4. FD2060-21-32087 DD Form 1423.pdf
PDF 470 KB Posted
- Attached to
- Reliability and Maintainability (R&M) Support Follow On Federal contract opportunity
- Solicitation number
- FA8552-22-R-0003
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FA8552-22-R-0003 0001 RFP Amendment.pdf | ||
| FA8552-22-R-0003 RFP.pdf | ||
| 3. FD2060-21-32087 DD Form 254.pdf | ||
| 1. FD2060-21-32087 PWS with Appendices_Rev 4c (27 April 22).pdf | ||
| 2. FD2060 -21-32087 QASP.pdf |
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Text version
DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
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 C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0004 A
PSSS
R&M Engineering Support Rotary A/C FD2060-21-32087
A001 Reliability-Centered Maintenance (RCM) Analysis Report
DI-PSSS-82114 PWS Para 4.3.2 AFLCMC/WIUBC
LT
A C
ASREQ
SEE BLK 16
SEE BLK 16
SEE BLK 16
aflcmc.wiub1.sust 1 1 @us.af.mil janet.moss-sutton 1 1 @us.af.mil
2 2 0
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to collectively account for data previously submitted to attention:
janet.moss-sutton@us.af.mil and wiub1.sust@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.
BLKs 8, 11-13: The contractor shall submit draft Reliability-Centered Maintenance Analysis Report by the specified due date. The Government will review and approve or disapprove within (30) thirty business days. Contractor shall have (5) five business days to incorporate comments and resubmit.
BLK 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (19 Aug 2021). Other request for this document shall be referred to AFLCMC/WIUBC.
BLK 14: Submit digital copy in a Microsoft® Office® compatible format for all reports.
Janet Moss-Sutton 08/19/2021 27 Apr 2022
1 1
WITTER.GARY.L.10629
00020
Digitally signed by
WITTER.GARY.L.1062900020
Date: 2022.04.27 14:16:37 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
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 C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0004 A
MISC
R&M Engineering Support Rotary A/C FD2060-21-32087
A002 Technical Report - Study/Services
DI-MISC-80508B/T SEE BLK 16 AFLCMC/WIUBC
LT
N/A C
ASREQ
SEE BLK 16
SEE BLK 16
SEE BLK 16
aflcmc.wiub1.sust 1 @us.af.mil janet.moss-sutton 1 @us.af.mil
2 2 0
BLK 5: SEE PWS paragraphs: 4.3.1.1, 4.4.1, 4.4.2, 4.5.2, 4.5.3, 4.6.1, 4.6.2, 4.6.3, 4.6.4, 4.7.4, 4.7.5, 4.14, 4.15, 4.17, 4.18, 4.19, 4.20, 4.21, 4.22
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to collectively account for data previously submitted to attention:
janet.moss-sutton@us.af.mil and wiub1.sust@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.
BLKs 8, 11-13: The contractor shall submit draft Reliability-Centered Maintenance Analysis Report by the specified due date. The Government will review and approve or disapprove within (30) thirty business days. Contractor shall have (5) five business days to incorporate comments and resubmit.
BLK 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (19 Aug 2021). Other request for this document shall be referred to AFLCMC/WIUBC.
BLK 14: Submit digital copy in a Microsoft® Office® compatible format for all reports.
Janet Moss-Sutton 08/19/2021 27 Apr 2022
1 1
WITTER.GARY.L.10
62900020
Digitally signed by
Date: 2022.04.27 14:18:25 -04'00'
(1 Data Item)
Form Approved QMB No. 0704-0188
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 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:
0004 TDP XXXX TM OTHER
D. SYSTEM / ITEM E. CONTRACT / PR NO. F. CONTRACTOR
R&M Engineering Support Rotary A/C FD2060-21-32087
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A003 PRODUCT ENGINEERING DESIGN DATA AND ASSOCIATED LISTS
4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE
DI-SESS-81000F/T
5. CONTRACT REFERENCE
0 AFLCMC/LZPEM
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
DD QRTLY SEE BLK 16 b. COPIES
8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF
SUBSEQUENT
SUBMISSION
a. ADDRESSEE FINAL
A SEE BLOCK
SEE BLK 16 Draft Reg Repro
16. REMARKS AFLCMC/LZPEM
285 Cochran Street
1. Air Force drawings 9626025 rev G, 9579776 rev N and 9579777 rev B (CAGE 98752) are a part of this CDRL ROBINS AFB, GA.
A copy of the drawings may be requested through the Procurement Contracting Officer. 31098-1669
2. METADATA SHALL BE IN ACCORDANCE WITH 9579776 PARAGRAPH 10 OPTION
ONE
3. Please reference EDATS control number 2021-90 on all correspondence related to this effort.
PAPER COPY
SEE CONTINUATION SHEETS DIGITAL DATA 1 1
(CLASSIFIED) Vendor Item Control Drawings shall be used to specify the requirements for purchased items when such items have been approved for use in the design and are used without alteration, selection or source qualification (testing of an item prior to procurement action to ensure that it satisfies the specified requirements). Reference paragraph 7.1 of DI-SESS-81000F.
DIGITAL 1
15. TOTAL 1 0 2
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Ben Hart 2021/07/19
DD Form 1423-1, Feb 2001 STRAWMAN Revision 3 Dec 2014 PAGE___1_ OF _8___ PAGES EDATS 2021-90
WITTER.GARY.L.1062900
Digitally signed by
Date: 2022.04.27 14:18:43 -04'00'
CONTINUATION OF DD FORM 1423-1 (DI-SESS-81000F/T) Dtd 2021/10/25, EDATS 2021-90
BLOCK 4: DI-SESS-81000F is tailored as follows:
Requirements: (the below paragraph numbering corresponds with the numbering in the DID)
1. Reference Documents. Delete paragraph 1. in its entirety and replace with “1. Reference Documents. The documents apply as cited in the DD Form 1423-1 and continuation sheets. Unless otherwise noted, the latest revision of the ASME Standard at the time of solicitation shall apply.”
3. Format. Delete in its entirety and replace with “3. Format. Product Drawings/Models and Associated Lists shall be in the format as specified on this DD Form 1423-1 and continuation sheets, and shall meet the requirements of ASME Y14.1."
4. Content. Delete in its entirety and replace with “4. Content. Product Drawings/Models and Associated Lists shall conform to the requirements of ASME Y14.100-2017, Appendix B, sections B6 through B9.1 and Appendices C,D, E, and F in conjunction with ASME Y14.24-2012, ASME Y14.34, ASME Y14.35 and ASME Y14.41. They shall document directly or by reference the following (items a through q), as applicable:”
6. CAGE code. Delete “TDP Option Selection Work Sheet incorporated in the contract or purchase order.” and replace with “DD Form 1423-1 and continuation sheets.”
7. Selection of drawings. Delete “The TDP Option Selection Work Sheet incorporated in the contract or purchase order will specify whether the contractor or the Government is responsible for selecting the types of drawings and associated lists.” and replace with “The contractor shall comply with ASME Y14.24, Types and Applications of Engineering Drawings”.
BLOCK 7:
“D”—Inspection is at destination and is to ensure this product meets this CDRL and its tasking document.
Shipping list must accurately reflect the shipped product.
“D”—Acceptance is at destination. Acceptance of final data will be by approval of the Engineering Data Management Specialists.
BLOCK 9:
DISTRIBUTION STATEMENT. Distribution statements shall be in accordance with DoD Instruction
5230.24 and included on the first sheet of each drawing near the title block, and shall be as follows:
“DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government Agencies and their contractors (Critical Technology) (2021/10/25). Other requests for this document shall be referred to
(AFLCMC/WIU).”
EXPORT CONTROL WARNING LABEL. All engineering data shall be marked with Export Control Warning Labels in accordance with DoD Instruction 5230.24, dated August 23, 2012 as follows:
“WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App.
2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties.
Disseminate in accordance with provisions of DoD Directive 5230.25.”
DESTRUCTION NOTICE. Mark documents with one of the following:
a. For unclassified limited documents: “DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.”
b. For classified documents: “DESTRUCTION NOTICE. Follow the procedures in DoD 5220.22- M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or DoD 5200.1R, Information Security Program, Chapter 6.”
BLOCK 10: Revisions/changes to the final delivered data shall be furnished quarterly, commencing the first quarter after destination acceptance of the final reproducible data and continue until the contract is closed. Quarterly updates shall include an updated BOM, reference A.F. Drawing 9579776. Negative reports shall be submitted to AFLCMC/LZPEM.
BLOCK 11: 15 days before end of quarter.
BLOCKS 12 & 13:
1a. SAMPLE SUBMITTALS: As early as possible, but no later than 50% of TDP creation, the contractor shall submit four (4) representative samples of each digital data format of data for this project in accordance with Air Force drawing 9579776 (CAGE 98752), (Native, Neutral, HPGL, Metadata Spreadsheet, Gerber, Software/Memory Device Data, etc.).
1b. All data submittals shall contain a delivery letter and a shipping list. The letter shall contain at a minimum the contract number, delivery order, CLIN, and EDATS number (located on the bottom right corner of the DD Form 1423). The shipping list shall include as a minimum, the document number, revision level, and number of sheets/pages. The data delivered shall be in the same sequence as the shipping list.
Shipments of data must be for a complete Technical Data Package (TDP) that accurately depicts the final product as defined in the tasking document (SOW, PWS, etc.). Shipping list shall specify whether the shipment is updates, final or make-up.
2. Within 90 days after successful signed completion of Trial Kit Installation (TKI), a Bill of Materials (BOM) in accordance with Air Force drawing 9579776 (CAGE 98752) shall be delivered.
3. Within 90 days after successful signed completion of final TKI, one set of paper copies of all “final reproducible data” (reference Block 14 of the DD 1423-1) shall be delivered. A letter of transmittal shall accompany submittal. Paper copy submittal will be reviewed within 120 days after receipt of data, unless additional time is required, at which time the contractor will be notified. When the submittal does not meet the contractual requirements a discrepancy letter will be submitted through Government Contracting Officer with a suspense date for the contractor to resubmit the TDP with corrections incorporated.
a. Submittal of programming files, in accordance with Air Force drawing 9579776 (CAGE 98752), Software and memory Device Data is not required for this paper submission.
4. Within 60 days after approval of paper copy, one set of all “final reproducible digital data” to include Native, Neutral, HPGL, Metadata Spreadsheet, Gerber, Software/Memory Device Data, etc. (reference Block 14 of the DD 1423-1) shall be delivered to AFLCMC/LZPEM, 285 Cochran Street, ROBINS AFB GA. 31098-1669. If changes have been required to the BOM since delivery in paragraph 3 above, resubmittal shall be required. The final digital submittal will be reviewed within 60 days after receipt of data, unless additional time is required, at which time the contractor will be notified. In the event the submittal does not meet the contractual requirements, a discrepancy letter will be submitted through the Government Contracting Officer with a suspense date for the contractor to resubmit the final digital TDP with corrections incorporated.
BLOCK 16:
1. Government Activity and Part Identification: The contractor shall comply with Air Force drawing 9626025 (CAGE 98752), titled “Air Force Drawing Requirement”. This requirement defines format requirements for the generation of Air Force drawings. The contractor shall use the Government activity identifier Commercial and Government Entity (CAGE) code and Air Force drawing numbers. The contractor shall contact the AFLCMC/LZPEM EDMS to obtain the drawing numbers.
1.1. Engineering Change Orders (ECOs): When an existing Air Force CAGE code drawing is revised, all ECOs shall be incorporated prior to the paper submittal for review.
1.2. Concurrent with the final submittal, all ECO’s against existing Air Force CAGE code drawings shall be incorporated and a copy of the ECO shall be delivered for Air Force revision documentation.
2. Content, format, and media requirements for delivery of Digital Engineering Data: The contractor shall comply with Air Force drawing 9579776 (CAGE 98752).
3. Product Drawings/Models and Associated Lists: Product drawings/models and associated lists shall be prepared to provide the design, engineering, and manufacturing information necessary to enable the procurement or manufacture of an item essentially identical to the original item. The product shall be defined to the extent necessary for a competent manufacturer to produce an item, which duplicates the physical, interface, and functional characteristics of the original product, without additional design engineering effort or recourse to the current design activity. Product data shall reflect the approved, tested and accepted configuration of the defined delivered item. This includes but is not limited to special tooling, interface hardware, special test equipment, and support equipment.
4. Engineering Drawing Practices: The contractor shall use the practices described in ASME Y14.100- 2017. For clarification, the documents listed in section 2 of ASME Y14.100-2017 shall be considered first tier and shall apply. The contractor may find it useful to incorporate the concepts of MIL-HDBK-288 into the preparation of the TDP. MIL-HDBK-288 refers to Engineering Drawing Package (EDP); this term shall be considered synonymous with TDP. In instances where the ASME standards do not fully define requirements concerning preparation of engineering drawings, the contractor may use the guidance provided in the Drawing Requirements Manual (DRM) 11th Edition available from IHS, Inc. copyright 2008.
5. Control Drawings: Control drawings shall be created in accordance with DI-SESS-81000F and ASME Y14.24-2012 to depict engineering criteria used in selecting purchased or vendor developed items. Control drawings shall disclose engineering form, fit, function and performance requirements for the acquisition of interchangeable purchased items of existing designs, or of items specially developed by vendors to the control drawing requirements. When COTS/purchased items are used by the contractor and are part of this effort as defined in the tasking document (SOW, PWS, etc.), control drawings shall be developed and delivered. Control drawings not developed for this contract that are part of the deliverable TDP shall be updated, to show current information (i.e., performance/qualification requirements, vendors/sources names and part numbers.)
5.1. Control drawings are not required for items which are Government directed purchases or for Government Furnished Material/Government Furnished Equipment (GFM/GFE). Such items shall be identified using the GFE/GFM notation on the parts list, etc. The use of a flag note is acceptable.
6. Contract Numbers: For specifications, processes and standards When a TDP document is prepared under a Government contract, the Government contract number under which it is prepared shall appear on the first sheet of the document original. When a TDP document is delivered under a Government contract other than the one under which it was prepared, the Government contract number under which it is delivered shall also appear on the first sheet of each copy submitted. If the document is prepared and submitted under the same contract, only the entry for the contract under which it is prepared is required.
7. Application Data: All new and revised drawings shall contain Application Data. The Application Data is mandatory for all drawings. The Application Data shall show the “Next Assembly” and “Used On”. The application data shall be located near the title block on sheet 1, placed on a separate referenced document, or provided on a separate parts list. When the application data appears on a separate referenced document, a cross reference note shall be included on each parent drawing to indicate that a separate referenced document is available. When an item is used in more than three applications, the entry “general usage” may be entered in the “Used On” column.
8. Reference Documents: Documents referenced in a TDP shall be furnished as part of the TDP with the exception of those specified in referenced documents available in Acquisition Streamlining and Standardization Information System (ASSIST) and non-Government standardization documents available from the issuing non-Government standards body, such as the American Society of Mechanical Engineers (ASME). The following types of documents shall not be referenced in a TDP: technical manuals, procedural manuals, maintenance manuals, company drafting manuals, management plans, uncontrolled documents or unreleased documents. However, when information essential to meeting the content of a TDP (such as default surface texture values) is contained within such prohibited documents, that information shall be extracted from the reference document and included in the TDP.
8.1 Prohibited Documents, References, and Phrases: Technical Orders (TOs), Time Compliance Technical Orders (TCTO), pamphlets, recordings, National Stock Numbers (NSNs), To Be Determined (TBD), Statement of Work ((TASKING DOCUMENT)), Performance Work Statement (PWS), Statement of Objectives (SOO), and Contract Data Requirements List (CDRL), shall not be referenced within the TDP.
9. Traceability: The contractor shall prepare the TDP in such a manner to ensure that all applicable documents and part or identifying numbers (PINS) i.e., Artwork, Schematics, Software/Programming Data, Test Criteria, etc., are referenced within the TDP for traceability.
9.1 If the contractor is the original equipment manufacturer (OEM), impacted engineering data that are part of the effort as defined in the tasking document (SOW, PWS, etc.) shall be revised to include changes to reflect the delivered item’s configuration.
9.2 If the contractor is not the OEM, the contractor shall ensure impacted engineering data that are part of the effort as defined in the tasking document (SOW, PWS, etc.) are updated and delivered to reflect the delivered items configuration.
10. Preparation Method: American English language shall be used in the preparation of this TDP.
Dimensioning and Tolerancing shall be Decimal Inch in accordance with ASME Y14.5-2009. Size and format of drawings shall be Decimal Inch per ASME Y14.1. All drawings shall be prepared using Third Angle Orthographic Projection method of presentation. The symbol for angle of projection shall be delineated in the Title Block of newly prepared or revised engineering data. (ASME Y14.3-2003 figure 2)
11. TDP Validation: The contractor shall validate that the TDP conforms to the contractual requirements, and that they accurately depict the item(s) developed, modified, or produced under the contract.
12. Clarification of Detailed Test Criteria for Electrical and Avionics Items: Test criteria for items designed or developed with Government funds is an inherent part of the TDP. Test criteria shall be incorporated, either directly on each TDP document or by reference, for each end item, top assembly item, configured item, and lowest assembled item IAW Air Force drawing 9579777 (CAGE 98752), titled “Clarification of Detailed Test Criteria for Electrical and Avionics Items.”
13. Associated Lists: Parts Lists per ASME Y14.34 are required. Parts Lists are required at assembly level. Parts Lists for Contractor Activity identifier CAGE code may be an integral part of a document or it may be a separate document. The identification and quantity of parts shown on the assembly drawing shall agree with the parts list.
14. Marking: Drawings shall specify requirement for marking part number identification on items as required by MIL-STD-130N and other applicable documents referenced therein. Item unique identification (IUID) marking is mandatory for applicable items as determined by the Program Office. (See DFARS 252.211-7003 Item Identification and Valuation) The drawings shall identify the content, method of application, material and location of marking on the part.
15. Printed Board Artwork Master Drawing. The printed board artwork master drawing shall include images of all artwork required to manufacture the printed board. These images will serve as a reference to those images produced from the Gerber data files IAW Air Force drawing 9579776 (CAGE 98752) titled “Product Data Specification”. These requirements are IAW ASME Y14.24-2012 paragraph 15.3 and the IPC-standards called out in these paragraphs. Also, this drawing shall reference a unique part or identifying number (PIN) with revision data for the digital file set which includes the Gerber, test, and drill data files.
The PIN number format structure and characters shall meet the same requirements as for the part number.
16. Printed Board Artwork Master, Test, and Drill NC Data. The printed board artwork master, test, and NC drill data shall be delivered IAW Air Force drawing 9579776 (Cage 98752). These requirements are IAW ASME Y14.24-2012 paragraph 15.3 and the IPC-standards called out in these paragraphs.
17. Legacy Stable Base Media (Mylars, un-dimensioned drawings, master patterns, etc.). Data originally produced on stable base drawing media that has been redrawn/converted/reproduced in a digital format or developed on a CAD platform shall be delivered.
18. Legibility and Reproducibility: All documents prepared or submitted shall meet the legibility and reproducibility requirements of the specification or standard controlling the media in which the data is to be delivered. As a minimum, all lines, symbols, letters, and numerals shall be readable.
19. Protecting Classified Information: TDPs or parts thereof, containing classified information shall be protected and marked in accordance with the Department of Defense National Industrial Security Program Operating Manual for Safeguarding Classified Information, DoD Manual 5220.22-M. When 3D TDP data is used, the solid models shall display classification marking clearly visible when the solid model is first opened.
20. Software and Memory Device Data: Software and Memory Device drawings shall be selected per
ASME Y14.24 and CAD/CAM data files shall be delivered per Air Force drawing 9579776 (CAGE 98752).
21. Inspection of TDP: The TDP shall be inspected for the following:
a. Compliance with the requirements of this contract.
b. Inclusion of all documents, including sub-tier references, required to meet the design disclosure requirements of the TDP.
c. Accuracy of the assignment and identification of security markings, restriction statements (for example distribution statements), export control notices, rights-in-data legends, and other special markings.
d. Inclusion of contract numbers and contractor identifications.
e. Legibility and reproducibility.
f. TDP components have not been prepared for requirements, which could be met by existing standardization documents.
g. Completeness and accuracy of the TDP documents, including required quality assurance information, in describing design of the item, its subassemblies, and component parts. The design to be described by the TDP documents is that configuration of the item the Government has approved, tested, or accepted.
h. Both Type 2D and Type 3D TDPs shall open in the appropriate software without regeneration errors or warnings.
22. Source Control Drawing (SOCD) Approval Request. Source control drawing approval requests (as referenced in MIL-STD-31000A and corresponding Appendix A) shall be prepared and submitted to the requiring office in Block 6 of this DD Form 1423-1 prior to the preparation or use of a source control drawing. Each potential source control item shall be approved by the Air Force System Engineer prior to inclusion of the source control drawing in the TDP. SOCD approval requests are used to ensure that only valid source qualification requirements are included in the TDP. Under Public Law, the Government will actively seek multiple sources for any item for which source qualification is a requirement. Air Force engineering will evaluate each request and notice will be promptly given regarding approval/disapproval.
Requests shall be by letter and shall be prepared and submitted as follows:
a. Format - The Source Control Drawing Approval Request shall be in the contractor’s format.
b. Content - The request shall specify the following:
(1) Nomenclature and description of the item.
(2) The critical application(s) for which the item is to be used.
(3) Number of applications per end item.
(4) System performance requirements requiring source qualification.
(5) Procedures and criteria required to qualify a source.
(6) Sources of supply and manufacturers’ part numbers.
(7) Cost of the item involved.
(8) Estimated cost to qualify a source.
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
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 C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0004 A
MGMT
R&M Engineering Support Rotary A/C FD2060-21-32087
A004 Status Report
DI-MGMT-80368A SEE BLK 16 AFLCMC/WIUBC
LT
A C
MTHLY
SEE BLK 16
SEE BLK 16
SEE BLK 16
aflcmc.wiub1.sust 1 1 @us.af.mil janet.moss-sutton 1 1 @us.af.mil
2 2 0
BLK 5: SEE PWS paragraphs: 4.7.2,4.15, 4.21
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to collectively account for data previously submitted to attention:
janet.moss-sutton@us.af.mil and wiub1.sust@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.
BLKs 8, 11-13: The contractor shall submit draft Reliability-Centered Maintenance Analysis Report by the specified due date. The Government will review and approve or disapprove within (30) thirty business days. Contractor shall have (5) five business days to incorporate comments and resubmit.
BLK 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (19 Aug 2021). Other request for this document shall be referred to AFLCMC/WIUBC.
BLK 14: Submit digital copy in a Microsoft® Office® compatible format for all reports.
Janet Moss-Sutton 08/19/2021 27 Apr 2022
1 1
WITTER.GARY.L.106
2900020
Digitally signed by
Date: 2022.04.27 14:19:07 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
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 C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0004 A
FNCL
R&M Engineering Support Rotary A/C FD2060-21-32087
A005 Funds and Man-Hours Expenditure Report
DI-FNCL-80331A PWS Para 4.7.2 AFLCMC/WIUBC
LT
A C
MTHLY
SEE BLK 16
SEE BLK 16
SEE BLK 16
aflcmc.wiub1.sust 1 1 @us.af.mil janet.moss-sutton 1 1 @us.af.mil
2 2 0
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to collectively account for data previously submitted to attention:
janet.moss-sutton@us.af.mil and wiub1.sust@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.
BLKs 8, 11-13: The contractor shall submit draft Reliability-Centered Maintenance Analysis Report by the specified due date. The Government will review and approve or disapprove within (30) thirty business days. Contractor shall have (5) five business days to incorporate comments and resubmit.
BLK 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (19 Aug 2021). Other request for this document shall be referred to AFLCMC/WIUBC.
BLK 14: Submit digital copy in a Microsoft® Office® compatible format for all reports.
Janet Moss-Sutton 08/19/2021 27 Apr 2022
1 1
WITTER.GARY.L.1062
900020
Digitally signed by
Date: 2022.04.27 14:19:28 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
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 C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0004 A
ADMN
R&M Engineering Support Rotary A/C FD2060-21-32087
A006 Conference Agenda
DI-ADMN-81249C SEE BLK 16 AFLCMC/WIUBC
LT
A C
MTHLY
SEE BLK 16
SEE BLK 16
SEE BLK 16
aflcmc.wiub1.sust 1 1 @us.af.mil janet.moss-sutton 1 1 @us.af.mil
2 2 0
BLK 5: SEE PWS paragraphs 4.7.3, 4.8, 4.8.1, 4.8.2, 4.8.3, 4.8.4, and 4.8.5.
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to collectively account for data previously submitted to attention:
janet.moss-sutton@us.af.mil and wiub1.sust@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.
BLKs 8, 11-13: The contractor shall submit draft Reliability-Centered Maintenance Analysis Report by the specified due date. The Government will review and approve or disapprove within (30) thirty business days. Contractor shall have (5) five business days to incorporate comments and resubmit.
BLK 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (19 Aug 2021). Other request for this document shall be referred to AFLCMC/WIUBC.
BLK 14: Submit digital copy in a Microsoft® Office® compatible format for all reports.
Janet Moss-Sutton 08/19/2021 27 Apr 2022
1 1
WITTER.GARY.L.10629
00020
Digitally signed by
Date: 2022.04.27 14:19:53 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
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 C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0004 A
ADMN
R&M Engineering Support Rotary A/C FD2060-21-32087
A007 Conference Minutes
DI-ADMN-81250C SEE BLK 16 AFLCMC/WIUBC
LT
A C
MTHLY
SEE BLK 16
SEE BLK 16
SEE BLK 16
aflcmc.wiub1.sust 1 1 @us.af.mil janet.moss-sutton 1 1 @us.af.mil
2 2 0
BLK 5: SEE PWS paragraphs 4.7.3, 4.8, 4.8.1, 4.8.2, 4.8.3, 4.8.4, and 4.8.5.
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to collectively account for data previously submitted to attention:
janet.moss-sutton@us.af.mil and wiub1.sust@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.
BLKs 8, 11-13: The contractor shall submit draft Reliability-Centered Maintenance Analysis Report by the specified due date. The Government will review and approve or disapprove within (30) thirty business days. Contractor shall have (5) five business days to incorporate comments and resubmit.
BLK 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (19 Aug 2021). Other request for this document shall be referred to AFLCMC/WIUBC.
BLK 14: Submit digital copy in a Microsoft® Office® compatible format for all reports.
Janet Moss-Sutton 08/19/2021 27 Apr 2022
1 1
WITTER.GARY.L.10629
00020
Digitally signed by
Date: 2022.04.27 14:20:24 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
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 C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0004 A
ADMN
R&M Engineering Support Rotary A/C FD2060-21-32087
A008 Presentation Material
DI-ADMN-81373 SEE BLK 16 AFLCMC/WIUBC
LT
A C
MTHLY
SEE BLK 16
SEE BLK 16
SEE BLK 16
aflcmc.wiub1.sust 1 1 @us.af.mil janet.moss-sutton 1 1 @us.af.mil
2 2 0
BLK 5: SEE PWS paragraphs 4.7.3, 4.8, 4.8.1, 4.8.2, 4.8.3, 4.8.4, and 4.8.5.
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to collectively account for data previously submitted to attention:
janet.moss-sutton@us.af.mil and wiub1.sust@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.
BLKs 8, 11-13: The contractor shall submit draft Reliability-Centered Maintenance Analysis Report by the specified due date. The Government will review and approve or disapprove within (30) thirty business days. Contractor shall have (5) five business days to incorporate comments and resubmit.
BLK 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (19 Aug 2021). Other request for this document shall be referred to AFLCMC/WIUBC.
BLK 14: Submit digital copy in a Microsoft® Office® compatible format for all reports.
Janet Moss-Sutton 08/19/2021 27 Apr 2022
1 1
WITTER.GARY.L.1062
900020
Digitally signed by
Date: 2022.04.27 14:21:33 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
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 C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0004 A
MISC
R&M Engineering Support Rotary A/C FD2060-21-32087
A009 Trip/Travel Report
DI-MISC-81943 PWS Para 4.22 AFLCMC/WIUBC
LT
A C
MTHLY
SEE BLK 16
SEE BLK 16
SEE BLK 16
aflcmc.wiub1.sust 1 1 @us.af.mil janet.moss-sutton 1 1 @us.af.mil
2 2 0
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to collectively account for data previously submitted to attention:
janet.moss-sutton@us.af.mil and wiub1.sust@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.
BLKs 8, 11-13: The contractor shall submit draft Reliability-Centered Maintenance Analysis Report by the specified due date. The Government will review and approve or disapprove within (30) thirty business days. Contractor shall have (5) five business days to incorporate comments and resubmit.
BLK 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (19 Aug 2021). Other request for this document shall be referred to AFLCMC/WIUBC.
BLK 14: Submit digital copy in a Microsoft® Office® compatible format for all reports.
Janet Moss-Sutton 08/19/2021 27 Apr 2022
1 1
WITTER.GARY.L.1062
900020
Digitally signed by
Date: 2022.04.27 14:20:53 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
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 C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
0004 A
MGMT
R&M Engineering Support Rotary A/C FD2060-21-32087
A00A Engineering and Technical Services Accomplishment Report
DI-MGMT-80061A/T PWS para 4.8.3 AFLCMC/WIUBC
LT
A C
QRTLY
SEE BLK 16
SEE BLK 16
SEE BLK 16
aflcmc.wiub1.sust 1 1 @robins.af.mil janet.moss-sutton 1 1 @robins.af.mil
2 2 0
BLK 7: Submit final DD Form 250 for DoDAAC FA8552, via iRAPT (formally WAWF), to collectively account for data previously submitted to attention:
janet.moss-sutton@us.af.mil and wiub1.sust@us.af.mil. The Government will approve/disapprove within 30 business days of receipt.
BLKs 8, 11-13: The contractor shall submit draft Reliability-Centered Maintenance Analysis Report by the specified due date. The Government will review and approve or disapprove within (30) thirty business days. Contractor shall have (5) five business days to incorporate comments and resubmit.
BLK 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (19 Aug 2021). Other request for this document shall be referred to AFLCMC/WIUBC.
BLK 14: Submit digital copy in a Microsoft® Office® compatible format for all reports.
Janet Moss-Sutton 08/19/2021 27 Apr 2022
1 1
WITTER.GARY.L.1062
900020
Digitally signed by
Date: 2022.04.27 14:22:12 -04'00'
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
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 C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a.…
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