CONTRACT DATA REQUIREMENTS LIST
(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 Department of Defense, Washington Headquarters Services, Directorate for
Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA
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.
TM _______ OTHER
E. CONTRACT/PR NO.
17. PRICE GROUP
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
7. DD 250 REQ
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
8. APP CODE
11. AS OF DATE
G. PREPARED BY
I. APPROVED BY
DD FORM 1423-1, FEB 2001
PREVIOUS EDITION MAY BE USED.