A031 _ Hazardous Materials Management Program Report _ HMMR.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if i t does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TBD B TDP TM OTHER X

D. SYSTEM/ITEM

Type I FOATC

E. CONTRACT/PR NO.

W56HZV-19-R-0118

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A031

2. TITLE OF DATA ITEM

Hazardous Materials Management Program Report (HMMR)

3. SUBTITLE

HMMR

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B(T) – SEE BLK 16

5. CONTRACT REFERENCE

C.2.4.4

6. REQUIRING OFFICE

FCDD-GVS-ES-MAT-ECC

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO SEE BLK 16 SEE BLK 16

b. COPIES

8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A A

SEE BLK 16 SEE BLK 16 Reg Repro

SEE BLK 16

16. REMARKS

Block 4:

Delete “format and” from the second paragraph of the Use/Relationship section.

Delete Requirements Section 2 and Section 3b through 3d.

Block 8: Should the Government require the data item to be corrected after its delivery, the Government will provide comments within 25 business days after delivery of the data item, and the contractor shall resubmit an update within 25 business days after receipt of Government comments.

Block 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DOD contractors only (Administrative or Operational use; export controlled) (Date of Determination: 09 August 2017). Other requests for this document shall be referred to PM FP Security Manager at: Program Executive Office Combat Support and Combat Service Support (CS&CSS), ATTN: SFAE-CSS-P, 6501 East 11 Mile Road, Mail Stop XXX, Detroit Arsenal, MI 48397- 5000. WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Block 10, 11, and 12: The HMMR shall be submitted no later than 120 business days after contract award.

Block 13: In the event material/process changes occur the contractor must provide an update to the initial report to capture the material/process changes within 30 days of the change.

Block 14: The HMMR shall be submitted emailed per email addresses on Attachment 0008 - Type I FOATC POC List. The submission shall be prepared and delivered in an editable and Microsoft Office 2007 software suite file format (MS Word, MS Excel, MS PowerPoint, MS Visio). Exception:

The SDSs may be provided in pdf format.

APM

Environmental

Engineer

COR

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 1