CONTRACT DATA REQUIREMENTS LIST
Form Approved
(1 Data Item)
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:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
17. PRICE GROUP
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
18. ESTIMATED
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
TOTAL PRICE
9. DIST STATEMENT
7. DD 250 REQ
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.
DISTRIBUTION
REQUIRED
b. COPIES
13. DATE OF SUBSEQUENT
8. APP CODE
11. AS OF DATE
a. ADDRESSEE
Final
SUBMISSION
Draft
Reg
Repro
16. REMARKS
0
0
0
15. TOTAL
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.
Page
of
Pages
Reset
Adobe Professional 7.0