Attachment_1-_Contract_Data_Requirement_List.pdf

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Attached to
Student Analysis and Evaluation Support Federal contract opportunity
Solicitation number
W91249-18-R-0039
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Fort Gordon

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Contract Data Requirement List

CONTRACT DATA REQUIREMENTS LIST

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:

TDP TM OTHER MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM

NO.

2. TITLE OF DATA ITEM 3. SUBTITLE

A001 Cyber School, CCoE, Bi-Weekly Status Report

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

PWS Para. 5.1(ALL) OFFICE CHIEF OF CYBER

7. DD 250

REQ

9.DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF

FIRST

SUBMISSION

14. DISTRIBUTION

DD BI-WEEKLY SEE BLK 16

8. APP

CODE

D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

SUBMISSION

a. ADDRESSEE

A N/A SEE BLK 16

16. REMARKS:

Contractor’s format is acceptable. Report submission is due every other Friday via Email to the COR. Report must also be submitted electronically with the invoice via WAWF.

BLOCK 9: Distribution Statement D – Distribution authorized to the Department of Defense and DoD contractors only. Reason: To protect operational data or information.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

Shabazz S. McKenzie Sr.

24 APR 18

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:

2. TITLE OF DATA ITEM 3. SUBTITLE

A002 Cyber School, CCoE, MAB-II and MMPI-II Roll-up Report

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

PWS Para. 5.2 OFFICE CHIEF OF CYBER

7. DD 250

REQ

9.DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF

FIRST

DD WEEKLY SEE BLK 16

CODE

D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

SUBMISSION

a. ADDRESSEE

A N/A SEE BLK 16

16. REMARKS:

The Educational Psychologist will test students from the 17C AIT, CyWOBC, and CyBOLC and compile weekly roll-up reports for all students test each week. Report is due within 5 days of testing a group.

BLOCK 9: Distribution Statement D – Distribution authorized to the Department of Defense only. Reason: To protect technical/operational data or information.

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:

2. TITLE OF DATA ITEM 3. SUBTITLE

A003 Cyber School, CCoE, Develop and Teach a 2- Hour Block of Instructions

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

PWS Para. 5.2 OFFICE CHIEF OF CYBER

7. DD 250

REQ

9.DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF

FIRST

CODE

D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

SUBMISSION

a. ADDRESSEE

A N/A SEE BLK 16

16. REMARKS:

The Educational Psychologist will develop a 2-hour block of instructions on “How Students Learn” and “How to Improve Study Habits” to assist students while attending the following initial entry courses: 17C AIT, CyBOLC, and CyWOBC.

Contractor will provide lesson content. Content will be formatted to meet TRADOC requirements. Block of Instructions submission is due no later than (NLT) 90 days after start of employment and revised as required.

BLOCK 9: Distribution Statement D – Distribution authorized to the Department of Defense only. Reason: To protect technical data or information.

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:

2. TITLE OF DATA ITEM 3. SUBTITLE

A004 Cyber School, CCoE, Weekly OCC Meetings

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

PWS Para. 5.1(ALL) OFFICE CHIEF OF CYBER

7. DD 250

REQ

9.DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF

FIRST

CODE

D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

SUBMISSION

a. ADDRESSEE

A N/A SEE BLK 16

16. REMARKS:

Contractors will attend one internal OCC meetings per week.

They shall make entries on a status tracker and give a brief summary on projects and tasks that they are working on. The tracker will be updated no later than (NLT) 2 hours prior to an internal meeting.

BLOCK 9: Distribution Statement D – Distribution authorized to

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:

2. TITLE OF DATA ITEM 3. SUBTITLE

A005 Cyber School, CCoE, Trip Report

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

PWS Para. 5.1 (ALL) OFFICE CHIEF OF CYBER

7. DD 250

REQ

9.DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF

FIRST

CODE

D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

SUBMISSION

a. ADDRESSEE

A N/A SEE BLK 16

16. REMARKS:

Format will be provided. Trip Report submission is due no later than (NLT) 5 days after returning from a trip. The Trip Report will be posted to the Share Drive in a designated folder and submitted electronically with the invoice via WAWF.

BLOCK 9: Distribution Statement D – Distribution authorized to

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