AL. Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 440 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintainin the data needed, and completing and reviewing the cottection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to 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, OC 20503. A. CONTRACT LINE ITEM NO. B. EXH/ATCH NO. Cc. CATEGORY: F,. CONTRACTOR 3. SUBTITLE 4. AUTHORITY (Oate Acquisition Document No.) S. CONTRACT REFERENCE 7. DD 250 REQ 10. FREQUENCY 12. DATE OF FIRST SUBMISSION | 14, DISTRIBUTION 8. APP CODE 14. AS OF DATE 13. DATE, oF SUBSEQUENT a. ADDRESSEE [Final | Draft [ Repro] 6. REQUIRING OFFICE OST STATEMENT REQUIRED 4. DATA ITEM NO. 4. AUTHORITY (Data Acquisition Document No.) 7. DD 250 REQ 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 8. APP CODE 11. AS OF DATE 13. DATE oF, GueseQuENT a. ADORESSEE [Final Draft 5. CONTRACT REFERENCE 9. OST STATEMENT REQUIRED &. AUTHORITY (Data Acquisition Document No.) S. CONTRACT REFERENCE 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE [ Finat | i Oraft | [aes [ Re 7, OD 250 REQ 9. DIST STATEMENT 14, DISTRIBUTION REQUIRED 8. APP CODE Lom a ° 2 my nw 16. REMARKS 15. TOTAL 2. TITLE OF DATA ITEM 3, SUBTITLE anal anal LiL 1. DATA [TEM NO. 4. AUTHORITY (Data Acquisition Document No.) S. CONTRACT REFERENCE 6. REQUIRING OFFICE 7. DD 250 REQ 9. DIST STATEMENT | 10. FREQUENCY REQUIRED 12. DATE OF FIRST SUBMISSION a, DISTRIBUTION b. COPIES 8. APP CODE 13. DATE OF SUBSEQUENT a. ADDRESSEE | Final | TT t~—“:SSCS~S~srY*SC“‘i[KSC‘ (E's ee ee ee es es es Toa ———w| TT H. DATE 1, APPROVED BY J. DATE DD Form 1423, APR 89 Previous editions are obsolete Page of Pages n3via2 Approved For Release 2000/08/08 : CIA-RDP96-00789R003000400012-2 17. PRICE GROUP | 18, ESTIMATED TOTAL PRICE 17. PRICE GROUP 18. ESTIMATED TOTAL PRICE 17. PRICE GROUP 18. ESTIMATED TOTAL PRICE 17. PRICE GROUP 18. ESTIMATED TOTAL PRICE
Approved For Release 2000/08/08 : CIA-RDP96-00789R003000400012-2 INSTRUCTIONS FOR COMPLETING DD FORM 1423 (See DoD 5010.12-M for detailed instructions.) FOR GOVERNMENT PERSONNEL Item A. Self-explanatory. Item B. Self-explanatory. ttem C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as “Provisioning,” “Configuration Management”, etc. ttem D. Enter name of system/item being acquired that data will support. ttem E. Self-explanatory (to be filled in after contract award). ftem F. Self-explanatory (to be filled in after contract award). item G. Signature of preparer of CDRL. item H. Date CDRL was prepared. item i. Signature of CDRL approval authority. ttem J. Date CDRL was approved. Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering. ttem 2. €nter title as it appears on data acquisition document cited in item 4. ttem 3. Enter subtitle of data item for further definition of data item (optional entry). Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements. ttem 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number). ftem 6. Enter technical office responsible for ensuring adequacy of the data item. ttem 7. Specify requirement for inspection/acceptance of the data item by the Government. ftem 8 Specify requirement for approval of a draft before Preparation of the final data item. item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24). ftem 10. Specify number of times data items are to be delivered. ttem 11. Specify as-of date of data item, when applicable. ftem 12. Specify when first submittal is required. fem 13. Specify when subsequent submittals are required, when applicable. ttem 14, Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16. ttem 15. Enter total number of draft/final copies to be delivered. ftem 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in [tems 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item. OD Form 14a brevedPoPRelease 2000/08/08 FOR THE CONTRACTOR Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423. a. Group |. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423. Estimated Price - Costs to be included under Group | are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government. b. Group Il. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item. Estimated Price - Costs to be included under Group I! are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government. c. Group tll. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item. Estimated Price - Costs to be included under Group Ill are the administrative and other expenses related to reproducing and delivering such data item to the Government. d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal. Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost. tem 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract. : CIA-RDP96-00789R00300040001 2-2