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CONTRACT DATA REQUIREMENTS LIST (CDRL)
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 the Contract/PR No. in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| X001 |
| PWS 14 ASK \* MERGEFORMAT |
| TDP ____ |
| TM _______ |
| OTHER_ADMIN ___ |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| PROGRAMMATIC SUPPORT SERVICES |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| TECHNICAL REPORT-STUDY/SERVICES |
| TECHNICAL PERFORMANCE |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MGMT-80508 |
| PWS Paragraph C.13 |
| USASAC |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| NA |
| REQUIRED |
| SEE BLK 16 |
| SEE BLK 16 |
b. COPIES
| 8. APP CODE |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
| a. ADDRESSEE |
final
| NA |
| NA |
| SEE BLK 16 |
| SEE BLK 16 |
| 16. REMARKS |
| USASAC, COR |
| 1 |
Block 10: First report due 30 days after contract award and every thirty (30) days there after for the remaining four (4) years.
Block 11: Date of Contract Award
Block 12: Thirty (30) after date in Block 11
Block 13: Every thirty (30) days after date in Block 12
Block 14: Electronic copy acceptable
| 15. TOTAL - - - - - - - - -> |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| SUSAN C. HOOVER, COR |
| 29 SEP 2016 |
DD Form 1423-1, JUN 90 Previous editions are obsolete Page of Pages
