Exhibit A - CDRLs A001-A038 Index-XM1128 Artillery Metal Parts Assembly.docx

Contract Data Requirement Lists (CDRLs) Index for the 155mm XM1128 Artillery Metal Parts Assembly

W15QKN-22-R-0008

CDRL

Number

DID

Number

24 August 2021

30 September 2021

13 October 2021

27 October 2021

19 November 2021

26 October 2021

CDRL A002 - Notice of Revisiion (NOR) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED Page____of____

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing 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

TDP _______ TM _______ OTHER ____________________________

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

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

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

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

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13.13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

A002 Notice of Revision (NOR)

SOW Para. C.3.2 FCDD-ACE-QMA

LT D ASREQ

N/A

ASREQ

R/ASR

24 August 2021 24 August 2021

Form available from Government upon request.

The Government will respond within 45 calendar days of receipt.

If further revisions are neccessary, the Contractor shall have 7 calendar days to provide revisions.

Block 14: Distribution: See Section "J" of Contract Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

KURTZ.JACK.G.1367700

Digitally signed by

KURTZ.JACK.G.1367700056

Date: 2021.08.24 11:36:32 -04'00'

Date: 2021.08.24 11:36:55 -04'00'

DI-SESS-80642E

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CDRL A003 - Request for Variance (RFV) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A003 Request for Variance (RFV)

SOW Para. C.3.2 FCDD-ACE-QMA

R/ASR

Form available from Government upon request.

The Government will respond within 45 calendar days of receipt.

If further revisions are neccessary, the Contractor shall have 7 calendar days to provide revisions.

Block 14: Distribution: See Section "J" of Contract

Date: 2021.08.24 11:42:08 -04'00'

Date: 2021.08.24 11:43:49 -04'00'

DI-SESS-80640E

image4.emf

CDRL A004 - Acceptence TestReport (ATR) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A004 Acceptence Test Report (ATR) ISO or Equivalent Certification

SOW Para. C.3.3.1 FCDD-ACE-QMA

LT D See Block 16

See Block 16

Block 4: Do not address paragraphs e-g.

Block 12: Contractor shall submit 15 calendar days after contract award.

Block 13: Upon recertification (reoccurrence).

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 11:50:01 -04'00'

Date: 2021.08.24 11:53:43 -04'00'

DI-QCIC-81891 Tailored image5.emf

CDRL A005 - Quality Program Plan (QPP) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A005 Quality Program Plan (QPP) QPP & QMS Audit Schedule

SOW Para. C.3.3.1, C.3.3.13.2.2 FCDD-ACE-QMA

For C.3.3.1: Contractor shall maintain a Quality Program Plan (QPP) that is equivalent to ISO 9001:2015.

Block 12 & Block 13: The Contractor shall submit the QPP upon request.

For C.3.3.13.2.2 QMS Audit Schedule: Contractor shall maintain a QMS audit schedule (including vendor/suppliers) and provide a minimum of 30 calendar days notification to the personnel listed in Block 14 so that the Government may witness the audit.

Block 12: The Contractor shall submit the QMS Audit Schedule 30 calendar days after contract award.

Block 10: The Contractor shall submit the QMS Audit Schedule yearly or upon revision.

Block 14: Distribution: See Section "J" of Contract.

Date: 2021.08.24 11:55:08 -04'00'

Date: 2021.08.24 11:55:48 -04'00'

DI-QCIC-81722

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CDRL A006 - Acceptance Test Report - 155mm XM1128 Artillery Metal Parts Assembly.pdf

OMB No. 0704-

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.

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

A006 Acceptance Test Report (ATR) Quality and Inspection Records

SOW Para. C.3.3.1 FCDD-ACE-QMA

30 Sept 2021 30 Sept 2021

The Contractor shall submit to requesting Government Representative within 2 business days.

Block 14: Distribution: See Section "J" of contract.

Date: 2021.09.30 10:36:08 -04'00'

Date: 2021.09.30 10:36:30 -04'00'

DI-QCIC-81891

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CDRL A007 - Contractor’s Standard Operating Procedures - Coating Procedures and Panels - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A007 Contractors Standard Operating Procedures Coating Procedures and Panels

SOW Para C.3.3.1.1.1 FCDD-ACE-QMA

Submission shall be in accordance with TT-C-490.

Block 12: The Contractor shall submit a minimum of 60 calendar days prior to First Article. If no First Article the Contractor shall submit a minimum of 60 calendar days prior to production start-up, or production restart.

The Government will respond within 30 calendar days of receipt. If further revisions are neccessary, the Contractor shall have 10 calendar days to provide revisions and the Government will provide response within 15 calander days.

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 11:58:37 -04'00'

Date: 2021.08.24 11:59:23 -04'00'

DI-MGMT-81580

image8.emf

CDRL A008-Contractor’s Standard Operating Procedures-Rotating Band Weld-155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A008 Contractors Standard Operating Procedures Rotating Band Weld

SOW Para C.3.3.1.1.2 FCDD-ACE-QMA

Block 12: The Contractor shall submit a minimum of 90 calendar days prior to First Article.

The Government will respond within 30 calendar days of receipt. If further revisions are neccessary, the Contractor shall have 10 calendar days to provide revisions and the Government will provide response within 15 calander days.

Date: 2021.08.24 12:00:42 -04'00'

Date: 2021.08.24 12:01:11 -04'00'

DI-MGMT-81580

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CDRL A009 - Test Plan - First Article Test (FAT) Plan - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A009 Test Plan First Article Test (FAT) Plan

SOW Para. C.3.3.2 RDAR-EIQ-PE

Contractor's format is acceptable.

Block 12: The Contractor shall submit a test plan 15 calendar days prior to First Article. Contractor shall also provide a minimum of 15 calendar days (60 calendar days if foreign travel is required) notification to the Government prior to each First Article.

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 12:02:31 -04'00'

Date: 2021.08.24 12:02:57 -04'00'

DI-NDTI-80566A

image10.emf

CDRL A010 - Inspection and Test Report – First Article Test Report (FATR) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A010 Inspection and Test Report First Article Test Report (FATR)

SOW Para. C.3.3.2

The FATR shall be submitted with QAR findings on DD Form 1222. The FATR shall include variables data for all gage inspections in addition to the AIE approved gage inspection results, unless otherwise approved by the Procurement Contracting Officer (PCO). The FATR shall contain copies of all the test results. PCO approval of the FATR shall be obtained prior to start of production.

Block 4: Do not address paragraphs 10.2.6.2, 10.2.6.3, 10.2.6.4.2, 10.2.6.5, 10.2.6.6, 10.2.7.2, and 10.2.7.3.

Block 12: The Contractor shall submit the FATR 300 calendar days after award.

The Government will respond within 45 calendar days of receipt. Disposition of the FATR will be provided through the PCO. If further revisions are neccessary, the Contractor shall have 10 calendar days to provide revisions and the Government will provide response within 15 calendar days.

Date: 2021.08.24 12:03:55 -04'00'

Date: 2021.08.24 12:04:23 -04'00'

DI-NDTI-80809B Tailored image11.emf

CDRL A011-Inspection and Test Report-Lot Acceptance Test Report (LATR)-155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A011 Inspection and Test Report Lot Acceptance Test Report (LATR)

SOW Para. C.3.3.3, C.3.3.15.1.5, C.3.3.15.2, C.4.2.1, C.4.2.2

Lot Acceptance Test Report (LATR) shall be provided electronically in PDF file format and uploaded to the Worldwide Ammunition Repository Program (WARP) Lot Acceptance Test Report (LATR) module located on the Army Electronic Product Support (AEPS) website at :

https://mhpwarp.redstone.army.mil.

The LATR for Projectile Metal Parts Assembly and Base Closure shall consist of the following documentation:

Material Certifications, Chemical Analysis, Mechanical Properties, Paint and Primer Certifications, Salt Spray Test Results, Independent Laboratory Verification Test Results

The LATR for Wood Pallets shall consist of the following documentation:

Material Certifications, Mold Inhibitor Certification, Wood Preserve Certification

Block 4: Do not address paragraphs 10.2.6.2, 10.2.6.3, 10.2.6.4.2, 10.2.6.5, 10.2.6.6, 10.2.7.2, and 10.2.7.3.

Block 12 & Block 13:

For Projectile Metal Parts Assembly and Base Closure, the Contractor shall submit LATRs to QAR for concurrence within 3 business days after ballistic sample shipment. The Contractor shall upload the LATRs into WARP within 3 business days of Quality Assurance Representative (QAR) concurrence. The Contractor shall provide transmittal using electronic mail as notification to Block 14 addresses that the LATR has been uploaded into the system.

For Wood Pallet, the Contractor shall upload the LATRs into WARP at least 3 business days prior to use in Projectile Metal Parts Assemly Lot. Upon upload, the Contractor shall provide transmittal using electronic mail as notification to QAR that the LATR has been uploaded into the system.

Block 14: Distribution: See Section "J" of contract.

Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

Date: 2021.08.24 13:17:21 -04'00'

Date: 2021.08.24 13:17:59 -04'00'

DI-NDTI-80809B Tailored image12.emf

CDRL A012 - Certification-Data Report - Material Certification - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A012 Certification/Data Report Material Certification

SOW Para. C.3.3.4 FCDD-ACE-QMA

Certificate of analysis required.

Block 4: Do not address paragraphs 10.2.3 and 10.4.

Block 12: The Contractor shall submit material certifications with the First Article Test Report (FATR).

Block 13: Material certifications shall be available for review during production.

The Contractor shall submit material certifications as a part of the Lot Acceptance Test Report (LATR).

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 13:19:07 -04'00'

Date: 2021.08.24 13:19:33 -04'00'

DI-MISC-80678 Tailored image13.emf

CDRL A013 - Measurement System Evaluation (MSE) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

1 DATA ITEM NO: A013

2 TITLE OF DATA ITEM: Measurement System Evaluation (MSE)

3 SUBTITLE:

5 CONTRACT REFERENCE: Section E, SOW Para. C.3.3.5, C.3.3.5.1.2.1, C.3.3.5.3, C.3.3.6.1

6 REQUIRING OFFICE: FCDD-ACE-QMA

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1:

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H DATE: 18 October 2021

J DATE: 18 October 2021

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: 155mm XM1128 Artillery Metal Parts Assembly

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Block 12: The Contractor shall submit a complete, comprehensive AIE package no later than 120 calendar days after contract award. The Government will furnish disposition within 45 calendar days of final comprehensive AIE package receipt.

Note: Incomplete submission is considered delinquent.

Block 13: If further revisions are necessary, the Contractor shall have 15 calendar days to generate them and the Government shall have 20 calendar days to review and respond to them. The approved AIE shall be available for First Article (if First Article is required), production, and/or all acceptance of product under the contract.

If the Contractor revises a previously Government accepted AIE for this contract, the revised AIE must be submitted to the Government for review and approval. Approval must be granted before AIE is used for acceptance of product. The Government will respond within 30 calendar days of receipt.

The Contractor shall notify the responsible Government technical agency a minimum of 30 calendar days prior to acceptance (prove out) testing.

Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

2021-10-18T07:23:25-0400

KURTZ.JACK.G.1367700056

2021-10-18T07:23:03-0400

KURTZ.JACK.G.1367700056

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-QCIC-81960 image14.emf

CDRL A014 - Certification-Data Report - Personnel Certification - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

1 DATA ITEM NO: A014

2 TITLE OF DATA ITEM: Certification/Data Report

3 SUBTITLE: Personnel Certification

5 CONTRACT REFERENCE: SOW Para. C.3.3.7

6 REQUIRING OFFICE: FCDD-ACE-QMA

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: D

10 FREQUENCY: ASREQ

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1:

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H DATE: 27 October 2021

J DATE: 27 October 2021

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: 155mm XM1128 Artillery Metal Parts Assembly

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Certifications are required for all personnel involved with Non-Destructive Testing (NDT) in accordance with NAS 410.

Block 4: Do not address paragraphs 10.2.3 and 10.4.

Block 12: The Contractor shall submit personnel certification and supporting documentation in advance of First Article. Personnel certifications and supporting documentation shall be available for review upon request. Personnel certifications shall be approved by the Government prior to use in production on this contract.

Block 13: Upon recertification (reoccurrence).

Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

2021-10-27T13:17:18-0400

KURTZ.JACK.G.1367700056

2021-10-27T13:16:43-0400

KURTZ.JACK.G.1367700056

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-MISC-80678 Tailored image15.emf

CDRL A015 - Inspection and Test Report – Tool Control Inspection Correlation Study - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A015 Test Inspection Report Tool Control Inspection Correlation Study

SOW Para C.3.3.8 FCDD-ACE-QMA

The Contractor shall submit tool control inspections and correlation study as an attachment with each submission of a substitution request. Government will respond within 45 calendar days of receipt. If further revisions are neccessary, the Contractor shall have 10 calendar days to provide revisions and the Government will provide response within 15 calendar days.

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 13:24:00 -04'00'

Date: 2021.08.24 13:24:28 -04'00'

DI-MISC-80508B

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CDRL A016 - Inspection and Test Report – Tool Surveillance Documentation - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A016 Test Inspection Report Tool Surveillance Documentation

SOW Para. C.3.3.8 FCDD-ACE-QMA

Block 10-13: Upon request, the Contractor shall provide documentation to the Government.

Block 14: Distribution: See section "J" of contract.

Electronic submission is requested with email as the preferred format. The file used should be compatible with Microsoft Office

Date: 2021.08.24 13:25:27 -04'00'

Date: 2021.08.24 13:25:50 -04'00'

DI-NDTI-80809B

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CDRL A017 - Inspection and Test Report – Inspection and Test Record - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A017 Inspection and Test Report Inspection and Test Record

SOW Para. C.3.3.11

Block 4: Do not address paragraphs 10.2.6.2, 10.2.6.3, 10.2.6.4.2, 10.2.6.5, 10.2.6.6, 10.2.7.2, and 10.2.7.3.

Block 12: The Contractor shall submit to the requesting Government Representative within 1 business day of their request.

Date: 2021.08.24 13:26:54 -04'00'

Date: 2021.08.24 13:27:25 -04'00' image18.emf

CDRL A018 - Data Item Descriptions (DID's) – Physical Configuration Audit (PCA) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A018 Data Item Descriptions (DID's) Physical Configuration Audit (PCA)

SOW Para. C.3.3.13.1 FCDD-ACE-QMA

The Contractor shall provide the Government with a minimum 15 calendar days advanced notification of the Configuration Audit and the corresponding schedule for all activities.

A PCA may be conducted by the Government prior to FAT or at any time during production.

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 13:28:24 -04'00'

Date: 2021.08.24 13:28:58 -04'00'

DI-STDZ-80000C

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CDRL A019 - Inspection and Test Report - Audit Reports - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A019 Inspection and Test Report Audit Reports

SOW Para. C.3.3.13.2.2

The Contractor shall provide a minimum of 30 calendar days notification to the personnel listed in Block 14 so that the Government may witness the audit.

Block 4: Do not address paragraphs 10.2.6.2, 10.2.6.3, 10.2.6.4.2.a, 10.2.6.4.2.b, 10.2.6.4.2.c, 10.2.6.5.a, 10.2.6.5.d, 10.2.6.5.f, 10.2.6.6.c, 10.2.6.6.f, 10.2.6.6.h, 10.2.7.2, and 10.2.7.3.

Block 12: The Contractor shall submit the Audit Report within 15 calendar days after completion of an audit.

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 13:29:51 -04'00'

Date: 2021.08.24 13:30:12 -04'00' image20.emf

CDRL A020 - Critical Characteristic Control Plan (CCCP) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A020 Critical Characteristic Control Plan (CCCP)

SOW Para. C.3.3.14.2 FCDD-ACE-QMA

LT D ANNLY

The Contractor shall establish, document and maintain a product specific, Critical Characteristics Control (CCC) Plan that shall be submitted to and approved by the Procuring Contracting Officer (PCO). Approval of CCC Plan is required prior to commencing production.

Guidance for developing the CCCP can be found at:

https://ac.ccdc.army.mil/organizations/QESA/_files/CCCP_&_CPOA_Review_Guide_Rev-A_Amd_1

_UNCLASSIFIED.PDF

Block 12: Contractor shall submit no later than 150 calendar days prior to conduct of First Article or production (if FA is not applicable). Government will respond within 45 calendar days of receipt. If further revisions are neccessary, the Contractor shall have 10 calendar days to provide revisions. All changes shall be summarized and/or highlighted for tracking purposes. The Government will provide response to revision within 20 calendar days.

Block 13: Unless otherwise specified, if CCC Plan changes after initial Government approval, Contractor shall resubmit revised plan for Government approval. All changes shall be summarized and/or highlighted for tracking purposes.

Block 10: CCCP shall be reviewed and submitted yearly for approval to include updates to all calculations. All changes shall be summarized and/or highlighted for tracking purposes.

Submit electronically via email or DoD SAFE https://safe.apps.mil/. The file used should be compatible with Microsoft Office.

Date: 2021.08.24 13:31:08 -04'00'

Date: 2021.08.24 13:31:34 -04'00'

DI-MGMT-81986

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CDRL A021 - Critical Plan of Action (CPOA) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A021 Critical Plan of Action (CPOA)

SOW Para. C.3.3.14.2 FCDD-ACE-QMA

LT D ANNLY

Critical Plans Of Action (CPOA) is optional. Guidance for the developing and submitting the CPOA can be found in the referenced guidance located at the website links below.

https://ac.ccdc.army.mil/organizations/QESA/_files/CCCP_&_CPOA_Review_Guide _Rev-A_Amd_1_UNCLASSIFIED.PDF

Block 12: Contractor shall submit for approval prior to implmentation. Government will respond within 45 calendar days of receipt. If further revisions are neccessary, the Contractor shall have 10 calendar days to provide revisions. All changes shall be summarized and/or highlighted for tracking purposes. The Government will provide response to revisions within 20 calendar days. The CPOA is not authorized for use prior to Government approval.

Block 13: Unless otherwise specified, if the CPOA changes after initial Government approval, Contractor shall resubmit revised plan for Government approval, or if CCCP changes after initial Government approval, Contractor shall resubmit revised CPOA for Government approval. All changes shall be summarized and/or highlighted for tracking purposes.

Block 10: CPOA shall be reviewed and submitted yearly for approval to include updates to all calculations. All changes shall be summarized and/or highlighted for tracking purposes.

Date: 2021.08.24 13:32:53 -04'00'

Date: 2021.08.24 13:33:19 -04'00'

DI-MGMT-81996

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CDRL A022 - Interface Control Document (ICD) - Low Level Process Map - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A022 Interface Control Document (ICD) Low Level Process Map

SOW Para. C.3.3.14.3 FCDD-ACE-QMA

Block 12: The Contractor shall provide the DRAFT Low Level Process Maps to the Government 45 calendar days after contract award. Government will respond within 30 calendar days of receipt. If further revisions are neccessary, the Contractor shall have 10 calendar days to provide revisions and the Government will provide response within 15 calendar days.

Block 13: The Contractor shall submit a FINAL (baselined) Low Level Process Map no later than 150 calendar days after contract award and when requested thereafter. If the production line changes, the Low Level Process Map shall be resubmitted.

Guidance and sample of a generic Low Level Process Map can be found in Section J of contract.

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 13:34:12 -04'00'

Date: 2021.08.24 13:34:35 -04'00'

DI-SESS-81248B

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CDRL A023-Acceptance Test Report (ATR)-Tensile Testing & Plain Strain Fracture Toughness Testing-155mm XM1128 Artillery Metal Parts Assembly.pdf

OMB No. 0704-

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.

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

A023 Acceptance Test Report (ATR) Tensile Testing & Plain Strain Fracture Toughness Testing

SOW Para. C.3.3.15.1.1, C.3.3.15.1.2, C.3.3.15.1.3 FCDD-ACE-QMA

LT D See Block 16

First Article

30 Sept 2021 30 Sept 2021

For C.3.3.15.1.1 & C.3.3.15.1.2:

Block 10: Contractor shall submit with the First Article Test Report (FATR) and once per month thereafter. Contractor shall submit within 7 calendars days of test completion and shall be available/provided for review during production.

For C.3.3.15.1.3:

Block 10: Contractor shall submit with the FATR and once per year thereafter.

Contractor shall submit within 7 calendar days of test completion and shall be available/provided for review during production.

Date: 2021.09.30 10:40:55 -04'00'

Date: 2021.09.30 10:41:18 -04'00'

DI-QCIC-81891

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CDRL A024 - Management Plan - Process Control Plan (PCP) - 155mm XM1128 Artillery Metal Parts Assembly.pdf

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.

A024 Management Plan Process Control Plan (PCP)

Section E FCDD-ACE-QMA

LT D ONE/R

BLK 12: The Contractor shall submit PCP no later than 120 calendar days after contract award. The Government will respond within 45 calendar days of receipt.

If further revisions are necessary, the Contractor shall have 15 calendar days to generate them and the Government will have 20 calendar days to respond.

The PCP shall be approved prior to the First Article or start of production if a First Article is not required.

BLK 13: If Contractor revises a previously Government accepted PCP, the revised PCP must be submitted to the Government for acceptance before it is released for use. The Government will respond within 15 calendar days of receipt. If further revisions are necessary, the Contractor shall have 5 calendar days to generate them and the Government will have 10 calendar days to respond.

Guidance for developing the PCP can be found at CCDC Public Website https://ac.ccdc.army.mil/organizations/QESA/ in the application of the PCCI Clause.

Block 14: Distribution: See Section "J" of contract.

Date: 2021.08.24 13:36:54 -04'00'

Date: 2021.08.24 13:37:18 -04'00'

DI-MGMT-80004A

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CDRL A025 - Test Inspection Report - Process Capability Objective Evidence - 155mm XM1128 Artillery Metal Parts Assembly.pdf

The public reporting burden for this collection of information is estimated…