Sec J Attachment 22 - 2794-Contract Prime EMD 19 Jul.pdf

FA8629-12-R-2400

Section J, Attachment 22

19 July 2012

a. NAME:

Pre-A X B C-FRP X

A C-LRIP O&S

PROGRAM X X

X

a. CWBS

DICTIONARY

d. DD 1921-2

(PCR)

f. SRDR

FORMATS

X X

X X X

X X

X

X

X

X

X

X

X X

X

X

X X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X X

X X

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

1.1.4 1.1.4 Avionics X X

1.1.4 1.1.4.1 Avionics Integration, Assembly, Test, and Checkout X X

1.1.1 1.1.1 Airframe X X

1.1 1.1 Air Vehicle X X

1.1.1 1.1.1.2 Fuselage X

1.1.1 1.1.1.1 Airframe Integration, Assembly, Test and Checkout X

1.1.1 1.1.1.4 Empennage X

1.1.1 1.1.1.3 Wing X

1.1.1 1.1.1.6 Other Airframe Components 1...n (Specify) X

1.1.1 1.1.1.5 Nacelle X

1.1.2 1.1.2.1 Engine X X

1.1.2 1.1.2 Propulsion X X

1.1.3 1.1.3 Vehicle Subsystems X X

1.1.2 1.1.2.2 Other Propulsion X X

1.1.3 1.1.3.2 Flight Control Subsystem X X

1.1.3 1.1.3.1 Vehicle Subsystem Integration, Assembly, Test, and Checkout X X

1.1.3 1.1.3.4 Hydraulic Subsystem X X

1.1.3 1.1.3.3 Auxiliary Power Subsystem X X

1.1.3 1.1.3.6 Crew Station Subsystem X X

1.1.3 1.1.3.5 Electrical Subsystem X X

1.1.3 1.1.3.6.2 Escape Systems X

1.1.3 1.1.3.6.1 Life Support Systems X

Search and Rescue Equipment X

1.1.3 1.1.3.6.3 Crash Protection Devices X

1.1.3 1.1.3.7 Environmental Control Subsystem X X

Display/Control Interfaces X

1.1.3 1.1.3.11 Drive Group X X

1.1.3 1.1.3.9 Landing Gear X X

Rotor Group X

Vehicle Subsystem Software Release 1...n X X

X

X

Fuel Subsystem X X

b. DD 1921

(CDSR)

XCombat Rescue Helicopter System

Crew and Passenger/Troop Compartment X

1.1.3 1.1.3.10

1.1.3 1.1.3.8

1.1.3 1.1.3.6.6

1.1.3 1.1.3.6.4

1.1.3 1.1.3.12

1.1.3 1.1.3.6.5

b. CONTRACT/

SUBCONTRACT

12.

WBS REPORTING ELEMENTS

11. WBS ELEMENT CODE

13. REPORTS REQUIRED

(X if applicable)

a. PROGRAM/

CONTRACT/

SUBCONTRACT

8. PREPARING

ORGANIZATION

Rotary Wing Branch, SOF Program Office

1.01.0

RDT&E

PROCUREMENT

O&M

9c. APPROPRIATION

6b. TELEPHONE NUMBER (Include Area Code)

AF-11-F-C1

10. APPROVED PLAN NUMBER

c. DD 1921-1

(FCHR)

e. DD 1921-4

(CSR)

DD 1921-3 (CBDR):

9b. CONTRACT NUMBER

TBD

7. PLAN TYPE

CONTRACT (PRIME)

CONTRACT (SUB)

TBD

ii. DIVISION

9a. CONTRACTOR NAME/ADDRESS

i. PERFORMING ORGANIZATION

TBD

COST AND SOFTWARE DATA REPORTING PLAN

Form Approved

OMB No. 0704-0188

b. PHASE/MILESTONE c. PRIME MISSION PRODUCT

The public reporting burden for this collection of information is estimated to average 8 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 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 COMPLETED FORM TO THE ABOVE ORGANIZATION.

2. WBS SYSTEM TYPE

1. MAJOR PROGRAM Air Force Combat Rescue Helicopter (CRH)

3. SUBMISSION TYPE 4. CURRENT SUBMISSION

DATE (YYYYMMDD)

937-255-3721

6c. FAX NUMBER (Include Area Code)

937-255-6817

Aircraft SystemCRH System

5. LAST APPROVED PLAN DATE

(YYYYMMDD)

N/A20120409

INITIAL

CHANGE

6d. E-MAIL ADDRESS chris.hensley@wpafb.af.mil

6a. POINT OF CONTACT (POC) NAME AND ADDRESS (Include ZIP Code)

Chris Hensley

AFLCMC/WISF

1895 5th Street, Bldg. 46

Wright Patterson AFB, OH 45433-7200

19 July 2012

X

a. CWBS

DICTIONARY

d. DD 1921-2

(PCR)

f. SRDR

FORMATS

X X

X

X

X

X

X

X

X

X

X

X

X

X X

X

X

X

X

X

X

X

X

X

X

X

X

X X

X

X

X X

X X

X

X

X

X X

X

X

X

X

X X

X X

X X

X X

X X

X X

X X

X

X

X

X X

X X

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

1.1.7 1.1.7 Furnishings and Equipment X X

1.1.8 1.1.8 Air Vehicle Software Release 1...n X X

1.1.4 1.1.4.2.2 Personnel Locator System X

1.1.4 1.1.4.2.1 Integrated Broadcast Receiver X

1.1.4 1.1.4.2.4 Backup VHF/UHF Radio X

1.1.4 1.1.4.2.3 VHF/UHF/SATCOM Multi-band Radio X

1.1.4 1.1.4.2.6 Improved Data Model X

1.1.4 1.1.4.2.5 Link-16 X

1.1.4 1.1.4.2.8 Identification Friend or Foe X

1.1.4 1.1.4.2.7 Communications/Crypto Systems X

1.1.4 1.1.4.2.10 Situational Awareness Data Link X

1.1.4 1.1.4.2.9 Blue Force Tracker X

1.1.4 1.1.4.3 Navigation/Guidance X X

1.1.4 1.1.4.2.11 Intercommunications System X

1.1.4 1.1.4.3.2 Radar Altimeter X

1.1.4 1.1.4.3.1 Digital Air Data Computer X

1.1.4 1.1.4.3.4 Tactical Air Navigation X

1.1.4 1.1.4.3.3 Altitude Heading Reference System X

1.1.4 1.1.4.3.6 Embedded GPS/INS X

1.1.4 1.1.4.3.5 Distance Measuring Equipment X

1.1.4 1.1.4.3.8 Automatic Direction Finder X

1.1.4 1.1.4.3.7 Multi-mode Radar X

1.1.4 1.1.4.3.10 Forward Looking Infrared X

1.1.4 1.1.4.3.9 Weather Radar X

1.1.4 1.1.4.3.12 VOR/ILS X

1.1.4 1.1.4.3.11 Traffic Alert and Collision Avoidance System X

1.1.4 1.1.4.4.1 Mission Computer X

1.1.4 1.1.4.4 Mission Computer/Processing X X

1.1.4 1.1.4.5 Fire Control X X

1.1.4 1.1.4.4.2 Data Transfer System X

1.1.4 1.1.4.6.1 Multi-function Displays X

1.1.4 1.1.4.6 Data Display and Controls X X

1.1.4 1.1.4.6.3 Crewstation Display X

1.1.4 1.1.4.6.2 Control Display Unit X

1.1.4 1.1.4.7.1 Laser Warning X

1.1.4 1.1.4.7 Survivability X X

1.1.4 1.1.4.7.3 Infrared Survivability Subsystem X

1.1.4 1.1.4.7.2 Radio Frequency Survivability Subsystem X

1.1.4 1.1.4.8 Reconnaissance X X

1.1.4 1.1.4.7.4 Expendable Countermeasure X

1.1.4 1.1.4.10 Health Monitoring System X X

1.1.4 1.1.4.9 Automatic Flight Control X X

1.1.4 1.1.4.12 Avionics Software Release 1...n X X

1.1.4 1.1.4.11 Stores Management X X

1.1.6 1.1.6 Auxiliary Equipment X X

1.1.5 1.1.5 Armament/Weapons Delivery X X

1.1.4 1.1.4.2 Communication/Identification X X

1.1.6 1.1.6.3 Crash Position Indicator X

1.1.6 1.1.6.2 Flight Data Recorder X

1.1.6 1.1.6.1 Cockpit Voice Recorder X

11. WBS ELEMENT CODE

12.

WBS REPORTING ELEMENTS

13. REPORTS REQUIRED

(X if applicable)

DD 1921-3 (CBDR):

a. PROGRAM/

CONTRACT/

SUBCONTRACT

b. CONTRACT/

SUBCONTRACT

b. DD 1921

(CDSR)

c. DD 1921-1

(FCHR)

e. DD 1921-4

(CSR)

19 July 2012

X

a. CWBS

DICTIONARY

d. DD 1921-2

(PCR)

f. SRDR

FORMATS

X X

X

X

X X

X

X

X

X

X

X

X

X

X X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

1.11.2 1.11.2 Readiness Spares Packages X

1.11 1.11 Initial Spares and Repair Parts X X

1.11.1 1.11.1 Initial Spares X

1.3 1.3 Program Management X X

1.2 1.2 System Engineering X X

1.4.1 1.4.1 Development Test and Evaluation X X

1.4 1.4 System Test and Evaluation X X

1.4.1 1.4.1.2 Flight Test X X

1.4.1 1.4.1.1 Ground Test X X

1.4.2 1.4.2 Operational Test and Evaluation X X

1.4.1 1.4.1.3 Instrumentation and Data Processing X X

1.4.4 1.4.4 Test and Evaluation Support X X

1.4.3 1.4.3 Mock-ups / System Integration Labs (SILs) X X

1.5 1.5 Training X X

1.4.5 1.4.5 Test Facilities X X

1.5.1 1.5.1.1 Weapons System Trainer X X

1.5.1 1.5.1 Equipment X X

1.5.1 1.5.1.3 Airframe Training System X X

1.5.1 1.5.1.2 Operational Flight Trainer X X

1.5.1 1.5.1.5 Avionics Desktop Training Device X X

1.5.1 1.5.1.4 Maintenance Part Task Training Devices X X

1.5.2 1.5.2.1 Type 1 Training X X

1.5.2 1.5.2 Services X X

1.5.2 1.5.2.3 Training Device ICS X X

1.5.2 1.5.2.2 Courseware Development X X

1.6 1.6 Data X X

1.5.3 1.5.3 Facilities X X

1.6.2 1.6.2 Engineering Data X

1.6.1 1.6.1 Technical Publications X

1.6.4 1.6.4 Support Data X

1.6.3 1.6.3 Management Data X

1.7 1.7 Peculiar Support Equipment X X

1.6.5 1.6.5 Data Depository X

1.7.2 1.7.2 Support and Handling Equipment X

1.7.1 1.7.1 Test and Measurement Equipment X

1.8.1 1.8.1 Test and Measurement Equipment X

1.8 1.8 Common Support Equipment X X

1.9 1.9 Operational/Site Activation X X

1.8.2 1.8.2 Support and Handling Equipment X

1.9.2 1.9.2 Contractor Technical Support X

1.9.1 1.9.1 System Assembly, Installation and Checkout on Site X

1.9.4 1.9.4 Site/Ship/Vehicle Conversion X

1.9.3 1.9.3 Site Construction X

1.9.5 1.9.5.1 Repair Parts Support X X

1.9.5 1.9.5 Sustainment/Interim Contractor Support X X

1.10 1.10 Industrial Facilities X X

1.9.5 1.9.5.2 Maintenance Support X X

1.1.9 1.1.9 Air Vehicle Integration, Assembly, Test, and Checkout X X

1.10.3 1.10.3 Maintenance (Industrial Facilities) X

1.10.2 1.10.2 Equipment Acquisition or Modernization X

1.10.1 1.10.1 Construction/Conversion/Expansion X

11. WBS ELEMENT CODE

12.

WBS REPORTING ELEMENTS

13. REPORTS REQUIRED

(X if applicable)

DD 1921-3 (CBDR):

a. PROGRAM/

CONTRACT/

SUBCONTRACT

b. CONTRACT/

SUBCONTRACT

b. DD 1921

(CDSR)

c. DD 1921-1

(FCHR)

19 July 2012

X

a. CWBS

DICTIONARY

d. DD 1921-2

(PCR)

f. SRDR

FORMATS

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

Total Price X

Reporting Contractor Profit/Loss or Fee X

Reporting Contractor FCCM X Total Cost X

11. WBS ELEMENT CODE

12.

WBS REPORTING ELEMENTS

13. REPORTS REQUIRED

(X if applicable)

DD 1921-3 (CBDR):

Reporting Contractor Undistributed Budget X

Reporting Contractor Management Reserve X

Reporting Contractor G&A X

Subtotal Cost X

a. PROGRAM/

CONTRACT/

SUBCONTRACT

b. CONTRACT/

SUBCONTRACT

b. DD 1921

(CDSR)

c. DD 1921-1

(FCHR)

19 July 2012

d. AS OF DATE e. DUE DATE

(YYYYMMDD) (YYYYMMDD)

1 CWBS Dictionary CWBS Index and Dictionary 20140430 20140630

2 1921, 1921-1 First Interim Report 20140430 20140630

3 1921, 1921-1 Second Interim Report 20150430 20150630

5 1921, 1921-1 Final Report, upon completion of vehicle deliveries to buying command 20160330 20160531

Assumes contract award date of 04/30/2013 and EMD end 3/30/2016

Nonrecurring/Recurring Definitions

The contractor will utilize the specific definitions and requirements in the CSDR Manual (DoD 5000.04-M-1) and the definitions in the DIDs for the DD Form 1921 and 1921-1 to segregate recurring and nonrecurring costs. Refinements or expansions to these definitions are TBD pending the pre-contract or post contract award conferences.

Cost Accounting Standards (CAS) Disclosure Statement Differences

TBD

1921-2 Lot or Unit Reporting

DD Form 1921-3

The DD Form 1921-3 is a mandatory requirement for all prime contractors and subcontractors performing work on contracts which contain CSDR requirements.

As such, the contractor must ensure that its FPR business entity submits a completed DD Form 1921-3 within 60 days subsequent to the end of the contractor's fiscal year.

Only one DD Form 1921-3 submission is required per FPR business entity, independent of the number of contracts with CSDR requirements held by the business entity.

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

14. CSDR SUBMISSION DATES

c.

EVENT

a.

SUBMISSION

b.

FORM(S)

15. REMARKS