Contract Data Requirements List A013 Status Report Post Trip

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

0008

C. CATEGORY:

A/B/C/D/E

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

ISO 50001 Certification Program
1. DATA ITEM NO.

2. TITLE OF DATA ITEM

A/B/C/D/E013 Status Report

Post Trip Report

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

DI-MGMT-80368A/T

7. DD 250 REQ

N/A

8. APP CODE

N/A

9. DIST STATEMENT

REQUIRED

A

17. PRICE GROUP

3. SUBTITLE

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

Annual

402 MSXG/MXDEA

14.

DISTRIBUTION

SEE BLK 16

11. AS OF DATE

SEE BLK 16

18. ESTIMATED

TOTAL PRICE

6. REQUIRING OFFICE

PWS Para 4.19.4

13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

a. ADDRESSEE

N/A

16. REMARKS

Final

Draft

Reg

Repro

SEE BLOCK 16

Blks 11 & 12: As part of the monthly status report, upon completion of any travel, the Contractor shall submit a trip report describing the actual activities, accomplishments, and any relevant information learned on the trip. The report shall be sent no later than five (5) days after return. Actual travel expenses shall be incorporated in this report. It shall be sent electronically to the government POC, COR, and Contracting Officer. Blk 14: Addressee:
Government Representative Primary:
William (Damon) West

402 MXSG/MXDEA

(478) 926-8871
[email protected]
Government Representative Alternate:
Michael Ball

402 MXSG/MXDEA

(478) 222-0000
[email protected]
COR:
Andrew (Andy) Davis

WR-ALC/OBCB

(478) 222-0769
[email protected]
Contracting Officer:
Mrs. Taylor Walker
Contracting Officer

AFSC/PZIMA

[email protected]