Attachment 3: Exhibit A - Contract Data Requirements List Contract Data Requirements List

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

(1 Data Item)

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 and Communications 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

0001

C. CATEGORY:

A

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

FA2377-26-R-B007

1. DATA ITEM NO.

A001

17. PRICE GROUP

2. TITLE OF DATA ITEM

3. SUBTITLE

SCIENTIFIC AND TECHNICAL REPORTS

Final Report

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

DI-MISC-80711A/T

7. DD 250 REQ

XX

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

E

11. AS OF DATE

8. APP CODE

N/A

12. DATE OF FIRST SUBMISSION

AFRL/RYDH

14.

DISTRIBUTION

See Block 16*
End of Tech Effort

18. ESTIMATED

TOTAL PRICE

6. REQUIRING OFFICE

CSOW

13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

a. ADDRESSEE

See Block 16*

16. REMARKS

Block 4: Document format shall minimally conform to
guidance described in the attached ANSI-based AFRL
Format Guidelines. Include a completed Standard Form
(SF) 298. If the Final Report contains data that is
being delivered with less-than-unlimited rights, the
data shall be appropriately marked within the Final
Report.

Final

Draft

AFRL/RYDH

AFRL/RYOX

Reg

Repro

NOTE: When the sensitivity of STINFO in draft and final deliverable documents meets the requirements of
Controlled Unclassified Information (CUI) as dictated
by EO 13556, "Controlled Unclassified Information,"
contractors must properly mark pages of their submitted documents with the acronym “CUI” at the top and bottom
of each page and include the CUI designation indicator
on the title page.
BLOCK 9: B: Distribution authorized to US Government
agencies only.( Proprietary Information); (20 July