Exhibit A - DD FORM 1423 - CDRLS.PDF

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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

1 DATA ITEM NO: A010

2 TITLE OF DATA ITEM: Request for Variations (RFVs)

3 SUBTITLE:

5 CONTRACT REFERENCE: SOW Paragraph 3.3.6

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD:

A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: N/A

a ADDRESSEERow1: CCNJ-MC

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Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 12: The contractor shall submit any changes to government drawings, specifications, or inspection plans for approval prior to production.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T15:38:44-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T15:38:08-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SESS-80640D

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: A011

2 TITLE OF DATA ITEM: Quality Program Plan

3 SUBTITLE: Certificate of Compliance

5 CONTRACT REFERENCE: SOW Paragraph 3.3.7

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD:

A

10 FREQUENCY: Initial

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1: CCNJ-MC

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Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 12: Contractor shall provide records 60 calender days to indicate all material for the manufacturing of the munitions are in compliance with the materials, construction, and design requirements specified in the Technical Data Package or specification.

BLOCK 13: Contractor shall submit a Certificate of Compliance each time a lot of cartridges are submitted for acceptance.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T15:40:22-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T15:39:56-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-MISC-80678

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: A012

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

3 SUBTITLE: Measurement System Evaluation (MSE)

5 CONTRACT REFERENCE: SOW Paragraph 3.3.8

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD:

A

10 FREQUENCY: Initial

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: CCNJ-MC

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Draft15 TOTAL:

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H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 12: The Contractor shall prepare and submit MSE for U.S. Government review and PCO approval within 60 days.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T16:20:03-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T16:19:38-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-QCIC-81960

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: Failure Analysis and Corrective Action Report (FACAR)

3 SUBTITLE: Failure Analysis

5 CONTRACT REFERENCE: SOW Paragraph 3.3.9

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD:

A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: N/A

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: CCNJ-MC

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Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 12: The Contractor shall notify the Government within 48 hours of any failure and prepare to submit a Failure Analysis and Corrective Action Report(FACAR).

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T15:49:18-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T15:48:52-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SESS-81927

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: Critical Safety Item, Characteristics and Critical Defect Report

3 SUBTITLE: Critical Characteristics

5 CONTRACT REFERENCE: SOW Paragraph 3.4.1

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD:

A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: CCNJ-MC

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Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 12: Contractor shall submit a Critical Safety Item, Characteristics and Critical Defect Report when requirements would result in unsafe conditions.

BLOCK 14: Distribution list will be provided after delivery order award.

2020-08-13T15:50:58-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T15:50:29-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SAFT-80970A

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: A015

2 TITLE OF DATA ITEM: Accident/Incident Report

3 SUBTITLE: Accident/Incident Report

5 CONTRACT REFERENCE: SOW paragraph 3.4.2

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1: CCNJ-MC

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ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 12: The contractor shall report immediately to the Quality Assurance Representative and PCO any major accident/incident.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T15:54:17-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T15:53:41-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SAFT-81563

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: A016

2 TITLE OF DATA ITEM: Safety Assessment Report (SAR)

3 SUBTITLE: Safety Assessment Report (SAR)

5 CONTRACT REFERENCE: SOW paragraph 3.4.3

6 REQUIRING OFFICE: CCNJ-MC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As required

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1: CCNJ-MC

DraftRow1:

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: SSAE-AA-MAS-SC

DraftRow2:

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: FCDD-ACM-MI

DraftRow3:

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: FCDD-ACE-QM

DraftRow4:

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: FDCC-ACE-QPB

DraftRow5:

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: Government QAR

DraftRow6:

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 12: The SAR shall be submitted and approved by the PCO prior to any deliveries.

BLOCK 13: If any changes are made to the item, a new safety assessment shall be performed at the contractor's expense.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T15:55:56-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T15:55:18-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SAFT-80102C

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: A017

2 TITLE OF DATA ITEM: Engineering Change Proposal System Safety Report (ECPSSR)

3 SUBTITLE: ECPs/RFVs

5 CONTRACT REFERENCE: SOW paragraph 3.4.4

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: CCNJ-MC

DraftRow1:

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: SSAE-AA-MAS-SC

DraftRow2:

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: FCDD-ACM-MI

DraftRow3:

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: FCDD-ACE-QM

DraftRow4:

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: FDCC-ACE-QPB

DraftRow5:

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: Government QAR

DraftRow6:

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 12: Contractor will contact the managing activity when an ESP will decrease the level of safety of the existing system.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T15:57:21-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T15:56:55-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SAFT-80103C

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: A018

2 TITLE OF DATA ITEM: Waiver or Deviation system Safety Report (WDSSR)

3 SUBTITLE: ECPs/RFVs

5 CONTRACT REFERENCE: SOW paragraph 3.4.4

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: CCNJ-MC

DraftRow1:

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: SSAE-AA-MAS-SC

DraftRow2:

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: FCDD-ACM-MI

DraftRow3:

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: FCDD-ACE-QM

DraftRow4:

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: FDCC-ACE-QPB

DraftRow5:

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: Government QAS

DraftRow6:

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 12: The Contractor shall perform and submit an analysis of all RFV's.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T15:59:19-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T15:58:52-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SAFT-80104C

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: A019

2 TITLE OF DATA ITEM: Technical Report-Study/Services

3 SUBTITLE: Final Hazard Classification

5 CONTRACT REFERENCE: SOW Paragraph 3.4.5

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: CCNJ-MC

DraftRow1:

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: SSAE-AA-MAS-SC

DraftRow2:

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: FCDD-ACM-MI

DraftRow3:

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: FCDD-ACE-QM

DraftRow4:

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: FDCC-ACE-QPB

DraftRow5:

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: Government QAS

DraftRow6:

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Block 12: Contractor shall provide energetic items from a foreign country, the foreign company shall provide a specific hazard classification.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T16:01:07-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T16:00:25-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-MISC-80508B

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: A020

2 TITLE OF DATA ITEM: Explosive Hazard Classification Data Report (EHCDR)

3 SUBTITLE: Interim Hazard Classification (IHC)

5 CONTRACT REFERENCE: SOW Paragraph 3.4.6

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: CCNJ-MC

DraftRow1:

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: SSAE-AA-MAS-SC

DraftRow2:

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: FCDD-ACM-MI

DraftRow3:

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: FCDD-ACE-QM

DraftRow4:

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: FDCC-ACE-QPB

DraftRow5:

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: Government QAS

DraftRow6:

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 12: If the contractor elects to use CCDC-AC to obtain Interim Hazard Classification (IHC) for shipment of R&D quantities of energetic materials/items in support of this contract, the contractor will need to provide technical data 60 calender days prior to shipment of the energetic materials/items.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T16:02:48-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T16:02:19-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SAFT-81299C

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: A021

2 TITLE OF DATA ITEM: Hazardous Materials Management Program (HMMP) Plan

3 SUBTITLE: HMMP Plan and HMMP Report

5 CONTRACT REFERENCE: SOW paragraph 3.5.1

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: As Required

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: CCNJ-MC

DraftRow1:

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: SSAE-AA-MAS-SC

DraftRow2:

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: FCDD-ACM-MI

DraftRow3:

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: FCDD-ACE-QM

DraftRow4:

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: FDCC-ACE-QPB

DraftRow5:

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: Government QAS

DraftRow6:

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

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a ADDRESSEERow9:

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a ADDRESSEERow10:

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a ADDRESSEERow11:

DraftRow11:

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a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

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a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 12: The contractor shall prepare and follow a Hazardous Materials Management Program (HMMP) Plan. The plan's outline shall be made part of the proposal and the full HMMP Plan shall be generated within ninety (90) days after contract award for review and approval by the PCO.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T16:07:06-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T16:06:25-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-MGMT-81398C

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: A022

2 TITLE OF DATA ITEM: Hazardous Waste (HW) Report

3 SUBTITLE: Hazardous Waste (HW) Report

5 CONTRACT REFERENCE: SOW paragraph 3.5.3

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: Annually a ADDRESSEERow1: CCNJ-MC

DraftRow1:

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: SSAE-AA-MAS-SC

DraftRow2:

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: FCDD-ACM-MI

DraftRow3:

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: FCDD-ACE-QM

DraftRow4:

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: FDCC-ACE-QPB

DraftRow5:

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: Government QAS

DraftRow6:

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

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a ADDRESSEERow10:

DraftRow10:

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a ADDRESSEERow11:

DraftRow11:

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a ADDRESSEERow12:

DraftRow12:

RegRow12:

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a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

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a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 13: The contractor shall prepare annually.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T16:08:45-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T16:08:09-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-MGMT-80899

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: A023

2 TITLE OF DATA ITEM: Technical Report-Study/Services

3 SUBTITLE: Pollution Prevention Plan (P2 Plan)

5 CONTRACT REFERENCE: SOW paragraph 3.5.4

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: Initial

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: CCNJ-MC

DraftRow1:

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: SSAE-AA-MAS-SC

DraftRow2:

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: FCDD-ACM-MI

DraftRow3:

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: FCDD-ACE-QM

DraftRow4:

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: FDCC-ACE-QPB

DraftRow5:

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: Government QAR

DraftRow6:

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

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ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

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a ADDRESSEERow23:

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RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 13 Aug 2020

J DATE: 13 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks:

BLOCK 10: The contractor shall prepare one time the Pollution Prevention Plan

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-13T16:10:17-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-13T16:09:52-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-MISC-80508B

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: A024

2 TITLE OF DATA ITEM: Technical Data Package (TDP)

3 SUBTITLE: Technical Data Package (TDP)

5 CONTRACT REFERENCE: SOW Paragraph 3.6.3

6 REQUIRING OFFICE: SSAE-AA-MAS-SC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: CCNJ-MC

DraftRow1:

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: SSAE-AA-MAS-SC

DraftRow2:

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: FCDD-ACM-MI

DraftRow3:

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: FCDD-ACE-QM

DraftRow4:

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: FDCC-ACE-QPB

DraftRow5:

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: Government QAS

DraftRow6:

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL:

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 18 Aug 2020

J DATE: 18 Aug 2020

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM: CARTRIDGE, 9mm, M1041 Practice Ammunition

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Block 12: Contractor shall provide the TDP to U.S. Government within sixty (60) days after contract award.

BLOCK 14: Submit electronically. Distribution list will be provided at Post Award.

2020-08-18T11:23:45-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

2020-08-18T11:23:12-0400

BENTLEY.LESLIE.DOROTHEA.1057840389

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SESS-80776B

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).