI-FNCL-80912A
Text5: BLK 4 - This report shall articulate funds expended and if expenditures are more or less than originally planned based on current progress.

BLK 9 - The Contractor may apply a standard contractor business confidential/proprietary legend, but with the following statement:

(Contractor Name) grants the U.S. Government a license to further distribute to U.S. Government personnel for program Management and Administrative oversight purposes.

BLK 11-13 - The contractor shall submit its first report 45 days after contract award. Subsequent reports shall be submitted on the 15th of every month until all SOW effort is completed.

BLK 14 - Submission shall be electronic via DoD SAFE site. See attached addressee sheet for a listing of URL, email and postal mailing addresses.

* Letter of Transmittal only.

2021-11-02T14:35:03-0400
RHAMY.KEVIN.THOMAS.1005712820
2021-11-29T12:56:35-0500
CONDON.SARA.BRIE.1248531874
Text8:
Text9:
Combo Box3:
0:
0: [LT]
Combo Box4: [NA]
Combo Box5: [MTHLY]
Combo Box6: [SEE BLK 16]
Combo Box7: [SEE BLK 16 ]

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