1707-4200805755-Hammett-signedbyCIO.pdf

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National Aeronautics and Space Administration

Special Approvals and Affirmations of Requisitions

Center Requisition Number 4200805755

Requesting Organization

FTB0

Brief Description of this Requirement Pressure Measurement hardware for CW22. The equipment includes pressure controllers and pressure modules.

Printed Name of Requisitioner Don Hammett

Date 06/07/2022

Signature of Requisitioner

Printed Name of Approver Don Hammett

Date 06/07/2022

Signature of Approver

Task Order/Delivery Order Exception

(When applicable, this statement may be checked for task order or delivery order requirements to be issued under GRC Indefinite Delivery, Indefinite Quantity (IDIQ) contracts. Insert the signature date and PR No. from the appropriate, previously completed NF 1707. IMPORTANT NOTE: The previously completed NF 1707 being referenced must have a signature date that is later than the date appearing at the end of the first sentence below.)

The specific statements and affirmations included on NF 1707 signed on for PR No. apply to this requirement as well, and represent all statements and affirmations required by the Agency and GRC as of May 2018. Therefore, Sections 1 through 12 below need not be completed.

SECTION 1 – NASA Strategic Sourcing Initiative (Ref. NFS 1808.003-72 and Office of Procurement Strategic Sourcing website)

The requester has reviewed the information on the Office of Procurement NASA Strategic Sourcing website and the requirement IS AVAILABLE through Mandatory Source Contract Number

OR

The requester has reviewed the information on the Office of Procurement NASA Strategic Sourcing website and the requirement IS NOT AVAILABLE through a Mandatory Source Contract. Documentation indicating the aforementioned review is attached.

SECTION 2 – Information Systems and Information and Communication Technology Accessibility (Section 508)

AND

The items are on Headquarter's Assessed and Cleared List as of the date of this form.

IT Cloud Services Procurement IT Product Procurement

This procurement does involve the acquisition of an information system, information technology hardware or software, or services where the contractor will have access to NASA information systems. It has been reviewed by the Center CIO or the Headquarters operations CIO to determine if the purchase has a System Security Plan (SSP) that includes a FIPS-199 for a moderate- or high-impact information system, as defined by the National Institute of Standard and Technology (NIST).

This procurement does not involve the acquisition of an information system, information technology hardware or software, nor does it involve services where the contractor will have access to NASA information systems.

I. INFORMATION SYSTEMS

Provide a list(s) of the ACL/Request for Investigation (RFI) or new Covered Articles & Technology Supply Chain Assessment Needed (CATSCAN) Required Item Ticket Management (RITM) number(s).

This procurement's electronic and information technology items HAVE NOT been reviewed for supply chain risk management because the manufacturer has yet to be determined. I understand that a review for supply chain risk management may be required once the manufacturer is determined.

OR

The Center OCIO provided the ITAM Authorization Number

This procurement does include:

OR

This procurement does not include information technology in accordance with the definition by FITARA (see C. below).

FITARA statute interprets IT broadly using the definition given below. Note, that it includes IT software, hardware, and telecommunications equipment and services, except as excluded in Paragraph D.

Ref: OMB Memorandum M-15-14: Management and Oversight of Federal Information Technology

FEDERAL INFORMATION TECHNOLOGY ACQUISITION REFORM ACT (FITARA)

Glenn Research Center

A. Any services or equipment, or interconnected system(s) or subsystem(s) of equipment, that are used in the automatic acquisition, storage, analysis, evaluation, manipulation, management, movement, control, display, switching, interchange, transmission or reception of data or information by th agency;

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Are exempt from conformance with applicable accessibility stands based on the following exception identified in section E202 of Appendix A to Part 1194

– Section 508 of the Rehabilitation Act; Application and Scoping Requirements:

Attached are the required IPv6 capabilities (USGv6 Profile: http://www-x.antd.nist.gov/usgv6/) for networked IT components of this procurement.

Attached is the Suppliers Declaration of Conformity (SDOC) for the specific IT items to be purchased. (Request from the vendor or see if available at: https://www.iol.unh.edu/registry/usgv6)

Chief Information Officer or Designee Concurrence

B. such services or equipment are ‘used by an agency’ if used by the agency directly or if used by a contractor under a contract with the agency that requires either use of the services or equipment or requires use of the services or equipment to a significant extent in the performance of a service or the furnishing of a product;

C. the term "information technology" is any equipment or interconnected system or subsystem of equipment that is used in the automatic acquisition, storage, manipulation, management, movement, control, display, switching, interchange, transmission, or reception of data or information by any executive agency. It also includes computers, ancillary equipment including imaging peripherals, input, output, and storage devices necessary for security and surveillance, peripheral equipment designed to be controlled by the central processing unit of a computer, software, firmware and similar procedures, services (including support services), and related resources.

D. the term "information technology" does not include any equipment that is acquired by a contractor incidental to a contract that does not require use of the equipment.

SECTION 2 – Information Systems and Information and Communication Technology Accessibility (Section 508) (Continued)

To ensure compliance with federal and NASA information system requirements.

NFS 1852.204-76 Security Requirements for Unclassified Information Technology Resources FAR 52.204-9 Personal Identity Verification of Contractor Personnel

The CIO recommends inclusion of the following clauses:

The FIPS 199 impact designation for this procurement is Medium

II. INTERNET PROTOCOL VERSION SIX (IPv6) This procurement is out of scope of the IPv6 acquisitions compliance requirement for one of the following reasons:

The procurement is classified The procurement is for licenses or maintenance The procurement is for software that does not use the Internet Protocol (IP) or store IP addresses The procurement does not include items that are capable of using Internet Protocol (IP) networking to communicate

OR

This procurement is in scope of the IPv6 acquisitions compliance requirement because it includes items that are capable of using Internet Protocol (IP) networking to communicate.

AND

Attached is the IPv6 Compliance Procurement Waiver (NF 1835) that has been signed by the Center CIO and/or Agency CIO as appropriate.

OR

The items to be purchased will be determined via competitive procurement. The review for IPv6 compliance will be performed once the items are determined but prior to award. Attached are the required IPv6 capabilities for networked IT components of this procurement.

OR

Attached is a written analysis that compares the specified IPv6 capability requirements with the tested capabilities claimed in the SDOC.

The following three documents are attached:

The requestor has coordinated with the center CIO and ELMT and obtained approval to acquire the requirement outside the ELMT program (e.g.

placement of a new contract or order, exercising an option on an existing contract, requesting a contractor to procure through an existing contract, or placing an order by a Government-wide purchase card). Documentation indicating the aforementioned coordination is required to be attached.

OR

The requestor has coordinated with the ELMT and determined that the requirement shall be fulfilled through the ELMT program. Documentation indicating the aforementioned coordination is required to be attached.

AND

This procurement does involve the acquisition of software and/or software maintenance.

OR

This procurement does not involve the acquisition of software and/or software maintenance.

III. SOFTWARE AND / OR MAINTENANCE ACQUISITIONS (Ref. NFS 1807.70 and https://www.nssc.nasa.gov/elmt)

OR

The ICT items included in this procurement meet the applicable accessibility standards at CFR part 1194. (Attach market research documentation)

AND

This procurement includes ICT items.

OR

This procurement does not include Information and communication (ICT) items.

IV. INFORMATION AND COMMUNICATION TECHNOLOGY ACCESSIBILITY (ICT) SECTION 508

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This procurement is not subject to systems engineering requirements as specified in NPR 7123.1, See NPR 7123.1.

Exceptions have been approved by the technical authorities and are attached hereto. See NPR 7120.5, paragraph 3.3.

SECTION 3 – Environmental/Sustainable Acquisition Ref. FAR subpart 23.1 and NPR 8530.1. The request originator has searched the Green Procurement Compilation (GPC) to identify applicable federal green/sustainable acquisition requirements for products and services.

Best Meets (Section E202.7 ICT, Attach "Best Meets" Documentation) Fundamental Alteration (Section E202.6, Attach "Fundamental Alteration" Documentation)

Undue Burden (Section E202.6 and NFS 1839.203-7, Attach "Undue Burden" Documentation) ICT Located in Maintenance or Monitoring Spaces (Section E202.5) ICT Acquired Incidental to a Federal Contract (Section E202.4)

National Security Systems (Section E202.3)

Legacy ICT (Section E202.2)

SECTION 2 – Information Systems and Information and Communication Technology Accessibility (Section 508) (Continued)

This procurement does not acquire any products or services listed in the GPC.

OR

This procurement does acquire products or services listed in the GPC in the following programs (check all that apply):

NASA's requirements for National Environmental Policy Act (NEPA) are outlined in NPR 8580.1A. Reference use of form like LF-461 Environmental Project Planning Form (Web-based).

This procurement does acquire products or services listed in the GPC; however, the sustainable product or service does not meet the functional requirements of the requester. The appropriate waiver of justification documentation for not including the sustainable acquisition requirements is attached.

OR

The specifications or statement of work include applicable sustainable acquisition program requirements.

AND

USDA's Biopreferred Designated Products FEMP (Federal Energy Management Program) Energy Efficient Products Energy Star EPA's WaterSense Program EPA's Significant New Alternatives Policy (SNAP) Program Electronic Product Environmental Assessment Tool (EPEAT) EPA's Comprehensive Procurement Guidelines

4. Will be advisory and assistance services. (See definition FAR 2.1, and FAR 37.204 and NFS 1837.204)

3. Are not presently being performed, nor recently performed, by government employees. (Contracting out for services performed by civil servants requires a public-private competition.) (Ref. OMB Circular A-76)

2. Will not be used for the performance of inherently governmental functions. (Ref. FAR 7.503)

1. Will not be used for the performance of personal services. (Ref. FAR 37.104 and NFS 1837.104)

This requirement is for or includes, services. The services to be performed (check all that apply):

OR

This is a requirement for supplies and no services are being procured

SECTION 4 – Service Contracting

This procurement is subject to systems engineering requirements as specified in NPR 7123.1.

OR

b)

OR

1) The most recent version, 2) tailored to the needs of the project and its elements, and 3) registered in a watch list at https://standards.nasa.gov/ to receive notification when standards or specification change.

a) Technical standards and specifications cited in the solicitation/resultant award are:

Complete (a) and (b) below:

(Insert Engineering Rep.'s name)

This procurement is for space flight hardware and/or software and/or ground systems or components. GRC Engineering Representative has been made aware of this procurement, and the program/project/activity for which it will be utilized.

OR

I. Space Flight and Ground Support Programs SECTION 5 – Technical Approval (The following affirmations are to be made by the Program or Project Technical Authority(ies))

This procurement is not for space flight hardware and/or software, nor for any ground systems or components that are in direct support of space flight operations.

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This procurement is not subject to software engineering requirements as specified in NPR 7150.2 See http://nodis3.gsfc.nasa.gov/displayDir.cfm?t=NPR&c=7150&s=2A NPR 7150.2 is applicable to: 1) ALL R&D requirements and 2) ALL service requirements other than construction, routine maintenance and repair, or institutional services such as custodial, grounds maintenance, security services, etc.

Generally, COTS applications used outside of a NASA system/subsystem are not subject to software engineering requirements. However, COTS applications (e.g., spreadsheet programs, database programs) used within a NASA system/subsystem application, need to be assessed and classified as part of the software subsystem in which they reside.

This procurement involves the design, preparation or creation of communications material and is subject to the compliance requirements outlined in NPD 2521.1, Communications and Material Review (http://nodis3.gsfc.nasa.gov/displayDir.cfm?t=NPD&c=2521&s=1B), to include the NASA Graphics Standards Manual (Style Guide), and NASA Communications Portfolio system.

This procurement requires an EVMS to be utilized. Data Requirements Descriptions (DRDs) to be included in the solicitation and resultant contract are attached. (See NASA'S EVM Contract Requirements Checklist located at http://evm.nasa.gov/regulations.html

SECTION 5 – Technical Approval (The following affirmations are to be made by the Program or Project Technical Authority(ies)) (Continued)

OR

This procurement does not required an Earned Value Management System (EVMS) to be utilized.

III. Earned Value Management System (Ref. NASA FAR Supplement (NFS) 1834.201 and NASA Procedural Requirements (NPR) 7120.5)

(See NPD 8074.1, "Management and Utilization of NASA's Space Communication and Navigation Infrastructure")

This procurement has requirements related to space communication and navigation capabilities of NASA, of other U.S. Government Agencies, or of other nations, and the requisition has been coordinated with the Office of Space Communication and Navigation (SCaN) in the Office of Human Exploration and Operations Mission Directorate (HEOMD).

OR

This procurement has no requirements related to space communication and navigation (SCaN) capabilities of NASA, of other U.S. Government Agencies, or of other nations.

II. Communication and Navigation Capabilities

One or more exceptions tot he EVMS requirements apply to this procurement, and have been approved by the Center EVM Point of Contact. The approved exceptions are attached hereto.

OR

No exception(s) to the EVMS requirements apply to this procurement.

This procurement does include unmanned aerial systems (UAS), drones, or vehicles. Therefore, the requester certifies that: 1. This procurement has been identified in Section 2(I) above as involving the acquisition of information technology hardware, and 2. This procurement has been reviewed by the Center CIO in accordance with the NASA CIO policy letter, SUAS Cyber Security Policy, dated March 1, 2018.

This procurement (1) involves acquisition or use of manned or unmanned aircraft systems (UAS), including charter, lease, and acquisition of related aircraft services for manned or unmanned aircraft, and (2) NPR 7900.3 is applicable. The necessary Center Flight Operations Office, in accordance with NPR 7900, has provided concurrence or approvals have been obtained and the aviation requirements identified will be included in the solicitation and resultant contract. See NPR 7900.3 for specific guidance.

OR

This procurement (1) involves neither the acquisition nor the use of manned or unmanned aircraft systems (UAS), including charter, lease, and acquisition of related aircraft services for manned and unmanned aircraft, and (2) NPR 7900.3 is not applicable.

V. Manned Commercial Aviation Services and Unmanned Aircraft Systems (Ref. NASA Procedural Requirements (NPR) 7900.3)

OR

This procurement does not involve the design, preparation or creation of communications material.

IV. Communications (Ref. NASA Policy Directive (NPD) 2521.1)

Class E: Small light weight design concept and research and technology software Class D: Basic science/engineering design and research and technology software Class C: Mission support software or aeronautic vehicles, or major engineering/research facility software Class B: Non-Human rated space software systems or large scale aeronautics vehicles Class A: Human rated space software systems

Software Class (Check appropriate class) This procurement is subject to software engineering requirements as specified in NPR 7150.2

OR

VI. Software Engineering Per NPR 7150.2 Classes A-E

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This procurement is not for safety critical items as defined in NPR 8735.1.

(Note: GIDEP Screening may be requested on any item as desired by the user.)

This procurement is for safety critical items and has been GIDEP screened as specified in NPR 8735.1.

OR

IV. Government Industry Data Exchange Program (GIDEP) Screening

SECTION 6 – Quality Assurance

I. Government Contract Quality Assurance Requirements

This procurement pertains to one of the following types of acquisitions. If any of these blocks are checked, NPD 8730.5 and NPR 8735.2 are not applicable, skip to Section 6-11, GIDEP Screening.

Information technology of institutional infrastructure projects.

Information Technology (IT) services.

Software assurance functions defined by NASA-STD-8739.8 and NPR 7150.2.

Contractor support services where such services do no directly affect product configuration.

Acquisition of NASA Institutional facilities or for facility maintenance.

Grants and cooperative agreements covered by 31 U.S.C. 6301 et seq. or Space Act agreements covered by 51 USC 20113.

OR

OR

This procurement is classified as "research and development" and NPR 8735.2 paragraph 5.2 is applicable.

OR

The acquisition items are NEITHER Critical NOR Complex. Higher-Level Quality is not required by the acquiring organization.

OR

This procurement is for Critical items defined by NPR 8735.2, Appendix A or Critical Work defined by NPD 8730.5.

This procurement is for Complex acquisition items defined by NPR 8735.2, Appendix A or Complex Work defined by NPD 8730.5.

II. Higher Level Quality Assurance Requirements

Select the applicable higher-level quality standards: ISO 17025, AS9100, AS9003 or ISO 9001.

SAE AS9100 (If hardware is any combination of Critical/Complex) ISO 9001 (If hardware is NOT BOTH Critical AND Complex) SAE AS9003 (If hardware is NOT Complex) ISO 17025 (Critical Calibration or Testing Services) The test and inspection requirements as specified by the acquiring organization. (If hardware is NEITHER Critical NOR Complex)

Select the following that are applicable to this procurement.

III. Other Quality Applicabilities

This acquiring organization requires Certificate(s) of Conformance per FAR 52.246-15.

This acquiring organization requires a Certificate of Chemical Analysis certifying the requirements were met as specified in

This acquiring organization requires Government Source Inspections (GSI) under FAR 52.246-2, -3, -4, -5, or -6.

This acquiring organization requires First Article Approval under FAR 52.209-3.

The acquiring organization requires the work to be performed in accordance with further quality requirements as stated in the attached Statement of Work or Specification(s).

Quality Point of Contact Email Quality Point of Contact Full Name

Quality Point of Contact Signature

Center GIDEP Coordinator Signature

Center GIDEP Coordinator Full NameCenter GIDEP Coordinator Email

This procurement is for commercial or Commercial Off-the-Shelf (COTS) item(s) to be acquired under FAR Part 12 procedures and NPR 8735.2 paragraph 5.1 is applicable.

This procurement is subject to higher-level quality requirements as specified in FAR 46.202-4, NFS 1846, Quality Assurance and NPD 8730.5, Attachment A.

This acquiring organization requires completion of acceptance testing by the government within ___________ days (typically 14 to 30 days) of delivery to the Center to ensure suitability under FAR 52.212-4 or FAR 52.246-2, -3, -4, -5, -6, -6.4.

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PV, PVS and/or PVS components are in compliance with the NPD 8715.1 and NASA STD 8719.17.

This procurement does not include work that is critical* or complex*, nor does it include aeronautics or space-flight hardware manufacturing, development, or testing activities. Therefore, this procurement is not subject to higher-level quality requirements as specified in FAR 46.202-4 and NPD 8730.5, Attachment A. See NPD 8730.5 (Check the description below that applies):

This procurement includes work that is critical* and/or complex*, or it includes aeronautics or space-flight hardware manufacturing, development, or testing activities. Therefore, this procurement is subject to high-level quality requirements as specified in FAR 46.202-4 and NPD 8730.5, Attachment A. GRC Safety and Mission Assurance Division (SMAD) Procurement Quality Assurance (PQA) Representative has been contacted regarding this procurement and the program/project/activity for which it is associated. The SMAD PQA Representative has provided input and concurrence for the SMA requirements which shall be included in the specifications or statement of work. A record, such as as email, which documents the SMA requirements, and the PQA Representative's concurrence, accompanies this form.

SECTION 6 – Quality Assurance (Continued)

(Insert PQA Representative's Name

OR

This procurement is for items such as raw materials (e.g., metal plate, bar stock) supplies (e.g., fasteners or electrical, electronic, and electromechanical (EEE) parts), and/or fabricated items (e.g., machined brackets, components, simple assemblies) that will not be used in critical* and/or complex*, aeronautics or space-flight hardware manufacturing, development, or testing activities. The items shall be procured in accordance with the quality requirements (e.g., certificate of conformance, material testing data, inspection, dimension verification) developed by the requiring organization and included in the contract (*See NPD 8730.5 referenced above for definitions of these terms.)

This procurement is for Commercial-Off-The-Shelf (COTS) items, other commercial items, commercial services, construction services, or contractor support services where such services do not directly affect product configuration (e.g., computer modeling, data analyses/analytical studies. The work shall be performed in accordance with the quality requirements of appropriate FAR/NFS clauses specified in the contract.

Critical work is work that if done incorrectly could cause serious injury, loss of life, or loss of a payload, mission, or mission resource > $2M. Complex work involves either: a) the design, manufacture, fabrication, assembly, testing, integration, maintenance, or repair of machinery, equipment, subsystems, systems, or platforms; or b) the manufacture/fabrication of parts or assemblies which have quality characteristics not wholly visible in the end item and for which conformance can only be established progressively through precise measurements, tests, and controls applied. See NPD 8730.5.

V. Higher Level Quality Assurance Requirements (Critical and/or Complex requirements):

This procurement will not result in the acquisition, production, or use of any hazardous or potentially hazardous substances or articles, listed in Appendix D to NPR 1800.1.

SECTION 7 – Health and Safety I. Hazardous Substances and Articles

–Ionizing Radiation Sources and Devices, –Lasers and Sources of Hazardous Non-Laser Optical –High Intensity, Ultraviolet, and Infrared Lights, –Radio Frequency (RF) and Microwave Emitters, –Devices That Produce Hazardous Noise (Above 80 DBA at 1 Meter or Less), –Pyrotechnic Devices and Explosives –Pressurized Vessels (PV), Pressurized Systems (PVS) or PVS critical components (e.g., relief valves, burst discs, flexible hoses, etc.)

–Toxic or Hazardous Substances, Materials, or Chemicals, –Nano and Ultrafine Particles, or –Any Infectious or Biological Agents –Or other articles or substances listed in the Appendix D

OR

The procurement has been reviewed, as required in Chapter 4 of NPR 1800.1 to identify risks, controls, alternatives, and safety requirements.

AND

This procurement will result in the acquisition, production, or use of any hazardous or potentially hazardous substances or articles, examples which are listed NPR 1800.1, such as:

This procurement will result in the acquisition (purchase, lease, or rent) of equipment or services that requires the Center Safety and Mission Assurance (SMA) Organization review and approval per Center requirements. Examples of equipment that may require Center review are lifting devices and equipment and fall protection equipment. Construction services is an example of a services that may require Center review by the SAM organization.

Health & Safety Signature

Health & Safety Full NameHealth & Safety Email

For ground-based systems:

AND, if the procurement involves the delivery of PV, PVS and/or PVS components, either directly or through contractor purchases, the requester certifies that:

The PSO is cognizant of the procurement via project review participation, review of related procurement specifications, etc.

Guidance at the PSO website has been reviewed

PV, PVS and/or PVS components are in compliance with the NPD 8715.1 For flight systems:

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A GRC 8095, SOW Requirements Review and Concurrence, is being processed through SMAD (Required for procurements that meet the criteria set forth in GLPR 5100.1, Procurement, 1.2.1(a)(5)).

Approvals for special items are attached.

OR

Approvals for special items have been obtained through the established SAP release strategy.

OR

There are no items requiring special approval.

SECTION 9 – Required Special Approvals, Center Specific Supplements

This procurement will involve the purchase or fabrication of property $500,000 or greater per item, either as a line item deliverable or as contractor-acquired property to which the government will receive title, NASA Form 1739, "Capitalization Determination Form (CDF)," is attached.

OR

This procurement will not involve the purchase or fabrication of property with unit value $500,000 or greater, to which the government will take title.

SECTION 8 – Property Management

Primary source of supply/acquisition/reutilization efforts have been exhausted in accordance with NPR 4200.1 and NPR 4300.1.

Arrangement with local Equipment Management personnel/branch have been coordinated for proper control and accountability of equipment in accordance with NPR 4200.1.

SECTION 10 – Foreign Travel Briefings for NASA Contractors Ref. NPR 1660.1, NASA Counterintelligence and Counterterrorism

OR

This procurement does not require NASA contractor employees to go on official travel to Designated Countries, Russia and other high-threat locations.

(For additional information see the NASA Counterintelligence Division's website at:

This procurement does require NASA contractor employees to go on official travel to Designated Countries, Russia and other high-threat locations. The Performance Work Statement, Statement of Work, Description, or Specification includes language that NASA contractor employees going on official travel to Designated Countries, Russia, and other high-threat locations, receive pre- and post-travel Counterintelligence threat briefings/debriefings per NPR

1660.1. (For additional information see the NASA Counterintelligence Division's website at:

http://www.hq.nasa.gov/office/ops/nasaonly/internal/ci/foreign.htm) http://www.hq.nasa.gov/office/ops/nasaonly/internal/ci/foreign.htm)

Ref. MSC-2011-12-001, Eliminating Extraneous Promotional and Personal Use Items SECTION 11 – Extraneous Promotional and Personal Use Items

This procurement does not involve the direct purchase by a NASA civil servant or indirect purchase through a NASA contractor or subcontractor of any of the prohibited extraneous promotional or personal use items set forth in the NASA Mission Support Council (MSC) Memorandum MSC-2011-12-001, Eliminating Extraneous Promotional and Personal Use Items, as amended.

http://www.hq.nasa.gov/office/procurement/regs/msc%20memo%20MSC-2011-12-001a.pdf

SECTION 12 – Other Current NASA Directives

OR

A review of the NASA Online Directives Information System (NODIS) of current NASA Directives (NPR, NPD, and NID) not already indicated in the other Sections of this form has been performed. There are no additional NASA Directives applicable to this procurement.

A review of the NASA Online Directives Information System (NODIS) of current NASA Directives (NPR, NPD, and NID) not already indicated in the other Sections of this form has been performed. There are additional NASA Directives applicable to this procurement. The list of applicable Directive(s) is attached.

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NF 1707, "Special Approvals and Affirmation of Requisitions" Instructions

Purpose NASA Form (NF) 1707, " Special Approvals and Affirmations of Requisitions" is required by the NASA Federal Acquisition Regulation Supplement, section 1804, 7301, to document procurement request coordination. The procurement office will not accept a requisition until all required coordinations have been documented.

When and How to Submit the NF 1707 The procurement request (PR) is known as a "purchase requisition" (requisition) and is developed in NASA's Integrated Enterprise Management Program/Core Financial Module (CF). In order for a requisition to be sent forward for action, CF requires that several coordinations be obtained first. However, there are additional required coordinations at the Agency level and sometimes at the Center level.

The initiator of the requisition (i.e. "End User") is responsible for obtaining those additional coordinations. This form must be used to document additional coordinations. The completed NF 1707 and any additional special approvals or affirmations required must be electronically attached to the requisition in CF and must include all required names, signatures, and dates. The contracting officer must include a hard copy in the contract file, or a link to the electronic copy. The procurement office must not accept a requisition until all required coordinations have been documented. The NF 1707 is not required for within scope actions for which special approvals and affirmations have previously been obtained. In addition, the NF 1707 is not required for grants, cooperative agreements, and space act agreements.

Who Completes the Form The initiator of the requisition (i.e., "End User") completes and signs the form affirming that the coordinations have been completed.

Approvers The following individuals, as appropriate, sign the form as "Approver":

For requirements defined as "Critical and/or Complex" per NPD 8730.5: For Non-critical and/or Complex requirements:

Below $2M – End User's Branch Chief Below $250K – End User's Branch Chief. However, Exceeding $2M – End User's Directorate Head approval authority may be delegated down via division maintained written delegation memorandum.

Exceeding $250K – End User's Branch Chief

B. DETAILED INSTRUCTIONS

Section 1. NASA Strategic Sourcing Initiative The requester shall check the appropriate block to indicate that a review of the NASA strategic sourcing contract database available on the Office of Procurement Strategic Sourcing website has been performed. The requester shall indicate that the requirement IS AVAILABLE through the NASA Strategic Sourcing initiative and provide the mandatory source contract number. If the review finds that the requirement IS NOT AVAILABLE through the NASA Strategic Sourcing Initiative, then supporting documentation e.g., memorandum needs to be attached which indicates why the requirement cannot be met utilizing a mandatory source contract. Questions/Coordination: GRC Code CH, Procurement Division

Section 2. Information Systems and Electronic and Information Technology Accessibility In the FITARA area, and in the first subsection, INFORMATION SYSTEMS, the requester shall check the appropriate block to indicate if the procurement is for information technology, information systems or services involving information systems. NASA will include all commodity IT (Hardware and Software), ground systems, mission control centers and data centers. Onboard flight avionics and flight software that are a non-severable and an integral part of the flight system are not considered IT for the purpose of OMB IT budget reporting. However, such avionics/software are included within the cyber security portfolio. Defining a device/service as IT does not exclude its classification as an R&D or engineering device/services. If it is, the cognizant Center Chief Information Officer (CIO) will determine if the purchase has a System Security Plan (SSP) that includes a FIPS-199 for a moderate-or high-impact information system, as defined by the National Institute of Standard and Technology (NIST). The CIO will check the box recommending the appropriate NFS security clauses based on the level of access the contractor will have to the system and SSP requirements. Questions/Coordination: GRC Code VR, Risk Management and Security Office.

In the second subsection, INTERNET PROTOCOL VERSION SIX (IPv6), the requester shall check the appropriate block to indicate if the procurement is for information technology (IT) items that are capable of using Internet Protocol to communicate. The requester shall specify IPv6 requirements, provide them to the vendor and obtain the vendor's Suppliers Declaration of Conformity (SDOC) for the specific item being purchased. The requester shall compare the IPv6 requirements to the capabilities captured in the SDOC, provide the necessary IPv6 requirements analysis and indicate whether it is prudent to proceed with purchasing this item if any IPv6 deficiencies have been identified in the item. Requesters shall provide the IPv6 Compliance Procurement Waiver (NF 1835) for any items that have no IPv6 capabilities. For purchases under $100K, such waivers shall be signed by the Center CIO. Purchases valued at or above $100K shall require waivers to be signed by the Agency CIO. For further guidance, please review the NASA IPv6 Compliance Users Guide on NASA's internal IPv6 Web sites:

Questions/Coordination: GRC Code VM, Mission Support Office.

A. General Information http://inside.nasa.gov/ocio/content/nasa-ipv6.

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Instructions (Continued)

In the third subsection, SOFTWARE AND/OR MAINTENANCE AQUISITIONS, the requester must check the block if the procurement is for software and/or maintenance acquisition. The requester must indicate coordination with the Center CIO and the ELMT Program Office on the acquisition and authorization to acquire any software licenses or software maintenance outside of the ELMT program, if applicable.

Questions/Coordination: GRC Code VG, Integration Office.

In the fourth subsection, ELECTRONIC AND INFORMATION TECHNOLOGY ACCESSIBILITY, the requester must check the appropriate boxes to indicate if the item meets accessibility standards. If an accessible item is not available, or if the item is exempt from the standards, additional documentation is required. Questions/Coordination: GRC Code VE, Information and Applications Office.

Concurrence by the GRC Chief Information Officer is required if the procurement is for information technology, information systems, or services involving information technology.

Section 3. Environmental The requester must search a Government-wide website of environmental program to determine if one or more of these program requirements apply to the procurement, if the procurement acquires the product directly or if a contractor will acquire the product in performance of the contract. If the product will be procured, the requester must indicate if the procurement specification includes the environmentally preferred product or if a waiver or other required documentation is attached. Questions/Coordination: GRC Code FE, Environmental Management Office.

Section 4. Service Contracting If the procurement is to acquire services, the requester must check the appropriate boxes to indicate the services will comply with Federal requirements.

Section 5. Technical Approval There are four subsections to this section. For all subsections, the requester shall coordinate with the program or project technical authority.

For the first subsection, if the purchase request (PR) is for space flight or ground support programs, the requester shall: 1) Coordinate with and identify an Engineering representative from GRC Code LA, Chief Engineer Office, 2) Check the appropriate box to affirm that the most recent specifications are cited or a waiver is attached, and 3) Indicate if the procurement is subject to the system engineering requirements specified in NPR 7123.1. Questions/Coordination: GRC Code LA, Chief Engineer Office

For the second subsection, the requester shall check the appropriate box to indicate if the PR is related to space communication and navigation capabilities. If it is, then the requester shall affirm that the PR has been coordinated with Human Exploration and Operations Mission Directorate (HEOMD). Questions/Coordination: GRC Code LA, Chief Engineer Office.

For the third subsection the requester shall check the appropriate boxes to indicate if the acquisition will require utilization of Earned Value Management System (EVMS) requirements, and if any exceptions apply. Exceptions will require approval by the Center EVM Point of Contact. Questions/Coordination: GRC Code BC, Cost and Economic Analysis Office

For the fourth subsection, the requester shall check the appropriate box to affirm that the acquisition will or will not involve the design, preparation or creation of communications material. Questions/Coordination: GRC Code CP, Office of Communications and External Relations

For the fifth subsection, the requester shall check the appropriate box to affirm that the requisite Center Flight Operations Office has provided concurrence as listed in NPR 7900.3 or that is is not applicable. Further, if the procurement involves unmanned aerial systems, drones, or vehicles, the requester shall certify that the procurement has been appropriately identified in Section 2(I), and that Center CIO review has been accomplished. Questions/Coordination: GRC Code FA, Aircraft Operations Office

For the sixth subsection, the requester must indicate if the procurement is subject to the software engineering requirements specified in NPR 7120.2, NASA Software Engineering Requirements. Questions/Coordination: GRC Code QE, Program and Product Assurance Division

Section 6. Quality Assurance There are three subsections to this section. In the first subsection, the requester must indicate which quality assurance requirements, as listed in NPR 8735.2 apply. In the second subsection, if the PR acquires a safety critical item, the requester must indicate that the item has been screened as required by NPR 8735.1. In the third subsection, the requester must indicate if the PR is for items requiring higher level quality assurance. For items requiring higher level quality assurance, the requester must: 1) Coordinate with and identify a Quality Assurance representative from GRC Code QE, Program and Product Assurance Division, and 2) Indicate all higher level quality assurance standards that apply. Questions/Coordination: GRC Code QE, Program and Product Assurance Division.

Section 7. Health and Safety The requester must indicate if the PR is to acquire hazardous or potentially hazardous substances or articles, as defined in NPR 1800.1. If the PR is for hazardous or potentially hazardous substances or articles, the requester must affirm that it has been screened in accordance with NPR 1800.1. Questions/Coordination: GRC Code QS, Safety, Health, and Environmental Division.

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Instructions (Continued)

Further, if the PR involves the acquisition of ground-based PV, PVS or PVS components, either directly or through contractor purchases, the requester must either state that the PSO website guidance has been reviewed, that the PVS are in compliance with NPD 8710.5 and NASA STD 8719.17, that the PSO is cognizant of the procurement via project review participation, review of related procurement specifications, or that flight system PV, PVS or PVS components are in compliance with the NPD 8710.5. Questions/Coordination: GRC Code QS, Safety, Health, and Environmental Division.

Section 8. Capital Equipment The requester must indicate if the PR is to acquire capital equipment. If the PR is to acquire capital equipment, then the requester must check the appropriate box and attach NF 1739, Capitalization Determination From (CDF). Questions/Coordination: GRC Code BF, Accounting and Financial Analysis Division.

Section 9. Required Special Approvals, Center Specific Supplements This section is designed to allow for center-specific or special approvals added by the center. Follow center policy when completing this section.

Section 10. Foreign Travel Briefings for NASA Contractors The requester must indicate if the PR will require NASA contractor employees to go on official travel to Designated Countries, Russia and other high-threat locations. If the PR requires NASA contractor employees to go on official travel to Designated Countries, Russia and other high-threat locations, the requester must check the appropriated box and affirm that the Performance work Statement, Statement of Work, Description, or Specification includes language that NASA contractor employees going on official travel to Designated Countries, Russia and other high-threat locations, receive pre- and post-travel Counterintelligence threat briefings/debriefings per NPR 1660.1. for additional information see the NASA Counterintelligence Division's website at:

Questions/Coordination: Contact GRC Counterintelligence POC indicated at the above website.

Section 11. Extraneous Promotional and Personal Use Items The requester must indicate that the PR does not involve the direct purchase by a NASA civil servant or indirect purchase through a NASA contractor or subcontractor of any of the prohibited extraneous promotional or personal use items set forth in the NASA Mission Support Council (MSC) Memorandum MSC-2011-12-001, Eliminating Extraneous Promotional and Personal Use Items, as amended

Section 12. Other Current NASA Directives The requester must indicate a review of the NASA Online Directives Information system (NODIS) of current NASA Directives (NPR, NPD, and NID) not already indicated in the other Sections of this form has been performed. There are not additional NASA Directives applicable to this PR. If the review finds there are additional NASA Directives applicable then the list of applicable Directive(s) is attached with the PR and are appropriately included in Performance Work Statement, Statement of Work, or Specification.

http://www.hq.nasa.gov/office/ops/nasaonly/internal/ci/foreign.htm)

(http://www.hq.nasa.gov/office/procurement/regs/msc%20memo%20MSC-2011-12-001a.pdf).

Catscan requests

RITM 1238970

RITM 1166569

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NASA FORM 1707 10/19 (GRC OVERPRINT MAR 22)

PREVIOUS EDITIONS ARE OBSOLETE. NRRS 5.1.A

PREVIOUS EDITIONS ARE OBSOLETE. NRRS 5/1A1(a) .\nasameatball-1.GIF National Aeronautics and Space Administration National Aeronautics and Space Administration Special Approvals and Affirmations of Requisitions Special Approvals and Affirmations of Requisitions Task Order/Delivery Order Exception Task Order/Delivery Order Exception (When applicable, this statement may be checked for task order or delivery order requirements to be issued under GRC Indefinite Delivery, Indefinite Quantity (IDIQ) contracts. Insert the signature date and PR No. from the appropriate, previously completed NF 1707. IMPORTANT NOTE: The previously completed NF 1707 being referenced must have a signature date that is later than the date appearing at the end of the first sentence below.)

(When applicable, this statement may be checked for task order or delivery order requirements to be issued under GRC Indefinite Delivery, Indefinite Quantity (IDIQ) contracts. Insert the signature date and PR No. from the appropriate, previously completed NF 1707. IMPORTANT NOTE: The previously completed NF 1707 being referenced must have a signature date that is later than the date appearing at the end of the first sentence below.)

The specific statements and affirmations included on NF 1707 signed on for PR No. apply to this requirement as well, and represent all statements and affirmations required by the Agency and GRC as of May 2018. Therefore, Sections 1 through 12 below need not be completed.

SECTION 1 – NASA Strategic Sourcing Initiative (Ref. NFS 1808.003-72 and Office of Procurement Strategic Sourcing website) The requester has reviewed the information on the Office of Procurement NASA Strategic Sourcing website and the requirement IS AVAILABLE through Mandatory Source Contract Number

OR

The requester has reviewed the information on the Office of Procurement NASA Strategic Sourcing website and the requirement IS NOT AVAILABLE through a Mandatory Source Contract. Documentation indicating the aforementioned review is attached.

SECTION 2 – Information Systems and Information and Communication Technology Accessibility (Section 508) SECTION 1–Information Systems and Electronic and Information Technology Accessibility

AND

The items are on Headquarter's Assessed and Cleared List as of the date of this form.

IT Cloud Services Procurement IT Product Procurement This procurement does involve the acquisition of an information system, information technology hardware or software, or services where the contractor will have access to NASA information systems. It has been reviewed by the Center CIO or the Headquarters operations CIO to determine if the purchase has a System Security Plan (SSP) that includes a FIPS-199 for a moderate- or high-impact information system, as defined by the National Institute of Standard and Technology (NIST).

This procurement does not involve the acquisition of an information system, information technology hardware or software, nor does it involve services where the contractor will have access to NASA information systems.

I. INFORMATION SYSTEMS

Provide a list(s) of the ACL/Request for Investigation (RFI) or new Covered Articles & Technology Supply Chain Assessment Needed (CATSCAN) Required Item Ticket Management (RITM) number(s).

This procurement's electronic and information technology items HAVE NOT been reviewed for supply chain risk management because the manufacturer has yet to be determined. I understand that a review for supply chain risk management may be required once the manufacturer is determined.

OR

This procurement does include:

OR

This procurement does not include information technology in accordance with the definition by FITARA (see C. below).

FITARA statute interprets IT broadly using the definition given below. Note, that it includes IT software, hardware, and telecommunications equipment and services, except as excluded in Paragraph D.

Ref: OMB Memorandum M-15-14: Management and Oversight of Federal Information Technology

FEDERAL INFORMATION TECHNOLOGY ACQUISITION REFORM ACT (FITARA)

Glenn Research Center Glenn Research Center A. Any services or equipment, or interconnected system(s) or subsystem(s) of equipment, that are used in the automatic acquisition, storage, analysis, evaluation, manipulation, management, movement, control, display, switching, interchange, transmission or reception of data or information by th agency;

Are exempt from conformance with applicable accessibility stands based on the following exception identified in section E202 of Appendix A to Part 1194 – Section 508 of the Rehabilitation Act; Application and Scoping Requirements:

Attached are the required IPv6 capabilities (USGv6 Profile: http://www-x.antd.nist.gov/usgv6/) for networked IT components of this procurement.

Attached is the Suppliers Declaration of Conformity (SDOC) for the specific IT items to be purchased. (Request from the vendor or see if available at: https://www.iol.unh.edu/registry/usgv6) B. such services or equipment are ‘used by an agency’ if used by the agency directly or if used by a contractor under a contract with the agency that requires either use of the services or equipment or requires use of the services or…