02_Draft_CDRLs_20150511_(GPS_III).pdf

EXHIBIT A

TO

FA8811-xx-x-000x

EVOLVED EXPENDABLE LAUNCH VEHICLE (EELV)

PHASE 1A

CONTRACT DATA REQUIREMENTS LIST (CDRLs)

11 May 2015

Department of the Air Force

Space and Missile Systems Center

Launch and Range Systems Directorate

Los Angeles Air Force Base, California

CDRL General Instructions CDRL Address List CDRL Distribution List CDRLs

CDRL GENERAL INSTRUCTIONS

CONTRACT DATA REQUIREMENTS LIST (CDRL)

A list of data requirements authorized for this specific procurement and made a part of this contract. The contractual method is the use of DD Form 1423s, Contract Data Requirement List (CDRL), which specifies the data which is required to be delivered to the government. For the purpose of this agreement, the “contract” applies for each Launch Vehicle Service order.

DATA ITEM NUMBER

If the Contract is awarded multiple Launch Vehicle Service orders, the Contractor shall use a sequential alphanumeric number scheme. For example, Order 1 will have CDRLs A001-A027 and Order 2 will have CDRLs B001-B027.

DATA ITEM DESCRIPTIONS (DIDs) The DID is a specification for the preparation of data. The DIDs listed on the CDRLs were selected from DOD 5010.12-L, Acquisition Management Systems and Data Requirement Control List (AMSDL).

DID TAILORING

DID tailoring is made to either relax format requirements or to tailor the DID to be in consonance with the source document tailoring contained in the Performance Work Statement (PWS). Since contract data requirements are normally a by-product of some contract task, if the requirements of the DID are in conflict with the tailored application of the source document as reflected in the PWS, the latter takes precedence.

DATA DELIVERY DATES

For Soft Copies, delivery of data is to be construed as the date data is available in the contractors’ data management system and electronic notification is sent to addressees.

For Hard Copies, delivery of data is to be construed as “On Dock” dates at destination. Provision of a three-day postage handling period from postmark at contractor's facility to "On-Dock" delivery at destination meets this requirement, unless otherwise stated in CDRL. The date of government signature at destination, if courier service is used, is to be construed as the “On Dock” date. It shall be the contractor's responsibility to ensure data delivery prior to end of business on the due date if a courier service is used in lieu of the U.S. Postal Service.

If due date falls on weekend or government holiday, data shall be due on the next scheduled government workday.

DD FORM 250 REQUIREMENTS

Block 7 of the CDRL will indicate whether inspection and acceptance of the data by DD Form 250 is required. "Draft" copies submitted for advance approval and "Preliminary" copies submitted are exempt from the DD Form 250 requirements.

ADDITIONS TO DISTRIBUTION

If an addressee is added to distribution, or distribution quantities have been increased to an existing addressee, initial submittal to new addressee shall include the basic document and revisions as appropriate.

COMMUNICATIONS

Any correspondence related to requests for data delivery deviations, amendments, additions or deletions shall be addressed to the PCO with an information copy to the government Data Management Officer

(DMO).

For those data items where "LT" (Letter of Transmittal) is indicated in Block 7 of the CDRL, the Contractor shall utilize a Letter of Transmittal (LOT). Each copy submitted shall have a LOT attached. In addition, the contractor shall furnish one copy of each LOT (without data) to the government DMO. Change pages shall indicate updates by a bar in the margin adjacent to the change and encompassing all changed portions.

CDRL ADDRESS LIST AND DATA DISTRIBUTION LIST

The Address List provides the complete mailing address for each addressee and a mailing code.

The Data Distribution List provides information regarding quantities for shipment (normally in Blocks 14 & 15 of the CDRL) to each mailing code. Quantity of Hard deliverables and Soft deliverables will be indicated to the left and right of the “/”, respectively. See CDRL for possible additional format or delivery instructions.

DATA APPROVALS

While all data are subject to government approval, selected data will require advanced approval. The letter "A" appearing in Block 8 of the CDRL designates such data. Approval will be required on every submittal (i.e., the Preliminary, Draft, Finals that incorporate government comments, and revisions and/or change pages, if applicable). The approving authority shall be the Procuring Contracting Office (PCO). Delivery of the Final data shall be submitted within 30 CD after receipt of government approval of Draft unless otherwise stated on CDRL.

CODES USED ON THE CDRL

The following codes may be used as described below. a. Block 7: DD

Form 250 requirements

CODE WHEN USED

LT Letter of Transmittal only b. Block 8:

Approval code

CODE WHEN USED

A Approval is required by government on all submittals. N/A Approval is not required.

c. Block 10: Frequency

CODE (Limit to five characters)

DAILY Daily WEKLY Weekly BI-WE Each two weeks MTHLY Monthly BI-MO Each two months QRTLY Quarterly ANNLY Annually SEMIA Each six months OTIME One time ONE/R One time, & revisions R/ASR Revisions as required *ASREQ As required DFDEL Deferred delivery DFORD Deferred ordering ONE/P 1-time preliminary draft 2TIME Two separate submittals

*When ASREQ is used in items 10, 11, 12 or 13, an explanation of the requirement must be entered in item 16.

d. Blocks 12 & 13: Date of 1st and Subsequent Submissions

SDA = Government APPROVAL CDR = Critical Design Review CA = Contract Award IPR = In Process Review CO = Change Order FCA = Functional Configuration Audit SA =Supplemental Agreement PCA = Physical Configuration Audit

SRR = System Requirements Review FLT = Flight Test Review SDR = System Design Review CD = Calendar Days PDR = Preliminary Design Review WD = Working Days EOC = End of Contract ATP = Authority to Proceed ILC = Initial Launch DACA = Days After Contract Award*

* For this agreement, Contract Award is the same as Launch Vehicle Services Order

ELECTRONIC DISTRIBUTION

CDRL’s shall be delivered on the contractors’ data management system(s). The contractor shall enable remote access to these systems by all SPO personnel; AF, Aerospace and SETA, subject to applicable terms on this contract. An index of addressees to be allowed access to and/or to be notified of CDRL availability will be provided by government DMO via email notification for contractor’s implementation.

Access Lists will be updated, as required, without modification to the contract. The contractor shall use an acceptable electronic format which is compatible with existing government systems, unless a precise format is specified in the CDRL.

CDRL ADDRESS LIST

1. HQ Space & Missile Systems Center (AFSPC) LRx

Launch Systems Directorate 483 North Aviation Blvd.

Los Angeles AFB El Segundo, CA 90245-2808 smc.lrdm@us.af.mil

a. LRE, Bldg. 271 B3-405 (Data Management Office, DMO)

b. LRE

c. LRP

d. LRK

e. LRG

f. LRS

NOTE: Submit Hard Copies to 1.a. for distribution, if applicable

2. HQ Space & Missile Systems Center (AFSPC) SAF/SL

Attn: SAF/SL, Bldg. A5 483 North Aviation Blvd.

Los Angeles AFB El Segundo, CA 90245-2808

3. 30th Launch Group 30 LCG

4th Space Launch Squadron Directorate of Engineering Attn: Data Desk 1515 Iceland Ave., Suite 222 Bldg. 8500 Vandenberg AFB, CA 93437-5321

4. 45 LCG / 45 LCSS 45 LCG

Attn: Data Library 15270 Samuel C. Phillips Parkway (CCAFS) Building 1645 Patrick AFB, FL 32925-2009

5. Defense Cost and Resource Center (DCARC) DCARC

201 12th Street South Suite 220 Arlington, VA 22202

(703) 601-4850

6. DCMA, TBD DCMA

7. NRO Operations Squadron NOPS

401 Discoverer Ave. Ste 32 Schriever AFB, CO 80912 NOPS_Launch@us.af.mil

CDRL DISTRIBUTION LIST

CDRL TITLE OFFICE

SYMBOL

QTY

Hard/Soft

A001 Data Accession List (DAL) LRE 0/1 A002 “Cost Data Summary Report”

(DD Form 1921)

LRP

DCARC

0/1 0/1

A003 “Functional Cost-Hour Report” (DD Form 1921-1)

LRP

DCARC

0/1 0/1

A004 Progress Curve Report (DD Form 1921-2)

LRP

DCARC

0/1 0/1

A005 Contractor Business Data Report (DD Form 1921-3)

LRP

DCARC

0/1 0/1

A006 Contract Work Breakdown Structure (CWBS) LRP

DCARC

DCMA

0/1 0/1 0/1

A007 Integrated Program Management Report (IPMR) - Integrated Master Schedule (IMS)

DCARC

LRP

0/1 0/1

A008 Technical Report – Launch Slot/Date Recommendation LRG 0/1

A009 System Safety Program Plan (SSPP) LRE 0/1

A010 Safety Assessment Report LRE 0/1

A011 Training Materials - Launch Vehicle Familiarization Training

LRG

SAF/SL

30 LCG

45 LCG

0/1

A012 Program Protection Implementation Plan (PPIP) LRE 0/1

A013 Hazardous Materials Management Program (HMMP) Plan

LRE 0/1

A014 Contractor’s Standard Operating Procedures – Compliance Document Tailoring

LRE

LRG

0/1 0/1

A015 As Built Configuration List (ABCL) - Certified Launch Vehicle Configuration

LRE

LRG

0/1 0/1

A016 Test/Inspection Report – Post-Flight Assessment Report

LRE

LRG

0/1 0/1

A017 Design Data and Calculations - Performance Capabilities Guide

LRE

LRG

0/1 0/1

A018 Work Management Plan - Mission Integration Management Plan

LRG

SAF/SL**

0/1 0/1

A019 System/Segment Interface Control Specification - Mission Specific Interface Control Document (ICD)

LRG

SAF/SL**

0/1 0/1

A020 Design Data and Calculations – Mission Assurance Independent Assessment Data

LRG

SAF/SL**

0/1 0/1

A021 Specification Requirement Verification Matrix - Verification Planning Matrix (VPM)

LRG

SAF/SL**

0/1 0/1

A022 Specification Requirement Verification Matrix - Verification Evidence Record (VER)

LRG

SAF/SL**

0/1 0/1

A023 Test Procedure - Flight Hardware Interface Checks LRG

SAF/SL**

0/1 0/1

A024 Design Data and Calculations - Space Safety Collision Avoidance

LRG 0/1

A025 Design Data and Calculations - Radio Frequency Power Impingement Data

LRG 0/1

A026 Contractor’s Standard Operating Procedures – Work Authorizing Documents List

30 LCG^

45 LCG^^

0/1 0/1

A027 Work Management Plan - Vertical Integration and Operations Plan

LRG

LRE

0/1 0/1

A028 Design Data and Calculations - Prelaunch Data and Documentation Supporting Launch Operations

LRE

LRG

NOPS

0/1 0/1 0/1

A029 Critical Items List – Flight Critical Hardware List LRG

SAF/SL**

0/1 0/1

A030 Conference Agenda - Pedigree Notification Package LRG

SAF/SL**

0/1 0/1

A031 Technical Report – Study/Services LRS

LRE

LRG

0/1 0/1 0/1

A032 Work Management Plan – Launch Service Provider Space Flight Worthiness Non-Recurring Engineering Work Closure Plan

LRE

LRG

LRS

0/1 0/1 0/1

** For NRO Missions ^ For Launches from Vandenberg Air Force Base (VAFB) ^^ For Launches from Cape Canaveral Air Force Station (CCAFS) or Kennedy Space Center (KSC)

NOTE: The contractor shall provide electronic access of CDRLs, and notification via Email to select addressees, when requested, in accordance with government provided Access List index. Addressees (for notification purposes only) not listed above may include, for example, Aerospace, DCMA, Patrick AFB, Vandenberg AFB, and SETA contractors. It is not the responsibility of the Contractor to make actual distribution of either electronic or hard copy CDRLs to these unnamed addressees. Draft documents delivered electronically must be marked “draft.” Notifications for Revisions to required CDRL deliveries shall be provided to all POCs

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 this burden, to Department of Defense, 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, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

9000 A TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

EELV FA8811-XX-X-000X

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A001 Data Accession List (DAL)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-MGMT-81453A/T Performance Work Statement, Para 3.1.3 SMC/LRE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT MTHLY 30 DACA b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

SUBMISSION

a. ADDRESSEE

FINAL

N/A N/A MTHLY Draft Reg Repro

16. REMARKS See Distribution List

1. (BLK 4):

a. Data Accession List (DAL) will be cumulative.

b. List is not to include data generated by other CDRLs on contract.

c. The DAL shall contain pointers (links) to the contractor’s electronic data systems file names or document location in the online database.

2. (BLK 13): Technical data shall be added to the online dataset within 10WD after release

15. TOTAL 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

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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 this burden, to Department of Defense, 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, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

9000 A TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

EELV FA8811-XX-X-000X

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A002 Cost Data Summary Report (DD Form 1921)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-FNCL-81565C/T Performance Work Statement, Para 3.1.4 SMC/LRP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT BLK 16 BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

N/A BLK 16 BLK 16 Draft Reg Repro

16. REMARKS See Distribution List

1. (BLK 4):

a. Prepare in accordance with the CAIG Chair approved Cost and Software Reporting (CSDR) Plan provision, the WBS Data Dictionary, and the Contract Cost Data Reporting (CCDR) Manual (DoD 5000.4 M-1). Use the latest revisions of the CSDR Plan and the WBS Dictionary. The CCDR Manual is available from the Defense Cost and resource Center (DCARC) website at http://dcarc.pae.osd.mil

b. The responsible DoD office for receiving and storing all CCDR related formats is:

Defense Cost and Resource Center (DCARC)

201 12th Street South

Suite 220

Arlington, CA 22202

c. Prepare CCDR data in electronic format in accordance with the detailed instructions contained in Data Item Description DI-FNCL-81565C. The required file format is Microsoft Excel compatible spreadsheet. PDF format is not acceptable. These reports must be submitted by report upload to the DCARC’s secure website. The DCARC website contains information about deliver methods and submission instructions.

d. Prime contractors are responsible for flowing down CCDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds. This includes requiring subcontractors to electronically report directly to DCARC and SMC/LRP. If the subcontractor agrees, a copy of the report may be provided concurrently to the prime or higher tier contractor.

e. Contractor shall identify major subcontractor names, values, and corresponding WBS elements in the remarks sections of the DD Form 1921.

2. (BLK 10, 11, 12 & 13): Please reference the latest approved CSDR Plan provided by DCARC for current submission events and due dates.

15. TOTAL

Electronically Generated PAGE 1 OF 1 PAGES

a. NAME:

Pre-A B X C-FRP X

A C-LRIP O&S

PROGRAM X

X

X

a. CWBS

DICTIONARY

d. DD 1921-2

(PCR)

f. SRDR

FORMATS

X X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X X X X X X X

X X X X X

X

X

X

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

1.3 1.3 Supplier Readiness X

X

X

X

b. DD 1921

(CDSR)

XLaunch Vehicle System (MISSION NAME)

Core Vehicle X

Mission Unique Hardware X

1.01.0

1.8.3 1.8.3

1.8.2.3 1.8.2.3

9b. CONTRACT NUMBER

PHASE 1A

b. CONTRACT/

SUBCONTRACT

12.

WBS REPORTING ELEMENTS

11. WBS ELEMENT CODE

13. REPORTS REQUIRED

(X if applicable)

a. PROGRAM/

CONTRACT/

SUBCONTRACT

8. PREPARING

ORGANIZATION

AF SMC/LR Program Control

AF-05-C-C14

10. APPROVED PLAN NUMBER

c. DD 1921-1

(FCHR)

e. DD 1921-4

(CSR)

DD 1921-3 (CBDR):

6d. E-MAIL ADDRESS roy.bryson@us.af.mil

TBD

6a. POINT OF CONTACT (POC) NAME AND ADDRESS (Include ZIP Code) SMC/LRP Cost Chief 483 N. Aviation Blvd Los Angeles AFB El Segundo, CA 90245

RDT&E

PROCUREMENT

O&M

9c. APPROPRIATION

6b. TELEPHONE NUMBER (Include Area Code)

7. PLAN TYPE

CONTRACT (PRIME)

CONTRACT (SUB)

ii. DIVISION

9a. CONTRACTOR NAME/ADDRESS

i. PERFORMING ORGANIZATION

COST AND SOFTWARE DATA REPORTING PLAN

Form Approved

OMB No. 0704-0188

b. PHASE/MILESTONE c. PRIME MISSION PRODUCT

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.

2. WBS SYSTEM TYPE

1. MAJOR PROGRAM EELV – Evolved Expendable Launch Vehicle

3. SUBMISSION TYPE4. CURRENT SUBMISSION

DATE (YYYYMMDD)

310-653-4715

6c. FAX NUMBER (Include Area Code)

310-653-3151

Launch Vehicle SystemLaunch Vehicle

5. LAST APPROVED PLAN DATE

(YYYYMMDD)

20140502

INITIAL

CHANGE

1.8.2.2 1.8.2.2 Payload Attach Fitting (Adapter) X X

1.8.2.1 1.8.2.1 Payload Fairing X X

1.8.2 1.8.2 Payload Accommodations X

1.8.1.3 1.8.1.3 Solid Rocket Motors X X

1.8.1.2 1.8.1.2 Upper Stage Engine X X

1.8.1.1 1.8.1.1 Booster Engine X X

1.8.1 1.8.1 Propulsion X X

1.8 1.8 Launch Vehicle X X

1.7.6 1.7.6 Propellants (Vehicle) X

1.7.5 1.7.5 Range Operations Services X

1.7.4 1.7.4 Base Support X X

1.7.3.2 1.7.3.2 Other Maintenance X

1.7.3.1 1.7.3.1 Sustainment Propellants X

1.7.3 1.7.3 Site Maintenance X X

1.7.2.2 1.7.2.2 Launch Operations System Engineering X X

1.7.2.1 1.7.2.1 Launch Operations Program Management X X

1.7.2 1.7.2 Launch Operations SEPM X X

1.7.1.2 1.7.1.2 P/L Encapsulation X

1.7.1.1 1.7.1.1 Launch Crew (mate, checkout, launch) X

1.7.1 1.7.1 Launch Support X

1.7 1.7 Launch Operations X

1.6 1.6 Transportation X

1.5.4 1.5.4 Special Studies (by Study) X X

1.5.3 1.5.3 Factory Support X X

1.5.2 1.5.2 System Engineering X X

1.5.1 1.5.1 Program Management X X

1.5 1.5 System Engineering, Integration, Test, Program Management X X

1.4 1.4 Mission Unique Development/Design X

1.2 1.2 Mission Assurance X

1.1.2 1.1.2 Mission Unique Integration X

1.1.1 1.1.1 Mission Standard Integration X

1.1 1.1 Mission Integration X

1.8.3.1 1.8.3.1 Booster Structure X X

1.8.3.2 1.8.3.2 Intertank Adapter & Skirts X X

X

a. CWBS

DICTIONARY

d. DD 1921-2

(PCR)

f. SRDR

FORMATS

X X

X X X

X

X

X

X X X

X

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

11. WBS ELEMENT CODE

12.

WBS REPORTING ELEMENTS

13. REPORTS REQUIRED

(X if applicable)

DD 1921-3 (CBDR):

a. PROGRAM/

CONTRACT/

SUBCONTRACT

b. CONTRACT/

SUBCONTRACT

b. DD 1921

(CDSR)

c. DD 1921-1

(FCHR)

e. DD 1921-4

(CSR)

1.8.3.3 1.8.3.3 Aft Transition Structure X X

X

X

X

X

Subtotal Cost X

1.9 1.9 Training X

1.8.7 1.8.7 Integration, Assembly, Test & Checkout (IAT&C) X X

1.8.6 1.8.6 Guidance and Control (Avionics) X X

1.8.5 1.8.5 Mission Assurance Instrumentation X X

1.8.4.1 Upper Stage Structure X X

1.8.4.2 1.8.4.2 Interstage Adapters, Stub Adapters, Forward Adapters X X

X

1.8.4 1.8.4 Upper Stage X X

X

1.8.3.4 1.8.3.4 Heat Shield X

1.8.4.1

Reporting Contractor FCCM

Total Cost

X

Reporting Contractor Profit/Loss or Fee

Total Price X

Reporting Contractor G&A

Reporting Contractor Undistributed Budget

Reporting Contractor Management Reserve

1.10 1.10 Other X

d. AS OF DATE e. DUE DATE

(YYYYMMDD) (YYYYMMDD)

1 CWBS Dictionary 20150601 20150901

2 1921, 1921-1 20150610 20150902

3 1921, 1921-1

Initial CWBS Submission Initial Cost Report (GPS III) Final

Cost Report (GPS III) 20170601 20180831

DD FORM 2794 (PAGE 2), MAY 2011 PREVIOUS EDITION IS OBSOLETE

Special Instructions:

(1) Develop a mapping approach to assign production, test, and check out costs / hours to those identified in the CSDR plan's section 1.7 (Launch Vehicle) elements.

(2) Develop a mapping approach to assign engineering costs / hours to those identified in the CSDR plan's section 1.4 (System Engineering, Program Management) elements.

(3) Either build a mapping plan to assign mission integration and launch operations costs / hours to those identified in the CSDR plan's section 1.1 (Mission Integration), section 1.5 (Transportation), and 1.6 (Launch Operations) elements or identify these as costs captured in the overhead costs. Discrete easily identifiable launch costs (specifically telemetry data) you would intend to break out.

(4) Use the notes section in the form(s) to document your assumptions, allocations, mappings, etc.

(5) For WBS 1.10 "Other" category, specifically define what these costs are in Remarks' section

COST ACCOUNTING STANDARDS (CAS) DISCLOSURE STATEMENT DIFFERENCES:

Describe significant accounting changes from previous accounting period in the Remarks section of the reports, if applicable.

1921-3 CONTRACTOR BUSINESS DATA REPORT:

a. The Contractor Business Data Report is prepared by and for the business entity (e,g., business unit, segment, or site) responsible for submitting the Forward Pricing Rate Proposal (FPRP) representing the basis for Forward Pricing Rate Agreement (FPRA) negotiations with the government, if applicable.

b. Reports are submitted annually at the end of the contractor's fiscal year.

c. Blocks 1 through 11, on Page 1, must be completed. Sections A - F are not required. REMARKS section must include "Headcount by Department" on a monthly basis.

NON-RECURRING/RECURRING DEFINITIONS:

There are no refinements or expansions to these definitions warranted.

14. CSDR SUBMISSION DATES

15. REMARKS

c.

EVENT

a.

SUBMISSION

b.

FORM(S)

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 this burden, to Department of Defense, 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, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

9000 A TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

EELV FA8811-XX-X-000X

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A003 Functional Cost-Hour Report (DD Form 1921-1)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-FNCL-81566C/T Performance Work Statement, Para 3.1.4 SMC/LRP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT BLK 16 BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

16. REMARKS See Distribution List

1. (BLK 4):

a. Prepare in accordance with the CAIG Chair approved Cost and Software Reporting (CSDR) Plan provision, the WBS Data Dictionary, and the Contract Cost Data Reporting (CCDR) Manual (DoD 5000.4 M-1). Use the latest revisions of the CSDR Plan and the WBS Dictionary. The CCDR Manual is available from the Defense Cost and resource Center (DCARC) website at http://dcarc.pae.osd.mil

b. The responsible DoD office for receiving and storing all CCDR related formats is:

Defense Cost and Resource Center (DCARC)

201 12th Street South

Suite 220

Arlington, CA 22202

c. Prepare CCDR data in electronic format in accordance with the detailed instructions contained in Data Item Description DI-FNCL-81566C. The required file format is Microsoft Excel compatible spreadsheet. PDF format is not acceptable. These reports must be submitted by report upload to the DCARC’s secure website. The DCARC website contains information about deliver methods and submission instructions.

d. Prime contractors are responsible for flowing down CCDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds. This includes requiring subcontractors to electronically report directly to DCARC and SMC/LRP. If the subcontractor agrees, a copy of the report may be provided concurrently to the prime or higher tier contractor.

e. Contractor shall identify major subcontractor names, values, and corresponding WBS elements in the remarks sections of the DD Form 1921.

2. (BLK 10, 11, 12 & 13): Please reference the latest approved CSDR Plan provided by

Electronically Generated PAGE 1 OF 1 PAGES

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 this burden, to Department of Defense, 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, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

9000 A TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

EELV FA8811-XX-X-000X

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A004 Progress Curve Report (DD Form 1921-2)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-FNCL-81567C/T Performance Work Statement, Para 3.1.4 SMC/LRP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT BLK 16 BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

16. REMARKS See Distribution List

3. (BLK 4):

a. Prepare in accordance with the CAIG Chair approved Cost and Software Reporting (CSDR) Plan provision, the WBS Data Dictionary, and the Contract Cost Data Reporting (CCDR) Manual (DoD 5000.4 M-1). Use the latest revisions of the CSDR Plan and the WBS Dictionary. The CCDR Manual is available from the Defense Cost and resource Center (DCARC) website at http://dcarc.pae.osd.mil

b. The responsible DoD office for receiving and storing all CCDR related formats is:

Defense Cost and Resource Center (DCARC)

201 12th Street South

Suite 220

Arlington, CA 22202

c. Prepare CCDR data in electronic format in accordance with the detailed instructions contained in Data Item Description DI-FNCL-81567C. The required file format is Microsoft Excel compatible spreadsheet. PDF format is not acceptable. These reports must be submitted by report upload to the DCARC’s secure website. The DCARC website contains information about deliver methods and submission instructions.

d. Prime contractors are responsible for flowing down CCDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds. This includes requiring subcontractors to electronically report directly to DCARC and SMC/LRP. If the subcontractor agrees, a copy of the report may be provided concurrently to the prime or higher tier contractor.

e. Contractor shall identify major subcontractor names, values, and corresponding WBS elements in the remarks sections of the DD Form 1921-2.

4. (BLK 10, 11, 12 & 13): Please reference the latest approved CSDR Plan provided by

Electronically Generated PAGE 1 OF 1 PAGES

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 this burden, to Department of Defense, 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, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

9000 A TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

EELV

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A005 Contractor Business Data Report (DD Form 1921-3)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-FNCL-81765B/T Performance Work Statement, Para 3.1.4 SMC/LRP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT BLK 16 BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

16. REMARKS See Distribution List

1. (BLK 4):

a. Prepare in accordance with the CAIG Chair approved Cost and Software Reporting (CSDR) Plan provision, the WBS Data Dictionary, and the Contract Cost Data Reporting (CCDR) Manual (DoD 5000.4 M-1). Use the latest revisions of the CSDR Plan and the WBS Dictionary. The CCDR Manual is available from the Defense Cost and resource Center (DCARC) website at http://dcarc.pae.osd.mil

b. The responsible DoD office for receiving and storing all CCDR related formats is:

Defense Cost and Resource Center (DCARC)

201 12th Street South

Suite 220

Arlington, CA 22202

c. Prepare Contractor Business Data Report (CBDR) data in electronic format in accordance with the detailed instructions contained in Data Item Description DI-FNCL- 81565B. The required file format is Microsoft Excel compatible spreadsheet. PDF format is not acceptable. These reports must be submitted by report upload to the DCARC’s secure website. The DCARC website contains information about deliver methods and submission instructions.

d. Prime contractors are responsible for flowing down CCDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds. This includes requiring subcontractors to electronically report directly to DCARC and SMC/LRP. If the subcontractor agrees, a copy of the report may be provided concurrently to the prime or higher tier contractor.

e. Contractor shall identify major subcontractor names, values, and corresponding WBS elements in the remarks sections of the DD Form 1921.

2. (BLK 10, 11, 13 & 13): Please reference the latest approved CSDR Plan provided by

Electronically Generated PAGE 1 OF 1 PAGES

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 this burden, to Department of Defense, 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, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

9000 A TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

EELV FA8811-XX-X-000X

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A006 Contractor Work Breakdown Structure (CWBS)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-MGMT-81334D/T Performance Work Statement, Para 3.1.4 SMC/LRP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT BLK 16 BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

A BLK 16 BLK 16 Draft Reg Repro

16. REMARKS See Distribution List

1. (BLK 4):

a. Prepare in accordance with the Contract Cost Data Reporting (CCDR) Manual (DoD 5000.4-M-1) and the guidance in Military Standard 881C,”Work Breakdown Structures for Defense Material Items’, Appendix J (T), “Launch Vehicle Systems work Breakdown Structure and Definitions. The CCDR Manual is available at the DCARC website http://dcarc.pae.osd.mil

b. The responsible DoD office for receiving and storing all CCDR related formats is:

Defense Cost and Resource Center (DCARC)

201 12th Street South

Suite 220

Arlington, CA 22202

c. Prepare CCDR data in electronic format in accordance with the detailed instructions contained in Data Item Description DI-MGMT-81334D. The required file format is Microsoft Excel compatible spreadsheet. PDF format is not acceptable. Microsoft Word is an acceptable format for submission of the CWBS Dictionary. These reports must be submitted by report upload to the DCARC’s secure website. The DCARC website contains information about deliver methods and submission instructions.

d. Prime contractors are responsible for flowing down CCDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds. This includes requiring subcontractors to electronically report directly to DCARC and

SMC/LRP.

e. The CWBS shall include up to Level 4 of indenture. Contractor shall provide reporting for Levels 1 through 4 of the Program WBS. Any differences between the CWBS and Program WBS shall be identified.

2. (BLK 10, 11, 12 & 13):

a. CWBS and CWBS Dictionary date of first submission is 60 CD after Contract Award.

b. Subsequent submissions 30 CD after Fiscal Year end (Sep 30).

c. Please reference the latest approved CSDR plan provided by DCARC for current submission events and due dates.

d. Any redlines to the CWBS dictionary after first submittal shall be provided to SMC/LRP monthly for Government review and DCARC coordination.

Electronically Generated PAGE 1 OF 1 PAGES

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 this burden, to Department of Defense, 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, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

9000 A TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

EELV FA8811-XX-X-000X

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A007 Integrated Program Management Report (IPMR) Integrated Master Schedule

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-MGMT-81861/T Performance Work Statement, Para 3.1.4 SMC/LRP

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT MTHLY BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

16. REMARKS See Distribution List

1. (BLK 4):

a. Only the following DID sections and their sub-sections (omitting references to Formats 1- 5 or 7) are applicable: 1.3, 1.5, 2.1.1, 2.1.1.2, 2.2.5, 2.3, 2.5.1, 2.6.1, 2.7, 3.6.7 and 3.7 as tailored below.

b. 2.1.1 Electronic Submission of Data Add the following: The IMS shall be submitted electronically using the contractor’s schedule tool and only in a pdf file format when specifically requested by the Government.

c. 2.2.5 Native Schedule Format Add the following: The IMS shall be created using a network capable scheduling software application of the contractor’s choice. The IMS shall be configured to allow sorting a filtering by key events and to allow filtering for various views; for example, top level summary view, mid-level summary view, critical path for each mission and a complete detail view.

d. 2.6.1 Submission Requirements. Replace with: Format 6 shall be submitted to the procuring activity no later than 14 federal working days after contractor’s month end close.

e. 3.7.1 IMS Requirements Delete all references to the Integrated Master Plan (IMP). An IMP is not required.

f. 3.7.1.1.1 Production Contract IMS Add the following: Production key events/milestones shall be incorporated at the summary level and networked to their associated activities within the IMS. The interrelationships/interdependencies shall be identified with sufficient detailed activities through the use of network logic that provide a clear picture of the mission's progress from ATP through contract completion.

g. 3.7.1.3 IMS Content Elements 2nd bullet – Replace with: The IMS shall have traceability to WBS and Performance Work Statement.

h. 3.7.1.3.4.3 Scope Planning Add the following: Planning packages shall be detailed planned into discrete work packages, or apportioned tasks (as appropriate) no later than one accounting period prior to the schedule start of the planning package. Planning package plans shall reflect the manner in which the work is to be performed.

i. 3.7.1.3.5.3 Duration Add the following: Discrete/measureable activities shall be baselined in accordance with the contractor’s System Description Document. Where durations are longer than 44 working days, rationale shall be provided within the IMS.

Electronically Generated PAGE 1 OF 2 PAGES

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

9000 A TDP X TM OTHER

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

EELV FA8811-XX-X-000X

16. REMARKS

j. 3.7.1.3.5.8 Driving Path – Delete

k. 3.7.1.3.5.9 Critical Path Add the following: Each mission’s critical path shall show clear network logic through the launch operation schedule of activities. The launch operations data shall be provided to the Government using existing contractor schedule and format on a monthly basis. At the mission level, the critical path follows the standard definition (a critical path being the longest contiguous path through the network) flow from mission ATP through launch providing a clear network of logic of all tasks along the critical path. As a mission progresses, the critical path shall also include activities that have negative float. Where critical path is not calculated based on the longest path, but based on risk, development of known delivery problems, the critical path shall explain the deviation from the standard derived critical path.

l. 3.7.1.3.5.10 Current Schedule Add the following: Reporting thresholds shall be consistent with the most recent DCMA 14 Point Assessment metrics.

m. 3.7.1.3.5.15 External Dependencies Add the following: A network schedule for each mission shall clearly identify activities, product hand-offs and deliverables from external interfaces, from the lowest level of contract tasks/activities up to the summary level schedule activities and milestones.

The determination of external significant and critical interfaces to be identified within the IMS requires agreement among the contractor(s) and Government and is documented accordingly.

n. Delete 3.7.1.3.6 Schedule Risk Assessment (SRA)

o. Delete 3.7.1.3.6.1 – 3.7.1.3.6.5

p. 3.7.1.3.7.2 Required traceability Replace with: The WBS must be traceable for all discrete work in the IMS. Traceability may be met with a field in the IMS or via other means as long as discrete work reconciles.

q. Delete 3.7.1.3.7.3. Item 4) Earned Value Technique (EVT)

2. (BLK 11) Last day of the contractor’s monthly accounting period

3. (BLK 12) No later than 60 DACA

4. (BLK 13) Electronic copy shall be submitted NLT 14 federal working days after contractor’s month end close

5. (BLK 14) All IMS related forms must be electronically submitted to the central repository at the DCARC website at https://service.dcarc.cape.osd.mil/DCARCPortal/site/login.asox

Electronically Generated PAGE 2 OF 2 PAGES

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 this burden, to Department of Defense, 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, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

9000 A TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

EELV FA8811-XX-X-000X

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A008 Technical Report Launch Schedule/Date Recommendation

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-MISC-80508/T Performance Work Statement, Para 3.1.6.2 SMC/LRG

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT BLK 16 BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

16. REMARKS See Distribution List

1. (BLK 4):

a. Replace 2 with: Contractor Format.

b. Replace 3 with:

i. The Contractor shall provide a Launch Slot Recommendation (LSR) for each launch order identifying the following:

1. A Launch Slot within the previously assigned Launch Period

2. Additional supplemental hardware or capability when required

3. A decision date for Government concurrence. If not specified, need date is fifteen

(15) calendar days after Government receipt of LSR.

ii. The Contractor shall provide a Launch Date Recommendation (LDR) for each launch order identifying the following:

1. Specific Launch Date within the previously authorized Launch Slot

2. Assigned launch site

3. Deadline for Government provided payload/spacecraft ready for Launch Vehicle mate

4. Decision date for Government concurrence. If not specified, need date is fifteen

(15) calendar days after Government receipt of LDR.

2. (BLKs 10, 11,12,13)

a. The Contractor shall provide the LSR no later than 405 CDs (approximately 13 and a half (13.5) months) prior to the beginning of the Launch Period.

b. The Contractor shall provide the LDR no later than 225 CDs (approximately seven and a half (7.5) months) prior to the beginning of the Launch Slot.

Electronically Generated PAGE 1 OF 1 PAGES

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 this burden, to Department of Defense, 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, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

9000 A TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

EELV FA8811-XX-X-000X

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A009 System Safety Program Plan (SSPP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-SAFT-81626 Performance Work Statement, Para 3.1.7 SMC/LRE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT BLK 16 BLK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

A CA Blk16 Draft Reg Repro

16. REMARKS See Distribution List

(BLKs 10, 11,12,13)

a. Draft SSPP shall be submitted 90 DACA

b. Final SSPP shall be submitted 60 CD after receipt of Government comments to the

Draft SSPP. If there are no Government comments, the Draft shall be considered the final submittal.

c. Updates shall be submitted as significant revision to the System Safety Program are made or by PCO direction

Electronically Generated PAGE 1 OF 1 PAGES

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 this burden, to Department of Defense, 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, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

9000 A TDP TM OTHER X

D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR

EELV FA8811-XX-X-000X

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A010 Safety Assessment Report (SAR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-SAFT-80102B/T Performance Work Statement, Para 3.1.7 SMC/LRE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT R/ASR 60 DACA b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF

SUBSEQUENT

N/A CA R/ASR Draft Reg Repro

16. REMARKS See Distribution List

(BLK 4):

1. Delete 10.2.2.b

2. Replace 10.2.2.c with “A brief description of the system and its major subsystems and components. Software and its roles shall be included in this description.”

3. Delete 10.2.3

4. Replace 10.2.4 with: “10.2.4. This section may be developed by referencing other program documentation and shall include the following:

a. The specific risk matrix used to classify hazards

b. The results of analyses and tests performed to identify hazards, assess risks, and verify/validate effectiveness of mitigation measures

c. Hazard Tracking System (HTHS) data

d. A summary of risks for each identified hazard

e. Any Hazardous Material (HAZMAT) contained within the system or required for the operations and support of the system

f. Test or other event-unique mitigation measures necessary to reduce risks

g. Recommendations applicable to hazards located at the interface of the system with other systems”

5. Delete 10.2.5

6. Replace 10.2.6 with “10.2.6 Reference. List all pertinent references, including (but not limited to) test and analysis reports, standards and regulations, specifications and requirements documents, operating manuals, and maintenance manuals

Electronically Generated PAGE 1 OF 1 PAGES

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 this burden, to Department of Defense, 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…