Exhibit_A_CDRL.doc
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- Attached to
- Rotary Wing Flight Training Support Services Federal contract opportunity
- Solicitation number
- W9124G-16-R-0004
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Exhibit A
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EXHIBIT A
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 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.
| 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 |
17. PRICE GROUP
| 001 |
| Staffing Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| C1.5 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Monthly |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Monthly
| Reg |
| Repro |
| 16. REMARKS |
| COR |
Third workday of the month.
Description/Purpose:
A monthly recap of the Contractor’s staffing and is used to verify positions filled and the instructor to student ratio.
Preparation Instructions:
The Staffing Report is prepared by the Contractor on the Contractor’s own form in electronic format. This report contains the full name of each person and total number of personnel assigned to each position. For Instructor Pilot and Academic Instructor Staffing show assigned Flight Training Program, class number, and the number of students; Instructors (IP or Academic Instructors) required; Spare Instructors required; Instructors on-hand; potential Instructor losses; Instructors in training (MOI course and TAITC); and Instructor training failures (MOI and TATIC). Report will include totals for: Platform Inst, Instructor Pilots, Managers, Other, and total personnel assigned.
15. TOTAL (
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 002 |
| Quality Control Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.10 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Monthly |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Monthly
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Third workday of the following month.
A monthly recap of the Contractor’s quality control activities.
The Quality Control Report is prepared by the Contractor on the Contractor’s own form in electronic format. This report contains the quality control inspections and evaluations area, as listed in the Contractor’s Quality Assurance Plan; the number of compliant inspections/evaluations for each area; number of noncompliant inspections/evaluations for each by Critical, Major, Minor; corrective action; and projected trends which may impact on performance and preventive action.
15. TOTAL (
| 1 |
| 1 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-2, AUG 96 (EG)
PREVIOUS EDITION MAY BE USED
Page of Page(s)
Designed Using Microsoft( Word 97 SR-1
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 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.
| 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 |
17. PRICE GROUP
| 003 |
| Flight Training Class Analysis |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.3.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Completion |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Third workday after class completion.
A class’ recap of student’s disposition at End of Stage (EOS)Flight Evaluation.
The Class Analysis Report is prepared by the Contractor on the Contractor’s own form in electronic format. This report contains: The Class #; Number of students; Division; Date; By name list of student; Last four of student SSN; Instructors name; IP grade; Checkride grade; Check pilot name (highlighted if contract check pilot); Student total time; Setback students eligible for first time EOS evaluation; First time EOS total (Pass/Fail) Setback students not first eligible for first time EOS; Recheck EOS total (Pass/Fail).
15. TOTAL (
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 004 |
| Academic Training Class Analysis |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.3.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Completion |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Completion
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Third workday after class completion.
A class’ recap of student’s disposition during each phase of training.
The Class Analysis Report is prepared by the Contractor on the Contractor’s own form in electronic format. This report contains the class number and the number of: students assigned; First Time phased/End of Subject examination results (pass/fail); students within schedule recheck results (pass/fail), students setback for Administrative, Medical, or Flight Deficiency by category; setback students eligible for First Time phased/End of Subject examination and results; and setback students not eligible for First Time phased examination (recheck only) and results.
15. TOTAL (
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Page of Page(s)
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 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.
| 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 |
17. PRICE GROUP
| 005 |
| Lost Training Time Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.3.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Weekly |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Weekly
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*First workday of the following week.
A weekly report of lost training time.
The Lost Training Time Report is prepared by the Contractor on the Contractor’s own form in electronic format. This by Training Program report contains a compilation of the flight, training device, and/or academic training hours (to the tenth of an hour) lost during each phase of training. The training hours lost will be shown for the following reasons: weather, aircraft maintenance or training device maintenance, instructor shortage (flight or academic), Government failed to provide adequate support, and Government directed lost training. The remarks section shall provide an explanation for out of the normal and all Government involved lost training time.
15. TOTAL (
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 006 |
| DD Form 2627 |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.9.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Before Duty |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
As Needed
| Reg |
| Repro |
| 16. REMARKS |
| GFR |
*Before employee performs duty in this position.
A Government form for requesting Government approval of Contractor employee qualifications or upgrade training.
The Contractor shall complete DD Form 2627 in accordance with AR 95-20.
15. TOTAL (
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Page of Page(s)
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 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.
| 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 |
17. PRICE GROUP
| 007 |
| DD Form 2628 |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.9.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Before Duty |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
As Needed
| Reg |
| Repro |
| 16. REMARKS |
| GFR |
*Before employee performs duty in this position.
A Government form for requesting Government approval of Crewmember status.
The Contractor shall complete DD Form 2628 in accordance with AR 95-20.
15. TOTAL (
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 008 |
| DD Form 1821 or Service Forms |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.9.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Before Duty |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
As Needed
| Reg |
| Repro |
| 16. REMARKS |
| GFR |
*Before employee performs duty in this position.
A Government form documenting Contractor employee qualifications and upgrade training.
The Contractor shall complete DD Form 1821 in accordance with AR 95-20 or provide Service forms and directives.
15. TOTAL (
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Page of Page(s)
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 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.
| 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 |
17. PRICE GROUP
| 009 |
| DCMA Form 644 |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.9.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Weekly |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Weekly
| Reg |
| Repro |
| 16. REMARKS |
| GFR |
*For Weekly - the Monday of each week for following week.
For Weekend Training – the Wednesday prior to the weekend.
Description/Purpose:
A Government form for requesting flight approval.
The Contractor shall complete DCMA Form 644 in accordance with AR 95-20 and 110th Aviation Brigade GFR External SOP.
15. TOTAL (
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 010 |
| Unprogrammed or Missing Student Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C5.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| As Needed |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
As Needed
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Immediately upon determining potential unprogrammed or missing students.
A report notifying the Contracting Officer Representative of variations in contracted student load.
The Unprogrammed or Missing Students Report is prepared by the Contractor on the Contractor’s own electronic format. As a minimum, the report identifies the course, class number, and number of unprogrammed or missing students.
15. TOTAL (
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Page of Page(s)
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 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.
| 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 |
17. PRICE GROUP
| 011 |
| Reserve/Retired Military Recall Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C5.7.10 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Quarterly |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Third working day of each quarter. May be required on short notice in the event of mobilization.
A quarterly recap of Contractor personnel, who are members of a Reserve component or retired military, and are subject to recall to active duty.
The Reserve/Retired Military Recall Report is prepared by the Contractor on the Contractor’s own electronic format. This report contains the employee’s duty position, Contractor Organization, aircraft flown, and number of man-days absent from work for military duty.
15. TOTAL (
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 012 |
| Personnel Annual Leave Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C5.7.10 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Annually |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Annually
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Third workday after September 30th each year.
An annual recap of the annual leave balance of Contractor employees, by date of hire, as of September 30th each year.
The Personnel Annual Leave Report is prepared by the Contractor on the Contractor’s own electronic format. This report contains a list of employee’s, by the date of hire, and the days of annual leave accumulated as of September 30th each year.
15. TOTAL (
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Page of Page(s)
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 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.
| 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 |
17. PRICE GROUP
| 013 |
| Personnel Sick Leave Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C5.7.10 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Annually |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Annually
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Third workday after September 30th each year.
An annual recap of the sick leave balance of Contractor employees, by date of hire, as of September 30th each year.
The Personnel Sick Leave Report is prepared by the Contractor on the Contractor’s own electronic format. This report contains a list of employee’s, by the date of hire, and the days of sick leave accumulated as of September 30th each year.
15. TOTAL (
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 014 |
| Student Critique Summary Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C5.3.4 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Completion |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Completion
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Fifth workday after class completion.
A summary report indicating the results of Student Critiques.
The Student Critique Summary Report is prepared by the Contractor on the Contractor’s own electronic format. This report contains the course title (IERW), phase of instruction (Primary), Flight Training or Academic Training (Academic – Weather), class number (007-05), number of students, number of critiques, a listing of all significant student comments, and Contractors response.
15. TOTAL (
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
CONTRACT DATA REQUIREMENTS LIST
Form Approved
OMB 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 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.
| 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 |
17. PRICE GROUP
| 015 |
| Personnel Qualifications Packet |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.6 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Before Duty |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
As Needed
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Before Employee performs duties in the position.
A packet of employee qualification information.
The Personnel Qualifications Packet is prepared by the Contractor for new hires or position changes not covered under AR 95-20 for all management, supervisors, and non-flight employees. This packet contains a copy of the employee’s resume, licenses, certificates, and other applicable information to prove the employee meets the minimum job specifications in paragraph C1.3 of the contract statement of work.
15. TOTAL (
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 0016 |
| Contractor Man-power Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C5.7.10 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Annually |
| Award |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Annually
| Reg |
| Repro |
| 16. REMARKS |
| KO |
*By October 31st.
An annual recap of the Contractor’s direct costs and number of employees directed by the Secretary of the Army.
Preparation Instructions:
The Manpower Report is prepared by the Contractor using the Government provided website https://contractormanpower.army.pentagon.mil
COR
15. TOTAL (
| 1 |
| 1 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Page of Page(s)
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 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.
| 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 |
17. PRICE GROUP
| 017 |
| Annual Review of FLT OPS Procedures |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.9.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Annually |
| Award |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Annually
| Reg |
| Repro |
| 16. REMARKS |
| GFR |
| 1 |
| 1 |
*Third workday after September 30th.
Description/Purpose:
An annual review by the Contractor and approval by the Government of the Contractor’s Flight Operations Procedures.
The Annual Review of Flight Operations Procedures is prepared by the Contractor on the Contractor’s own electronic format. The Contractor shall complete the report IAW AR 95-20.
15. TOTAL (
| 1 |
| 1 |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 018 |
| Annual Review of Safety Procedures |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.9.1 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Annually |
| Award |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Annually
| Reg |
| Repro |
| 16. REMARKS |
| COR |
| 1 |
| 1 |
*Third workday after September 30th.
Description/Purpose:
An annual review by the Contractor and approval by the Government of the Contractor’s Safety Procedures.
The Annual Review of Safety Procedures is prepared by the Contractor on the Contractor’s own electronic format.
15. TOTAL (
| 1 |
| 1 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Page of Page(s)
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 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.
| 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 |
17. PRICE GROUP
| 019 |
| Unauthorized Contact Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C1.8.3.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| As Needed |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
As Needed
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Immediately after contact.
A report documenting unauthorized contacts by organizations or personnel contacting the Contractor without the approval of the Contracting Officer.
The Unauthorized Contact Report is prepared by the Contractor on the Contractor’s own electronic format. This report contains the name of the individual; rank/grade; organization; date, time, and location of unauthorized contact; and reason for contact.
15. TOTAL (
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 020 |
| Student Workload Adjusted Funding |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C5.2.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Monthly |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
| Reg |
| Repro |
| 16. REMARKS |
| COR |
* Fifth working day of each Month. May be required on short notice to support a funding change modification to the contract.
A monthly recap of changes to the student workload and associated funding adjustments.
The Student Workload Adjusted Funding Report is prepared by the Contractor on the Contractor’s own electronic format. This report contains each class within each program; the original FY Student Workload Inputs for each class; each student increase or decrease by Official Government Notice; the Adjusted Student Workload; the number of training days per month for each class; the original cost per each class; the cost delta for Student Workload adjustments for each class; the Adjusted cost for each class; and original, delta, and total sum for each program.
15. TOTAL (
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Page of Page(s)
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 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.
| 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 |
17. PRICE GROUP
| 021 |
| Notification of Delay in Scheduled Services |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| FAR 12.403(c) |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| As Needed |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
As Needed
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Immediately upon determining a potential for a delay exists.
A report notifying the Contracting Officer of potential or anticipated delay in scheduled services.
The Notification of Delay in Scheduled Services is prepared by the Contractor on the Contractor’s own electronic format. As a minimum, the report identifies the course, class number, and number of students impacted by the delay, substantiated evidence for the delay, potential impact (additional hours, overtime, etc.), Contract Manager’s signature, and a block for the COR to annotate either EXCUSABLE DELAY or UNEXCUSABLE DELAY.
15. TOTAL (
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 022 |
| Contractor’s Flight Hour Program |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| NA |
| USAAWC G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| Annually |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
Annually
| Reg |
| Repro |
| 16. REMARKS |
| USAACE G-3 |
**Third workday after January 31st.
A projection of the Contractor’s flight hour program requirements for the next fiscal year and subsequent fiscal year.
Preparation Instructions:
The Contractor’s Flight Hour Program Report is prepared by the Contractor on the Contractor’s own electronic format. The report shall breakdown the requirements for the Contractor’s flight hour internal training program to include flight hours for: New Hire training; employee (MOI and IP) recurrent and refresher training; aircraft transitions; annual evaluations; and Government directed training.
COR
15. TOTAL (
| 1 |
| 1 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
CONTRACT DATA REQUIREMENTS LIST
Form Approved
OMB 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 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.
| 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 |
17. PRICE GROUP
| 023 |
| Unprogrammed or Missing Student Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| C5.2 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NO |
| REQUIRED |
| As Needed |
| * |
NA
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
| Draft |
| Final |
NA
| * |
| SUBMISSION |
As Needed
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Immediately upon determining potential unprogrammed or missing students.
A report notifying the Contracting Officer Representative of variations in contracted student load.
The Unprogrammed or Missing Students Report is prepared by the Contractor on the Contractor’s own electronic format. As a minimum, the report identifies the course, class number, and number of unprogrammed or missing students.
15. TOTAL (
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| 024 |
| Monthly Cost Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| PWS Paragraph C5.7.10.1 |
| USAACE G-3 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
REQUIRED
| 10 FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
NO
| Monthly |
| * |
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
| Draft |
| Final |
NO
Monthly
| Reg |
| Repro |
| 16. REMARKS |
| COR |
*Third workday of the following month.
Attached format shall be used. Cost reporting shall include details for all CLINS. Labor details shall include both manhours, workload and costs. Supporting backup data shall be provided for each CLIN. A graphical depiction of the expended v. projected cost shall be included.
KO
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
File details come from the government source that posted it. Updated .