Attach 05 CASEVAC CDRLs Exhibit A_ID04200024 Nov 23 2020 .pdf

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Attached to
SOF TACTICAL COMBAT CASUALTY CARE (TCCC) CASUALTY EVACUATION SET
Solicitation number
47QFSA-20-R-0011
Issued by

About this file

This document contains a Contract Data Requirements List (CDRL) for a federal contract opportunity to provide a Casualty Evacuation (CASEVAC) Tactical Combat Care (TCCC) Set. The CDRL outlines eleven required data items to be delivered by the contractor, including safety studies reports, training materials, drawings, provisioning parts lists, engineering change proposals, status reports, and other configuration management documents. Delivery dates and distribution statements are provided for each data item. The related federal contract opportunity is a request for proposal to award an Indefinite-Delivery/Indefinite-Quantity contract for the CASEVAC TCCC Set. Interested vendors must register in the GSA Assisted Acquisition Services Supply System portal and notify the points of contact by January 1, 2021 to access the solicitation. Pricing is to be provided in Attachment 06 and the SF1449 must be completed for proposal submission. Past performance questionnaires are due by December 23, 2020.

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File Type Posted
Attach 06 Rev 03 Appendix A LOM V22.5 ID04200024 6 Jan 2021.xlsx XLSX spreadsheet
Attach 06 REV02 Appendix A LOM V22.4 ID04200024 5 Jan 2021 .xlsx XLSX spreadsheet
RFP Questions and Answers ID04200024 Rev 02 Jan 5 2021.pdf PDF
RFP SF1449 ID04200024 0002 05 Jan 2021.pdf PDF
RFP Questions and Answers ID04200024 December 30 2020.xlsx.pdf PDF
RFP Questions and Answers ID04200024 December 30 2020_Redacted.pdf PDF
RFP Questions and Answers ID04200024 December 23 2020_Redacted.pdf PDF
RFP SF1449 ID04200024 0001 23 Dec 2020.pdf PDF
Attach 06 REV 01 Appendix A LOM V22.4 ID04200024 23 Dec 2020 -modified jgs.xlsx XLSX spreadsheet
RFP Questions and Answers ID04200024 December 23 2020.pdf PDF
Attach 04 Engineering Diagrams Schematics ID04200024 23 Nov 2020.pdf PDF
Attach 09 PPQ ID04200024 Dec 1 2020.docx DOCX document
Attach 06 Appendix A LOM V22.3 ID04200024 23 Nov 2020.xlsx XLSX spreadsheet
Attach 01 SOW_ID04200024 23 Nov 2020_.pdf PDF
Attach 02 NET Training appendix ID0420024 Nov 23 2020.pdf PDF
Attach 09 PPQ_ID04200024 22 Nov 2020.pdf PDF
Attach 07 Justification and Approval ID04200024 23 Nov 2020_Redacted.pdf PDF
Attach 08 GFE ID04200024 23 Nov 2020.pdf PDF
Attach 03 NET Manual ID04200024 Nov 23 2020.pdf PDF
RFP SF1449 ID04200024 23 Nov 2020.pdf PDF
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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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

A

C. CATEGORY:

TDP TM OTHER Safety .

D. SYSTEM/ITEM

SOF COMBAT CASUALTY CARE

E. CONTRACT/PR. NO.

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Safety Studies Report

3. SUBTITLE

Material Safety Data Sheets (MSDS)

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81065

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

USSOCOM

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

See block 16

14. DISTRIBUTION

8. APP CODE

A

11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repr

16. REMARKS

In lieu of format required by the DID, the Contractor shall provide a summary listing of all items containing hazardous materials or requiring special handling instructions. This summary shall have all related Material Safety Data Sheets included as an appendix and will be provided in digital format. In addition, the MSDS shall be delivered with each item containing hazardous material or requiring special handling instructions. The MSDS will provide workers and emergency personnel with procedures for handling or working with that substance in a safe manner, and includes information such as physical data (melting point, boiling point, flash point, etc.), toxicity, health effects, first aid, reactivity, storage, disposal, protective equipment, and spill handling procedures.

Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government Agencies and direst supporting contractors. Other requests for this document shall be referred to Program Manager – Special Operations Forces Survival, Support & Equipment Systems (PM‐SOF

SSES).

Block 12/13: First submission within 30 days of contract award, subsequent deliveries with each procurement order

Block 14.a: Electronic submissions may be addressed to jeffrey.w.luciano.civ@mail.mil.

15. TOTAL

See

BLK

16b

See

BLK

16b

See

BLK

16b

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 Pages

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed

TDP TM OTHER Configuration Management .

SOF COMBAT CASUATLY CARE

A002

Training Materials

TCCC Training Guide - Student Guide

DI-ILSS-80872

DD

AS REQ

11. AS OF DATE

13. DATE OF SUBSEQUENT

16. REMARKS

The Contractor shall provide a Student Training Guide to include safety, operation, and maintenance procedures for the CASEVAC Set. The content shall be suitable for application in a self-paced, self-directed format. The material shall contain sufficient instructions to guide students through all specified hands-on training without a need for instruction lectures and instructor interface. Existing manufacturer’s training and service manuals may be incorporated into the material insofar as they meet specified requirements. The Training Guide will be developed and approved by the Program office prior to delivery of the first New Equipment Training (NET) Course.

and direst supporting contractors. Other requests for this document shall be referred to Program Manager – Special Operations Forces Survival, Support & Equipment Systems (PM‐SOF SSES).

Block 12/13: First submission (draft) in digital format within 30 days of contract award.

Student guides in hard copy will then be provided during each NET Training course.

Block 14.a: Electronic submissions may be addressed to jeffrey.w.luciano.civ@mail.mil

Total qty. not to exceed 10, 000

Government review and approval shall be within 30 days of contractor submission. Contractor revisions shall be within 2 weeks of Government review and approval. Final Government approval shall be within 20 days of delivery of final Training Materials.

NSRDEC

BLK

16b

See

BLK

16b

See

BLK

BLK

16b

See

BLK

16b

See

BLK

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed

TDP X TM OTHER .

A003

Commercial Drawings/Models and Associated Lists

Product Baseline Drawings and Inventory Diagrams

DI-SESS-81003F

DD

ASREQ

REQRE

Q

See BLK 16

AS REQD

16. REMARKS

This deliverable shall be reflective of the CASEVAC Set configuration delivered to the Government.

The data rights associated with this CDRL are owned by the Government in their entirety and without restriction. Contractor drawing format shall apply in lieu of TDP Option Selection Worksheet. First submission of this CDRL shall reflect configuration of the First Article Test Set.

The drawings or ‘tabletop’ will be used for inventory management to ensure kits are complete and available for reuse. Any changes made to the kit configuration after First Article Test Set delivery shall be submitted as updates to this CDRL. Any changes made after Production Sets are delivered shall follow the ECP Configuration Process and will require resubmission of this CDRL reflecting the approved changes and affected data.

Documentation shall be made available in digital format. The drawings will be provided during each delivery in hard copy and on CD-ROM with each respective Set, Kit, or Module. All computer media will be compatible with current Government software. All digital copies provided to the Government program office will be available for future editing.

and direst supporting contractors. Other requests for this document shall be referred to Program Manager – Special Operations Forces Survival, Support & Equipment Systems (PM‐SOF

Block 12/13: The base file will be provided by the government. Initial submission of final award configuration will be delivered in digital format within 30 days of award.

Subsequent deliveries will occur with every Set, Kit, or Module delivery. Updates will be made and submitted in digital format for review within 10 days of ECP changes to configuration.

Block 14.a Electronic submissions may be addressed to jeffrey.w.luciano.civ@mail.mil

Government review and approval shall be within 30 days of contractor submission. Contractor shall be within 20 days of delivery of final drawings/models and associated Lists.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed

TDP TM OTHER Training .

SOF Combat Casualty Care

A004

Training Material

Safety, Operation, and Maintenance Training for the CASEVAC SET

DI-ILSS-80872

DD

ASREQ

16. REMARKS

The Contractor shall provide a Training Video on CD or DVD ROM, in lieu of hardcopy text specified in the DID, to include safety, operation, and maintenance procedures for the CASEVAC Set. The content shall be suitable for application in a self-paced, self-directed format. The material shall contain sufficient instructions to guide students through all specified hands-on training without a need for instruction lectures and instructor interface. Existing manufacturer’s training and service manuals may be incorporated into the material insofar as they meet specified requirements.

Block 12/13: First submission within 30 days of award, subsequent deliveries with each procurement order in each Set, Kit or Module. Videos will also be distributed to the components thru SOFSA.

Total qty not to exceed 10, 000

Updates to equipment configurations via ECP or changes in training requirements and/or techniques will require revisions to the training video.

Government review and approval shall be within 30 days of contractor submission. Contractor shall be within 20 days of delivery of final Training Material.

BLK

16b

See

BLK

16b

See

BLK

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed

A005

Provisioning Parts List (PPLs)

3. SUBTITLE

Spare equipment, parts and maintenance material

DI-SSES-81715

DD

ASREQ

See Block 16

A

11. AS OF DATE

Initial offer

13. DATE OF SUBSEQUENT

See Block 16

16. REMARKS

The Contractor shall submit a complete list of all individually replaceable sub-components with the entire TCCC Set.

The list shall include, as a minimum, Contractor quantities for every type of spare part for the Set to include all consumable and expendable items, part number, OEM part number, NSN if assigned, nomenclature, quantity and price.

The list must be kept updated with pricing and ECP driven part changes.

The deliverable shall be submitted in electronic format in Government compatible software.

The data rights associated with this CDRL are owned by the Government in their entirety and without restriction.

and direct supporting contractors. Other requests for this document shall be referred to Program

BLK 12: The Contractor shall submit a PPL concurrent with the awarded equipment configuration.

BLK 13: Subsequent submissions shall be delivered in electronic format within 10 days of ECP-driven configuration updates.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed

A006

Engineering Change Proposal (ECP)

ECP

DI-SESS-80639E

DD

AS REQ

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

16. REMARKS

The Contractor shall submit a Class II ECP for each proposed change that will NOT affect form, fit, function, or safety. Class II ECPs shall be provided in Contractor format. They shall be provided for Government concurrence in classification only and will not require Government approval, but will be used for configuration tracking.

The Contractor shall provide Type I ECPs for Government review and approval. The Government will review the ECP for technical merit and impact. Final approval/disapproval of the Type I ECPs will be granted by the Government Contracting Officer in writing.

Block 12/13: BLK 12: Class I ECPs shall be submitted in time to allow 30 days for Government approval process.

16b

See

BLK

16b

See

BLK

16b

See

BLK

16b

See

BLK

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed

ALL

TDP TM OTHER Program Management .

A007

Status Report

Monthly contract status report

DI-MGMT-80368A

DD

MONTHLY

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

8. APP CODE

See Block 16

Blocks 10, 12, 13: Initial submission in digital format shall be made within 15 days of the end of the first full month of performance under this order. Subsequent submissions shall be made by the 15 th day of each month thereafter.

The Report shall contain the following:

1.0 Summary: The summary shall include a brief statement of the overall project status, covering accomplished technical activities and development, objectives of efforts, summary results of efforts, identification of major problems/deficiencies with impact and recommended solutions.

2.0 Body of Report: The body shall contain the following:

a. A statement as to whether the program is on task/schedule. If not, provide details of why and the planned effort to get on task/schedule.

b. Effort expended on each task to date, a brief description of work performed during the reporting period.

c. Key dates in any testing or development work with significant results.

d. A narrative of outstanding problems existing as of the previous status report and their resolution status.

e. New problem areas encountered or anticipated, their effect on the overall work effort/project and steps being taken to remedy problem situations.

f. Significant results of conferences, trips or directives for the Contracting Officers Representative.

g. Any other information which may cause significant changes in the program schedule.

3.0 Itemized man-hours and costs. Itemized man-hour and cost expenditure incurred for the reporting period by category and task, total contractual expenditures and funds remaining as of the reporting date.

4.0 Contract deliveries status. The status of each deliverable end items, including data deliverables, as required by the contract. Provide item and contract identification, shipping/transmittal data, acceptance status, and schedule due date information.

5.0 ECP Status. Include a summary of ECP’s, including identification of proposed ECP’s, Approved

ECP’s and implemented ECP’s.

Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government Agencies and direst supporting contractors. Other requests for this document shall be referred to Program Manager – Special Operations Forces Survival, Support & Equipment Systems (PM‐SOF

Electronic submissions may be addressed to stephanie.t.elder.civ@mail.mil mailto:stephanie.t.elder.civ@mail.mil

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed

TDP X TM OTHER .

A008

Identification Marking of U.S. Military Property

IUID Marking

MIL-STD-130/DFARS 252.211-7003

LT

ASREQ

12. DATE OF FIRST SUBMISSION

See Block 16

See Block 16

Item Unique Identification marking requirements: End items for which the Government’s unit acquisition cost is $5,000 or more are to be marked and registered with the IUID registry in compliance with Defense Acquisition Regulation Supplement (DFARS) clause 252.211-7003 and IAW MIL-STD-130.

BLK 8: Approval (written) is not required. However, the data will be rejected and submitted for rework if it does not conform to the requirements herein. The Government will review and provide comment within 30 days of receipt, as required.

Block 9: DISTRIBUTION STATEMENT C. Distribution authorized to U.S. Government Agencies and direst supporting contractors. Other requests for this document shall be referred to Program Manager – Special Operations Forces Survival, Support & Equipment Systems (PM‐

SOF SSES)

BLK 10/11/12: Due concurrent with delivery of applicable items.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed

A009

Supplier’s Configuration Management Plan (SCMP)

SCMP

DI-SESS-80858D

LT

ASREQ

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

8. APP CODE

See Block 16

Contactor will develop and maintain a SCMP to control all aspects of the Configuration Management (CM) process. The SCMP will include event-based criteria for assumption of control of the CM process following acceptance by the Government of documents, designs, or requirements. The Contractor will designate a CM representative to serve as primary point of contact (POC) to the Government for all CM matters and be responsible for any sub-contractor CM efforts.

Contractor will notify the Government of any changes which affect the Contractor’s established CM process.

Program Manager – Special Operations Forces Survival, Support & Equipment Systems (PM‐

SOF SSES)

BLK 10/11/12: Initial submission (draft) in digital format within 60 days of award; final submission 14 days after receipt of Government comments. Subsequent submissions will be made if applicable (i.e. changes to approved SCMP).

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed

TDP TM OTHER Management .

A010

Data Accession List (DAL)

DAL

DI-MGMT-81453B

LT

ASREQ

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

8. APP CODE

N

See Block 16

Program Manager – Special Operations Forces Survival, Support & Equipment Systems (PM‐

SOF SSES)

BLK 10/11/12: Initial submission (draft) in digital format within 30 days of award.

Subsequent submissions shall be monthly as changes occur. If no changes occur during the month, the contractor shall provide a negative response to addressees via email.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed

TDP TM OTHER Management .

A011

Diminishing Manufacturing Sources and Material Shortages Management Plan

DMSMS

DI-MGMT-81948

LT

ASREQ

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

8. APP CODE

See Block 16

Agencies and direct supporting contractors. Other requests for this document shall be referred to Program Manager – Special Operations Forces Survival, Support & Equipment Systems (PM‐

SOF SSES)

BLK 10/11/12/13: Initial submission (draft) in digital format within 60 days of award. Final submission due 14 days after receipt of government comments.

Subsequent submissions of Health Assessment Reports shall be submitted as an attachment to the Monthly Status Report (MSR), as applicable.

Tailoring to Data Item Description DI-MGMT-81948:

Para 3: The Health Assessment Report shall contain, at a minimum:

● Traceability of issues impacting CASEVAC Set, Kit, or Module functionality to determine if a functional re-design will be cost effective.

● Out-year availability information for future supportability and planning purposes

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed

A012

Request for Variance (RFV)

RFD

MIL-HDBK-61

LT

ASREQ

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

8. APP CODE

See Block 16

At a minimum, the RFV shall contain the following information: (a) Date prepared; (b) Originator;

(c) RFV Classification (critical, major, or minor); (d) Designation for variance (model/type, CAGE code, system designation, and variance number); (e) Class of variance; (f) Part Number affected;

(g) Cost/Price data; (h) Effectivity; (i) Description of variance; (j) Need for variance; (k) Effect on delivery schedule; (l) Recommended corrective action; and (m) Alternatives evaluated

Program Manager – Special Operations Forces Survival, Support & Equipment Systems (PM‐

SOF SSES)

BLK 10/11/12/13: Initial submission (draft) in digital format within 60 days of award. Final submission due 14 days after receipt of government comments. Subsequent submissions as required.

File details come from the government source that posted it. Updated .