CONTRACT DATA REQUIREMENTS LIST (1 Data Item) 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. listed in Block E. A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY CLIN 0002 A TDP _______ TM ______ OTHER _______ D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR CASS OTPS/TPS 1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE A007 SOFTWARE VERSION DESCRIPTION 4. AUTHORITY (Data Acquisition Documentation No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-IPSC-81442A SOW . 3.3.3 AIR 1 (SEE 16) 7. DD 250 REQ. 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION DISTRIBUTION 14. NO AS/REQ (SEE 16) AS/REQ b. COPIES 8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT Final SUBMISSION D N/A a. ADDRESSEE Reg Repro N/A 16. REMARKS APMSE 1 1 FST ENG 1 1 * ASDR 1 ** AIR 1 ** PCO SEE 16 15. TOTAL (SEE 16) 2 3 G. PREPARED BY H. DATE I. APPROVED BY J. DATE DD Form 1423-1, Jun 90 Previous editions are obsolete Page 11 of 13 Pages
CONTRACT DATA REQUIREMENTS LIST (1 Data Item) 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. listed in Block E. A. CONTRACT LINE ITEM NO. CLIN 0002 B. EXHIBIT A C. CATEGORY TDP _______ TM ______ OTHER _______ D. SYSTEM/ITEM CASS OTPS/TPS E. CONTRACT / PR NO. F. CONTRACTOR 1. DATA ITEM NO. A007 2. TITLE OF DATA ITEM SOFTWARE VERSION DESCRIPTION 3. SUBTITLE 4. AUTHORITY (Data Acquisition Documentation No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-IPSC-81442A SOW . 3.3.3 AIR 1 (SEE 16) 7. DD 250 REQ. 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION NO AS/REQ (SEE 16) AS/REQ b. COPIES 8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION Final D N/A N/A a. ADDRESSEE Reg Repro 16. REMARKS APMSE 1 1 FST ENG 1 1 * ASDR 1 ** AIR 1 ** PCO SEE 16 15. TOTAL (SEE 16) 2 3 G. PREPARED BY H. DATE I. APPROVED BY J. DATE DD Form 1423-1, Jun 90 Previous editions are obsolete Page 11 of 13 Pages