A02_PWS_CDRLs_NVD_Accessories-2016.docx

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Night Vision Device Support Equipment
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W91CRB-16-R-5042
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Amendment 0001 CDRLs

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CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

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
A
C. CATEGORY:

TDP___ TM____ OTHER_MGMT_

D. SYSTEM/ITEM

NVD Accessories

E. CONTRACTOR/PR NO.

F. CONTRACTOR

TBD

1. DATA ITEM NO.b

A001

2. TITLE OF DATA ITEM

Scientific and Technical Reports

3. SUBTITLE

Status Report

4. AUTHORITY

DI-MISC-80711A

5. CONTRACT REFERENCE

SOW PARA 3.10.4

6. REQUIRING OFFICE

AMSEL-LCS-ACE

7. DD 250

REQ

dd

9. DIST STMT

REQUIRED

10 FREQ

As Req

12. DATE OF

FIRST SUBMSN

See Block 16

14. DISTRIBUTION

8. APP CD
N/A
11. AS
13 DATE OF

b. COPIES

OF DATE
SUBS SUBMSN
a. ADDRESSEE

Final

See Block 16

Draft
Reg
Repr
16. REMARKS
AMSEL-LCS-ACE mark.g.conrad.civ@mail.mil

Data Item Description DI-MISC-80711A using contractor format: Delete Block 10 instructions entirely and follow instructions in SOW found at para 3.10.4.

All deliveries shall be in digital format. All digital files shall be provided both by electronic submission (e.g. email, FTP, etc., as arranged with the requiring office, and also by CD ROM.

Item 12, 13: Report shall be submitted 30 days after each delivery of NVD, NVG and/or image intensifier tube. Data shall be submitted and exchanged electronically in the latest version of Microsoft Office suite of applications (MS Word, Excel, Power Point, Access, and Project. Alternative delivery media or access to a website may be discussed with the Contracting Officer prior to delivery.

AMSEL-AC-CA-RT-M

15. TOTAL

G. PREPARED BY

Mark Conrad

AMSEL-LCS-ACE

Systems Engineer

H. DATE

1/29/2016

I. APPROVED BY

Michele Evans

AMSEL-LCS-ACE

Ops Manager, ACE Div, SAMD

J. DATE

1/29/2016

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

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
B
C. CATEGORY:

TDP___ TM____ OTHER NDTI

D. SYSTEM/ITEM

NVD Accessories

E. CONTRACTOR/PR NO.

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Scientific and Technical Reports

3. SUBTITLE

Serial Number Reporting

4. AUTHORITY

DI-MISC-80711A

5. CONTRACT REFERENCE

PWS PARA 3.11

6. REQUIRING OFFICE

AMSEL-LCS-ACE

7. DD 250

REQ

dd

9. DIST STMT

REQUIRED

10 FREQ

As Req

12. DATE OF

FIRST SUBMSN

See Blk 16

14. DISTRIBUTION

8. APP CD

11. AS
13 DATE OF

b. COPIES

A

OF DATE
See Blk 16
a. ADDRESSEE

Final

Draft
Req
Repr

16. REMARKS

AMSEL-AC-CA-RT-M

Data Item Description DI-MISC-80711A : Follow instructions in PWS found at para 3.11 and DI-MISC-80711A , using contractor format.

All deliveries shall be in digital format. All digital files shall be provided both by electronic submission (e.g. email, FTP, etc., as arranged with the requiring office, and also by CD ROM.

Electronic submissions shall be readable by computers running Microsoft Office 2000 suite of applications (MS Word, Excel, PowerPoint, and MS Project.

AMSEL-LCS-ACE mark.g.conrad.civ@mail.mil

15. TOTAL

G. PREPARED BY

Mark Conrad

AMSEL-LCS-ACE

Systems Engineer

H. DATE

1/29/2016

I. APPROVED BY

Michele Evans

AMSEL-LCS-ACE

Ops Manager, ACE Div, SAMD

J. DATE

1/29/2016

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

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:
C
TDP TM OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

NVD Accessories

TBD

1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

C001
Training Conduct Support Document
Student Evaluation Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-SESS-81523B
SOW Para 3.12
AMSEL-LCS-ACE

INSERT

7. DD 250 REQ
9.DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.DISTRIBUTION

IN

See BLK 16

ONE/P
SEE ITEM 16

b. COPIES

SECT. B

8. APP CODE
N/A
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

A

N/A

Reg

Repro

16. REMARKS:

All deliveries shall be in digital format. All digital files shall be provided both by electronic submission, e.g., e-mail, FTP, etc., as arranged with the requiring office, and also by CD readable by computers running Microsoft Office 2007 suite of applications (MS Word, MS Excel, MS PowerPoint, and MS Project, etc.).

Alternative delivery media may be discussed with the Contracting Officer prior to delivery.

If the CDRL is to be priced, an electronic DD Form 250 will be required in order to receive payment. All electronic payment requests shall be submitted via the Wide Area Workflow Web Site (See Section G of the Contract).

AMSEL-AC-CA-RT-M

AMSEL-LCS-ACE mark.g.conrad.civ@mail.mil

15. TOTAL

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

Mark Conrad

AMSEL-LCS-ACE

Systems Engineer

1/29/2016
Michele Evans

AMSEL-LCS-ACE

Ops Manager, ACE Div, SAMD 1/29/2016

DD Form 1423-1, Jun 90 Previous editions are obsolete Page _1of _1Pages

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item) 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 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:
D
TDP
TM
OTHERMGMT

D. SYSTEM/ITEM

NVD Accessories

E. CONTRACTOR/PR NO.

F. CONTRACTOR

TBD

Harris

1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
D001
Operations Security (OPSEC) Plan
OPSEC SOP
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-80934C
SOW PARA. 3.13
AMSEL-LCS-ACE
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
LT
REQUIRED
1
BLK16
a. ADDRESSEE
b. COPIES
8. APP CODE
E

13. DATE OF SUBSEQUENT SUBMISSION

Draft
Final

N/A

Reg
Repro

15. REMARKS

AMSEL-AC-CA-RT-M

1
1

1. BLK 4: Prepare IAW DID

2. BLK 9: The following statement shall be included on the deliverable:

DISTRIBUTION E. Distribution authorized to DoD Components Other requests for this document shall be referred to CECOM, LRC, SAMD, APG, MD.

3. BLK 12: Submit SOP/Plan NLT 30 days after contract award for review and approval by the Government OPSEC Officer. The Government OPSEC Officer will review and approve within 30 days of submittal of the OPSEC SOP.

AMSEL-LCS-ACE mark.g.conrad.civ@mail.mil

15. TOTAL ▬▬▬▬►

1
2

G. PREPARED BY

Mark Conrad

AMSEL-LCS-ACE

Systems Engineer

H. DATE

21 Jan 2016

I. APPROVED BY

Michele Evans

AMSEL-LCS-ACE

Ops Manager

j. DATE

21 Jan 2016

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages image1.wmf

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