CDRLs - updated 27JUN - bulk deliverables added to A0005 (2).docx

UNCLASSIFIED/For Official Use Only

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to 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. LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER __X __

D. SYSTEM/ITEM

Test and Evaluation

E. AGREEMENT/PR NO.

TBD

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Monthly Contract Performance Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. REFERENCE:

QASP PRS #1

6. REQUIRING OFFICE

PM FOSOV

7. DD 250 REQ

No

9. DIST

STATEMENT

C

10. FREQUENCY

Monthly

12. DATE OF 1ST SUBMISSION

See BLK 16

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION See BLK 16

16. REMARKS;

Block 4: Tailoring: DID provided for reference, contractor format is acceptable.

Block 9: Distribution Statement C: The contractor shall insert the following marking on the deliverable:

Distribution Statement C: Distribution authorized to U.S. Government agencies and their contractors only; (critical technology; export controlled) (10 July 2017). Other requests for this document shall be referred to PM FOSOV Engineering, 6501 East 11 Mile Road, Warren, MI.

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 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Blocks 12 and 13: The initial Monthly Contract Performance Report shall be delivered within 30 days after project award. Additional Monthly Performance Reports will be provided at every 30 calendar days after the initial report.

Block 14: The contractor shall deliver one electronic copy each of the deliverable to the COR and Alternate COR either via email or DoD Safe File Exchange to the email addresses identified in SOW Paragraph 13

See BLK 16

15. TOTAL ---------

G. PREPARED BY

Stephen Aamodt

H. DATE

TBD

I. APPROVED BY

Stephen Aamodt

J. DATE

DD Form 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) 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 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 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. LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER __X __

D. SYSTEM/ITEM

Test and Evaluation

E. AGREEMENT/PR NO.

TBD

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Monthly Travel Financial Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81321A

5. REFERENCE:

QASP PRS #4

6. REQUIRING OFFICE

PM FOSOV

7. DD 250 REQ

No

9. DIST

STATEMENT

C

10. FREQUENCY

Monthly

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION See BLK 16

16. REMARKS;

Block 4: Tailoring: DID provided for reference, contractor format is acceptable.

Block 9: Distribution Statement C: The contractor shall insert the following marking on the deliverable:

Distribution Statement C: Distribution authorized to U.S. Government agencies and their contractors only; (critical technology; export controlled) (10 July 2017). Other requests for this document shall be referred to PM FOSOV Engineering, 6501 East 11 Mile Road, Warren, MI.

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 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Block 12: The initial Monthly Travel Financial Report shall be delivered within 30 days after project award. Additional Monthly Travel Financial Reports will be provided at every 30 calendar days after the initial report.

Block 14: The contractor shall deliver one electronic copy each of the deliverable to the COR and Alternate COR either via email or DoD Safe File Exchange to the email addresses identified in SOW Paragraph 13

See BLK 16

15. TOTAL ---------

G. PREPARED BY

H. DATE

TBD

I. APPROVED BY

Stephen Aamodt

J. DATE

DD Form 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

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 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 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. LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER __X __

D. SYSTEM/ITEM

Test and Evaluation

E. AGREEMENT/PR NO.

TBD

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Weekly Significant Activities Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. REFERENCE:

QASP PRS #5

6. REQUIRING OFFICE

PM FOSOV

7. DD 250 REQ

No

9. DIST

STATEMENT

C

10. FREQUENCY

Weekly

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION See BLK 16

16. REMARKS;

Block 4: Tailoring: DID provided for reference, contractor format is acceptable.

Block 9: Distribution Statement C: The contractor shall insert the following marking on the deliverable:

Distribution Statement C: Distribution authorized to U.S. Government agencies and their contractors only; (critical technology; export controlled) (10 July 2017). Other requests for this document shall be referred to PM FOSOV Engineering, 6501 East 11 Mile Road, Warren, MI.

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 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Block 12: The initial Weekly Significant Activities Report shall be delivered within 7 calendar days after project award. Additional Weekly Significant Activities Reports will be provided at every 7 calendar days after the initial report.

Block 14: The contractor shall deliver one electronic copy each of the deliverable to the COR and Alternate COR either via email or DoD Safe File Exchange to the email addresses identified in SOW Paragraph 13

See BLK 16

15. TOTAL ---------

G. PREPARED BY

H. DATE

TBD

I. APPROVED BY

Stephen Aamodt

J. DATE

DD Form 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

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 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 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. LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER __X __

D. SYSTEM/ITEM

Test and Evaluation

E. AGREEMENT/PR NO.

TBD

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Trip Reports/Vouchers

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. REFERENCE:

QASP PRS #3

6. REQUIRING OFFICE

PM FOSOV

7. DD 250 REQ

No

9. DIST

STATEMENT

C

10. FREQUENCY

Per Trip

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION See BLK 16

16. REMARKS;

Block 4: Tailoring: DID provided for reference, contractor format is acceptable.

Block 9: Distribution Statement C: The contractor shall insert the following marking on the deliverable:

Distribution Statement C: Distribution authorized to U.S. Government agencies and their contractors only; (critical technology; export controlled) (10 July 2017). Other requests for this document shall be referred to PM FOSOV Engineering, 6501 East 11 Mile Road, Warren, MI.

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 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Block 12: The contractor shall deliver the first Trip Report/Voucher within 4 business days after completion of the first TDY. Additional Trip Report/Vouchers will be provided 4 business days after the completion of each and every subsequent TDY.

Block 14: The contractor shall deliver one electronic copy each of the deliverable to the COR and Alternate COR either via email or DoD Safe File Exchange to the email addresses identified in SOW Paragraph 13

See BLK 16

15. TOTAL ---------

G. PREPARED BY

H. DATE

TBD

I. APPROVED BY

Stephen Aamodt

J. DATE

DD Form 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

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 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 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. LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER __X __

D. SYSTEM/ITEM

Test and Evaluation

E. AGREEMENT/PR NO.

TBD

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Deliverable Reports and Data Collections

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. REFERENCE:

QASP PRS #2

6. REQUIRING OFFICE

PM FOSOV

7. DD 250 REQ

No

9. DIST

STATEMENT

C

10. FREQUENCY

See BLK 16

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION See BLK 16

16. REMARKS;

Block 4: Tailoring: DID provided for reference, contractor format is acceptable.

Block 9: Distribution Statement C: The contractor shall insert the following marking on the deliverable:

Distribution Statement C: Distribution authorized to U.S. Government agencies and their contractors only; (critical technology; export controlled) (10 July 2017). Other requests for this document shall be referred to PM FOSOV Engineering, 6501 East 11 Mile Road, Warren, MI.

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 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Block 10: The following list contains possible Task order deliverables and their projected frequencies.

1. Integrated Test Reports – 4-8 times per year

2. Test Data Results analysis – 20-30 times per year

3. Technology Development and Acquisition Program submissions – 1-2 times per year

4. Source Approval Request Assessment reports – 1-3 times per year

5. Proposed Test Schedules – 4-8 times per year

6. Projected Cost Estimates – 4-8 times per year

7. Inputs for Early Strategy Reviews – 1-2 times per year

8. Inputs for Concept Initial Product Reviews – once every year or two

9. Inputs for Lens charts – once every year or two

10. Inputs for Rock Drills – once every year or two

11. Inputs for Systems Engineering Plans – once every 2 years

12. Operational Test Plan Evaluation Reports – 1-2 times per year

13. Operational Test Plan Assessment Reports – 1-2 times per year

14. Draft Detailed Test Plans – 1-4 times per year

15. Interim Detailed Test Plans – 1-4 times per year

16. Final Detailed Test Plans – 1-4 times per year

17. Test and Evaluation Master Plans – once every year depending on vehicle development or program progress

18. Technical Position White Papers – 12-36 times per year

19. Create Briefing Charts – for test evaluation strategies, test plans, test results, data analysis, program impacts of test results – 4-16 times a year

20. Verification and Validation Reports – every 2-3 years during a new vehicle’s development

21. Verification and Validation Test Plans - every 2-3 years during a new vehicle’s development

22. Test Article Accreditation Reports – possibly several times a year

23. Draft Capability Based Assessment Report Input – once every 4-5 years as driven by Acquisition Executive guidance

24. Draft Capability Production Document Input – every 2-3 years as a new vehicle starts development

25. Draft Capability Development Document Input – every 2-3 years as a new vehicle starts development

26. Critical Program Issues White Papers - as driven by program events

Block 12: Deliverable reports and data collection submission dates and deadlines will be dependent on the complexity of the activity, but not less than 30 days from the initial activity.

Block 14: The contractor shall deliver one electronic copy each of the deliverable to the COR and Alternate COR either via email or DoD Safe File Exchange to the email addresses identified in SOW Paragraph 13

See BLK 16

15. TOTAL ---------

G. PREPARED BY

H. DATE

TBD

I. APPROVED BY

Stephen Aamodt

J. DATE

DD Form 1423-1, FEB 2001

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 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 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. LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP ___ TM ___ OTHER __X __

D. SYSTEM/ITEM

Test and Evaluation

E. AGREEMENT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Quality Control Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. REFERENCE:

PWS 1.6.1

6. REQUIRING OFFICE

PM FOSOV

7. DD 250 REQ

No

9. DIST

STATEMENT

C

10. FREQUENCY

Once

12. DATE OF 1ST SUBMISSION

30 days ARO

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION See BLK 16

16. REMARKS;

Block 4: Tailoring: DID provided for reference, contractor format is acceptable.

Block 9: Distribution Statement C: The contractor shall insert the following marking on the deliverable:

Distribution Statement C: Distribution authorized to U.S. Government agencies and their contractors only; (critical technology; export controlled) (10 July 2017). Other requests for this document shall be referred to PM FOSOV Engineering, 6501 East 11 Mile Road, Warren, MI.

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 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Block 14: The contractor shall deliver one electronic copy each of the deliverable to the COR and Alternate COR either via email or DoD Safe File Exchange to the email addresses identified in SOW Paragraph 13

See BLK 16

15. TOTAL ---------

G. PREPARED BY

H. DATE

TBD

I. APPROVED BY

Stephen Aamodt

J. DATE

DD Form 1423-1, FEB 2001