Contract Data Requirements List (CDRL DD Form 1423) - (A009) Final Report.pdf
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- Mission Systems Flying Test Bed Federal contract opportunity
- Solicitation number
- W911w623R0004
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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: A |
| TDP: |
| TM: |
| OTHER: |
| E CONTRACTPR NO: W911W6-23-R-0004 |
| F CONTRACTOR: |
| 2 TITLE OF DATA ITEM: Scientific and Technical Report |
| 3 SUBTITLE: Final Report |
| 6 REQUIRING OFFICE: FCDD-AMT-AMN |
| 9 DIST STATEMENT REQUIRED: Dist C |
| 11 AS OF DATE: At Completion of Final TO |
| H DATE: 11/02/2021 |
| a ADDRESSEERow1: FCDD-AMT-AMN |
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| J DATE: 11/29/2021 |
| 17 PRICE GROUP: |
| 18 ESTIMATED TOTAL PRICE: |
| Text1: A009 |
| Text2: Final Report |
| Text3: A009 |
| 5 CONTRACT REFERENCE: |
| Text 4: DI-MISC-80711A |
| Text5: BLK 4 - Report should be written in contractor format, in clear and concise language, and in sufficient detail to give valid support to the conclusions drawn, but be free of voluminous backup documentation more suitable for reference filing. Calculations, drawings, charts, photographs, and references should be incorporated, as required, to adequately describe the work. The report should include design sketches, etc., to supplement text. A partially completed cover page, the report number and other Standard Form (SF) 298 instructions will be provided after contract award. The report abstract (Block 13 of the SF 298) must identify the purpose of the work carried out, the findings or results and the potential applications of the effort, and must not contain any protected or classified data. |
BLK 7 - Electronic submission of a receiving report in WAWF is encouraged.
BLK 9 - In addition to the legend(s) authorized by DFARS 252.227-7018, the following information shall be included on the deliverable:
'DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to the Technology Development Directorate - Eustis, ATTN: Security Office, Bldg 401, Lee Blvd, Fort Eustis, VA 23604-5577.
If applicable, the following information shall also be included on the deliverable:
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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.
BLK 12 - The Contractor shall provide a draft of the Final Report at the completion of Task Order #2 or #3 (whichever is to be the Contractor's final Task Order).
BLK 13 – Government shall review and return an annotated copy to the contractor within 30 days. The Contractor shall submit a final version of the report to the Government within 30 after receipt of the annotated draft.
BLK 14- Submission shall be electronic via Army SAFE Site (draft shall be in Word format), final shall be submitted in (PDF format). See attached addressee sheet for a listing of URL, and email.
*Transmittal document only.
**Within seven (7) days after notice of acceptance, provide the report to the Defense Technical Information Center (DTIC) in accordance with DFARS 252.235-7011. A copy of the transmittal letter or other notification of submittal to DTIC shall be provided to CCAM-MZA-F
| 2021-11-02T14:33:15-0400 | |
| RHAMY.KEVIN.THOMAS.1005712820 |
| 2021-11-29T13:33:22-0500 | |
| CONDON.SARA.BRIE.1248531874 |
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| Combo Box4: [A] |
| Combo Box5: [ONE/R] |
| Combo Box6: [ASREQ] |
| Combo Box7: [ N/A] |
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