Cost and Software Data Reporting Plan

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OMB No. 0704-0671
OMB approval expires XX/XX/XXXX

COST AND SOFTWARE DATA REPORTING PLAN

The public reporting burden for this collection of information is estimated to average 8 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 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 COMPLETED FORM TO THE ABOVE ORGANIZATION.

1. MAJOR PROGRAM

a. NAME:

b. PHASE/MILESTONE
Pre-A

c. PRIME MISSION PRODUCT
B

INITIAL

PROGRAM

8. PREPARING
X CONTRACT (PRIME) ORGANIZATION

6b. TELEPHONE NUMBER (Include Area Code)

9a. CONTRACTOR NAME/ADDRESS
i. PERFORMING ORGANIZATION

6c. FAX NUMBER (Include Area Code)

9b. CONTRACT NUMBER

10. APPROVED PLAN NUMBER

RDT&E
PROCUREMENT

TBD

O&M

13. REPORTS REQUIRED
(X if applicable)

11. WBS ELEMENT CODE
12.
WBS REPORTING ELEMENTS

b. CONTRACT/
SUBCONTRACT

DD FORM 2794, NOV 2016

5. LAST APPROVED PLAN DATE (YYYYMMDD)

6d. E-MAIL ADDRESS

9c. APPROPRIATION

ii. DIVISION

CONTRACT (SUB)

a. PROGRAM/
CONTRACT/
SUBCONTRACT

4. CURRENT SUBMISSION DATE (YYYYMMDD)

CHANGE

A
C-LRIP
O&S
6a. POINT OF CONTACT (POC) NAME AND ADDRESS (Include ZIP Code)

7. PLAN TYPE

3. SUBMISSION TYPE

2. WBS SYSTEM TYPE

C-FRP

X

DD 1921-1 / 1921-5 EAC:

EVM Reporting:

CCDR
a. CWBS
DICTIONARY

b. DD 1921
(CDSR)

Subtotal Cost

X

Reporting Contractor G&A

X

Reporting Contractor Undistributed Budget

X

Reporting Contractor Management Reserve

X

Reporting Contractor FCCM

X

Total Cost

X

Reporting Contractor Profit/Loss or Fee

X

Total Price

X

PREVIOUS EDITION IS OBSOLETE

DD 1921-3 (CBDR):

c. DD 1921-1
(FCHR)

d. DD 1921-2
(PCR)

e. DD 1921-5
(SFCHR)

f. EAC

g. SRDR
FORMATS

h. IPMR
FORMAT 1

14. CSDR SUBMISSION DATES
a.
SUBMISSION

b.
FORM(S)

c.
EVENT

15. REMARKS

NON-RECURRING/RECURRING DEFINITIONS
COST ACCOUNTING STANDARDS (CAS) DISCLOSURE STATEMENT DIFFERENCES
1921-3 CONTRACTOR BUSINESS DATA REPORT
** (if required) 1921-2 PROGRESS CURVE REPORT
DD FORM 2794 (PAGE 2), NOV 2016

PREVIOUS EDITION IS OBSOLETE

d.
REPORT TYPE

e. AS OF DATE

f. DUE DATE

(YYYYMMDD)

(YYYYMMDD)