Attachment J-2e CDRLs Exhibit B 27MAY20 - SIGNED.docx

LCAC E-SLEP

N00024-20-R-2427 ATTACHMENT J-2e

CONTRACT DATA REQUIREMENTS LIST,

DD FORM 1423

EXHIBIT B

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

B

C. CATEGORY:

TDP _____ TM _____ OTHER __X__

D. SYSTEM/ITEM

LCAC/E-SLEP

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-19: PROVISIONING TECHNICAL DOCUMENTATION (PTD) - CONTRACTOR FURNISHED MATERIAL (CFM) REPORT (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 009-19.

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 – AS SPECIFIED IN SI 009-19.

BLOCK 12 – NLT THAN 30 DAYS AFTER THE AVAILABILITY AWARD.

BLOCK 13 – EVERY 14 DAYS UP TO AVAILABILITY START DATE, WITHIN 10 DAYS AFTER AVAILABILITY START DATE, THEN MONTHLY THEREAFTER TO END OF AVAILABILITY (EOA).

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

B

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-20: GOVERNMENT PROPERTY - TERMINATION OF INVENTORY (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 009-20 PARAGRAPH 3.4.

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 – WHEN DIRECTED BY THE SUPERVISOR, OR IN ANY CASE, IMMEDIATELY FOLLOWING THE COMPLETION OF EACH AVAILABILITY.

BLOCK 13 – SUBMIT FINAL TERMINATION OF INVENTORY REPORT WITHIN 14 DAYS AFTER COMPLETION OF AVAILABILITY.

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

B

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

B003

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-21: REPORTING THE INSTALLATION, MODIFICATION OR REMOVAL OF CRAFT ALTERATIONS, GFM AND CFM (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 009-21.

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.

CDRL DATA STANDARD ITEM 009-21 REFERENCE

B003-A REPORTING FOR ALTERATIONS 3.1

BLOCK 10, 12, 13 – COMPLETED ATTACHMENTS A THROUGH C OF THE APPROVED SPREADSHEET WITHIN 3 DAYS AFTER ALTERATION INSTALLATION. APPROVED SPREADSHEET IS ATTACHED.

B003-B REPORTING FOR GFM/CFM 3.2

BLOCK 10, 12, 13 – COMPLETE ATTACHMENT D OF THE APPROVED SPREADSHEET WITHIN 5 DAYS AFTER INSTALLATION OR REMOVAL OF GFM AND CFM EQUIPMENT OR COMPONENTS FROM SHIPBOARD SYSTEM. APPROVED SPREADSHEET IS ATTACHED.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE

COVER SHEET

CRAFT

SSB #

UIC

Report Submission date

Highlight in yellow all newly reported or edited lines or block for each report submission.

ALTERATION

IDENT:

SHIP:

INSTALLING

ACTIVITY:

SPARES SUPPORT WITH /

WITHOUT RIC/PAL# / IRP

COSAL UPDATES:

NOT PROVIDED UPON

COMPLETION:

PMS DOCUMENTATION:

NOT PROVIDED UPON

COMPLETION:

SSRD MARKUPS

NOT ONBOARD

INSTALLATION DRAWINGS

NOT ONBOARD

ONBOARD INITIAL/

DIFFERENCES TRAINING

START

COMPLETE

STATUS / REASON FOR LATE DELIVERY:

ESTIMATED RECEIPT:

HOW WILL THE ILS MATERIAL BE DELIVERED:

ATTACHMENT A

ALTERATION ACCOMP

DATE:

TECHNICAL MANUAL (S)

NOT PROVIDED UPON COMPLETION:

TEST EQUIPMENT:

NOT PROVIDED UPON COMPLETION:

INFORMATION ON HOW AND WHEN THE MISSING ILS WAS ORDERED AND ESTIMATED DELIVERY DATE:

EXCEPTIONS TO ILS VERIFICATION / ITEMIZED DELIVERABLES AS LISTED ON ILS CERTIFICATION

ALTERATION

IDENT:

SHIP:

INSTALLING

ACTIVITY:

EQUIPMENT NOMENCLATURE:

SERIAL NUMBER:

LOCATION:

EIC:

APL/AEL/PAL:

PMS DOCUMENTATION:

REMARKS:

START

COMPLETE

INSTALLED

REMOVED

MODIFIED

DESCRIPTION

ATTACHMENT B

ALTERATION ACCOMP

DATE:

TECHNICAL MANUAL(S):

TEST EQUIPMENT:

EQUIPMENT DISPOSITION:

PHYSICAL CONFIGURATION AUDIT REPORT

Report #

SHIP:

HULL #

SSP #

UIC

FY OF

AVAILABILITY

AVAIL TYPE

ALTERATION NUMBER

BRIEF DESCRIPTION

COMPLETE YES / NO

REMARKS

ALTERATION NUMBER

BRIEF DESCRIPTION

COMPLETE YES / NO

REMARKS

NAVSEA SUMMARY

TYCOM SUMMARY

SHIP ALTERATION COMPLETION REPORT

ATTACHMENT C

SHIP NAME:

SSP #

WORK ITEM:

CRAFT ALT #:

SERIAL NUMBER:

UNIQUE ITEM IDENTIFIER

UII

VALVE MARK /

ELECTRICAL SYMBOL

NUMBER

QUANTITY

LOCATION:

RIC NOMENCLATURE:

PMS DOCUMENTATION

RECEIVED:

OBRP (S) RECEIVED:

INSTALLATION DRAWING

GFM / CFM

REMARKS:

INSTALLED

REMOVED

MODIFIED

MFR:

MFR DWG:

MFR ID:

NSN:

DESCRIPTION

TECHNICAL MANUAL(S) RECEIVED

ACTION

RIC CHARACTERISTICS

EQUIPMENT / COMPONENT LOGISTICS AND TECHNICAL DATA NAVSEA STANDARD ITEM 009-21 INSTALLED / REMOVED DATE

ATTACHMENT D

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

B

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

B004

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

SI 009-79: GOVERNMENT OWNED MATERIAL (GOM) - STATUS 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 009-79.

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 – AS SPECIFIED IN SI 009-79.

BLOCK 12, 13 – AS SPECIFIED IN SI 009-79. SUBMIT 14 DAYS PRIOR TO THE 50% AVAILABILITY COMPLETE DATE.

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

B

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

B005

2. TITLE OF DATA ITEM

SCIENTIFIC AND TECHNICAL REPORTS

3. SUBTITLE

CONTRACTOR'S NEED DATE FOR GOVERNMENT

FURNISHED PROPERTY (INCORPORATION) (SEE BLOCK 16)

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711A (SEE BLOCK 16)

5. CONTRACT REFERENCE

C.1.1.5.2

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

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

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

BLOCK 04 – FURTHER REQUIREMENTS ADDRESSED IN SECTION C, GOVERNMENT FURNISHED PROPERTY (GFP) (INCORPORATION).

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 – FIFTEEN (15) DAYS PRIOR TO THE INDUCTION DATE OF THE FIRST E-SLEP CRAFT.

BLOCK 13 – FIFTEEN (15) DAYS PRIOR TO THE INDUCTION DATE OF EACH SUBSEQUENT E-SLEP CRAFT.

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

B

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

B006

2. TITLE OF DATA ITEM

ITEM UNIQUE IDENTIFICATION (IUID) MARKING AND

VERIFICATION REPORT

3. SUBTITLE

UII DATA FOR EMBEDDED COMPONENTS

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81858

5. CONTRACT REFERENCE

C.1.2.4.1

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

13. DATE OF SUBSEQUENT SUBMISSION

(SEE BLOCK 16)

16. REMARKS

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

BLOCK 04 – PARA 3: REORDER/RENAME FIELD FOR UII DATA ELEMENTS AS FOLLOWS:

A. UII OF THE ITEM DELIVERED THAT CONTAINS THE EMBEDDED SUBASSEMBLY, COMPONENT OR PART

B. UID OF THE EMBEDDED SUBASSEMBLY, COMPONENT OR PART

C. UII TYPE

D. ISSUING AGENCY CODE

E. ENTERPRISE IDENTIFIER

F. ORIGINAL PART NUMBER

G. SERIAL NUMBER

H. UNIT OF MEASURE

I. DESCRIPTION

J – K. NOT USED

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 – CONCURRENT WITH THE ASSOCIATED END ITEM DELIVERY.

G. PREPARED BY

H. DATE

03 MAR 2020

I. APPROVED BY

FORREST SMITH

J. DATE