EXHIBIT A - CONTRACT DATA REQUIREMENTS LIST (CDRLS).pdf
PDF 9 MB Posted
- Attached to
- FY22-26 40mm Systems Family of Ammunition
- Solicitation number
- W52P1J-22-R-0009
About this file
This is a request for proposal for the production of the 40mm Systems Family of Ammunition for fiscal years 2022 through 2026. The solicitation is issued on a sole source basis to AMTEC Corporation under the authority of 10 U.S.C. 2304(c)(1) as implemented by FAR 6.302-1. AMTEC will be responsible for the production, testing and delivery of various 40mm cartridges that comprise the 40mm Systems Family of Ammunition according to a government-owned technical data package. Cartridges included are the M385A1, M430A1, M918, M433, M433E1, M781, mixed belt configuration of M918 and M385A1 cartridges, and illumination cartridges M585, M583A1, M661, M662, and M992. The estimated base quantity award for fiscal year 2022 is 442,424 for the mixed belt configuration and 506,766 for the M781 cartridge. The associated NAICS code is 332993 and first article testing may be required.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT 0009 - W52P1J-22-R-0009 OFFEROR QUESTIONS AND USG RESPONSES (16 FEB 2022).xlsx | XLSX spreadsheet | |
| ATTACHMENT 0007 - TRANSPORTATION DATA (16 FEB 2022).xlsx | XLSX spreadsheet | |
| W52P1J-22-R-0009_0003.pdf | ||
| W52P1J-22-R-0009_0002_signed.pdf | ||
| ATTACHMENT 0009 - W52P1J-22-R-0009 OFFEROR QUESTIONS AND USG RESPONSES.xlsx | XLSX spreadsheet | |
| W52P1J-22-R-0009_0002.pdf | ||
| ATTACHMENT 0002 - EPA WORKSHEET (04 FEB 2022).xlsx | XLSX spreadsheet | |
| ATTACHMENT 0001 - 40MM SYSTEMS PRICE MATRIX 14 JAN 2022.xlsx | XLSX spreadsheet | |
| W52P1J-22-R-0009_0001.pdf | ||
| ATTACHMENT 0008 - COCO SECURITY SOW.pdf | ||
| ATTACHMENT 0002 - EPA WORKSHEET.xlsx | XLSX spreadsheet | |
| ATTACHMENT 0005 - OPSEC PLAN - SAMPLE.pdf | ||
| ATTACHMENT 0007 - TRANSPORTATION DATA.xlsx | XLSX spreadsheet | |
| ATTACHMENT 0001 - 40MM SYSTEMS PRICE MATRIX.xlsx | XLSX spreadsheet | |
| ATTACHMENT 0003 - GUIDANCE ON DOCUMENTATION OF CDRLs.pdf | ||
| W52P1J-22-R-0009.pdf | ||
| ATTACHMENT 0006 - ADC REQUIREMENTS.pdf |
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO.
4A1A01MAM2
F. CONTRACTOR
D. SYSTEM/ITEM
CTG 40MM HEDP M430A1 W/FZ M549A1
& LK M16A2
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
REQUEST FOR VARIANCE (RFV)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80640D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ.
LT
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF
SUBSEQUENT
SUBMISSION
ASREQ
Draft Final
Reg Repro
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING,
THEN THE WHOLE SUBMITTAL WILL BE LABELED "D".
THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1694 LOCATED
AT www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.ccdc-ac.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
PM 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
11 May 2021
I. APPROVED BY J. DATE
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 1 of 7 Pages
G. PREPARED BY
K. Mosher for SDMO, FCDD-ACE-SP
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO.
4A1A01MAM2
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
ENGINEERING CHANGE PROPOSAL (ECP)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80639D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ.
LT
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF
SUBSEQUENT
SUBMISSION
ASREQ
Draft Final
Reg Repro
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D".THE PREFERRED METHOD
FOR SUBMITTAL IS DD FORM 1692 LOCATED AT http:// www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.ccdc-ac.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE..
PM 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
11 May 2021
I. APPROVED BY J. DATE
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 2 of 7 Pages
G. PREPARED BY
K. Mosher for SDMO, FCDD-ACE-SP
D. SYSTEM/ITEM
CTG 40MM HEDP M430A1 W/FZ M549A1
& LK M16A2
0 1 0
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 3 of 7 Pages
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO.
4A1A01MAM2
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
NOTICE OF REVISION (NOR)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80642D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ.
LT
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF
SUBSEQUENT
SUBMISSION
ASREQ
Draft Final
Reg Repro
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D". THE PREFERRED
METHOD FOR SUBMITTAL IS DD FORM 1695 LOCATED AT http:// www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.ccdc-ac.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
PM 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
11 May 2021
I. APPROVED BY J. DATE
G. PREPARED BY
K. Mosher for SDMO, FCDD-ACE-SP
D. SYSTEM/ITEM
CTG 40MM HEDP M430A1 W/FZ M549A1
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 4 of 7 Pages
(1 Data Item)
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO.
4A1A01MAM2
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Operations Security (OPSEC) Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-MGMT-80934C
5. CONTRACT REFERENCE
OPSEC SOW
6. REQUIRING OFFICE
AMSJM-FP/G2
7. DD 250 REQ.
XX
9. DIST
STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
ASREQ
13. DATE OF
SUBSEQUENT
SUBMISSION
ASREQ
Draft Final
Reg Repro
16. REMARKS:
DELETE REFERENCE 'APPLYING OPSEC TO U.S. GOVERNMENT
CONTRACTS'. REPLACE WITH REFERENCE 'SAMPLE ACQUISITIONS
OPSEC PLAN'. 10 CALENDAR DAYS REQUIRED FOR GOVERNMENT
REVIEW AND APPROVAL. *30 CALENDAR DAYS AFTER THE
CONTRACTING OFFICER PROVIDES THE LIST OF KNOWN CRITICAL
INFORMATION (CI)/THREAT INFORMATION. ** RESUBMIT 10
CALENDAR DAYS AFTER GOVERNMENT REVIEW. SUBMIT
ELECTRONICALLY TO usarmy.ria.jmc.mbx.OPSEC-FD@mail.mil.
JMC OPSEC 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
11 May 2021
I. APPROVED BY J. DATE
G. PREPARED BY
K. Mosher for SDMO, FCDD-ACE-SP
D. SYSTEM/ITEM
CTG 40MM HEDP M430A1 W/FZ M549A1
PM 0 1 0
1. DATA ITEM NO.
A005
17. PRICE
GROUP
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
Page: 5 of 7DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY
Drew Smith, FCDD-ACE-SC
H. DATE
11 May 2021
I. APPROVED BY
K. Mosher for SDMO FCDD-ACE-SP
J. DATE
11 May 2021
A N/A Reg Repro N/A
16. REMARKS
SUBMIT PROCEDURE FOR APPROVAL 60 DAYS PRIOR TO FIRST ARTICLE TEST OR PRODUCTION IF FIRST
ARTICLE IS NOT APPLICABLE. ALLOW 28 DAYS FOR APPROVAL/DISAPPROVAL THROUGH THE
CONTRACTING OFFICER. SUBMIT ELECTRONICALLY TO usarmy.ria.ardec.mbx.ri-corrosion-team@mail.mil. CONTRACTOR SHALL RESUBMIT WITH GOVERNMENT REVISIONS WITHIN 10 DAYS.
RDAR-MEE-W(R) SHALL PROVIDE PROCEDURE REVIEW RESPONSE BACK TO CONTRACTING OFFICER.
COATED PANELS PER PARA 3.2.2 SHALL INCLUDE THREE WITH PHOSPHATE ONLY, THREE WITH
PHOSPHATE AND PRIMER, AND THREE WITH PHOSPHATE, PRIMER AND TOP COAT. A DD FORM 250 IS
NOT REQUIRED FOR PHOSPHATE COATING PROCEDURAL APPROVAL. CONTRACTOR FORMAT
ACCEPTABLE. WRITTEN PROCEDURES SHALL BE SUBMITTED USING A PC COMPATIBLE FORMAT (I.E. PDF, RICH TEXT FORMAT (RTF), OR WORD FILE).
THE PANELS SHALL BE MAILED TO THE
FOLLOWING ADDRESS:
Combat Capabilities Development Command Armaments Center Attn: FCDD-ACE-QP/Mark Godlewski 1 Rock Island Arsenal Bldg. 62 2nd Floor, NW Wing Rock Island, IL 61299-7300
FCDD-ACE-QP
N/A
ONE/R ASREQ
a. ADDRESSEE
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-NDTI-80603A TT-C-490, TYPE 1, PARAS 3.2.1, 3.2.2 FCDD-ACE-QP
2. TITLE OF DATA ITEM 3. SUBTITLE
TEST PROCEDURE-PHOSPHATE COATING PRE-PRODUCTION PROCEDURE
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM
CTG 40MM HEDP M430A1 W/FZ M549A1 &
LK M16A2
E. CONTRACT / PR NO.
4A1A01MAM2
F. CONTRACTOR
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved OMB No. 0704-0188
PCO 0 1 0
A006
17. PRICE
GROUP
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
0 1 0
Page: 6 of 7DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY
Drew Smith, FCDD-ACE-SC
H. DATE
11 May 2021
I. APPROVED BY
K. Mosher for SDMO FCDD-ACE-SP
J. DATE
11 May 2021
FCDD-ACE-QP
A N/A Reg Repro N/A
16. REMARKS
SUBMIT PROCEDURE FOR APPROVAL THROUGH CONTRACTING OFFICER 60 DAYS PRIOR TO FIRST
ARTICLE TEST OR PRODUCTION IF FIRST ARTICLE IS NOT APPLICABLE. ALLOW 14 DAYS FOR
APPROVAL/DISAPPROVAL. CONTRACTOR TO RESUBMIT CONTRACTOR SHALL RESUBMIT WITH
GOVERNMENT REVISIONS WITHIN 10 DAYS. SUBMIT ELECTRONICALLY TO usarmy.ria.ardec.mbx.ri-corrosion-team@mail.mil. RDAR-MEE-W(R) SHALL PROVIDE PROCEDURE REVIEW RESPONSE BACK TO CONTRACTING OFFICER. A DD FORM 250 IS NOT REQUIRED FOR PHOSPHATE COATING PROCEDURE
APPROVAL. CONTRACTOR FORMAT ACCEPTABLE. SHALL BE SUBMITTED USING A PC COMPATIBLE
format (i.e., .PDF, RICH TEXT FORMAT (RTF) OR WORD).
THE PANELS SHALL BE MAILED TO THE
FOLLOWING ADDRESS:
Combat Capabilities Development Command Armaments Center Attn: FCDD-ACE-QP/Mark Godlewski 1 Rock Island Arsenal Bldg. 62 2nd Floor, NW Wing Rock Island, IL 61299-7300
PCO
N/A
ONE/R ASREQ
a. ADDRESSEE
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-NDTI-80603A MIL-DTL-16232G, Para 3.1 FCDD-ACE-QP
2. TITLE OF DATA ITEM 3. SUBTITLE
TEST PROCEDURE - PHOSPHATE COATING PRE-PRODUCTION PROCEDURE
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM
CTG 40MM HEDP M430A1 W/FZ M549A1 &
LK M16A2
E. CONTRACT / PR NO.
4A1A01MAM2
F. CONTRACTOR
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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
Form Approved OMB No. 0704-0188
FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award). Item F. Self-explanatory (to be filled in after contract award). Item G. Signature of preparer of
CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required.
The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423 (BACK)
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
INSTRUCTIONS FOR COMPLETING DD FORM 1423
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
7 7of
CONTRACT DATA REQUIREMENTS LIST I
Form Approved OMBNo.0704-
11 Data lteml 0188
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washinaton, DC 20503. Please DO NOT RETURN vour form to either of these addresses. Send comDleted form to the Government lssuina Contractina Officer for the Contract/PR No.
A CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY
TOP TM OTHER
E. CONTRACT I PR NO. F. CONTRACTOR
D. SYSTEM/ITEM
CTG 40MM HEDP M430A1 W/FZ M549A1
T11A01M9M2 & LK M16A2
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A001 REQUEST FOR VARIANCE (RFV)
4. AUTHORllY (Data Acquisition Documsntation No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SESS-80640D SECTION C SOW FCDD-ACE-SP
7. DD 250 REQ. 9. DIST 10. FREQUENCY 12. DATE OF RRST SUBMISSION 14. DISTRIBUTION
STATEMENT
REQUIRED
LT ASREQ ASREQ b.COPIES
8.APPCODE 11.ASOFDATE 13. DATE OF Final
SUBSEQUENT a. ADDRESSEE """ ... -
SUBMISSION
N/A N/A ASREQ
PM 0 1 0
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., PCO 0 1 0
MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING,
THEN THE WHOLE SUBMITTAL WILL BE LABELED "D".
THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1694 LOCATED
AT www.dtic.mil/whs/directives/infomgUforms/. SUBMIT ELECTRONICALLY
TO usarmy.pica.ccdc-ac.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
15. TOTAL 0 2 0
G. PREPARED BY
H. DATE I. APPROVED BY J.DATE
K. Mosher for SDMO, FCDD-ACE-SP 11 May 2021
DD FORM 1423-1 FEB 2001 PREVIOUS EOITIONS MAY BE USED. Page 1 of 7 Pages
OMBNo.0704-
(1 Data Item) 0188
Public reporting burden for this collection of information is estimated to average 220 hours per response, including the time for reviewing instructions, searching existing data sources1 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washini:iton, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government lssuinQ ContractinQ Officer for the Contract/PR No.
A CONTRACT LINE ITEM NO. B. EXI-IIBIT C.CATEGORY
TOP TM OTHER
E. CONTRACT I PR NO. F. CONTRACTOR
D. SYSTEM/ITEM
CTG 40MM HEDP M430A1 W/FZ M549A1 T11A01M9M2
& LK M16A2
1. DATA ITEM NO. 2. llllE OF DATA ITEM 3. SUBTITLE
A002 ENGINEERING CHANGE PROPOSAL (ECP)
4. AUTI-IORITY (Dela Acqui8itkJn Documentation No.J 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SESS-80639D SECTION C SOW FCDD-ACE-SP
7. DD 250 REQ.
9.DIST 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISlRIBUllON
STATEMENT
LT REQUIRED ASREQ ASREQ b.COPIES
8.APPCODE 11.ASOFDATE 13. DATE OF Final
SUBSEQUENT a. ADDRESSEE "" ... -
SUBMISSION
N/A N/A ASREQ
PM 0 1 0
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., PCO 0 1 0
MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D".THE PREFERRED METHOD
FOR SUBMITTAL IS DD FORM 1692 LOCATED AT http:// www.dtic.mil/whs/directives/infomgUforms/. SUBMIT ELECTRONICALLY TO usarmy.pica.ccdc-ac.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE..
15. TOTAL 0 2 0
H. DATE I. APPROVED BY J.DATE
G. PREPARED BY
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 2 of 7 Pages
OMBNo.0704-
11 Data lteml 0188
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washinaton, DC 20503. Please DO NOT RETURN vaur farm to either of these addresses. Send com Dieted form to the Government lssuino Contractino Officer for the Contract/PR No.
A CONTRACT LINE ITEM NO. B. EXI-IIBIT C.CATEG0RY
TOP TM OTHER
E. CONTRACT/ PR NO. F. CONTRACTOR
D. SYSTEM/ITEM
CTG 40 MM HEDP M430A1 W/FZ M549A1 T11A01M9M2
& LK M16A2
1. DATA ITEM NO. 2. TITI.E OF DATA ITEM 3. SUBTITI.E
A003 NOTICE OF REVISION (NOR)
4. AUTI-IORllY (Dela Acquisition Documentation No.J 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-SESS-80642D SECTION C SOW FCDD-ACE-SP
7. DD250 REQ. 9.DIST 10. FREQUENCY 12. DAlE OF RRST SUBMISSION 14. DISTRIBUTION
STAlEMENT
REQUIRED
LT ASREQ ASREQ b.COPIES
8.APPCODE 11.ASOFDATE 13. DAlEOF Final
SUBSEQUENT a. ADDRESSEE ""' ... -
SUBMISSION
N/A N/A ASREQ
PM 0 1 0
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., PCO 0 1 0
MICROSOFT OFF IC E OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D" . THE PREFERRED
METHOD FOR SUBMITTAL IS DD FORM 1695 LOCATED AT http:// www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.ccdc-ac.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
15. TOTAL 0 2 0
H.DATE I. APPROVED BY J.DATE
G. PREPARED BY
OMBNo.0704-
(1 Data Item) 0188
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washinaton, DC 20503. Please DO NOT RETURN vour form to either of these addresses. Send comoleted form to the Government lssuina Contractina Officer for the ContracVPR No.
A CONTRACT LINE ITEM NO. B.EXI-IIBIT C.CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO. F. CONTRACTOR
D. SYSTEM/ITEM
CTG 40MM HEDP M430A1 W/FZ M549A1 T11A01M9M2
& LK M16A2
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A004 Operations Security (OPSEC) Plan
4. AUTHORITY (Dsta Acquisition Documentation No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
DI-MGMT-80934C OPSEC SOW AMSJM-FP/G2
7. DD 250 REQ. 9.DIST 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
STATEMENT
REQUIRED
ONE/R ASREQ b.COPIES
D
6.APP CODE 11.AS OF DATE 13. DATE OF Final
SUBSEQUENT a. ADDRESSEE ... - ~·
A ASREQ
SUBMISSION
ASREQ
16. REMARKS: JMC OPSEC 0 1 0
PCO 0 1 0
DELETE REFERENCE 'APPL YING OPSEC TO U.S. GOVERNMENT
CONTRACTS'. REPLACE WITH REFERENCE 'SAMPLE ACQUISITIONS
OPSEC PLAN'. 10 CALENDAR DAYS REQUIRED FOR GOVERNMENT
REVIEW AND APPROVAL. * 30 CALENDAR DAYS AFTER THE
CONTRACTING OFFICER PROVIDES THE LIST OF KNOWN CRITICAL
INFORMATION (Cl)/THREAT INFORMATION.** RESUBMIT 10
CALENDAR DAYS AFTER GOVERNMENT REVIEW. SUBMIT
ELECTRONICALLY TO usarmy.ria.jmc.mbx.OPSEC-FD@mail.mil.
15. TOTAL 0 2 0
H. DATE I. APPROVED BY J.DATE
G. PREPARED BY
K. Mosher for SDMO, FCDD-ACE-SP 11 May 2021
I FormAppruved
(1 Data Item ) 0MB No. 0704-0188
The public reporting burdeo for this collection of informatioo 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. Seod connneots regarding this burdeo estimate or any other aspect of this collection of information, including suggestions for reducing the burdeo, to the Departmeot of Defense, Executive Services Directorate (0704-0188). Respondeots should be aware that notwithstanding any other provisioo of law, no persoo shall be subject to any penalty for failing to comply with a collectioo of information if it does not display a currently valid 0MB cootrol 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
1u.,-. E. CONTRACT I PR NO. F. CONTRACTOR CTG 40MM IIEDP M430Al W/FZ M549A1 &
T11A01M9M2 LK M16A2
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3.SUBTITLE
17.PRICE
GROUP
A005 TEST PROCEDURE-PHOSPHATE COATING PRE-PRODUCTION PROCEDURE
4. AUTHORITY (Data Acquisition Docnment
5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
No.) TOTAL PRICE
DI-NDTl-80603A TT-C-490, TYPE 1, PARAS 3.2.1, 3.2.2 FCDD-ACE-QP
1�.u1,-1 14. DISTRIBUTION
7.DD 250 REQ STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
REQUIRED
xx ONE/R ASREQ b.COPIES
8.APP CODE 11.AS OF DATE Final N/A 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE
Draft A N/A Reg Repro
N/A
16.REMARKS FCDD-ACE-QP 0 1 0
SUBMIT PROCEDURE FOR APPROVAL 60 DAYS PRIOR TO FIRST ARTICLE TEST OR PRODUCTION IF FIRST
ARTICLE IS NOT APPLICABLE. ALLOW 28 DAYS FOR APPROVAL/DISAPPROVAL THROUGH THE
CONTRACTING OFFICER. SUBMIT ELECTRONICALLY TO usarmy.ria.ardec.mbx.ri-corrosion-team@mail.mil. CONTRACTOR SHALL RESUBMIT WITH GOVERNMENT REVISIONS WITHIN 10 DAYS.
RDAR-MEE-W(R) SHALL PROVIDE PROCEDURE REVIEW RESPONSE BACK TO CONTRACTING OFFICER.
COATED PANELS PER PARA 3.2.2 SHALL INCLUDE THREE WITH PHOSPHATE ONLY, THREE WITH
PHOSPHATE AND PRIMER, AND THREE WITH PHOSPHATE, PRIMER AND TOP COAT. A DD FORM 250 IS
NOT REQUIRED FOR PHOSPHATE COATING PROCEDURAL APPROVAL. CONTRACTOR FORMAT
ACCEPTABLE. WRITTEN PROCEDURES SHALL BE SUBMITTED USING A PC COMPATIBLE FORMAT (I.E. PDF, RICH TEXT FORMAT (RTF), OR WORD FILE).
THE PANELS SHALL BE MAILED TO THE
FOLLOWING ADDRESS:
Combat Capabilities Development Command Armaments Center
Attn: FCDD-ACE-QP/Mark Godlewski
1 Rock Island Arsenal
Bldg. 62 2nd Floor, NW Wing
Rock Island, IL 61299-7300
15.TOTAL
G. PREPARED BY H.DATE I. APPROVED BY �.DATE
Drew Smith, FCDD-ACE-SC 11 May2021 K. Mosher for SDMO FCDD-ACE-SP 11 May2021
DD Form 1423-1, FEB 2001 Previous editions may be used. Page: 5 of 7
I FormAppruved
(1 Data Item ) 0MB No. 0704-0188
The public reporting burdeo for this collection of informatioo 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. Seod connneots regarding this burdeo estimate or any other aspect of this collection of information, including suggestions for reducing the burdeo, to the Departmeot of Defense, Executive Services Directorate (0704-0188). Respondeots should be aware that notwithstanding any other provisioo of law, no persoo shall be subject to any penalty for failing to comply with a collectioo of information if it does not display a currently valid 0MB cootrol 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
�- SYSTEM/ITEM E. CONTRACT I PR NO. F. CONTRACTOR
CTG 40MM HEDP M430Al W/FZ MS49Al & TllA0lM9M2 llK M16A2
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3.SUBTITLE 17.PRICE
GROUP
A006 TEST PROCEDURE - PHOSPHATE COATING PRE-PRODUCTION PROCEDURE
4. AUTHORITY (Data Acquisition Docnment
5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
No.) TOTAL PRICE
DI-NDTl-80603A MIL-DTL-16232G, Para 3.1 FCDD-ACE-QP l�.UUH 14. DISTRIBUTION
7.DD 250 REQ STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
REQUIRED
xx ONE/R ASREQ b.COPIES
8.APP CODE 11.AS OF DATE Final N/A 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE
Draft A N/A Reg Repro
N/A
16.REMARKS 0 1 0
SUBMIT PROCEDURE FOR APPROVAL THROUGH CONTRACTING OFFICER 60 DAYS PRIOR TO FIRST
PCO
FCDD-ACE-QP 0 1 0
ARTICLE TEST OR PRODUCTION IF FIRST ARTICLE IS NOT APPLICABLE. ALLOW 14 DAYS FOR
APPROVAL/DISAPPROVAL. CONTRACTOR TO RESUBMIT CONTRACTOR SHALL RESUBMIT WITH
GOVERNMENT REVISIONS WITHIN 10 DAYS. SUBMIT ELECTRONICALLY TO usarmy.ria.ardec.mbx.ri-corrosion-team@mail.mil. RDAR-MEE-W(R) SHALL PROVIDE PROCEDURE REVIEW RESPONSE BACK TO
CONTRACTING OFFICER. A DD FORM 250 IS NOT REQUIRED FOR PHOSPHATE COATING PROCEDURE
APPROVAL. CONTRACTOR FORMAT ACCEPTABLE. SHALL BE SUBMITTED USING A PC COMPATIBLE
format (i.e., .PDF, RICH TEXT FORMAT (RTF) OR WORD).
THE PANELS SHALL BE MAILED TO THE
FOLLOWING ADDRESS:
Combat Capabilities Development Command Armaments Center
Attn: FCDD-ACE-QP/Mark Godlewski
1 Rock Island Arsenal
Bldg. 62 2nd Floor, NW Wing
Rock Island, IL 61299-7300
15.TOTAL
G. PREPARED BY H.DATE L APPROVED BY �.DATE
Drew Smith, FCDD-ACE-SC 11 May2021 K. Mosher for SDMO FCDD-ACE-SP 11 May2021
DD Form 1423-1, FEB 2001 Previous editions may be used. Page: 6 of 7
INSTRUCTIONS FOR COMPLETING DD FORM 1423
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM -
Technical Manual; Other - other category of data, such as
"Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award). Item F. Self explanatory (to be filled in after contract award). Item G. Signature of preparer of
CORL.
Item H. Date CORL was prepared.
Item I. Signature of CORL approval authority.
Item J. Date CORL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the
Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items
12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
DD FORM 1423 (BACK)
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form
1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form
1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the
Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the
Government.
c. Group Ill. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group Ill are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the
Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD
Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required.
The estimated data prices shall not include any amount for rights in data. The
Government's right to use the data shall be governed by the pertinent provisions Inf tho rnntr--.
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO.
4A1A01MBM2
F. CONTRACTOR
D. SYSTEM/ITEM
CTG 40MM HEDP M433 W/FZ M550
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
REQUEST FOR VARIANCE (RFV)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80640D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ.
LT
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF
SUBSEQUENT
SUBMISSION
ASREQ
Draft Final
Reg Repro
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING,
THEN THE WHOLE SUBMITTAL WILL BE LABELED "D".
THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1694 LOCATED
AT www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.ccdc-ac.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
PM 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
11 May 2021
I. APPROVED BY J. DATE
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 1 of 8 Pages
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO.
4A1A01MBM2
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
ENGINEERING CHANGE PROPOSAL (ECP)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80639D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ.
LT
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF
SUBSEQUENT
SUBMISSION
ASREQ
Draft Final
Reg Repro
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D".THE PREFERRED METHOD
FOR SUBMITTAL IS DD FORM 1692 LOCATED AT http:// www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.ccdc-ac.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE..
PM 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
11 May 2021
I. APPROVED BY J. DATE
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 2 of 8 Pages
G. PREPARED BY
K. Mosher for SDMO, FCDD-ACE-SP
D. SYSTEM/ITEM
CTG 40MM HEDP M433 W/FZ M550
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 3 of 8 Pages
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO.
4A1A01MBM2
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
NOTICE OF REVISION (NOR)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-SESS-80642D
5. CONTRACT REFERENCE
SECTION C SOW
6. REQUIRING OFFICE
FCDD-ACE-SP
7. DD 250 REQ.
LT
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF
SUBSEQUENT
SUBMISSION
ASREQ
Draft Final
Reg Repro
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)).
*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY
THE DOD CONFIGURATION CONTROL AUTHORITY. DISTRIBUTION
STATEMENT SHOULD BE THE HIGHEST LEVEL OF THE DRAWINGS.
DISTRIBUTION STATEMENT A IS THE LOWEST. FOR EXAMPLE, IF THE
DOCUMENT HAS A DISTRIBUTION STATEMENT A AND D DRAWING, THEN
THE WHOLE SUBMITTAL WILL BE LABELED "D". THE PREFERRED
METHOD FOR SUBMITTAL IS DD FORM 1695 LOCATED AT http:// www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.ccdc-ac.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
PM 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
11 May 2021
I. APPROVED BY J. DATE
G. PREPARED BY
K. Mosher for SDMO, FCDD-ACE-SP
D. SYSTEM/ITEM
DD FORM 1423-1 FEB 2001 PREVIOUS EDITIONS MAY BE USED. Page 4 of 8 Pages
(1 Data Item)
Form Approved OMB No. 0704-
Public reporting burden for this collection of information is estimated to average 220 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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project, (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP TM OTHER
E. CONTRACT / PR NO.
4A1A01MBM2
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Operations Security (OPSEC) Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Documentation No.)
DI-MGMT-80934C
5. CONTRACT REFERENCE
OPSEC SOW
6. REQUIRING OFFICE
AMSJM-FP/G2
7. DD 250 REQ.
XX
9. DIST
STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
ASREQ
13. DATE OF
SUBSEQUENT
SUBMISSION
ASREQ
Draft Final
Reg Repro
16. REMARKS:
DELETE REFERENCE 'APPLYING OPSEC TO U.S. GOVERNMENT
CONTRACTS'. REPLACE WITH REFERENCE 'SAMPLE ACQUISITIONS
OPSEC PLAN'. 10 CALENDAR DAYS REQUIRED FOR GOVERNMENT
REVIEW AND APPROVAL. *30 CALENDAR DAYS AFTER THE
CONTRACTING OFFICER PROVIDES THE LIST OF KNOWN CRITICAL
INFORMATION (CI)/THREAT INFORMATION. ** RESUBMIT 10
CALENDAR DAYS AFTER GOVERNMENT REVIEW. SUBMIT
ELECTRONICALLY TO usarmy.ria.jmc.mbx.OPSEC-FD@mail.mil.
JMC OPSEC 0 1 0
PCO 0 1 0
15. TOTAL 0 2 0
H. DATE
11 May 2021
I. APPROVED BY J. DATE
G. PREPARED BY
K. Mosher for SDMO, FCDD-ACE-SP
D. SYSTEM/ITEM
17. PRICE
GROUP
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
Page: 5 of 8DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY
Drew Smith, FCDD-ACE-SC
H. DATE
11 May 2021
I. APPROVED BY
K. Mosher for SDMO FCDD-ACE-SP
J. DATE
11 May 2021
A N/A Reg Repro N/A
16. REMARKS
SUBMIT PROCEDURE FOR APPROVAL 60 DAYS PRIOR TO FIRST ARTICLE TEST OR PRODUCTION IF FIRST
ARTICLE IS NOT APPLICABLE. ALLOW 28 DAYS FOR APPROVAL/DISAPPROVAL THROUGH THE
CONTRACTING OFFICER. SUBMIT ELECTRONICALLY TO usarmy.ria.ardec.mbx.ri-corrosion-team@mail.mil. CONTRACTOR SHALL RESUBMIT WITH GOVERNMENT REVISIONS WITHIN 10 DAYS.
RDAR-MEE-W(R) SHALL PROVIDE PROCEDURE REVIEW RESPONSE BACK TO CONTRACTING OFFICER.
COATED PANELS PER PARA 3.2.2 SHALL INCLUDE THREE WITH PHOSPHATE ONLY, THREE WITH
PHOSPHATE AND PRIMER, AND THREE WITH PHOSPHATE, PRIMER AND TOP COAT. A DD FORM 250 IS
NOT REQUIRED FOR PHOSPHATE COATING PROCEDURAL APPROVAL. CONTRACTOR FORMAT
ACCEPTABLE. WRITTEN PROCEDURES SHALL BE SUBMITTED USING A PC COMPATIBLE FORMAT (I.E. PDF, RICH TEXT FORMAT (RTF), OR WORD FILE).
THE PANELS SHALL BE MAILED TO THE
FOLLOWING ADDRESS:
Combat Capabilities Development Command Armaments Center Attn: FCDD-ACE-QP/Mark Godlewski 1 Rock Island Arsenal Bldg. 62 2nd Floor, NW Wing Rock Island, IL 61299-7300
FCDD-ACE-QP
N/A
ONE/R ASREQ
a. ADDRESSEE
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
4. AUTHORITY (Data…
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