Attachment 53: Contract Data Requirements List TS24 Site Survey Report

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 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:

D. SYSTEM/ITEM

1. DATA ITEM NO.

TS24

2. TITLE OF DATA ITEM

F. CONTRACTOR

17. PRICE GROUP

3. SUBTITLE

Site Survey

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

N/A

7. DD 250 REQ

E. CONTRACT/PR NO.

9. DIST STATEMENT

REQUIRED

8. APP CODE

18. ESTIMATED

TOTAL PRICE

6. REQUIRING OFFICE

Sample Task 2 para 3.1.1.1, 3.2.1

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

HQUSAISEC ELIE-ISE-TS

14.

DISTRIBUTION

b. COPIES

a. ADDRESSEE

16. REMARKS

TM

Date of first and subsequent submissions: No later than 5 business days after each trip completion for the DRAFT site survey report. Delivery of the FINAL site survey report shall be 5 days after receipt of comments from the TM. If comments are not provided within 10 days of delivey of the DRAFT site survey report, the DRAFT will become the FINAL deliverable.

COR

Final

Draft

Reg

Repro

All travel will be conducted in accordance with Joint Travel Regulations (JTR). If multiple personnel on the same task order support a travel task, only ONE site survey report will be required.
The site survey report will clearly and accurately depict the condition of the facility surveyed. When the survey is performed in support of an upcoming implementation, detailed discussion of what issues or problems that have been identified as requiring consideration in order to successfully complete the implementation shall be clearly addressed. Photos shall be included as required to document potential problems. All point