Attachment J-2c CDRLs Exhibit A 27MAY20 - signed.docx

LCAC E-SLEP

N00024-20-R-2427

ATTACHMENT J-2c

CONTRACT DATA REQUIREMENTS LIST,

DD FORM 1423

EXHIBIT A

27 MAY 2020

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 this burden, to the 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 it 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.

CLIN 0200

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER __X__

D. SYSTEM/ITEM

LCAC/E-SLEP

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-01: GENERAL CRITERIA (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711A

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

SUPERVISOR (SWRMC)

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

LT

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

(SEE BLOCK 16)

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT.

DATA SUBMISSIONS AS LISTED IN SI 009-01 WITH THE FOLLOWING EXCEPTIONS:

(A) PARAGRAPH 3.2.5 DRY DOCK INSPECTION REPORTS NOT APPLICABLE.

(B) SUBMIT SECURITY REQUIREMENTS DATA OF PARAGRAPHS 3.10 DIRECTLY TO THE SUPERVISOR (SWRMC). DO NOT POST IN LCAC IDE.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP. 2401 ET. SEQ.).

VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES.

DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25. DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 12 – DATA SUBMISSIONS AS LISTED IN SI 009-01 AS MODIFIED BY ATTACHMENT TO CDRL A001.

BLOCK 13 – AS SPECIFIED SI 009-01.

BLOCK 14 – ALL CDRL DATA SUBMISSION REQUIREMENTS SHALL BE PROVIDED TO

SUPERVISOR (SWRMC) AND ACU 5. CDRL A001-B SHALL ALSO BE PROVIDED TO PMS377 BY POSTING TO THE PMS377 IDE:

BLK10 – FREQUENCY – AS DEFINED IN 009-001 PARAGRAPH 3.2.1, AND 3.2.2 WITH THE EXCEPTION THAT THE 20% REFERENCE IS NOT APPLICABLE FOR LCAC AVAILABILITIES

A001-B REQUEST FOR DEVIATION PARAGRAPH 3.8

BLK10 – FREQUENCY – WITHIN ONE DAY OF IDENTIFYING THE DEVIATION

A001-C MATERIAL SAFETY DATA SHEET PARAGRAPH 3.12

BLK10 – FREQUENCY – AS REQUESTED BY THE SUPERVISOR AS DEFINED ON 009-001 PARAGRAPH 3.12

*INCLUDES ASSOCIATED SUBPARAGRAPHS

**CFRs SHALL BE SUBMITTED TO NMD PER SECTION C.

***LIST OF MATERIAL SHALL INCLUDE NATIONAL STOCK NUMBERS (NSN) WHERE APPLICABLE.

SUBMIT WORK ITEM INSPECTION REPORTS, SI 009-01 PARAGRAPH 3.2.2, THAT INCLUDE

REPAIR RECOMMENDATIONS WITHIN 45 DAYS OF START OF A CRAFT’S E-SLEP AVAILABILITY,

EXCEPT FOR WORK ITEMS 120-11-001 AND 150-11-001. FOR THOSE WORK ITEMS, INSPECTION REPORTS WITH REPAIR RECOMMENDATIONS SHALL BE SUBMITTED WITHIN 7 DAYS AFTER ENGINE MODULE REMOVAL FROM CRAFT.

G. PREPARED BY

PIERCE SCHREIBER

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-04: QUALITY MANAGEMENT SYSTEM (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A (SEE BLOCK 16)

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – SUBMIT INITIAL QUALITY MANAGEMENT SYSTEM AND UPDATES PER SI 009-04. OTHER DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. DATA SUBMISSIONS AS LISTED IN SI 009-04.

BLOCK 08 – APPROVAL FOR CONTENT. APPROVAL AUTHORITY – SUPERVISOR (SWRMC).

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP .2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25. DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 13 – AS SPECIFIED IN SI 009-04.

BLOCK 12 – SUBMIT QUALITY ASSURANCE PROGRAM NO LATER THAN 10 CALENDAR DAYS AFTER CONTRACT AWARD.

BLOCK 14 – ALL CDRL DATA SUBMISSION REQUIREMENTS SHALL BE PROVIDED TO SUPERVISOR (SWRMC) AND ACU 5. CDRL A002-A AND A002-B SHALL ALSO BE PROVIDED TO PMS377 BY POSTING TO THE IDE:

*INCLUDES ASSOCIATED SUBPARAGRAPHS

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-09: PROCESS CONTROL PROCEDURE (PCP) – DOCUMENTATION (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. DATA SUBMISSIONS AS LISTED IN SI 009-09.

BLOCK 08 – APPROVAL FOR CONTENT. THE CONTRACTOR SHALL ALLOW SEVEN (7) WORKING DAYS FOR REVIEW AND COMMENT BY THE GOVERNMENT. APPROVAL AUTHORITY – SUPERVISOR (SWRMC).

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE., SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP .2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 12, 13 – AS SPECIFIED IN SI 009-09.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

SI 009-12: WELDING, FABRICATION, AND INSPECTION

REQUIREMENTS – PERSONNEL QUALIFICATIONS (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80678

5. CONTRACT REFERENCE

C.1.2.11

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. DATA SUBMISSIONS AS LISTED IN SI 009-12.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP .2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 12, 13 – AS SPECIFIED IN SI 009-12.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-23: INTERFERENCES (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. DATA SUBMISSIONS AS LISTED IN SI 009-23.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP .2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 12, 13 – AS SPECIFIED IN SI 009-23.

*INCLUDES ASSOCIATED SUBPARAGRAPHS

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-40: REQUIREMENTS FOR CONTRACTOR

CRANES, MULTI-PURPOSE MACHINES AND MATERIAL HANDLING EQUIPMENT AT NAVAL FACILITIES – ACCIDENT REPORT (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSIONS AS LISTED IN SI 009-40.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE., SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP. 2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 12, 13 – AS SPECIFIED IN SI 009-40.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-60: SCHEDULE AND ASSOCIATED REPORTS FOR AVAILABILITIES OVER 9 WEEKS IN DURATION (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.2.7

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. DATA SUBMISSIONS AS LISTED IN SI 009-60 AND AS MODIFIED BY SECTION C REQUIREMENTS.

BLOCK 03, 10, 11, 12, 13 – SEE BELOW.

CDRL DATA SI 009-60 PARAGRAPH*

A007-A

A007-B

A007-C

A007-D

A007-E

A007-F

IN SUBCONTRACTORS OR SUBCONTRACTOR WORK OCCURS

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

A. CONTRACT LINE ITEM NO.

CLIN 0200

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER __X__

D. SYSTEM/ITEM

LCAC/E-SLEP

E. CONTRACT/PR NO.

F. CONTRACTOR

16. REMARKS (Continued)

A007-G

YEAR DATA

A007-H

*INCLUDES ASSOCIATED SUBPARAGRAPHS

**ALSO SEE SECTION C, SUPPLEMENTAL PRODUCTION SCHEDULE REQUIREMENTS

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE., SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP. 2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-63: LUBRICATING OILS AND HYDRAULIC

FLUIDS – ANALYSIS REPORT (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. DATA SUBMISSIONS AS LISTED IN SI 009-63.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP .2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 12, 13 – AS SPECIFIED IN SI 009-63.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-67: INTEGRATED TOTAL SHIP TESTING (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. DATA SUBMISSIONS AS LISTED IN SI 009-67.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE., SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP .2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 12, 13 – AS SPECIFIED IN SI 009-67.

*INCLUDES ASSOCIATED SUBPARAGRAPHS

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-69: HEAVY WEATHER PLAN (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSIONS AS LISTED IN SI 009-69.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP. 2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 12, 13 – AS SPECIFIED IN SI 009-69.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-73: SHIPBOARD ELECTRICAL/ELECTRONIC CABLE PROCEDURE (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. DATA SUBMISSIONS AS LISTED IN SI 009-73.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP .2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25. DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 12, 13 – AS SPECIFIED IN SI 009-73.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-74: OCCUPATIONAL, SAFETY AND HEALTH

REQUIREMENTS – SAFETY PLAN (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. DATA SUBMISSIONS AS LISTED IN SI 009-74.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP .2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 12, 13 – AS SPECIFIED IN SI 009-74.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-81: COMPARTMENT CLOSEOUT SCHEDULE - COMPARTMENT CLOSEOUT INSPECTION REPORT (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. DATA SUBMISSIONS AS LISTED IN SI 009-81.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP .2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 11, 13 – AS SPECIFIED IN SI 009-81.

BLOCK 12 – PRIOR TO 50% AVAILABILITY COMPLETE.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A014

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-82: DATA REQUIREMENTS WHEN INSTALLING

AN EQUAL COMPONENT VICE SPECIFIED COMPONENT – COMPONENT REPLACEMENT REPORT DATA (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. DATA SUBMISSIONS AS LISTED IN SI 009-82.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP .2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 10, 12, 13 – AS SPECIFIED IN SI 009-82 PARAGRAPH 3.1 – EACH INSTANCE WHEN THE WORK ITEM ALLOWS, AND THE CONTRACTOR CHOOSES, TO INSTALL "AN EQUAL COMPONENT" VICE A “SPECIFIED COMPONENT” LISTED IN THE WORK ITEM.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A015

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-99: SHIP DEPARTURE REPORT (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.1.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

ONE TIME PER CRAFT

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

(SEE BLOCK 16)

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 03 – DATA SUBMISSION REQUIREMENTS ARE APPLICABLE TO EACH E-SLEP CRAFT. ONE REPORT IN MS EXCEL AND PDF FORMAT FOR EACH E-SLEP CRAFT. DATA FORMAT AND CONTENT AS LISTED BELOW AND IN ATTACHMENT.

A. THE SHIP DEPARTURE REPORT SHALL CONTAIN INFORMATION IN GENERAL ACCORDANCE

WITH ATTACHMENT B OF NAVSEA STANDARD ITEM 009-99, SHIP DEPARTURE REPORT, AS MODIFIED HEREIN AND SHOWN IN THE ATTACHED “SAMPLE SHIP DEPARTURE REPORT.”

B. SHIP DEPARTURE REPORT GENERAL REQUIREMENTS:

(1) EACH WORK ITEM SHALL BE LISTED AS A SEPARATE LINE ITEM.

(2) THE DATA PRESENTED IN THE REPORT SHALL BE BID PRICE AND ACTUAL EXPENSES INCURRED.

(3) THE MULTI-COLUMN HEADING “CLASS “C” ESTIMATES” OF ATTACHMENT B OF NAVSEA

STANDARD ITEM 009-99 SHALL BE REPLACED WITH “BID PRICE.” BID PRICE TOTAL $ SHALL BE THE SUM OF CONTRACTOR AND, IF APPLICABLE, SUBCONTRACTOR DATA UNDER THE COLUMN HEADINGS LABOR $ AND CFM $’S.

(4) THE MULTI-COLUMN HEADING “ACTUAL EXPENSES” OF ATTACHMENT B OF NAVSEA

STANDARD ITEM 009-99 SHALL BE REPLACED WITH “ACTUAL EXPENSES (INCLUDING GROWTH

WORK) INCURRED.” BREAKOUTS OF SUBCONTRACTOR LABOR COSTS AND MATERIAL COSTS

ARE REQUIRED. SEPARATE CONTRACTOR AND SUBCONTRACTOR DATA SHALL BE PROVIDED

UNDER THE APPROPRIATE COLUMN HEADINGS HOURS, M/D, LABOR COST $, CFM COST $, AND TOTAL $. DATA ENTRIES UNDER THE COLUMN HEADING “PRIME + SUB TOTAL $” SHALL BE THE SUM OF THE “TOTAL $” OF THE CONTRACTOR AND THE SUBCONTRACTOR.

(5) ACTUAL EXPENSES (INCLUDING GROWTH WORK) INCURRED FOR EACH WORK ITEM SHALL INCLUDE THAT OF THE ORIGINAL WORK ITEM AND, IF APPLICABLE, SEPARATE ENTRIES FOR EACH GROWTH ITEM APPROVED AS A CONTRACT CHANGE TO THE WORK ITEM. GROWTH ITEMS SHALL BE IDENTIFIED WITH SPECIFIC CONTRACT MODIFICATION NUMBER AND RCC DESIGNATION.

(6) DATA UNDER THE COLUMN HEADING “% TO BID PRICE” SHALL BE THE RATIO OF THE “PRIME + SUB TOTAL $” UNDER ACTUAL EXPENSES (INCLUDING GROWTH WORK) INCURRED DIVIDED BY THE “TOTAL $” OF THE BID PRICE EXPRESSED IN PERCENT.

(7) SUBCONTRACTOR DATA SHALL INDICATE THE TOTAL OF ALL SUBCONTRACTOR DATA UNDER THE APPROPRIATE COLUMN HEADING IF MORE THAN ONE SUBCONTRACTOR SUPPORTS A WORK ITEM, AND IF APPLICABLE, A GROWTH WORK ITEM.

(8) THE SHIP DEPARTURE REPORT SHALL ALSO INCLUDE DATA DEFINED IN SUBPARAGRAPHS B. (1) THROUGH B. (7) ABOVE FOR ANY NEW WORK ITEMS ADDED TO A CRAFT’S SPECIFICATION FOR WORK TO BE ACCOMPLISHED.

C. THE FORMAT OF THE SHIP DEPARTURE REPORT IS SHOWN IN THE ATTACHED “SAMPLE SHIP DEPARTURE REPORT.”

BLOCK 08 – APPROVAL FOR CONTENT. APPROVAL AUTHORITY – PMS377.

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

A. CONTRACT LINE ITEM NO.

CLIN 0200

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER __X__

D. SYSTEM/ITEM

LCAC/E-SLEP

E. CONTRACT/PR NO.

F. CONTRACTOR

16. REMARKS (Continued)

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, AS AMENDED, (TITLE 50, U.S.C., APP. 2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLOCK 11 – THE CUTOFF DATE FOR REPORT DATA SHALL BE NO EARLIER THAN NINETY (90) DAYS AFTER THE DATE THE E-SLEP CRAFT IS DELIVERED.

BLOCK 12 – NINETY-FIVE (95) DAYS AFTER THE DATE THE FIRST E-SLEP CRAFT IS DELIVERED.

BLOCK 13 – NINETY-FIVE (95) DAYS AFTER THE DATE EACH SUBSEQUENT E-SLEP CRAFT IS DELIVERED.

ATTACHMENT TO CDRL A015 “SAMPLE SHIP DEPARTURE REPORT”

Form Approved

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 this burden, to the 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 it 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

A

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A016

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

PRE-INDUCTION SURVEY REPORT (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

C.1.2.1.4

6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST STMT RQD

D (SEE BLOCK 16)

10. FREQUENCY

(SEE BLOCK 16)

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

BLOCK 09 – DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF

DEFENSE (DOD) AND U.S. DOD CONTRACTORS ONLY; (CRITICAL TECHNOLOGY), (DATE OF

PUBLICATION). OTHER REQUESTS SHALL BE REFERRED TO PEO SHIPS (PMS377), WASHINGTON NAVY YARD, 1333 ISAAC HULL AVE, SE, WASHINGTON, DC 20376-2101.

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, AS AMENDED, (TITLE 50, U.S.C., APP. 2401 ET. SEQ.). VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTROY THIS DOCUMENT BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS…