Attachment 11 PWS-Contract Data Requirements Lists_CDRL.pdf

Contract Data Requirements Lists

(DD Form 1423-1)

SIR 6973GH-18-R-00204

CUNs 00009, 10009, 20009, 30009, & 40009

Number of Pages: 41

SIR Attachment 11

CONTRACT nA 1 A RFOIJIR�nn,;N Is LIST lCORL\ Pa,,,. 1 of 1

A. Contract line Item No. B. Exhibit C. Category (Check appropriate one)

X010 A TOP 0 TM D X other

D. System/Item E. Contract/PR No. F. Contractor

Calibration Program

1. Data Item No. 2. Title of Data Item 3. Subtitle A001 Certificate of Calibration

4. Authority 6. Contract Reference 6. Requiring Office

DID-R001 PWS 6.6.9.2/6.6.10.1/6.10.1.1/6.10.1.1/ AML-4010

6.6.1.1.4

7. DD 250 Req'd 8. APP Code 9. Distribution Statoment Required 10. Frequency 11. As of Date (AOD)

N/A N/A N/A ASGEN N/A

112. Date of First 1 OTC 113. Date of Subsequent Submission Submissions: See Block 14 15. Distribution

14. REMARKS: a. b. Draft c. Final Copies Addressee Coples Reg. Repro

BLOCK 9, 10, 11, AND 13 - ASGEN, THE CERTIFICATES OF

SC 1 1 0

CALIBRATION MUST BE DELIVERED AND ACCEPTED BY THE

SITE COORDINATOR (SC) AT EACH APPLICABLE LOCATION, ON COR 0 1 0

EACH ITEM CALIBRATED, AS DESCRIBED IN THE DATA ITEM

DESCRIPTION (DID{

BLOCK 12: DATE 1 T SUBMISSION SHALL BE 1DTC AT SITES

LOCATIONS

BLOCK 13: A SUBSEQUENT ELECTRONIC COPY OF EACH

CERTIFICATE OF CALIBRATION WILL BE PROVIDED TO THE COR

BY EMAIL TRANSMISSION UPON QUALITY REVIEW BY THE

CONTRACTOR, NL T 14 OTC.

15A: APPLICABLE ADDRESSEE OF THE SITE AND SC FOR EACH

CALIBRATION LOCATION WILL BE PROVIDED ANO UPDATED BY

THE FAA AS REQUIRED.

16. Total 1 2 0

G. Prepared By: H. Date I. Approved By J. Date

- . . ·- - . - AML-4010

17. Price Group N/A 18. Estimated Total Price N/A

0MB Control No. 2120-0595 (DD Form 1423-1) FAA Template No. 59 (6/98)

6973GH-19-D-

CONTRACT DATA REQUIREMENTS LIST (CORL) I Page 1 of 1

A. Contract line Item No. B. Exhibit C, Category (Check appropriate one)

X010 A TOP 0

D. System/Item F. Contractor Calibration Program

E. Contract/PR No.

1. Data ltom No. 2. Tille of Data Item

A002 End of Site Summary (EOSS)

4. Authority 5. Contract Reference

DID-R002 PWS 6.10.2.1/6.10.4

7. OD 250 Req'd 8. APP Code 9. Distribution Statement Required

N/A NIA N/A

� 2. Date of First See Block 14 113. Date of Subsequent See Block 14 Submission Submission

14. REMARKS:

BLOCK 9, 10, 11, & 12 -ASGEN, AN EOSS MUST BE DELIVERED

AND ACCEPTED BY THE SITE COORDINATOR (SC) AT EACH

APPLICABLE LOCATION AS DESCRIBED IN THE DATA ITEM

DESCRIPTION (DID).

BLOCK 13 - SUBSEQUENT ELECTRONIC COPY OF EACH EOSS

SHALL BE PROVIDED TO THE COR BY E-MAIL TRANSMISSION,

UPON QUALITY REVIEW BY THE CONTRACTOR, NL T 14 OTC.

BLOCK 15A: APPLICABLE ADDRESSEE OF THE SITE AND THE

SC FOR EACH CALIBRATION LOCATION WILL BE PROVIDED

AND UPDATED BY FAA AS REQUIRED.

G. Prepared By:

.. H. Date

I. Approved By

AML-4010

TMD X

3. Subtitle

G. Roquiring Office

AML-4010

10. Frequency 11. As of Date (AOD)

ASGEN N/A

15. Distribution

a. b. Draft c. Final Copies

Addressee Copies Reg. Repro

SC 1 1 1

COR 0 1 1

16. Total 1 2 2

J. Date

17. Price Group NIA 18. Estimated Total Price NIA

0MB Control No 2120-0595 (DD Form 1423-1) FAA Template No. 59 (6/98)

CONTRACT DATA REQUIREMENTS LIST (CDRL) Page 1 of 1

A. Contract llne Item No. B. E>thibit C. Category {Check appropriate one)

X010

0. System/Item Calibration Program

1. Data Item No.

A003

4, Authority

DID-R003

7. DD 250 Req'd 8. APPCode N/A N/A

�2. Date of First See block 14 Submission

14. REMARKS:

A E. Contract/PR No.

6973GH-19-D-

2. Title of Data Item

Tr'\M r, F. Contractor

FAA Form 4650-15, Receiving Report

(RR)

5. Contract Reference

PWS 6.10.2.1/6.10.4/6.10.5/6.10.5.5

9. Distribution Statement Required N/A

�3. Date of Subsequent See Block 14 Submission

BLOCKS 9, 10,11, 12-ASGEN, A 4650-15 (RR) MUST BE

DELIVERED AND ACCEPTED BY THE SITE COORDINATOR (SC)

AT EACH APPLICABLE LOCATION AS DESCRIBED IN THE DATA

ITEM DESCRIPTION (DID).

BLOCK 13 - SUBSEQUENT ELECTRONIC COPY OF EACH 4650-

15 WILL BE PROVIDED TO THE COTR BY E-MAIL

TRANSMISSION UPON QUALITY REVIEW BY THE

CONTRACTOR, NLT 14 OTC.

BLOCK 15A: APPLICABLE ADDRESSEE OF THE SITE AND SC

FOR EACH CALIBRATION LOCATION Will BE PROVIDED AND

UPDATED BY THE FAA AS REQUIRED.

G. Prepared By:

H. Date I. Approved By

AML-4010

••.11 .-, V

3. Subtitle

6. Requiring Office

AML-4010

10. Frequency

11. As of Date (AOD)

ASGEN N/A

15. Distribution

a. b. Draft c. Final Copies Addressee Coples Reg. Repro

SC 1 1 0

COR 0 1 0

16. Total 1 2 0

J. Date

17. Price Group N/A 18. Estimated Total Price N/A

0MB Conlrol No 2120-0595 (DD Form 1423-1) FAA Template No. 59 (6/98)

A. Contract line Item No. 8. Exhibit C. Category (Check appropriate one)

X010 A

TDP 0

D. System/Item F. Contractor Calibration Program

E. Contract/PR No.

1. Data Item No. 2. Title of Data Item

A004 Operational Verification Report (OVR or Cross Check)

4. Authority 5. Contract Reference

DID-R004 PWS 6.2.6.3.4/6.10.6

7. DD 250 Req'd l

8. APP Code 9. Distribution Statement Required N/A N/A N/A

12. Date of First See Block 14 13. Date of Subsequent See Block 14 Submission Submission

14. REMARKS:

BLOCK 9, 10, 11, & 12 -ASGEN, A MCL OPERATIONAL

VERIFICATION (OVR) REPORT MUST BE DELIVERED AND

ACCEPTED BY THE SITE COORDINATOR (SC) AT EACH

APPLICABLE LOCATION AS DESCRIBED IN THE DATA ITEM

DESCRIPTION (DID).

BLOCK 13-SUBSEQUENT ELECTRONIC COPY OF EACH

(/OVR) WILL BE PROVIDED TO THE COTR BY E-MAIL

TRANSMISSION, UPON QUALITY REVIEW BY THE

CONTRACTOR, NLT 14 OTC.

BLOCK 15A: APPLICABLE ADDRESSEE OF THE SITE AND SC

FOR EACH CALIBRATION LOCATION WILL BE PROVIDED AND

UPDATED BY THE FAA AS REQUIRED .

G. Prepared By: H. Date -· .. ·-- ·- I. Approved By

AML-4010

TM D X

3. Subtitle

6. Requiring Office

AML-4010

10. Frequency 11. As of Date (AOD)

ASGEN N/A

15. Distribution

a. b. Draft c. Final Copies

Addressee Coples Reg. Repro

SC 1 1 0

COR 0 1 0

16. Total 1 2 0

J. Date

17. Price Group N/A 18. Estimated Total Price NIA

CONTRACT DATA REQUIREMENTS LIST (CORL) Page 1 of 1

A. Contract line Item No. B. Exhibit C. Category (Check appropriate one)

X010 A

TDP 0 TM 0 X

D. System/Item F. Contractor Calibration Program

E. Contract/PR No.

1. Data Item No. 2. Title of Data Item 3. Subtitle

A00S Monthly Detail Report of Calibration Certifications Invoiced

4. Authority 5. Contract Reference 6. Requiring Office

DID-ROOS PWS 6.10.10 AML-4010

7. OD 250 Req'd 8. APP Cooo 9. Distribution Statement Required 10. Frequency 11. As of Date (AOD}

N/A N/A N/A MTHLY N/A

12. Dato of First See Block 14 113. Date of Subsequent See Block 14Submission Submission 15. Distribution

14. REMARKS: a. b. Draft c. Final Coples

Addressee Coples Reg. Repro

BLOCKS 9, 10, 11, - MONTHLY, AS DESCRIBED IN THE DATA

COR 0 1 1

ITEM DESCRIPTION DID.

DUE TO THE MAGNITUDE OF DATA REPORTED, THE

CONTRACTOR SHALL DEVELOP, AND PROVIDE A SCHEDULE

OF MONTHLY REPORTING PERIODS WITH DEFINED CUTOFF

DATES FOR EACH REPORTING PERIOD, APPLICABLE TO ALL

MONTHLY REPORTS.

BLOCK 13 - ASREQ SUBSEQUENT REPORTS SHALL BE

DELIVERED TO THE FA A CONTRACTING OFFICER'S

REPRESENTATIVE (COR) ALONG WITH A COPY OF THE

CONTRACTORS MONTHLY INVOICES,

BLOCK 12: DATE 1 ST SUBMISSION OF ALL MONTHLY

REPORTS SHALL BE 40 WORKING DAYS AFTER CONTRACT

AWARD

16. Total 0 1 1

G. Prepared By: H. Date I. Approved By J. Date .. ·- - .. -

AML-4010

17. Price Group NIA 18. Estimated Total Price N/A

CONTRACT nA 7 A REOIJIRl:�J=NT� I ,�T ,cnRI \ Paoe 1 of 1 A. Contract line Item No. B. Exhibit C. Category (Check appropriate one)

X010

D. System/Item Calibration Program

1. Data Item No.

A006

4. Authority

DID-R006

7. DD 250 Req'd 8. APP Code

NIA NIA

fl 2. Date of First See Block 14 Submission

14. REMARKS:

A

E. Contract/PR No.

2. Title of Data Item

TOP D

F. Contractor

Calibration Records Databac:P

5. Contract Reference

PWS 6.6.6.2/6.10.7

9. Distribution Statement Required

N/A

13. Date of Subsequent !Submission: See Block 14

BLOCKS 9 & 10-ASREQ, AS DESCRIBED IN THE DATA ITEM

DESCRIPTION (DID).

BLOCK 11 - DUE TO THE SIZE OF MAGNITUDE OF DATA

REPORTED, THE CONTRACTOR SHALL DEVELOP, AND PROVIDE

A SCHEDULE OF MONTHLY REPORTING PERIODS WITH

DEFINED CUTOFF DATES FOR EACH REPORTING REQUEST,

APPLICABLE TO ALL MONTHLY REPORTS.

BLOCK 12: DATE 1 5T SUBMISSION OF ALL REPORTS SHALL BE

40 WORKING DAYS AFTER CONTRACT AWARD

BLOCK 13 -ASREQ, REPORTS SHALL BE DELIVERED TO THE

FM CONTRACTING OFFICER'S REPRESENTATIVE

BLOCK 14-DATABASE RECORDS SHALL BE TRANSFERRED TO

THE FM NL T 45 DAYS AFTER THE END OF THE LAST

EXERCISED OPTION YEAR OF THE CONTRACT

BLOCK 15A: APPLICABLE ADDRESSEE OF THE COR WILL BE

PROVIDED AND UPDATED BY FM AS REQUIRED.

G. Prepared By: H. Date I. Approved By

AML-4010

17. Price Group N/A 18. Estimated Total Price

0MB Control No. 2120-0595

TM D X Other

3. Subtitle

6. Requiring Office

AML-4010

10. Frequency 11. As of Date (AOD)

ASREQ N/A

15. Distribution

a. b. Draft c. Final Copies Addressee Copies Reg. Repro

COR 0 1 1

16. Total 0 1 1

J. Date

N/A

(DD Form 1423-1) FAA Template No. 59 (6198)

A. Contract line Item No. B. Exhibit C. Category {Check appropriate TM one)

X010 A

TDP 0 TM D OTHERX

D. System/Item F. Contractor Calibration Program

E. ContracUPR No.

1. Data Item No. 2. Title of Data Item 3. Subtitle

A008 End of Site Questionnaires

4. Authority 5. Contract Reference 6. Requiring Office

DID-R008 PWS 6.10.8 AML-4010

7. DD 250 Req'd 8. APP Code 9. Distribution Statement Required 10. Frequency 11. As of Date (AOD)

NIA NIA NIA ASREQ NIA

�2. Date of First 1DTC �3. Date of Subsequent See Block 14 Submission Submission 15. Distribution

14. REMARKS: a. b. Draft c. Final Copies

Addrossoo Copies Reg. Repro

BLOCK 9, 10, 11 & 12 - ASREQ, AS DESCRIBED IN THE BODY OF

SC 1 1 0

THE DATA ITEM DESCRIPTION (DID). AN EOS QUESTIONNAIRE

MUST BE DELIVERED AND COMPLETED BY THE SITE COR 0 1 0

COORDINATOR (SC) AT EACH APPLICABLE LOCATION.

BLOCK 13 - SUBSEQUENT ELECTRONIC COPY OF EACH

COMPLETED EOS QUESTIONNAIRE WILL BE PROVIDED TO THE

COR BY E-MAIL TRANSMISSION, WITH APPLICABLE MONTHLY

INVOICE COPY, NL T 30 DTC.

BLOCK 15A: APPLICABLE ADDRESSEE OF THE SITE AND SC

FOR EACH CALIBRATION LOCATION WILL BE PROVIDED AND

UPDATED BY FAA AS REQUIRED.

16. Total 1 2 0

G. Prepared By: H. Dato I. Approved By J. Date

AML-4010

17. Price Group NIA 18. Estimated Total Price NIA

0MB Control No. 2120-0595 (DD Form 1423-1) FM Template No. 59 (6/98)

A. Contract tine Item No. B. Exhibit C. Category (Check appropriate one}

X010 A

TDP D TM D OTHERX

D. System/Item E. Contract/PR No. F. Contractor

Calibration Program .

1. Data Item No. 2. Title of Data Item 3. SubtiUe

A009 Mobile Onsite Calibration Schedule

4. Authority 5. Conb'act Reference 6. Requiring Office

DID-R009 PWS 6.4.3.1 /6.4.3.4/6.4.3.5/6.5.2.3/6.5.2.4/ AML-4010

6.5.2.5/6.5.3.7

7. DD 250 Req'd 8. APP Code 9. Distribution Statement Required 10. Frequency 11. As of Date (AOD)

NIA NIA NIA See Block 14 NIA

112. Date of First See Block 14 13. Date of See Block 14 Submission !subsequent 1 S. Distribution

14. REMARKS: a. b. Draft c. Final Coples

Addressee Copies Reg. Repro

BLOCK 9 and 12 - WITH BID PACKAGE AND 45 DAYS PRIOR co 0 1 0

TO THE BEGINNING OF EACH SUBSEQUENT YEAR AS

DESCRIBED IN THE DATA ITEM DESCRIPTION (DID). COR 1 1

BLOCK 1 O 11, AND 13 - R/ASR, SUBSEQUENT SCHEDULE

SC 0

REVISIONS SHALL BE DELIVERED IMMEDIATELY TO THE

IMPACTED SITE COORDINATOR (SC) AND THE

CONTRACTING OFFICER'S REPRESENTIVE (COR) AS

DESCRIBED IN THE DATA ITEM DESCRIPTION (DID).

BLOCK 15A: APPLICABLE ADDRESSEE OF THE SITE, AND SC

FOR EACH CALIBRATION LOCATION WILL BE PROVIDED AND

UPDATED BY FAA AS REQUIRED.

16. Total 1 3 0

G. Prepared By: H. Date I. Approved By J. Date

AML-4010

17. Price Group NIA 18. Estimated Total Price NIA

0MB Conlrol No 2120-0595 (DD Form 1423-1) FAA Template No. 59 (6/98)

CONTRACT DAT A REQUIREMENTS LIST (CORL) I Page 1 of 1

X010 A

TDP 0 TM D OTHERX

D. System/Item F. Contractor Calibration Program

E. Contract/PR No.

1. Data Item No. 2. Title of Data Item 3. Subtitle

A010 WRITTEN SERVICE DELAY NOTICE

4. Authority 5. Contract Reference 6. Requiring Office

DID-R010 PWS 6.5.2.2/6.5.3.3 AML-4060

7. DD 250 Req'd 8. APPCode 9. Distribution Statement Required 10. Frequency 11. As of Date (AOD)

N/A N/A N/A ASREQ NIA

12. Date of First See Block 14 �3. Date of Subsequent See Block 14Submission Submission 15. Distribution

14. REMARKS: a. b. Draft c. Flnal Coples

Addressee Copies Reg. Repr

BLOCK 10 -ASREQ, AS DESCRIBED IN THE BODY OF THE

COR 0 1 0

DATA ITEM DESCRIPTION (DID).

co 0 1 0

BLOCK 11 & 13-A WRITTEN SERVICE DELAY NOTICE IS SC 0 1 0

REQUIRED FOR ALL DELAYS OF MORE THAN 3 DAYS FROM

SCHEDULED ARRIVAL DATE.

BLOCK 12-FIRST SUBMISSION SHALL BE PROVIDED NLT 2

WORKKING DAYS UPON RECOGNITION OF A PENDING

DELAY

15A: APPLICABLE ADDRESSEE OF THE SITE COORDINATOR

FOR EACH CALIBRATION LOCATION WILL BE PROVIDED AND

UPDATED BY FAA AS REQUIRED.

16. Total 0 4

G. Prepared By: H. Date I. Approved By J. Date

AML-4010

17. Price Group NIA 18. Estimated Total Pr'ice NIA

0MB Control No. 2120-0595 (DD Form 1423-1) FAA Templale No. 59 (6196)

CONTRACT DATA REQUIREMENTS LIST (CDRL) I Page 1 of 1

A. Contract llne Item No. B. Exhibit C. Category (Check appropriate 011e)

X010 A TDP D TM D OTHERX

D. System/Item F. Contractor Calibration Program

E. Contract/PR No.

1. Data Item No. 2. Title of Data Item 3. Subtitle

A011 Contractor Employee Report

4. Authority 5. Contract Reference 6. Requiring Office

DID-R011 PWS 6.1.116.5.2.618.4 AML-4010

7. DD 250 Req'd 8. APP Code 9. Distribution Statement Required 10. Frequency 11. As of Date (AOD)

NIA NIA NIA ASREQ NIA

rl2. Date of First See Block 14 113. Date of Subsequent See Block 14 Submission Submission 15. Distribution

14. REMARKS: a. b. Draft c. Final Coples

Addressee Copies R&g. Repro

BLOCK 9 & 10-ASREQ, AS DESCRIBED IN THE DATA ITEM

COR 0 1 1

DESCRIPTION (DID).

co 1 1 0

BLOCK 11 & 13 -R/ASR UPDATE NL T 7 WORKING DAYS

AFTER CONTRACT AWARD AND NL T 5 BUSINESS DAYS

AFTER CHANGES IN PERSONNEL OR CO/COR REQUEST

BLOCK 12: FIRST SUBMISSION SHALL BE PROVIDED WITH

BID PACKAGE

16. Total 1 2 1

G. Prepared By: H. Date I. Approved By J. Date

AML-4010

17. Price Group NIA 18. Estimated Total Price N/A

0MB Control No. 2120-0595 (DD Fann 1423-1} FAA Template No. 59 (6/98)

X010 A

TDP 0

D. System/Item F. Contractor

Calibration Program E. Contract/PR No.

1. Data Item No. 2. Title of Data Item

A012 TE Requiring Organic Calibration

4. Authority 5. Contract Reference

DID-R012 PWS 4. 716.6.3.2

7. DD 250 Req'd 8. APP Code 9. Distribution Statement Required

NIA NIA N/A

112. Date of First See Block 14 113. Date of Subsequent �e Block 14Submission Submission

14. REMARKS:

BLOCK 9 & 10-ASREQ, AS DESCRIBED IN THE DATA ITEM

DESCRIPTION (DID).

BLOCK 11 & 13 -R/ASR NL T 7 WORKING DAYS AFTER

GOVERNMENT REQUEST OR UPDATE

BLOCK 12 - FIRST SUBMISSION SHALL BE PROVIDED WITH

BID PACKAGE AND YEARLY WITH OPTION YEAR

G. Prepared By:

H. Date I. Approved By

AML-4010

TM D OTHERX

3. Subtitle

6. Requiring Office

AML-4010

10. Frequency 11. As of Date (AOD)

ASREQ NIA

15. Distribution

a. b. Draft c. Fina! Copies

Addressee Copies Reg. Repro

COR 0 1 0

co 0 1 0

16. Total 0 2 0

J. Date

17. Price Group NIA 18. Estimated Total Price N/A

0MB Control No. 2120-0595 (OD Form 1423-1) FAA Template No. 59 (6/96)

CONTRACT DATA REQUIREMENTS LIST (CORL) Page 1 of 1

X010 A

TDP 0 TM D OTHER X

D. System/Item F. Contractor Calibration Program

1. Data Item No. 3. Subtitle

A013

4. Authority 6. Requiring Office

DID-R013

E. Contract/PR No.

2. Title of Data Item

PMR Metrics Report

5, Contract Reference

PWS 6.10.11/7.3.2

AML-4010

7. DD 250 Req'd 8. APPCode 9. Distribution Statement Required 10. Frequency 11. As of Date (AOO)

NIA N/A NIA SEMIA N/A

112. Date of First See Block 14 13. Date of Subsequent See Block 14 Submission SubrniSsion 15. Distribution 14, REMARKS: a. b. Draft c. Final Copies

Addresseo Coples Reg. Repro

BLOCK 9 & 10 - Semi-Annual, AS DESCRIBED IN THE BODY OF

COR 0 1 1

THE DATA ITEM DESCRIPTION (DID).

A. BLOCK 11 & 12- DUE TO THE MAGNITUDE OF DATA

REPORTED, THE CONTRACTOR SHALL DEVELOP, AND

PROVIDE INFORMATION NLT 15 BUSINESS DAYS BEFORE A

PLANNED SEMI-ANNUAL GOVERNANCE BOARD MEETING

(PMR).

BLOCK 13 - SUBSEQUENT REPORTS SHALL BE DELIVERED

UPON REQUEST OF THE CONTRACTING OFFICER'S

REPRESENTATIVE (COR) -

BLOCK 15A: APPLICABLE ADDRESSEE OF COR WILL BE

PROVIDED AND UPDATED BY FAA AS REQUIRED.

16. Total 0 1 1

G. Prepared By:

I

H. Date I. Approved By J. Dato

AML-4010

I

17. Price Group NIA 18. Estimated Total Price NIA

0MB Control No. 2120-0595 (OD Form 1423-1) FAA Template No. 59 (6/98)

CONTRACT DATA REQUIREMENTS LIST (CORL) I

A. Contract line Item No. B. Exhibit C. Category (Check appropriate one)

X010 A Tr.on TU n r>TUC::D V

D. System/Item F. Contractor Calibration Program

E. Contract/PR No.

1. Data Item No. 2. Tide of Data Item 3. Subtitle A014 Adhoc and Vendor Cause and Effect

Reports

4. Authority 5. Contract Reference 6. Requiring Office

DID-R014 PWS 6.3.2.2/6.10.12 AML-4010

7. DD 250 Req'd 8. APP Code 9. Distribution Statement Required 10. Frequency 11. As of Date (AOD)

NIA N/A NIA ASREQ N/A

112. Date of First See Block 14 � 3. Dato of Subsequent See Block 14 Submission Submission 15. Distribution

14. REMARKS: a. b. Draft c. Final Coples

Addressee Coples Reg. Repro

BLOCKS 9 & 10-ASREQ, AS DESCRIBED IN THE DATA ITEM

COR 0 1 1

DESCRIPTION (DID).

BLOCK 11 & 13 -R/ASR.

BLOCK 12: NLT 14 WORKING DAYS AFTER GOVERNMENT

REQUEST OR

CAUSE AND EFFECT REPORTS SHALL BE PROVIDED WITHIN

TWO (2) BUSINESS DAYS OF A REPORTABLE INCIDENT, OR

NL T FIVE (5) BUSINESS DAYS FOR ESTIMATES

BLOCK 15A: APPLICABLE ADDRESSEE OF THE CORILL BE

PROVIDED AND UPDATED BY FAA AS REQUIRED.

16. Total 0 1 1

G. Prepared By: H. Date I. Approved By J. Date

AML-4010

17. Price Group N/A 18. Estimated Total Price N/A

0MB Control No. 2120-0595 (DO Form 1423-1) FAA Template No. 59 (6/98)

A. Contract llne Item No. B. Exhibit C. Category (Check appropril,te one) X010

D. System/Item

Calibration Program

1. Data Item No.

A015

4. Authority

DID-R015

7. DD 260 Req'd 8. APPCode

N/A N/A

12. Date of First See Block 14 Submission

14. REMARKS:

A

E. Contract/PR No.

2. Title of Data Item mP D

F. Contractor

Contractors Quality and Procedures Manual

5. Contract Re ference

PWS 6.2.1

9. Distribution Statement Required

N/A

13. Date of Subsequent See Block 14 Submission

BLOCKS 9, 10, & 11 - R/ASR,, AS DESCRIBED IN THE DATA

ITEM DESCRIPTION (DID).

BLOCK 12: DATE OF18r SUBMISSION SHALL BE WITH BID

PACKAGE TO CONTRACTING OFFICER, FAA MMAC

CONTRACT MANAGEMENT TEAM

BLOCK 13 - SUSEQUENT REPORTS SHALL BE DELIVERED TO

THE FAA CONTRACTING OFFICER'S REPRESENTATIVE AND

NL T 7 WORKING DAYS AFTER REQUEST BY THE COR OR

UPON VENDOR UPDATE.

G. Prepared By: H. Date I. Approved By

AML-4010

TMD X

3. Subtitle

6. Requiring Office

AML-4010

10. Frequency 11. As of Date (AOD)

R/ASR N/A

15. Distribution

a. b. Draft c. Final Copies

Addressee Copies Reg. Repro co 1 1 0

COR 0 1 0

16. Total 1 2 0

J. Date

17. Price Group NIA 18. Estimated Total Price N/A

CONTRACT DAT A REQUIREMENTS LIST (CORL) I Page 1 of 1

A. Contract line Item No. B. Exhibit C. Category (Check appropriate one)

X010 A TDP D TM 0 OTHERX

D. System/Item F. Contractor Calibration Program

E. Contract/PR No,

1. Data Item No. 2. Title of Data Item 3. Subtitle

A016 ISO 9001 :2000 Certificate of Compliance

4. Authority 5. Contract Reference 6. Requiring Office

DID-R016 PWS 6.2.1/7.2.2.2 AML-4010

7. DD 250 Req'd

8. APP Code 9. Distribution Statement Required 10. Frequency

11. As of Date (AOD)

N/A N/A NIA ASREQ N/A

12. Date of First See Block 14 13. Date of Subsequent See Block 14Submission Submission 15. Distribution

14. REMARKS: a. b. Draft c. Final Copies

Address&e Coples Reg. Repro

BLOCK 9 & 10-ASREQ, AS DESCRIBED IN THE DATA ITEM

COR 0 1 0

DESCRIPTION (DID).

co 1 1 0

BLOCK 11 & 13 -R/ASR NL T 7 WORKING DAYS AFTER

GOVERNMENT REQUEST OR RECERTIFICATION

BLOCK 12: FIRST SUBMISSION SHALL BE PROVIDED WITH

BID PACKAGE

16. Total 1 2 0

G. Prepared By: H. Date I. Approved By J. Date

AMI -4010

17. Price Group N/A 18. Estimated Total Price N/A

0MB Control No. 2120-0595 (DD Form 1423-1} FAA Template No. 59 (6/98)

X010 A

TOP D TMD OTHER X

D. system/Item F. Contractor

Calibration Program E. Contract/PR No.

1. Data Item No. 2. Title of Data Item 3. Subtitle

A017 Calibration Procedures Inventory List

4. Authority 5. Contract Reference 6. Requiring Office

DID-R017 PWS 6.6.5.1/6.6.5.2 AML-4010

7. DD 260 Re q'd 8. APP Code 9. Distribution Statement Required 10. Frequency 11. As of Date (AOD)

N/A N/A NIA ASREQ N/A

t12. Date of First See Block 14 t13. Date of Subsequent See Block 14Submission Submission 15. Distribution

14. REMARKS: a. b. Draft c. Final Coples

Addressee Coples Reg. Repro

BLOCK 9 and 10-ASREQ, AS DESCRIBED IN THE DATA ITEM

COR 0 1 0

DESCRIPTION (DID).

co 1 1 0

BLOCK 11 & 13 -R/ASR NL T 7 WORKING DAYS AFTER

GOVERNMENT REQUEST OR UPDATE

BLOCK 12 - FIRST SUBMISSION SHALL BE PROVIDED WITH

BID PACKAGE

16. Total 1 2 0

G. Prepared By: H. Date I. Approved By J. Date

AML-4010

17. Price Group N/A 18. Estimated Total Price N/A

0MB Control No. 2120-0595 (DD FOflTI 1423-1) FM Template No. 59 (6/98)

CONTRACT DATA REQUIREMENTS LIST (CDRL) l Page 1 of 1

A. Contract line Item No. B. Exhibit c. Category (Check appropriate one}

X010 A

TOP D

D. Systemntem E. Contract/PR No. F. Contractor

Calibration Program

1. Data Item No. 2. Title of Data Item

A018 Calibration Procedures

4. Authority 5. Contract Reference

DID-R018 PWS6.6.5.3

7. DD 250 Req'd 8. APPCode 9. Distribution Statement Required

NIA NIA NIA

12. Date of First See Block 14 13. Date of Subsequent See Block 14 Submission Submission

14. REMARKS:

BLOCK 9, 10, 11, and 12 -ASREQ, AS DESCRIB ED IN THE

BODY OF THE DATA ITEM DESCRIPTION (DID).

BLOCK 13 -R/ASR NL TONE (1 ) WORKING DAY AFTER

GOVERNME NT REQUEST

G. Prepared By: H. Date

I. Approved By

AML-4010

TM D OTHERX

3. Subtitle

6. Requiring Office

AML-4010

10. Frequency 11. As of Date (AOD)

ASREQ NIA

15. Distribution

a. b. Draft c. Final Copies

Addressee Coples Reg. Repro

COR 0 1 0

co 1 1 0

16. Total 1 2

J. Date

17. Price Group NIA 18. Estimated Total Price NIA

CONTRACT DATA REQUIREMENTS LIST (CDRL)

I

A. Contract line Item No. B. Exhibit C. Category (Check appropriate one)

X010 A

TOP 0 TM D OTHERX

D. System/Item E. Contract/PR No. F. Contractor Calibration Program

1. Data Item No. 2. Title of Data Item 3. Subtitle

A019 Working Standards Inventory

4. Authority 5. Coritract Reference 6. Requiring Office

DID-R019 PWS 6.3.4 AML-4010

7. DD 250 Req'd 8. APPCode 9. Distribution Statement Required 10. Frequency 11. As of Date (AOD)

N/A N/A N/A ASREQ NIA

112. Dato of First See Block 14 �3. Date of Subsequent See Block 14 Submission Submission 16. Distribution

14. REMARKS: a. b. Draft c. Final Copies Addressee Copies Reg. Repro

BLOCK 9 & 10-ASREQ, AS DESCRIBED IN THE DATA ITEM

COR 0 1 0

DESCR IPTION (DID).

co 1 1 0

BLOCK 11 & 13 - R/ASR, PROVIDE ELECTRONIC COPY NLT

SEVEN (7) BUSINESS DAYS AFTER GOVERNMENT REQUEST

OR UPDATE

BLOCK 12 - FIRST SUBMISSIOON SHALL BE PROVIDED WITH

BID PACKAGE

16. Total 1 2

G. Prepared By: H. Date I. Approved By J. Date

AML-4010

17. Price Group NIA 18. Estimated Total Price N/A

0MB Control No. 2120-0595 (DD Form 1423-1) FAA Template No. 59 (6/98) l

INSTRUCTIONS FOR COMPLETING FAA Template No. 59 (6/98) (Mark Not Applicable sections as NIA)

A. Contract Line Item No .. Contract Line Item Number (CUN) associated with this Contract Data Requirements List (CORL).

B. Exhibit. Exhibit identifier for this CORL item.

C. Category. TOP, TM, or Other.

D. System/Item. System, item, project designator or name, or title of services being acquired that the data will support.

E. ContracUPR No. Procurement instrument Identification Number (PIIN) (i.e., the contract number, the Purchase Request (PR) number, the screening Information Request (SIR) number, or other appropriate designator.

F. Contractor. Contractor's name.

G. Prepared by. Preparer's organization responsible for preparing the CDRL.

H. Date. Date the form was prepared.

I. Approved by. Office responsible for approving the CDRL. The approving official's signature appears on the last page of exhibit.

J. Date. The date the CORL was approved.

1. Data Item No. The 4-character Exhibit Line Item Number (ELIN). The first position consists of the exhibit identifier and the remaining positions are assigned sequentially.

2. Title of Data Item. The title of the Data Item Description (DID) cited in item 4.

3. Subtitle. Further identification of the data item to supplement the title, if required.

4. Authority (Data Acquisition Document No.) DID identification number where detailed preparation instructions are provided.

5. Contract Reference. The specific paragraph number of the applicable contractual document that contains the tasking that generates a requirement for the data item. Normally, this will be a Statement of Work (SOW) paragraph.

6. Requiring Office. The technical office having responsibility for ensuring the technical adequacy of the data.

7. DO 260 Required.

8. APP Code. Identification, by entry of an "A." of a requirement for advance written approval prior to final distribution of an item of data. An "A" in this item indicates that one or more draft submittals are required. Item 14 will show length of turn-around time for the contractor to resubmit the data after Government approval/disapproval has been issued.

9. Distribution Statement Required.

10. Frequency. The frequency of data submittal. Entries in this item are explained in Table 1. If the data is of a recurring type, it is to be submitted at the end of the reporting period established in this item unless otherwise indicated in item 14.

CODE

ANNLY

ASREQ

Bl-WE

DAILY

MTHLY

OTIME

R/ASR

WEKLY

See Item #14

Table 1. Data Submittal Frequency Codes

FREQUENCY CODE

Annually ASGEN As generated As required Bl-MO Every two months

FREQUENCY

Every two weeks CP/RQ Change pages as required Daily DFDEL Deferred delivery Monthly ONE/R One time with revisions One time (does not include draft submissions QRTL Y Quarterly Revisions as required SEMIA Every six months Weekly "N"TIME Multiple separate submittals (2time, 3time, etc.)

Requirement is described in item #14. Used In lieu of other codes where such are inadequate to define requirement, or used in addition to other codes requiring amplification in item #14.

11. As of Date. Date for cutting off collection of the data. If the data is to be submitted multiple times, a numeral will be entered to indicate the number of calendar days prior to the end of the reporting period, established in item 10, that data collection will be cut off. For example, "15" would place the "as of date" for the data at 15 days before the end of the month, quarter, or year, depending upon the frequency established in item 10; a ·o or blank" would place the ·as of' date at the end of each month, quarter, etc.

12. Date of First Submission. Due date for initial data submission. This is normally the postage date or date the data is delivered to the Contracting Officer or keyed to a specific event or milestone, using a code from Table 2.

Code

ASGEN

DFDEL

"N"DACM

"N"DARC

NLT

EOM

See item #14

Table 2. Data Submission Codes Definition Code Definition As generated ASREQ As required Deferred delivery "N"DAC Days after contract award Days after contract modification "N"DARP Days after reporting period Days after receipt of comments "N"DTC Days after test completion No later than EOC End of contract End of month EOQ End of quarter Use to indicate requirement is described in item 14. Used in lieu of other codes where such are inadequate to define requirement or used In addition to other codes when amplification is included in item 14.

The "'N" is assianed a value indicating the number of days, e.g., 30 DAG

13. Date of Subsequent Submission. Due date(s) for subsequent data submission(s), if data is to be submitted more than once. If submittal is constrained by a specific event or milestone, the constraint will be given using a code from Table 2.

14. Remarks. Contains all pertinent information not specified elsewhere and any amplification of other items on this format (e.g., DID tailoring, approval criteria and authority, inspection and acceptance clarification, distributions statements, specific submission instructions, explanation of reproducible copy and delivery requirements, alternative medium for delivery of the data item, etc.)

15. Distribution. Addressees and the number of draft and final copies (regular or reproducible) to be provided to each. FAA facility designator and/or office symbols/codes may be used; however, an explanation of these will be provided in the Addressee Listing. When reproducible copies (e.g., magnetic diskettes/tape, vellum, negative, etc.) are required, an explanation will be provided in item 14. If deferred delivery is required, amplification will be given in item 14.

16. Total. Total number of draft and final (regular/reproducible) copies required.

17. Price Group. Not used. 18. Estimated Total Price. Not used.

0MB Control No. 2120-0595 (DD Form 1423-1) FAA Template No. 59 (reverse) (6198)

CONTRACT DAT A REQUIREMENTS LIST (CORL)

I

A. Contract line Item No. B. Exhibit C. Category (Check appropriate one)

X010 A

TOP 0

D, Systemlltom E. Contract/PR No. F. Contractor Calibration Program

1. Data Item No.

A020

4. Authority

DID-R020

2. Title of Data Item

Annual Report of TMDE Candidates for Calibration Interval Change

5. Contract Reference

PWS 6.6.2.3

7. DD 250 Roq'd 8. APPCode 9. Distribution Statement Required

NIA N/A NIA

fi2. Date of First SEE Bock 14 Fil. Date of Subsequent SEE Block 14 Submission Submission

14. REMARKS:

BLOCKS 9 & 10 - ANNLY AS DESCRIBED IN THE DATA ITEM

DESCRIPTION (DID).

BLOCK 11 - REPORTING PERIOD FOR EACH FISCAL YEAR

SHALL BE OCTOBER 1- SEPT 30TH _

BLOCK 12 & 13-NLT 30 DAYS AFTER THE END OF EACH

EXERCISED OPTION YEAR

G. Prepared By: H. Dato I. Approved By

AML-4010

TM D OTHERX

3. Subtitle

6. Requiring Office

AML-4010

10. Frequency 11. As of Date (AOD)

ANNLY SEE Block 14

15. Distribution

a. b. Draft c. Final Coples

Addressee Copies Reg. Repro co 0 1 0

COR 1 1 0

16, Total 1 2 0

J. Date

17. Price Group N/A 18, Estimated Total Price N/A

(Mark Not Applicable sections as NIA)

A. Contract Line Item No .. Contract line Item Number (CLIN) associated with this Contract Data Requirements List (CORL).

8. Exhibit. Exhibit identifier for this CORL item.

C. Category. TDP, TM, or Other.

D. System/Item. System, item, project designator or name, or title of services being acquired that the data will support.

E. Contract/PR No. Procurement Instrument Identification Number (PIIN) (i.e., the contract number, the Purchase Request (PR) number, the screening Information Request (SIR) number, or other appropriate designator.

F. Contractor. Contractor's name.

G. Prepared by. Preparer's organization responsible for preparing the CORL.

H. Date. Date the form was prepared.

I. Approved by. Office responsible for approving the CORL. The approving official's signature appears on the last page of exhibit.

J. Date. The date the CORL was approved.

1. Data Item No. The 4-character Exhibit Line Item Number (ELIN). The first position consists of the exhibit identifier and the remaining positions are assigned sequentially.

2. Title of Data Item. The title of the Data Item Description (DID) cited in item 4.

3. Subtitle. Further identification of the data item to supplement the title, if required.

4. Authority (Data Acquisition Document No.) DID identification number where detailed preparation instructions are provided.

5. Contract Reference. The specific paragraph number of the applicable contractual document that contains the tasking that generates a requirement for the data item. Normally, this will be a Statement of Work (SOW) paragraph.

6. Requiring Office. The technical office having responsibility for ensuring the technical adequacy of the data.

7. DD 250 Required.

8. APP Code. Identification, by entry of an "A," of a requirement for advance written approval prior to final distribution of an item of data. An "A" in this item indicates that one or more draft submittals are required. Item 14 will show length of turn-around time for the contractor to resubmit the data after Government approval/disapproval has been issued.

9. Distribution Statement Required.

10. Frequency. The frequency of data submittal. Entries in this item are explained in Table 1. If the data is of a recurring type, it is to be submitted at the end of the reporting period established in this item unless otherwise indicated in item 14.

CODE

ANNLY

ASREQ

Bl-WE

DAILY

MTHLY

OTIME

R/ASR

WEKLY

See Item #14

Table 1. Data Submittal Frequency Codes

FREQUENCY CODE

Annually ASGEN As generated

FREQUENCY

As required Bl-MO Every two months Every two weeks CP/RQ Change pages as required Daily DFDEL Deferred delivery Monthly ONEIR One time with revisions One time (does not include draft submissions QRTL Y Quarterly Revisions as required SEMIA Every six months Weekly "N"TIME Multiple separate submittals (2time, 3time, etc.)

Requirement is described in item #14. Used In lieu of other codes where such are inadequate to define requirement, or used in addition to other codes requirina amplification in item #14.

11. As of Date. Date for cutting off collection of the data. If the data is to be submitted multiple times, a numeral will be entered to indicate the number of calendar days prior to the end of the reporting period, established in item 10, that data collection will be cut off. For example, "15' would place the ·as of date· for the data at 15 days before the end of the month, quarter, or year, depending upon the frequency established in item 1 O; a "O or blank" would place the "as of' date at the end of each month, quarter, etc.

12. Date of First Submission. Due date for initial data submission. This is normally the postage date or date the data is delivered to the Contracting Officer or keyed to a specific event or milestone, using a code from Table 2.

Code

ASGEN

DFDEL

"N"DACM

"N"DARC

NLT

EOM

Table 2. Data Submission Codes Definition Code Definition As generated ASREQ As required Deferred delivery "N"DAC Days after contract award Days after contract modification "N"DARP Days after reporting period Days after receipt of comments "N"DTC Days after test completion No later than EOC End of contract End of month EOQ End of quarter

See item #14 Use to indicate requirement is described in item 14. Used in lieu of other codes where such are inadequate to define requirement or used In addition to other codes when amplification is included in Item 14.

The "N" is assigned a value fndicatina the number of davs, e.g., 30 DAC

13. Date of Subsequent Submission. Due date(s) for subsequent data submission(s), if data is to be submitted more than once. If submittal is constrained by a specific event or milestone, the constraint will be given using a code from Table 2.

14. Remarks. Contains all pertinent information not specified elsewhere and any amplification of other items on this format (e.g., DID tailoring, approval criteria and authority, inspection and acceptance clarification, distributions statements, specific submission instructions, explanation of reproducible copy and delivery requirements, alternative medium for delivery of the data item, etc.)

15. Distribution. Addressees and the number of draft and final copies (regular or reproducible) to be provided to each. FAA facility designator and/or office symbols/codes may be used; however, an explanation of these will be provided in the Addressee Listing. When reproducible copies (e.g., magnetic diskettes/tape, vellum, negative, etc.) are required, an explanation will be provided in item 14. If deferred delivery is required, amplification will be given in item 14.

16. Total. Total number of draft and final (regular/reproducible) copies required.

OMS Control No. 2120-0595 (00 Form 1423-1) FM Template No. 59 (reverse) (6/98)

CONTRACT DATA REQUIREMENTS LIST (CDRL) I Page 1 of 1

A. Contract line Item No. B. Exhibit C. Category {Check appropriate one)

X010 A TOP 0 TM 0 OTHERX

D. System/Item F. Contractor

Calibration Program E. Contract/PR No.

1. Data Item No. 2. Title of Data Item 3. Subtitle

A021 Verification of Contractor's Employee Technical Trainina

4. Authority 6. Contract Reference 6. Requiring Office

DID-R021 PWS 6.1.3 AML-4010

7. DD 250 Req'd 8. APP Code 9. Distribution Statement Required 10. Frequency 11. As of Date (AOD)

NIA NIA NIA ASREQ N/A

12. Date of First See Block 14 13. Date of Subsequent See Block 14 Submission Submission 15. Distribution

14. REMARKS: a. b. Draft c. Final Copies Addressee Copies Reg. Repro

BLOCK 9 & 10 - ASREQ, AS DESCRIBED IN THE DATA ITEM

COR 0 1 0

DESCRIPTION (DID).

co 1 1 0

BLOCK 11 & 13 -RIASR UPDATE NL T 7 WORKING DAYS

AFTER PERSONNEL CHANGES OR UPON COICOR REQUEST

BLOCK 12: FIRST SUBMISSION SHALL BE PROVIDED WITH

BID PACKAGE

16. Total 1 2 0

G. Prepared By: H. Date I. Approved By J. Date

AML-4010

II

17. Price Group NIA 18. Estimated Total Price NIA

(Mark Not Applicable sections as N/A)

A. Contract Line Item No.. Contract Line Item Number (CUN) associated with this Contract Data Requirements List (CORL).

B. Exhibit. Exhibit identifier for this CORL item.

C. Category. TOP, TM, or Other.

D. System/Item. System, item, project designator or name, or title of services being acquired that the data will support.

E. Contract/PR No. Procurement Instrument Identification Number (PUN) (i.e., the contract number, the Purchase Request (PR) number, the screening Information Request (SIR) number. or other appropriate designator.

F. Contractor. Contractor's name.

G. Prepared by. Preparer's organization responsible for preparing the CORL H. Date. Date the form was prepared.

I. Approved by. Office responsible for approving the CORL. The approving official's signature appears on the last page of exhibit J. Date. The date the CORL was approved.

1. Data Item No. The 4-character Exhibit Line Item Number (ELIN). The first position consists of the exhibit identifier and the remaining positions are assigned sequentially.

2. Title of Data Item. The title of the Data Item Description (DID) cited in item 4.

3. Subtitle. Further identification of the data item to supplement the title, if required.

4. Authority (Data Acquisition Document No.) DID identification number where detailed preparation instructions are provided.

5. Contract Reference. The specific paragraph number of the applicable contractual document that contains the tasking that generates a requirement for the data item. Normally, this will be a Statement of Work (SOW) paragraph.

6. Requiring Office. The technical office having responsibility for ensuring the technical adequacy of the data.

7. OD 250 Required.

8. APP Code. Identification, by entry of an "A," of a requirement for advance written approval prior to final distribution of an item of data. An "A" in this item indicates that one or more draft submittals are required. Item 14 will show length of turn-around time for the contractor to resubmit the data after Government approval/disapproval has been issued.

9. Distribution Statement Required.

10. Frequency. The frequency of data submittal. Entries in this item are explained in Table 1. If the data is of a recurring type, it is to be submitted at the end of the reporting period established in this item unless otherwise indicated in item 14.

CODE

ANNLY

ASREQ

Bl-WE

DAILY

MTHLY

OTIME

R/ASR

WEKLY

See Item #14

Table 1. Data Submittal Frequency Codes

FREQUENCY CODE

Annually ASGEN As generated As required Bl-MO Every two months

FREQUENCY

Every lwo weeks CP/RQ Change pages as required Dally DFOEL Deferred delivery Monthly ONE/R One time with revisions One time (does not include draft submissions QRTL Y Quarterly Revisions as required SEMIA Every six months Weekly "N"TIME Multiple separate submiltals (2time, 3time, etc.)

Requirement is described in item #14. Used In lieu of other codes where such are inadequate to define requirement, or used in addition to other codes renuirino amolification in item #14.

11. As of Date. Date for cutting off collection of the data. If 1he data is to be submitted multiple times, a numeral will be entered to indicate the number of calendar days prior to the end of the reporting period, established in item 10, that data collection will be cut off. For example, '15' would place the "as of date" for the data at 15 days before the end of the month, quarter, or year, depending upon the frequency established in item 1 O; a "O or blank" would place the "as or date at the end of each month, quarter, etc.

12. Date of First Submission. Due date for initial data submission. This is normally the postage date or date the data is delivered to the Contracting Officer or keyed to a specific event or milestone, using a code from Table 2.

Code

ASGEN

DFDEL

"N"DACM

"N"DARC

NLT

EOM

See item #14

Table 2. Data Submission Codes Definition Code Definition As generated ASREQ As required Deferred delivery "N"DAC Days after contract award Days after contract modification "N"DARP Days after reporting period Days after receipt of comments "N"DTC Days after test completion No later than EOC End of contract End of month EOQ End or quarter Use to lndicate requirement is described in item 14. Used in lieu of other codes where such are Inadequate to define requirement or used in addition to other codes when amplification is included in item 14.

The ·N" is assiqned a value indicallna the number of davs, e. a., 30 DA C

13. Date of Subsequent Submission. Due date(s) for subsequent data submission(s), if data is to be submitted more than once. If submittal is constrained by a specific event or milestone, the constraint will be given using a code from Table 2.

14. Remarks. Contains all pertinent information not specified elsewhere and any amplification of other items on this format (e.g., DID tailoring, approval criteria and authority, inspection and acceptance clarification, distributions statements. specific submission instructions, explanation of reproducible copy and delivery requirements, alternative medium for delivery of the data item, etc.)

15. Distribution. Addressees and the number of draft and final copies (regular or reproducible) to be provided to each. FAA facility designator and/or office symbols/codes may be used; however, an explanation of these will be provided in the Addressee Listing. When reproducible copies (e.g., magnetic diskettes/tape, vellum, negative, etc.) are required, an explanation will be provided in item 14. If deferred delivery is required, amplification will be given in item 14.

16. Total. Total number of draft and final (regular/reproducible) copies required.

0MB Control No. 2120-0595 (DD Form 1423-1) FAA Template No 59 (reverse) (6/98)