Attachment 0011 - Public Release Clearance Review.pdf

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Attached to
XM919 INDIVIDUAL ASSAULT MUNITION (IAM) - W15QKN-23-R-0089
Solicitation number
W15QKN-23-R-0089
Issued by

About this file

This document is a template form used by the U.S. Army to review materials intended for public release. It requires signatures from technical, security, and policy reviewers to certify material does not contain classified, proprietary, or sensitive information before granting public release clearance. The form includes fields for title, authors, intended release method/event details, required reviewer approvals, and a section for the Picatinny Arsenal Public Affairs Office to assign a log number and approve public distribution if recommendations support clearance. The related federal contract opportunity is a solicitation from the Department of the Army Materiel Command Contracting Command Picatinny Arsenal for an XM919 Individual Assault Munitions system with an anticipated award date of June 1, 2023.

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Other files

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XM919 IAM RFP Questions from Industry Final 11-DEC-2023 Amendment 0005.pdf PDF
W15QKN-23-R-0089-Amendment 0005 - Final - 11DEC2023.pdf PDF
W15QKN-23-R-0089-Amendment 0004- Final - 20NOV2023.pdf PDF
XM919 IAM RFP Questions from Industry Final 20-NOV-2023 Amendment 0004.pdf PDF
XM919 IAM RFP Questions from Industry Final 30-OCT-2023 Amendment 0003.pdf PDF
W15QKN-23-R-0089-Amendment 0003-Final-07-NOV-23.pdf PDF
Attachment 0008 Price Matrix W15QKN-23-R-0089 Amendment 0002.xlsx XLSX spreadsheet
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W15QKN-23-R-0089 - Amendment 0001.pdf PDF
Attachment 0010 - Non Disclosure and Non Use Agreement.pdf PDF
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Attachment 0012 - Past Performance Questionnaire.pdf PDF
Attachment 0016 - DD 2345 Militarily Critical Technical Data Agreement.pdf PDF
Attachment 0013 - SF LLL - Disclosure of Lobbying Activities.pdf PDF
Attachment 0007 - Manufacturing Readiness Assessment Guidance.pdf PDF
Attachment 0008 - Price Matrix W15QKN-23-R-0089.xlsx XLSX spreadsheet
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Text version

SFAE-AMO Form 3002, NOV 2016 UNCLASSIFIED Page 1 of 2

PEO AMMO PUBLIC RELEASE CLEARANCE REVIEW

TITLE/SUBJECT: PAO LOG #

METHOD OF RELEASE: WEB CONTENT PRESENTATION PUBLICATION OTHER

GO

V AUTHOR:

OFFICE SYMBOL: PHONE:

EMAIL:

IN

DU

ST

RY

AUTHOR:

COMPANY: PHONE:

ADDRESS:

CONTRACT # GOV SPONSOR: PHONE:

Government authors are responsible for initiating the clearance process and ensuring that their material is approved for public release prior to providing any external entity or presenting in a public forum. Industry may initiate the process by forwarding the material to the identified Government sponsor. Attach one copy of the material to this form and obtain the signatures shown below.

WEBSITE ADDRESS:

MEETING/EVENT NAME:

LOCATION: DATE(S):

SPONSOR: DOD/GOV INDUSTRY ACADEMIA OTHER

PUBLICATION:

SOLICITED: YES NO

When clearance is granted, the Picatinny Arsenal Public Affairs office, the last office in the clearance process, will forward one copy of this form, along with the attached material, to the Picatinny Information Center, PEO Ammo OPSEC Officer designated on the form, and to the identified author. Until a PAO Log # has been assigned in the upper-right-hand corner of this form, the material cannot be released to the public domain. The SFAE-AMO Form 3002 may not be published in a public forum. It is the Government author/sponsor’s responsibility to notify all interested parties of the release approval and make subsequent distributions of the approved material.

CERTIFICATION: This material has not been copied without written permission from the author/producer and does not contain any sensitive, potentially controversial, FOUO, or classified information. AUTHOR’S SIGNATURE REQUIRED APPROVALS: Signatures below certify that this material was reviewed for technical accuracy, classified information, security implications, proprietary information, competition-sensitive information, and policy guidelines; that inventions have been previously submitted for patent review, and that the subject matter does not fall under the Military Critical Technology List or any PEO Ammo Critical Information List or that of any PM/PD organizations. Use the “other approval” fields to add any additional desired concurrence (i.e., multiple author organizations). Duplicate signatures will be rejected.

Content reviews will be conducted by two persons who are not the author, but have supervisory-level concurrence and/or subject-matter expertise and the authority to concur on behalf of the identified organization (PM/PD/PEO).

“Yes” indicates material should be marked with Distribution

Statement A IAW DODI 5230.24

PUBLIC RELEASE DECISION: NON-CONCUR COMMENT (REQ’D)

Content Review 1 (Peer or Supervisor) YES NO

Content Review 2 (Supervisor or above) YES NO

OPSEC YES NO

LEGAL YES NO

CONTRACTING OFFICER:

N/A YES NO

O

TH

ER

A

PP

RO

VA

LS

ORG:

YES NO

POSITION:

ORG:

YES NO

POSITION:

APPROVED DISTRIBUTION: Based on the recommendations provided above, clearance is granted for public release.

PICATINNY PUBLIC AFFAIRS OFFICE DATE

Rev. 11 JAN 2017

SFAE-AMO Form 3002, NOV 2016 UNCLASSIFIED Page 2 of 2

PEO AMMO PUBLIC RELEASE CLEARANCE REVIEW

TITLE/SUBJECT: PAO LOG #

COMMENTS/ADDITIONAL INFORMATION:

title:
ck_web: Off
ck_pres: Off
ck_pub: Off
ck_oth: Off
gauth:
gsym: [ ]
gphone:
gemail:
iauth:
ico:
iphone:
iaddress:
icon:
ispon:
isponphone:
gov_na: Off
in_na: Off
gov_na_text: N/A
in_na_text: N/A
othr_text: specify in comments
web:
meet:
location:
dates:
ck_dod: No
ck_in: No
ck_ac: No
ck_oth2: No
pub:
ck_yes: No
ck_no: No
othr_text2: specify in comments
yespdm: Off
nopdm: Off
nccpdm:
yespm: Off
nopm: Off
nccpm:
opsecemail:
yesopsec: Off
noopsec: Off
nccopsec:
yeslegal: Off
nolegal: Off
ncclegal:
ck_na: No
yesko: Off
noko: Off
nccko:
org1:
pos1:
yesoth1: Off
nooth1: Off
nccoth1:
org2:
pos2:
yesoth2: Off
nooth2: Off
nccoth2:
pao_yes: Off
pao_no: Off
pao_log_assign_num:
opsecemailtext: email:
pao_yn_text: Public Release Approved: YES NO
pao_log_assign_txt: LOG #:
distrotext: Apply the following distribution statement to the attached materials: DISTRIBUTION A. Approved for public release, distribution unlimited (06/01/2023) PAO Log #:
paolognum1:
title1:
comments:

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