B08 Exhibit A - CONTRACT DATA REQUIREMENTS LIST - MK84 FIN ASSEMBLY-W-GFM DELETED.pdf

PDF 1 MB Posted Oct 11, 2022

Attached to: MK84 Conical Fin Assembly Federal contract opportunity
Solicitation number: W519TC-23-R-0010
Issued by: Department of the Army Materiel Command Contracting Command Rock Island Arsenal

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Other files attached to MK84 Conical Fin Assembly, newest first.
File	Type	Posted
W519TC-23-R-0010 Amendment 0001.pdf	PDF	Nov 18, 2022
W519TC-23-R-0010.pdf	PDF	Oct 11, 2022
B08 ATTACHMENT 0005 - QUALITY ASSURANCE PROVISIONS MK84 FIN ASSEMBLY REV. H.pdf	PDF	Oct 11, 2022
B08 ATTACHMENT 0008 - PAST PERFORMANCE QUESTIONNAIRE.pdf	PDF	Oct 11, 2022
B08 ATTACHMENT 0011 Production and Shipment Progress Report (002).xlsx	XLSX spreadsheet	Oct 11, 2022
B08 ATTACHMENT 0001 - PRICE EVALUATION SPREADSHEET.XLSX	XLSX spreadsheet	Oct 11, 2022
B08 ATTACHMENT 0002 - INSTRUCTIONS FOR FORM DD1423.pdf	PDF	Oct 11, 2022
B08 ATTACHMENT 0009 - ASSIST INSTRUCTIONS.pdf	PDF	Oct 11, 2022
B08 ATTACHMENT 0004 - CDRL DISTRIBUTION - LIST OF ADDRESSES.pdf	PDF	Oct 11, 2022
B08 ATTACHMENT 0010 EPA ADJUSTMENT WORKSHEET.xlsx	XLSX spreadsheet	Oct 11, 2022
B08 ATTACHMENT 0003 - GUIDANCE ON DOCUMENTATION OF CDRLS.pdf	PDF	Oct 11, 2022
B08 ATTACHMENT 0006 - OPSEC PLAN SAMPLE.pdf	PDF	Oct 11, 2022
B08 ATTACHMENT 0007 - SECURITY STATEMENT OF WORK.pdf	PDF	Oct 11, 2022

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CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 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 currenUy valid 0MB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A TDP TM OTHER QCIC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W19TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A00l QUALITY PROGRAM PLAN (QPP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-QCIC-81722 SECTION E (SEE BLK 16) AMJM-QAP

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

REQUIRED

LT ONE/R(SEE 16) 150 DAC (SEE 16) b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 5: THE QUALITY PROGRAM PLAN (QPP) SHALL DOCUMENT THE 0 1 0

CONTRACTOR'S IMPLEMENTATION OF A QUALITY SYSTEM IN

0 1 0

ACCORDANCE WITH THE QUALITY ASSURANCE PROVISION (QAP).

0 1 0

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED 0 1 0

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS 0 1 0

ONLY: EXPORT CONTROLLED: 30 AUG 2021. OTHER REQUESTS SHALL

a. ADDRESSEE

AMJM-QAP

NA WCWD (D434200)

NSWC (MS-21)

AFLCMC/EBHCB

DCMA-MCWB (QAR)

CCRl-AMM

SFAE-AA-JB 0 1 0

BE REFERRED TO PMA-201, NAS PATUXENT RIVER, MARYLAND.

(SEE BLK 16)

BLK 10, 12: THE QPP SHALL BE SUBMITTED NO LATER THAN 150

CALENDAR DAYS AFTER CONTRACT AWARD. THE GOVERNMENT

REQUIRES 30 DAYS FOR REVIEW. DISPOSITION OF THE QPP WILL BE

PROVIDED THROUGH THE PROCURING CONTRACTING OFFICER (PCO).

IF FURTHER REVISIONS ARE NECESSARY, THE CONTRACTOR SHALL

HAVE 15 DAYS TO PROVIDE REVISIONS AND THE GOVERNMENT

SHALL REVIEW AND PROVIDE DISPOSITION WITHIN 15 DAYS OF

RECEIPT. THE QPP SHALL BE APPROVED PRIOR TO FAT, IF FAT IS

REQUIRED, OR PRIOR TO INITIATION OF PRODUCTION.

BLK 13: SUBMIT UPDATES/REVISIONS FOR REVIEW AND APPROVAL

PRIOR TO IMPLEMENTATION OF QPP.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CDRL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https://safe.apps.mil/).

15. TOTAL 0 7 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _1_ of 18 Pages

08 AUG 2022

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

A TDP TM OTHER MGMT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A002 STATISTICAL PROCESS CONTROL (SPC) PLAN

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-81987A SECTION E AMJM-QAP

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

REQUIRED

LT ONE/R(SEE 16) 150 DAC (SEE 16) b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED 0 1 0

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS 0 1 0

ONLY: EXPORT CONTROLLED: 30 AUG 2021. OTHER REQUESTS SHALL

0 1 0 BE REFERRED TO PMA-201, NAS PATUXENT RNER, MARYLAND.

0 1 0

BLK 10, 12: THE GENERAL PLAN SHALL BE SUBMITTED NO LATER 0 1 0

THAN 150 CALENDAR DAYS AFTER CONTRACT A WARD. THE FINAL

a. ADDRESSEE

AMJM-QAP

NA WCWD (D434200)

NSWC (MS-21)

AFLCMC/EBHCB

DCMA-MCWB (QAR)

CCRl-AMM

SFAE-AA-JB 0 1 0

DETAILED PLAN SHALL BE SUBMITTED 30 DAYS AFTER FAT

APPROVAL, IF FAT IS REQUIRED, OR 30 DAYS AFTER INITIATION OF (SEE BLK 16)

PRODUCTION. THE GOVERNMENT REQUIRES 30 DAYS FOR REVIEW.

DISPOSITION OF THE GENERAL AND DETAILED SECTIONS WILL BE

PROVIDED THROUGH THE PROCURING CONTRACTING OFFICER (PCO).

IF FURTHER REVISIONS ARE NECESSARY, THE CONTRACTOR SHALL

HA VE 15 DAYS TO PROVIDE REVISIONS AND THE GOVERNMENT

SHALL REVIEW AND PROVIDE DISPOSITION WITHIN 15 DAYS OF

RECEIPT.

BLK 13: SUBMIT UPDATES/REVISIONS FOR REVIEW AND APPROVAL

PRIOR TO IMPLEMENTATION OF SPC.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CORL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https://safe.apps.mil/).

15. TOTAL 0 7 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _2_ of 18 Pages

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

A TDP TM OTHER QCIC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A003 INSPECTION AND TEST PLAN {ITP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-QCIC-81110- NOTICE 2 SECTION E (SEE BLK 16) AMJM-QAP

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

REQUIRED

LT ONE/R(SEE 16) 150 DAC (SEE 16) b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 5: THE INSPECTION AND TEST PLAN (ITP) SHALL BE IN

0 1 0

ACCORDANCE WITH THE QUALITY ASSURANCE PROVISION (QAP).

0 1 0

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED 0 1 0

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS 0 1 0

ONLY: EXPORT CONTROLLED: 30 AUG 2021. OTHER REQUESTS SHALL

a. ADDRESSEE

AMJM-QAP

NA WCWD (D434200)

NSWC (MS-21)

AFLCMC/EBHCB

DCMA-MCWB (QAR)

CCRl-AMM

SFAE-AA-JB 0 1 0

BE REFERRED TO PMA-201, NAS PATUXENT RIVER, MARYLAND.

(SEE BLK 16)

BLK 10, 12: THE ITP SHALL BE SUBMITTED NO LATER THAN 150

CALENDAR DAYS AFTER CONTRACT AWARD. THE GOVERNMENT

REQUIRES 30 DAYS FOR REVIEW. DISPOSITION OF THE ITP WILL BE

PROVIDED THROUGH THE PROCURING CONTRACTING OFFICER (PCO).

IF FURTHER REVISIONS ARE NECESSARY, THE CONTRACTOR SHALL

HAVE 15 DAYS TO PROVIDE REVISIONS AND THE GOVERNMENT

SHALL REVIEW AND PROVIDE DISPOSITION WITHIN 15 DAYS. THE ITP

SHALL BE APPROVED PRIOR TO FAT, IF FAT IS REQUIRED, OR PRIOR

TO INITIATION OF PRODUCTION.

BLK 13: SUBMIT UPDATES/REVISIONS FOR REVIEW AND APPROVAL

PRIOR TO IMPLEMENTATION OF ITP.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CDRL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https://safe.apps.mil/).

15. TOTAL 0 7 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _3_ of 18 Pages

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

A TDP TM OTHER QCIC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A004 MEASUREMENT SYSTEM EVALUATION (MSE) - ACCEPTANCE INSPECTION EQUIPMENT

MEASUREMENT AND INSPECTION EQUIPMENT (AIE)

SYSTEM DESIGN DOCUMENTATION FOR

ACCEPTANCE OF PRODUCT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-QCIC-81960- NOTICE 1 SECTION E (MSE CLAUSE) NSWC (MS-21)

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

REQUIRED

LT ONE/R(SEE 16) 150 DAC (SEE 16) b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED 0 1 0

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS 0 1 0

ONLY: EXPORT CONTROLLED: 30 AUG 2021. OTHER REQUESTS SHALL

0 1 0 BE REFERRED TO PMA-201, NAS PATUXENT RIVER, MARYLAND.

0 1 0

BLK 10, 12: THE CONTRACTOR SHALL SUBMIT A COMPLETED 0 1 0

MEASUREMENT SYSTEM EVALUATION (MSE)/ACCEPTANCE

a. ADDRESSEE

NSWC (MS-21)

AMJM-QAP

NA WCWD (D434200)

AFLCMC/EBHCB

DCMA-MCWB (QAR)

CCRl-AMM

SFAE-AA-JB 0 1 0

INSPECTION EQUIPMENT (AIE) PACKAGE NO LATER THAN 150

CALENDAR DAYS AFTER CONTRACT A WARD. THE GOVERNMENT (SEE BLK 16)

WILL PROVIDE DISPOSITION WITHIN 45 DAYS AFTER FINAL MSE/ AIE

PACKAGE RECEIPT.

BLK 13: IF FURTHER REVISIONS ARE NECESSARY, THE CONTRACTOR

SHALL HA VE 30 DAYS TO GENERA TE REVISIONS AND THE

GOVERNMENT SHALL HA VE 30 DAYS TO REVIEW AND RESPOND.

THE APPROVED MSE/AIE SHALL BE AVAILABLE FOR FAT, IF FAT IS

REQUIRED, PRODUCTION, AND/OR ALL ACCEPTANCE OF PRODUCT

UNDER THE CONTRACT. IF CONTRACTOR REVISES A PREVIOUSLY

GOVERNMENT-ACCEPTED MSE/AIE FOR THIS CONTRACT, THE

REVISED MSE/AIE MUST BE SUBMITTED TO THE GOVERNMENT FOR

REVIEW AND APPROVAL. GOVERNMENT APPROVAL MUST BE

GRANTED BEFORE MSE/AIE IS USED FOR ACCEPTANCE OF PRODUCT.

THE GOVERNMENT WILL RESPOND WITHIN 30 DAYS AFTER RECEIPT

OF AIE.

THE CONTRACTOR SHALL NOTIFY THE RESPONSIBLE GOVERNMENT

TECHNICAL AGENCY WITHIN A MINIMUM OF 30 DAYS PRIOR

TO ACCEPTANCE (PROVE OUT) TESTING.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CORL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https://safe.apps.mil/).

15. TOTAL 0 7 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _4_ of 18 Pages

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

A TDP TM OTHER SESS

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A005 REQUEST FOR VARIANCE (RFV)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80640E (SEE BLK 16) SECTION C NA WCWD (D434200)

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

REQUIRED

LT ASREQ (SEE16) ASREQ (SEE 16) b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

a. ADDRESSEE Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 4: DELETE PARAGRAPH 2B AND 2C AND INCLUDE ADEQUATE 0 1 0

DATA/ANALYSIS/TESTING TO SUPPORT THE REQUEST IN THE

CONTENT OF THE RFV. THE CONTRACTOR SHALL PREPARE AND

0 1 0

SUBMIT A RFV FOR EACH VARIANCE ON DD FORM 1694, LOCATED AT: 0 1 0

h!!Q://www.dtic.mil/whs/directives/forms/dd/ddforms1500-1999.htm

NA WCWD (D434200)

AFLCMC/EBHCB

AFLCMC/EBHEC

CCRI-AMM

SFAE-AA-JB 0 1 0

(SEE BLK 16)

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS

ONLY: EXPORT CONTROLLED: 30 AUG 2021. OTHER REQUESTS SHALL

BE REFERRED TO PMA-201, NAS PATUXENT RIVER, MARYLAND.

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 PENAL TIES. DISSEMINATION OF THIS DOCUMENT IS

CONTROLLED UNDER DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE - DESTROY BY ANY METHOD THAT WILL

PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE

DOCUMENT.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CDRL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https://safe.apps.mil/).

15. TOTAL 0 5 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _5_ of 18 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 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 currenUy valid 0MB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A TDP TM OTHER SESS

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A006 ENGINEERING CHANGE PROPOSAL (ECP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80639E (SEE BLK 16) SECTION C NA WCWD (D434200)

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

REQUIRED

LT ASREQ (SEE 16) ASREQ (SEE 16) b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

a. ADDRESSEE Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 4: DELETE PARA GRAPH 2B AND 2C. SUBMIT TEXT FILES IN

GOVERNMENT COMPATIBLE MICROSOFT WORD AND VIEW FILES IN

0 1 0

GOVERNMENT COMPATIBLE ADOBE ACROBAT. FOR DRAWINGS, 0 1 0

SUBMIT PDF VIEW FILES IN GOVERNMENT COMPATIBLE ADOBE

NA WCWD (D434200)

AFLCMC/EBHCB

AFLCMC/EBHEC

CCRI-AMM

SFAE-AA-JB 0 1 0

ACROBAT. (SEE BLK 16)

THE CONTRACTOR SHALL PREPARE AND SUBMIT AN ECP ON DD

FORM 1692, LOCATED AT:

http://www.dtic.mil/whs/directives/forms/ dd/ ddforms 1500-1999 .htm

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS

ONLY: EXPORT CONTROLLED: 30 AUG 2021.OTHER REQUESTS SHALL

BE REFERRED TO PMA-201, NAS PATUXENT RIVER, MARYLAND.

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 PENAL TIES. DISSEMINATION OF THIS DOCUMNET IS

CONTROLLED UNDER DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE - DESTROY BY ANY METHOD THAT WILL

PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE

DOCUMENT.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CDRL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https://safe.apps.mil/).

15. TOTAL 0 5 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _6_ of 18 Pages

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

A TDP TM OTHER SESS

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A007 NOTICE OF REVISION (NOR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80642E (SEE BLK 16) SECTION C NA WCWD (D43200)

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

REQUIRED

LT ASREQ (SEE 16) ASREQ (SEE 16) b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

a. ADDRESSEE Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 4: DELETE PARAGRAPH 2B AND 2C. SUBMIT IN CONJUNCTION 0 1 0

WITH CDRL A006 (ECP).

0 1 0

FOR EACH DRAWING, ASSOCIATED LIST, OR OTHER REFERENCED

NA WCWD (D434200)

AFLCMC/EBHCB

AFLCMC/EBHEC

CCRI-AMM

SFAE-AA-JB 0 1 0

DOCUMENT WHICH REQUIRES REVISION, THE CONTRACTOR SHALL (SEE BLK 16)

PREPARE AND SUBMIT NOR ON DD FORM 1695, LOCATED AT:

http://www.dtic.mil/whs/directives/forms/dd/ddforms1500-1999.htm

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS

ONLY: EXPORT CONTROLLED: 30 AUG 2021.OTHER REQUESTS SHALL

BE REFERRED TO PMA-201, NAS PATUXENT RIVER, MARYLAND.

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 PENAL TIES. DISSEMINATION OF THIS DOCUMNET IS

CONTROLLED UNDER DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE - DESTROY BY ANY METHOD THAT WILL

PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE

DOCUMENT.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CORL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https://safe.apps.mil/).

15. TOTAL 0 5 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _7_ of 18 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.

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

A TDP TM OTHER NDTI

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A008 TEST/INSPECTION REPORT FIRST ARTICLE TEST REPORT (FATR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B- NOTICE 2 SECTION E AMJM-QAP

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

REQUIRED

LT ONE/R(SEE 16) 270 DAC (SEE 16) b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED 0 1 0

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS 0 1 0

ONLY: EXPORT CONTROLLED: 30 AUG 2021. OTHER REQUESTS SHALL

0 1 0 BE REFERRED TO PMA-201, NAS PATUXENT RNER, MARYLAND.

0 1 0

BLK 10, 12: THE FIRST ARTICLE TEST (FAT) REPORT SHALL BE 0 1 0

SUBMITTED WITH QAR FINDINGS ON DD FORM 1222. FAT REPORT

0 1 0

SHALL BE SUBMITTED 270 DAYS AFTER CONTRACT AW ARD. THE

GOVERNMENT REQUIRES 30 DAYS FOR REVIEW. DISPOSITION OF THE

a. ADDRESSEE

AMJM-QAP

NA WCWD (D434200)

NSWC (MS-21)

AFLCMC/EBHCB

DCMA-MCWB (QAR)

CCRl-AMM

SFAE-AA-JB

(SEE BLK 16) 0 1 0

FAT REPORT WILL BE PROVIDED THROUGH THE PCO. FAT MUST BE

APPROVED PRIOR TO PRODUCTION.

BLK 13: IF FURTHER REVISIONS ARE NECESSARY, THE CONTRACTOR

SHALL HA VE 15 DAYS TO GENERA TE REVISIONS AND THE

GOVERNMENT SHALL HA VE 15 DAYS TO REVIEW AND RESPOND.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CDRL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https://safe.apps.mil/).

15. TOTAL 0 8 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _8_ of 18 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 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 ii does not display a currently valid 0MB control number. Please do not return your form to the above organiution. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A TDP TM OTHER NDTI

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A009 TEST/INSPECTION REPORT LOT ACCEPTANCE TEST REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B NOTICE 2 SECTION E DCMA-MCWB (QAR)

(SEE BLK 16

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

LT ASREQ (SEE 16) ASREQ (SEE 16) b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 4: LOT ACCEPTANCE TEST (LAT) REPORTS SHALL CONTAIN ALL

INSPECTION RECORDS OF CLASSIFIED CHARACTERISTIC SAMPLES

0 1 0

AND ANY OTHER TESTS REQUIRED FOR EACH LOT PER THE

a. ADDRESSEE

DCMA-MCWB (QAR)

WARP

CCRI-AMM

SFAE-AA-JB 0 1 0

CONTRACT. (SEEBLK 16)

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS

ONLY: EXPORT CONTROLLED: 30 AUG 2021. OTHER REQUESTS SHALL

BE REFERRED TO PMA-201, NAS PATUXENT RIVER, MARYLAND.

BLK 10, 12, 13: SUBMISSION OF LAT REPORTS AND PRODUCTION

ACCEPTANCE TEST REPORTS SHALL BE NO LATER THAN 30 DAYS

AFTER LAT. THE QAR WILL PROVIDE DISPOSITION OF

LOT/PRODUCTION ACCEPTANCE TEST REPORTS.

BLK 14: LAT REPORTS SHALL BE SUBMITTED BY ACCESSING THE

WORLDWIDE AMMUNITION DATA CARD REPOSITORY PROGRAM

(WARP) WHICH IS LOCATED ON THE MUNITIONS HISTORY PROGRAM

(MHP) WEBSITE AT: https://mph.redstone.army.mil/.

SUBMIT ELECTRONICALLY UNLESS OTHERWISE SPECIFIED.

15. TOTAL 0 4 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page _9_ of 18 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 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 ii does not display a currently valid 0MB control number. Please do not return your form to the above organiution. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A TDP TM OTHER MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A0lO AMMUNITION DATA CARD

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80043B- NOTICE 2 SECTION C, MIL-STD-1168 DCMA-MCWB (QAR)

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

NO ASREQ (SEE 16) ASREQ (SEE 16) b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION a. ADDRESSEE Final

NIA ASREQ (SEE 16)

Draft

NIA Reg Repro

16. REMARKS DCMA-MCWB (QAR) 0 1 0

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED W ARP 0 1 0

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS LOT SHIPMENT* 0 2 0

ONLY: EXPORT CONTROLLED 30 AUG 2021. OTHER REQUESTS SHALL

MAIL TO DEST** 0 2 0 BE REFERRED TO PMA-201, NAS PATUXENT RNER, MARYLAND

(SEEBLK 16)

BLK 10, 12, 13: AMMUNITION DATA CARDS (ADC) SHALL BE

PREPARED IA W MIL-STD-1168, SECTION C, AND BY ACCESSING THE

WORLDWIDE AMMUNITION DATA REPOSITORY PROGRAM (WARP),

WHICH IS LOCATED AT https:llmhp.redstone.army.mil.

BLK 14: SUBMIT VIA THE INTERNET OR MAIL A CD ROM (PC FORMAT)

IN ACCORDANCE WITH ATTACHMENT 0004.

*HARD COPY ADC PROVIDED WITH LOT SHIPMENTS SHALL BE

GENERATED FROM THEW ARP PROGRAM AND SIGNED AND DATED

BY THE GOVERNMENT AGENCY RESPONSIBLE FOR ACCEPTANCE

(GARA).

**WHEN BALLISTIC TESTS ARE REQUIRED, ONE HARD COPY

GENERATED FROM THE W ARP PROGRAM SIGNED AND DATED BY THE

GARA SHALL BE SENT TO THE PROVING GROUND WITH SAMPLE

SHIPMENT, PLUS AN ADDITIONAL SIGNED HARD COPY PROVIDED TO

THE PROVING GROUND BY MAIL.

15. TOTAL 0 6 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 10 of 18 Pages

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

A TDP TM OTHER SESS

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A011 FAILURE SUMMARY AND ANALYSIS REPORT

4. AUTHORITY (Data Acquisition Document No.) 6. REQUIRING OFFICE

DI-SESS-80255B

5. CONTRACT REFERENCE

Attachment 0005 - QAP 1380529 AMJM-QAP

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

REQUIRED

LT ASREQ (SEE 16) ASREQ (SEE 16) b. COPIES

B.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 5: THE FAILURE SUMMARY AND ANALYSIS REPORT SHALL BE IN 0 1 0

ACCORDANCE WITH THE QUALITY ASSURANCE PROVISION (QAP).

0 1 0

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED 0 1 0

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS 0 1 0

ONLY: EXPORT CONTROLLED: 30 AUG 2021.OTHER REQUESTS SHALL

0 1 0

BE REFERRED TO PMA-201, NAS PATUXENT RIVER, MARYLAND.

a. ADDRESSEE

AMJM-QAP

NA WCWD (D434200)

NSWC (MS-21)

AFLCMC/EBHCB

DCMA-MCWB (QAR)

CCRl-AMM

SFAE-AA-JB

(SEE BLK 16)

BLK 10, 12, 13: CONTRACTOR SHALL NOTIFY NA WCWD (QA),

NA WCWD (D434200) AMJM-QAP, AND THE PCO VIA EMAIL WITHIN 24

HOURS AFTER THE OCCURRENCE OF A FAILURE DURING

ACCEPTANCE TESTING; INCLUDING, BUT NOT LIMITED TO, ANY

FAILURES DURING FAT/LAT AND ANY DESTRUCTIVE OR NON-

DESTRUCTIVE TEST FAILURES. FORMAL SUBMITTAL SHALL BE NO

LATER THAN lODAYS AFTER REPORTED FAILURE. FINAL REPORT

SHALL BE SUBMITTED NO LATER THAN 30 DAYS AFTER

DETERMINING/CONDUCTING ROOT CAUSE FAILURE ANALYSIS.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CORL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https://safe.apps.mil/).

15. TOTAL 0 7 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 11 of 18 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 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 currenUy valid 0MB control number. Please do not return your form to Iha above organization. Sand complalad form to Iha Government Issuing Contracting Officer for Iha Contract/PR No. listed in Block E.

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

A TOP TM OTHER NDTI

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A012 TEST PROCEDURE PHOSPHATE COATING PRE-PRODUCTION

PROCEDURE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80603A SECTION E NAWCWD(QA)

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

LT ONE/R(SEE 16) 150 DAC (SEE 16) b. COPIES

B.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED

0 1 0 TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS

ONLY: EXPORT CONTROLLED: 30 AUG 2021. OTHER REQUESTS SHALL 0 1 0

BE REFERRED TO PMA-201, NAS PATUXENT RIVER, MARYLAND.

0 1 0

BLK 10, 12: THE PHOSPHATE PROCEDURE SHALL BE SUBMITTED NO LATER 0 1 0

THAN 150 CALENDAR DAYS AFTER CONTRACT AW ARD. THE GOVERNMENT 0 1 0

REQUIRES 30 DAYS FOR REVIEW. DISPOSITION IS PROVIDED THROUGH THE

0 1 0 PCO. IF FURTHER REVISIONS ARE NECESSARY, THE CONTRACTOR SHALL

HA VE 15 DAYS TO PROVIDE REVISIONS AND THE GOVERNMENT SHALL

a. ADDRESSEE

NAWCWD(QA)

NA WCWD (D434200)

AMJM-QAP

NSWC (MS-21)

AFLCMC/EBHCB

DCMA-MCWB (QAR)

CCRI-AMM

SFAE-AA-JB

(SEE BLK 16)

REVIEW AND PROVIDE DISPOSITION WITHIN 15 DAYS OF RECEIPT. THE TEST

PLANIPHOSPHATE COATING PRE-PRODUCTION PROCEDURE SHALL BE

APPROVED PRIOR TO FAT, IF FAT IS REQUIRED, OR PRIOR TO INITIATION OF

PRODUCTION.

PANELS SHALL BE SUBMITTED PER TT-C-490 TO THE FOLLOWING ADDRESS:

NAWCWD

1900 N. KNOX RD, MS6213

BUILDING 02466, ROOM 1250

CHINA LAKE, CA 93555-6106

BLK 13: SUBMIT UPDATES/REVISIONS FOR REVIEW AND APPROVAL PRIOR TO

PRODUCTION.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CDRL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https://safe.apps.mil/).

15. TOTAL 0 8 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 12 of 18 Pages

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

A TOP TM OTHER ADMN

D. SYSTEM/ITEM F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0

2. TITLE OF DATA ITEM 3. SUBTITLE 1. DATA ITEM

NO. A01 3

CONFERENCE AGENDA &

DRAFT PRESENTATION SLIDES

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-ADMN-81249B SECTION C CCRI-AMM

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

REQUIRED

NO ASREQ ASREQ (SEE 16) b. COPIES

8.APP CODE NIA 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Final Draft

NIA NIA ASREQ (SEE 16) Reg Repro

0 1 0

a. ADDRESSEE

CCRI-AMM

AMJM-QAP

NA WCWD (D434200)

AFLCMC/EBHCB

DCMA-MCWB (QAR)

SFAE-AA-JB

(SEE BLK 16)

16. REMARKS

BLK 12: CONTRACTOR SHALL SUBMIT AN AGENDA AND

PRESENTATION SLIDES FOR ALL PROGRAM MANAGEMENT

REVIEWS, 30 DAYS PRIOR TO MEETING, FOR GOVERNMENT

REVIEW AND COMMENTS.

BLK 1 4: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CORL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https:llsafe.apps.mil/).

15. TOTAL 0 6 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 14 of 18 Pages

E. CONTRACT/PR

NO.W519TC-23-R-0010

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 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 0MB control number. Please do not return your form to the above organiution. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A TDP TM OTHER ADMN

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A014

CONFERENCE MINUTES &

FINAL PRESENTATION SLIDES

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-ADMN-81250B SECTION C CCRI-AMM

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

REQUIRED

NO ASREQ ASREQ (SEE 16) b. COPIES

8.APP CODE NIA 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

Final Draft

NIA NIA ASREQ (SEE 16) Reg Repro

0 1 0

16. REMARKS

BLK 12: CONTRACTOR SHALL SUBMIT MINUTES FROM ALL

PROGRAM MANAGEMENT REVIEWS NLT THAN 10 DAYS AFTER

MEETING OR REVIEWS.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CDRL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https:llsafe.apps.mil/).

a. ADDRESSEE

CCRI-AMM

AMJM-QAP

NA WCWD (D434200)

AFLCMC/EBHCB

DCMA-MCWB (QAR)

SFAE-AA-JB

(SEE BLK 16)

15. TOTAL 0 6 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 15 of 18 Pages

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

A TDP TM OTHER MGMT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A015 OPERATIONS SECURITY (OPSEC) PLAN

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80934C- NOTICE 1 SECTION H AMJM-OPP

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

REQUIRED

LT ONE/R ASREQ (SEE 16) b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

Final

Draft

A NIA ASREQ (SEE 16) Reg Repro

16. REMARKS

0 1 0

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS

0 1 0

ONLY: EXPORT CONTROLLED: 30 AUG 2021. OTHER REQUESTS SHALL 0 1 0

BE REFERRED TO PMA-201, NAS PATUXENT RIVER, MARYLAND 0 1 0

0 1 0

BLK 10: GOVERNMENT REQUIRES 10 CALENDAR DAYS FOR REVIEW

0 1 0

AND APPROVAL. IF REVISIONS ARE REQUIRED, RESUBMIT 10

CALENDAR DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS.

a. ADDRESSEE

AMJM-OPP

AMJM-QAP

NA WCWD (D434200)

AFLCMC/EBHCB

DCMA-MCWB (QAR)

CCRI-AMM

SFAE-AA-JB

(SEE BLK 16)

BLK 12: CONTRACTOR SHALL SUBMIT OPSEC PLAN 30 CALENDAR

DAYS AFTER THE CONTRACTING OFFICER PROVIDES THE LIST OF

KNOWN CRITICAL INFORMATION (CI)/THREAT INFORMATION.

BLK 13: ANNUAL SELF-ASSESSMENT AND CHECKLIST ARE DUE ON

THE ANNIVERSARY OF THE CONTRACT AW ARD DATE.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CDRL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https://safe.apps.miU).

IN ADDITION SUBMIT TO usarmy.ria.jmc.mbx.opsec-fd@mail.mil.

15. TOTAL 0 7 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 16 of 18 Pages

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

A TDP TM OTHER MGMT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

FIN ASSY, CONICAL, MK 84 MOD 0 W519TC-23-R-0010

2. TITLE OF DATA ITEM 3. SUBTITLE 1. DATA ITEM

NO. A016 PRODUCTION PROGRESS REPORTS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-81255- NOTICE 1 SECTION I CCRI-AMM

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

NO MTHLY SEE 16 b. COPIES

8.APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

(SEE 16) SUBMISSION

Final

Draft

NIA NIA SEE 16 Reg Repro

0 1 0

a. ADDRESSEE

CCRI-AMM

AMJM-QAP

NA WCWD (D434200)

AFLCMC/EBHCB

DCMA-MCWB (QAR)

SFAE-AA-JB

(SEE BLK 16)

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED

TO THE DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS

ONLY: EXPORT CONTROLLED: 30 AUG 2021. OTHER REQUESTS SHALL

BE REFERRED TO PMA-201, NAS PATUXENT RIVER, MARYLAND

BLK 12, 13: FIRST SUBMITTAL IS DUE 5 WORKING DAYS AFTER END

OF THE MONTH IN WHICH PRODUCTION BEGINS. SUBSEQUENT

SUBMISSIONS ARE DUE MONTHLY, 5 WORKING DAYS AFTER

REPORTING PERIOD WITH THE LAST SUBMITTAL DUE 2 WORKING

DAYS AFTER THE END OF THE MONTH PRODUCTION HAS

COMPLETED.

BLK 14: SUBMIT IN ACCORDANCE WITH ATTACHMENT FOR CORL

DISTRIBUTION LIST VIA EMAIL OR DOD-SAFE (https:llsafe.apps.mil/).

15. TOTAL 0 6 0

G. PREPARED BY H.DATE I. APPROVED BY J.DATE

PAWS, TPO 30 AUG 21

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 17 of 18 Pages

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the lime 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 0MB 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 C. CATEGORY:

TDP

D. SYSTEM/ITEM

FIN ASSY, CONICAL, MK 84 MOD 0 I

E. CONTRACT/PR

NO.W519TC-23-R-0010

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

TM --- OTHER

MISC

F. CONTRACTOR

3. SUBTITLE

AO17 MANAGEMENT PLAN 2-D BAR CODE LABEL VERIFICATION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

DI-MGMT-80004 (Current Revision) Section: C & D

7. DD250REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

REQUIRED

ONE/R ASREQ

8.APP CODE

NIA

11. AS OF DATE 13. DATE OF SUBSEQUENT

A NIA

SUBMISSION

NIA

16. REMARKS

2-D BAR CODES SHALL BE PREPARED IAW MIL-STD-129 AND MIL-

PRF-61002, SUBMITTED AND APPROVED PRIOR TO ANY PRODUCT

BEING SUBMITTED TO THE U.S. GOVERNMENT FOR ACCEPTANCE.

BLKS 12 & 14: PRIOR TO FORMAL SUBMISSION OF PRODUCT TO

THE GOVERNMENT FOR ACCEPTANCE, A FIRST TIME SAMPLE OF

THE SUPPLIER'S 2-D BAR CODING LABEL, COMPRISING OF TWO (2)

EACH OF THE EXTERIOR PACK LABEL AND TWO (2) EACH OF THE

PALLET LABEL, SHALL BE SUBMITTED AND APPROVED. A

MATERIAL CERTIFICATION (CoC) SHALL ALSO BE SUBMITTED

THAT IDENTIFIES THE LABEL BEING USED CONFORMS TO THE

SPECIFICATIONS OF MIL-PRF-61002. 2-D BAR CODE SAMPLES AND

LABEL CoC SHALL BE SENT TO:

HQ, US ARMY JMC, 2695 RODMAN AVENUE, ROCK ISLAND, IL 61299

ATTN: AMJM-QAP/O, "Enter PQM name"

WITHIN FIFTEEN CALENDAR DAYS, THE SUPPLIER WILL BE

NOTIFIED ELECTRONICALLY OF THE APPROVAL, CONDITIONAL

APPROVAL, OR DISAPPROVAL OF THE SUBMITTED 2-D BAR CODE

LABEL.

G. PREPARED BY H.DATE I. APPROVED BY

DD FORM 1423-1, AUG 96 (EG} PREVIOUS EDITION MAY BE USED.

6. REQUIRING OFFICE

AMJM-QA

14. DISTRIBUTION

b.COPIES

a. ADDRESSEE Final Draft

Reg Repro

Mail to Dest 0 2 0

15. TOTAL

0 2 0 .

J. DATE

Page of Pages Designed using Perform Pro, WHS7[)iQR, Aug 96

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

09 June 2022

18 18

08 Aug 2022

File details come from the government source that posted it. Updated Oct 12, 2022.