How To Fill Out An Orbital Data Request - Odr (Page 2 of 2) in pdf

ORBITAL DATA REQUEST

1. DATE OF PREPARATION:

2. To:

3. FROM:

JFCC SPACE Vandenberg AFB, California

(Requesting agency – Name, address, and ZIP)

Submission of this request constitutes an agreement not to hold the United States, any agencies and instrumentalities thereof, and any

individuals, firms, corporations, and other persons acting for the United States, liable for any cause of action arising from the provision

or receipt of space situational awareness services or information. 10 USC 2274(g).

REQUESTOR DATA

NAMES OF CONTACTS

ADDRESS

TELEPHONE/FAX

E-MAIL (Preferred)

4. MANAGEMENT LEVEL

Voice:

Fax:

5. TECH/OP LEVEL

Voice:

Fax:

6. PROJECT TO BE SUPPORTED

7. DATE COORDINATED BY NASA (if applicable)

8. NARRATIVE REQUEST AND/OR PROJECT DESCRIPTION

(if not sensitive, describe use and justification data. For redistribution requests, please include distribution list, purpose of redistribution,

and examples of redistributed products [provide website if applicable]. Attach as an appendix, as necessary.)

9. SPECIFIC DATA REQUIRED

(Standard outputs should be specified whenever possible)

10. SPECIAL REQUIREMENTS

(Specify accuracy of data and frequency of data required)

11. MODE OF DELIVERY

(Indicate whether mail or teletype, provide addresses, routing indicators, attention lines, etc. Also specify classification requirements)

12. DATE DATA REQUIRED

13. DATE FOR TERMINATION OF DATA

(Allow 30 days for routine requests)

(Maximum 1 year)

14. REDISTRIBUTION CERTIFICATION: I certify that the data, analysis of data,

15. REQUESTOR SIGNATURE

or technical information received through this request will not be transferred to

any individual or agency not listed on this form, unless authorized otherwise by

USSTRATCOM.

MILITARY PROGRAM OR PROJECT MONITOR CERTIFICATION

(Blocks 16-21 Required only for requests directly supporting US Government programs or projects)

16. CONTRACT #

17. CONTRACT MONITOR

18. ADDRESS

19. PHONE

Address City,

State, Zip

20. TYPED NAME AND GRADE OF APPROVING CONTRACT OFFICER

21. CONTRACT OFFICER SIGNATURE

ODR APPROVAL

(FOR JFCC SPACE INTERNAL USE ONLY)

22.

APPROVED

APPROVED W/CAVEAT (see block 24)

DISAPPROVED

23. DATE:

24. APPROVAL CAVEAT(s) (if any)

25. TYPED NAME AND GRADE OF ODR APPROVING OFFICIAL

26. APPROVING OFFICIAL SIGNATURE

ODR, JUN 2014

How To Fill Out An Orbital Data Request - Odr Page 2

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