Exh B H-1 TDMP Lot 7 Logistic CDRLs DRAFT.docx

DOCX document 543 KB Posted

Attached to
RFP for H-1 Training Device Modernization Program Procurement, Upgrades to AH-1Z and UH-1Y Flight Training Devices
Solicitation number
N6134022R0030
Issued by

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Other files

File Type Posted
Att 8 NPSI Datasets and DA.pdf PDF
Exh A H-1 TDMP Lot 7 ENG_ADMIN CDRLS DRAFT.docx DOCX document
Att 6 GFI_GFS List H-1 Lot 7_8.xlsx XLSX spreadsheet
Att 2 PRF 20037A H-1 Lot 7_8.pdf PDF
L-1 H1 Lot VII_VIII Question Form.xlsx XLSX spreadsheet
L-3 H-1 GFI Request and NDA Form.docx DOCX document
H1 Lot 7_8 RFP Final.pdf PDF
Exh D H-1 TDMP Lot 8 Logistics CDRLs DRAFT.docx DOCX document
Att 1 SOW 210044 Rev A H-1.pdf PDF
L-4 NPSI Sample Datasets and DA.pdf PDF
Att 4 DIT Form.pdf PDF
Exh E H-1 TDMP Lot 8 Tech Pubs CDRLs DRAFT.docx DOCX document
L-2 H1 Lot VII_VIII Industry Day QA_Final.xlsx XLSX spreadsheet
Exh C H-1 TDMP Lot 8 ENG_ADMIN CDRLS DRAFT.docx DOCX document
Att 7 H-1 GFI Request and NDA Form.docx DOCX document
Att 3 DD 254 H-1 LOT 7_8.pdf PDF
Att 9 OT-22-20033 VSER.pdf PDF
Att 5 GFP_GFE List H-1 LOT 7_8.xlsx XLSX spreadsheet
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C O N T R A C T D A T A R E Q U I R E M E N T S L I S T (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 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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 5
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII AH-1Z FTD, DEVICE 2F197B-2

NEW RIVER

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

17. PRICE GROUP

AD01
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

2. BLK 9: THE FOLLOWING STATEMENT SHALL BE INCLUDED ON THE DELIVERABLE:

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

DELIVERY TO THE NAWCTSD PCO AND IPTL SHALL BE LETTER NOTIFICATION ONLY.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
0
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 5
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y FTD, DEVICE 2F196-1

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

17. PRICE GROUP

AD02
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 5
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y FTD, DEVICE 2F226-1

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

17. PRICE GROUP

AD03
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 5
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII AH-1Z FTD, DEVICE 2F227-1

K-BAY

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

17. PRICE GROUP

AD04
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 5
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y FTD, DEVICE 2F196B-3

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

17. PRICE GROUP

AD05
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 5
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y FTD, DEVICE 2F226-2

BELLE CHASSE

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

17. PRICE GROUP

AD06
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 5
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y FTD, DEVICE 2F196B-4

JB McGUIRE

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

17. PRICE GROUP

AD07
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
v
S. COLN, PMA205, DAPMTS
9 SEPTEMBER 2021

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 6
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII AH-1Z FTD, DEVICE 2F197B-2

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

17. PRICE GROUP

AK01
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 6
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y FTD, DEVICE 2F196-1

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

17. PRICE GROUP

AK02
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 6
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y FTD, DEVICE 2F226-1

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

17. PRICE GROUP

AK03
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 10 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 6
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII AH-1Z FTD, DEVICE 2F227-1

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

17. PRICE GROUP

AK04
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
4
4
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 11 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 6
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y FTD, DEVICE 2F196B-3

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

17. PRICE GROUP

AK05
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 12 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 6
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y FTD, DEVICE 2F226-2

BELLE CHASSE

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

17. PRICE GROUP

AK06
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 13 of 91 Pages

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 BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 6
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y FTD, DEVICE 2F196B-4

JB McGUIRE

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

17. PRICE GROUP

AK07
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/ PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 14 of 91 Pages

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T

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. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
E Lot 6
TDP _____ TM _ X___ OTHER ___
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII AH-1Z DEVICE 2F197B-2

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

17. PRICE GROUP

AL01
REVISIONS TO EXISTING DOCUMENTS
COMMERCIAL OFF THE SHELF MANUALS (COTS)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

TMCR 17-18
SOW PARA 3.2.9.6
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX

2 TIMES
SEE BLK 16

8. APP CODE

D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
Draft
Reg
Repro

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 21 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT FOR EACH SUBMISSION. REVIEWING ACTIVITY IS THE NAWCTSD TMSS.

THE CONTRACTOR SHALL HAVE 20 BUSINESS DAYS TO CORRECT AND RESUBMIT REJECTED MATERIALS.

2. BLK 9: REFER TO TMCR 17-18, SECTION 4.6 FOR DISTRIBUTION STATEMENT AND OTHER MARKINGS.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: THE FIRST SUBMISSION SHALL BE DELIVERED FOR REVIEW CONCURRENT WITH THE FIRST TD IPR.

4. BLK 13: THE FINAL SUBMISSION SHALL BE DELIVERED FOR REVIEW CONCURRENT WITH THE FINAL PHYSICAL CONFIGURATION AUDIT (FPCA).

5. BLK 14: DELIVERY SHALL BE IN ACCORDANCE WITH TMCR 17-18. THE COMPLETED FINAL REVISION REPODUCIBLE COPY SHALL BE DELIVERED ON CD/DVD-ROM.

DELIVERY TO THE NAWCTSD PCO, ILSM, AND IPTL SHALL BE LETTER NOTIFICATIONS.

NAWCTSD PCO
0
0
SEE BLK 16
NAWCTSD TMSS
1
1
0
NAWCTSD ISEO
0
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL
0
0
SEE BLK 16
SITE COR
0
1
0
15. TOTAL
2
4
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
LAQUISHA THOMAS, TMSS
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 15 of 91 Pages

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T

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. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
E Lot 6
TDP _____ TM _ X___ OTHER ___
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII AH-1Z DEVICE 2F227-1

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

17. PRICE GROUP

AL02
REVISIONS TO EXISTING DOCUMENTS
COMMERCIAL OFF THE SHELF MANUALS (COTS)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

TMCR 17-18
SOW PARA 3.2.9.6
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX

2 TIMES
SEE BLK 16

8. APP CODE

D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
Draft
Reg
Repro

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 21 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT FOR EACH SUBMISSION. REVIEWING ACTIVITY IS THE NAWCTSD TMSS.

THE CONTRACTOR SHALL HAVE 20 BUSINESS DAYS TO CORRECT AND RESUBMIT REJECTED MATERIALS.

2. BLK 9: REFER TO TMCR 17-18, SECTION 4.6 FOR DISTRIBUTION STATEMENT AND OTHER MARKINGS.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: THE FIRST SUBMISSION SHALL BE DELIVERED FOR REVIEW CONCURRENT WITH THE FIRST TD IPR.

4. BLK 13: THE FINAL SUBMISSION SHALL BE DELIVERED FOR REVIEW CONCURRENT WITH THE FINAL PHYSICAL CONFIGURATION AUDIT (FPCA).

5. BLK 14: DELIVERY SHALL BE IN ACCORDANCE WITH TMCR 17-18. THE COMPLETED FINAL REVISION REPODUCIBLE COPY SHALL BE DELIVERED ON CD/DVD-ROM.

DELIVERY TO THE NAWCTSD PCO, ILSM, AND IPTL SHALL BE LETTER NOTIFICATIONS.

NAWCTSD PCO
0
0
SEE BLK 16
NAWCTSD TMSS
1
1
0
NAWCTSD ISEO
0
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL
0
0
SEE BLK 16
SITE COR
0
1
0
15. TOTAL
2
4
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
LAQUISHA THOMAS, TMSS
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 16 of 91 Pages

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T

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. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
E Lot 6
TDP _____ TM _ X___ OTHER ___
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y DEVICE 2F196-1

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

17. PRICE GROUP

AL03
REVISIONS TO EXISTING DOCUMENTS
COMMERCIAL OFF THE SHELF MANUALS (COTS)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

TMCR 17-18
SOW PARA 3.2.9.6
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX

2 TIMES
SEE BLK 16

8. APP CODE

D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
Draft
Reg
Repro

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 21 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT FOR EACH SUBMISSION. REVIEWING ACTIVITY IS THE NAWCTSD TMSS.

THE CONTRACTOR SHALL HAVE 20 BUSINESS DAYS TO CORRECT AND RESUBMIT REJECTED MATERIALS.

2. BLK 9: REFER TO TMCR 17-18, SECTION 4.6 FOR DISTRIBUTION STATEMENT AND OTHER MARKINGS.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO(CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: THE FIRST SUBMISSION SHALL BE DELIVERED FOR REVIEW CONCURRENT WITH THE FIRST TD IPR.

4. BLK 13: THE FINAL SUBMISSION SHALL BE DELIVERED FOR REVIEW CONCURRENT WITH THE FINAL PHYSICAL CONFIGURATION AUDIT (FPCA).

5. BLK 14: DELIVERY SHALL BE IN ACCORDANCE WITH TMCR 17-18. THE COMPLETED FINAL REVISION REPODUCIBLE COPY SHALL BE DELIVERED ON CD/DVD-ROM.

DELIVERY TO THE NAWCTSD PCO, ILSM, AND IPTL SHALL BE LETTER NOTIFICATIONS.

NAWCTSD PCO
0
0
SEE BLK 16
NAWCTSD TMSS
1
1
0
NAWCTSD ISEO
0
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL
0
0
SEE BLK 16
SITE COR
0
1
0
15. TOTAL
2
4
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
LAQUISHA THOMAS, TMSS
14 MARCH 2022
S. COLN, PMA205, DAPMTS
14 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 17of 91 Pages

C O N T R A C T D A T A R E Q U I R E M E N T S L I S T

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. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
E Lot 6
TDP _____ TM _ X___ OTHER ___
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VII UH-1Y DEVICE 2F196B-3

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

17. PRICE GROUP

AL04
REVISIONS TO EXISTING DOCUMENTS
COMMERCIAL OFF THE SHELF MANUALS (COTS)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

TMCR 17-18
SOW PARA 3.2.9.6
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

XX

2 TIMES
SEE BLK 16

8. APP CODE

D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
Draft
Reg
Repro

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 21 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT FOR EACH SUBMISSION. REVIEWING ACTIVITY IS THE NAWCTSD TMSS.

THE CONTRACTOR SHALL HAVE 20 BUSINESS DAYS TO CORRECT AND RESUBMIT REJECTED MATERIALS.

2. BLK 9: REFER TO TMCR 17-18, SECTION 4.6 FOR DISTRIBUTION STATEMENT AND OTHER MARKINGS.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL 01 JANUARY 2021.

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