Exhibit A_ ESU CDRLs 2019_5.22 v2 signed.pdf

PDF 2 MB Posted

Attached to
Elevator Support Unit (ESU)
Solicitation number
N0002419R4303
Issued by

About this file

This is a Request for Proposals from the Naval Sea Systems Command for engineering services, maintenance, operator training, technical support, and repair services for shipboard elevators, cargo handling equipment, and associated systems installed on U.S. Navy aircraft carriers. The contract is solicited as a cost plus fixed fee, indefinite delivery/indefinite quantity contract with a five-year ordering period. Work will be performed onboard Navy vessels located around the world, including Norfolk, Newport News, Portsmouth, San Diego, Bremerton, Everett, and Yokosuka. The North American Industry Classification System code for this opportunity is 336611 for ship building and repairing.

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Other files

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Attachment L-1-Bidders Questions 8-25-20.xlsx XLSX spreadsheet
Attachment L-1-Bidders Questions 8-12-2020.xlsx XLSX spreadsheet
N0002419R4303 Amendment 0001.pdf PDF
Attachment L-1 - Bidders Questions 7-31-2020.xlsx XLSX spreadsheet
Attachment L-1-Bidders Questions 7-22-2020.xlsx XLSX spreadsheet
J-1 Task Action Memorandum (TAM).pdf PDF
Section J Exhibit B DD FORM 1423 GLOSSARY.doc DOC document
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J-14 042-005 NNSY Work Authorization Form(WAF) Requirements.pdf PDF
J-5 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-04NW.pdf PDF
J-4 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-03NW.pdf PDF
J-6 FY20 CHG-1 NWRMC LOCAL STANDARD ITEM 099-05NW.pdf PDF
J-21 DDForm254 for N00024-19-R-4303 - Signed.pdf PDF
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J-16 042-007 Security Requirements for Work Within Norfolk Naval Shipyard- accomplish.pdf PDF
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Text version

ELEVATOR SUPPORT UNIT (ESU)

CONTRACT DATA REQUIREMENTS LIST (CDRL)

TABLE OF CONTENTS CONTRACT/PR NO.: N00024-19-R-4303

ITEM SUBTITLE

A001 ENGINEERING EVALUATION/RECOMMENDATION CHANGES

A002 EQUIPMENT/MATERIAL CONDITION CHANGE

A003 AUTOMATED WORK REQUEST (AWR)

A004 TECHNICAL MANUAL DEFICIENCY REPORT (TMDER)

A005 PMS FEEDBACK REPORT

A006 QUALITY ASSURANCE PROGRAM PLAN (QAPP)/ QUALITY MANAGEMENT SYSTEM (QMS)

A007 FORMAL WORK PACKAGE

A008 CONTROLLED WORK PACKAGE

A009 ON BOARD MAINTENANCE TRAINING (OBMT) CURRICULUM AND POA&M

A010 TECHNICAL SUPPORT STATUS REPORT (TSSR)

A011 SHIP CHANGE DOCUMENT (SCD) REPORT

A012 MONTHLY REPORT

A013

INVOICE TASK STATUS REPORT

A014 CONTRACTOR'S RECORD OF COMPLETED NNPI PROPULSION PLANT WORKER'S TRAINING

A015 COMPUTER BASED TRAINING (CBT)

A016 TASK ACTION MEMORANDUM (TAM)

A017

CONFIGURATION DATA MANAGER'S DATABASE OPEN ARCHITECTURE (CDMD-OA) REPORTING

A018 DEMAND ONLY TRANSACTION REPORT/ DEMAND HISTORY ADJUSTMENT (DHA)

G. PREPARED BY

Lisa M. Fulton

H. DATE

I. APPROVED BY

Chris Buckley

J. DATE

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 BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM

NO

A001

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

ENGINEERING EVALUATION/RECOMMENDATION

CHANGES

4. AUTHORITY (Data Acquisition Doc. No)

DI-MISC-80508B

5. CONTRACT REFERENCE

SECTION 1.5.3

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

D (SEE BLK 16)

10. FREQUENCY

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

ASREQ (SEE BLK 16)

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE DEPARTMENT

OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL TECHNOLOGY) (01 AUGUST

2016). OTHER REQUESTS SHALL BE REFERRED TO PEO CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME OF

TASKING. POST TO PEO CARRIERS IDE AND NOTIFY DISTRIBUTION ADDRESSEES BY

EMAIL.

MARMC 410 1

SUPSHIP 400 1

SWRMC 490

15. TOTAL 3

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A002

2. TITLE OF DATA ITEM

MATERIAL STATUS REPORT

3. SUBTITLE

EQUIPMENT/MATERIAL CONDITION CHANGE

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81914

5. CONTRACT REFERENCE

SECTION 1.5.4

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

OF TASKING. POST TO PEO CARRIERS IDE AND NOTIFY DISTRIBUTION

ADDRESSEES BY EMAIL.

MARMC 410 1

SWMRC 490 1

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A003

2. TITLE OF DATA ITEM

REVISIONS TO EXISTING GOVERNMENT DOCUMENTS

3. SUBTITLE

AUTOMATED WORK REQUEST (AWR)

4. AUTHORITY (Data Acquisition Doc. No)

DI-ADMN-80925A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 1.5.5

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - AS AGREED UPON BY GOVERNMENT AND CONTRACTOR.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

SWRMC 490 1

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A004

2. TITLE OF DATA ITEM

REVISIONS TO EXISTING GOVERNMENT DOCUMENTS

3. SUBTITLE

TECHNICAL MANUAL DEFICIENCY REPORT

(TMDER)

4. AUTHORITY (Data Acquisition Doc. No)

DI-ADMN-80925A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 1.5.6.1

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - AS AGREED UPON BY GOVERNMENT AND CONTRACTOR.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A005

2. TITLE OF DATA ITEM

REVISIONS TO EXISTING GOVERNMENT DOCUMENTS

3. SUBTITLE

PMS FEEDBACK REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-ADMN-80925A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 1.5.6.1

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - AS AGREED UPON BY GOVERNMENT AND CONTRACTOR.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

PMS312 1

15. TOTAL 4

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A006

2. TITLE OF DATA ITEM

QUALITY ASSURANCE PROGAM PLAN (QAPP)

3. SUBTITLE

QUALITY MANAGEMENT SYSTEM (QMS)

4. AUTHORITY (Data Acquisition Doc. No)

DI-QCIC-81794A

5. CONTRACT REFERENCE

SECTION 1.5.7, 1.5.7.1.3

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A007

2. TITLE OF DATA ITEM

REVISIONS TO EXISTING GOVERNMENT DOCUMENTS

3. SUBTITLE

FORMAL WORK PACKAGE

4. AUTHORITY (Data Acquisition Doc. No)

DI-ADMN-80925A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 1.5.8

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - AS AGREED UPON BY GOVERNMENT AND CONTRACTOR.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A008

2. TITLE OF DATA ITEM

REVISIONS TO EXISTING GOVERNMENT DOCUMENTS

3. SUBTITLE

CONTROLLED WORK PACKAGE

4. AUTHORITY (Data Acquisition Doc. No)

DI-ADMN-80925A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 1.5.8

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - AS AGREED UPON BY GOVERNMENT AND CONTRACTOR.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A009

2. TITLE OF DATA ITEM

REVISIONS TO EXISTING GOVERNMENT DOCUMENTS

3. SUBTITLE

ON BOARD MAINTENANCE TRAINING (OBMT)

CURRICULUM AND POA&M

4. AUTHORITY (Data Acquisition Doc. No)

DI-ADMN-80925A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 1.5.10

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - AS AGREED UPON BY GOVERNMENT AND CONTRACTOR.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A010

2. TITLE OF DATA ITEM

REVISIONS TO EXISTING GOVERNMENT DOCUMENTS

3. SUBTITLE

TECHNICAL SUPPORT STATUS REPORT (TSSR)

4. AUTHORITY (Data Acquisition Doc. No)

DI-ADMN-80925A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 1.5.11

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - AS AGREED UPON BY GOVERNMENT AND CONTRACTOR.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

OF TASKING. POST TO PEO CARRIERS IDE AND NOTIFY DISTRIBUTION

ADDRESSEES BY EMAIL.

MARMC 410 1

15. TOTAL 3 17. PRICE

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A011

2. TITLE OF DATA ITEM

TRACKING REPORT FOR EQUIPMENT MODIFICATION

3. SUBTITLE

SHIP CHANGE DOCUMENT (SCD) REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-CMAN-81018 (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 1.5.21

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - AS AGREED UPON BY GOVERNMENT AND CONTRACTOR.

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

MARMC 410 1 1

SUPSHIP 400 1 1

SWRMC 490 1 1

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A012

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA REPORT

3. SUBTITLE

MONTHLY REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 1.7.1

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - REPORT SHALL BE IN CONTRACTOR FORMAT

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLK 10 - MONTHLY

BLK 12 - FIFTEENTH (15) DAY OF THE MONTH FOLLOWING CONTRACT AWARD

BLK 13 - FIFTEENTH (15) DAY OF EACH MONTH.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A013

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA REPORT

3. SUBTITLE

INVOICE TASK STATUS REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A (SEE BLK 14)

5. CONTRACT REFERENCE

SECTION 1.7.2, 1.7.3

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - REPORT SHALL BE IN CONTRACTOR FORMAT

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLK 10 - MONTHLY

BLK 12 - FIFTEENTH (15) DAY OF THE MONTH FOLLOWING CONTRACT AWARD

BLK 13 - FIFTEENTH (15) DAY OF EACH MONTH.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A014

2. TITLE OF DATA ITEM

PROGRESS REPORT

3. SUBTITLE

CONTRACTOR'S RECORD OF COMPLETED NNPI

PROPULSION PLANT WORKER'S TRAINING

4. AUTHORITY (Data Acquisition Doc. No)

DI- ADMIN-81313A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 1.9.1

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: DID IS FOR REFERENCE ONLY, REPORT SHALL BE IN CONTRACTOR

FORMAT

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLK 10 - MONTHLY

BLK 12: 5 DAYS AFTER TRAINING CONDUCTED.

BLK 13 - FIFTEENTH (15) DAY OF EACH MONTH.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A015

2. TITLE OF DATA ITEM

REVISIONS TO EXISTING GOVERNMENT DOCUMENTS

3. SUBTITLE

COMPUTER BASED TRAINING (CBT)

4. AUTHORITY (Data Acquisition Doc. No)

DI-ADMN-80925A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 2.6.2

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - REPORT SHALL BE IN CONTRACTOR FORMAT

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

GROUP

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A016

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA REPORT

3. SUBTITLE

TASK ACTION MEMORANDUM (TAM)

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 2.7

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - FORMAT AND CONTENT IN ACCORDANCE WITH EMBEDDED DOCUMENT

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE TIME

J-1 TAM.pdf

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A017

2. TITLE OF DATA ITEM

CONFIGURATION STATUS ACCOUNTING (CSA)

INFORMATION

3. SUBTITLE

CDMD-OA REPORTING

4. AUTHORITY (Data Acquisition Doc. No)

DI-CMAN-81253D (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 2.9.1

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST

SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - USE OF TECH SPEC 9090-700 FOR GUIDANCE

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – AS AGREED UPON AT THE TIME OF TASKING.

BLK 14 - CONTINUOUS ELECTRONIC TRANSMISSION UPDATES TO THE

CONFIGURATION DATA MANAGER’S DATABASE-OPEN ARCHITECTURE

(CDMD-OA) AND NOTIFY DISTRIBUTION ADDRESSEES BY EMAIL.

Form Approved

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.

CLIN 0005

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

ELEVATOR SUPPORT UNIT (ESU)

E. CONTRACT/PR NO.

N00024-19-R-4303

F. CONTRACTOR

TBD

1. DATA ITEM NO

A018

2. TITLE OF DATA ITEM

DEMAND ONLY TRANSACTIONS REPORT

3. SUBTITLE

DEMAND HISTORY ADJUSTMENT (DHA)

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81806B (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION 2.9.2

6. REQUIRING OFFICE

PMS312

7. DD 250 REQ

N/A

BLK 16)

12. DATE OF FIRST

SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4 - AS AGREED UPON BY GOVERNMENT AND CONTRACTOR

BLK 9: DISTRIBUTION STATEMENT D. DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 AUGUST 2016). OTHER REQUESTS SHALL BE REFERRED TO PEO

CARRIERS, PMS 312.

BLKS 10 AND 12 – 30 DAYS AFTER FIRST PURCHASE ORDER. ANNUALLY

THEREAFTER.

BLK 14 – DISTRIBUTION MAY BE MODIFIED BY THE GOVERNMENT AT THE

TIME OF TASKING. POST TO PEO CARRIERS IDE AND NOTIFY DISTRIBUTION

ITEM:
SUBTITLE:
A001:
ENGINEERING EVALUATIONRECOMMENDATION CHANGES:
A002:
EQUIPMENTMATERIAL CONDITION CHANGE:
A003:
AUTOMATED WORK REQUEST AWR:
A004:
TECHNICAL MANUAL DEFICIENCY REPORT TMDER:
A005:
PMS FEEDBACK REPORT:
A006:
QUALITY ASSURANCE PROGRAM PLAN QAPP QUALITY MANAGEMENT SYSTEM QMS:
A007:
FORMAL WORK PACKAGE:
A008:
CONTROLLED WORK PACKAGE:
A009:
ON BOARD MAINTENANCE TRAINING OBMT CURRICULUM AND POAM:
A010:
TECHNICAL SUPPORT STATUS REPORT TSSR:
A011:
SHIP CHANGE DOCUMENT SCD REPORT:
A012:
MONTHLY REPORT:
A013:
INVOICE TASK STATUS REPORT:
A014:
CONTRACTORS RECORD OF COMPLETED NNPI PROPULSION PLANT WORKERS TRAINING:
A015:
COMPUTER BASED TRAINING CBT:
A016:
TASK ACTION MEMORANDUM TAM:
A017:
CONFIGURATION DATA MANAGERS DATABASE OPEN ARCHITECTURE CDMDOA REPORTING:
A018:
DEMAND ONLY TRANSACTION REPORT DEMAND HISTORY ADJUSTMENT DHA:
Form Approved OMB No 07040188:
B EXHIBIT A:
C CATEGORY TDP TM OTHER X:
undefined:
F CONTRACTOR TBD:
2 TITLE OF DATA ITEM TECHNICAL REPORT STUDYSERVICES:
5 CONTRACT REFERENCE SECTION 153:
6 REQUIRING OFFICE PMS312:
7 DD 250 REQ NA:
9 DIST STATEMENT REQUIRED D SEE BLK 16:
12 DATE OF FIRST SUBMISSION ASREQ SEE BLK 16:
14 DISTRIBUTION ASREQ SEE BLK 16:
13 DATE OF SUBSEQUENT SUBMISSION NA:
DraftMARMC 410:
Repro1:
DraftSUPSHIP 400:
Repro1_2:
DraftSWRMC 490:
Repro1_3:
SWRMC 490Row1:
DraftRow4:
1Row1:
ReproRow4:
SWRMC 490Row2:
DraftRow5:
1Row2:
ReproRow5:
SWRMC 490Row3:
DraftRow6:
1Row3:
ReproRow6:
SWRMC 490Row4:
DraftRow7:
1Row4:
ReproRow7:
SWRMC 490Row5:
DraftRow8:
1Row5:
ReproRow8:
SWRMC 490Row6:
DraftRow9:
1Row6:
ReproRow9:
SWRMC 490Row7:
DraftRow10:
1Row7:
ReproRow10:
SWRMC 490Row8:
DraftRow11:
1Row8:
ReproRow11:
SWRMC 490Row9:
DraftRow12:
1Row9:
ReproRow12:
SWRMC 490Row10:
DraftRow13:
1Row10:
ReproRow13:
SWRMC 490Row11:
DraftRow14:
1Row11:
ReproRow14:
SWRMC 490Row12:
DraftRow15:
1Row12:
ReproRow15:
SWRMC 490Row13:
DraftRow16:
1Row13:
ReproRow16:
SWRMC 490Row14:
DraftRow17:
1Row14:
ReproRow17:
SWRMC 490Row15:
DraftRow18:
1Row15:
ReproRow18:
SWRMC 490Row16:
DraftRow19:
1Row16:
ReproRow19:
SWRMC 490Row17:
DraftRow20:
1Row17:
ReproRow20:
SWRMC 490Row18:
DraftRow21:
1Row18:
ReproRow21:
SWRMC 490Row19:
DraftRow22:
1Row19:
ReproRow22:
SWRMC 490Row20:
DraftRow23:
1Row20:
ReproRow23:
Draft15 TOTAL:
Repro3:
17 PRICE GROUPRow1:
18 ESTIMATED TOTAL PRICERow1:
G PREPARED BY Lisa M Fulton:
H DATE:
I APPROVED BY Chris Buckley:
J DATE:
Form Approved OMB No 07040188_2:
B EXHIBIT A_2:
C CATEGORY TDP TM OTHER X_2:
undefined_2:
E CONTRACTPR NO N0002419R4303:
F CONTRACTOR TBD_2:
2 TITLE OF DATA ITEM MATERIAL STATUS REPORT:
5 CONTRACT REFERENCE SECTION 154:
6 REQUIRING OFFICE PMS312_2:
7 DD 250 REQ NA_2:
8 APP CODE NA:
9 DIST STATEMENT REQUIRED D SEE BLK 16_2:
12 DATE OF FIRST SUBMISSION ASREQ SEE BLK 16_2:
14 DISTRIBUTION ASREQ SEE BLK 16_2:
Reg:
DraftMARMC 410_2:
Repro1_4:
DraftSUPSHIP 400_2:
Repro1_5:
DraftSWMRC 490:
Repro1_6:
SWMRC 490Row1:
DraftRow4_2:
1Row1_2:
ReproRow4_2:
SWMRC 490Row2:
DraftRow5_2:
1Row2_2:
ReproRow5_2:
SWMRC 490Row3:
DraftRow6_2:
1Row3_2:
ReproRow6_2:
SWMRC 490Row4:
DraftRow7_2:
1Row4_2:
ReproRow7_2:
SWMRC 490Row5:
DraftRow8_2:
1Row5_2:
ReproRow8_2:
SWMRC 490Row6:
DraftRow9_2:
1Row6_2:
ReproRow9_2:
SWMRC 490Row7:
DraftRow10_2:
1Row7_2:
ReproRow10_2:
SWMRC 490Row8:
DraftRow11_2:
1Row8_2:
ReproRow11_2:
SWMRC 490Row9:
DraftRow12_2:
1Row9_2:
ReproRow12_2:
SWMRC 490Row10:
DraftRow13_2:
1Row10_2:
ReproRow13_2:
SWMRC 490Row11:
DraftRow14_2:
1Row11_2:
ReproRow14_2:
SWMRC 490Row12:
DraftRow15_2:
1Row12_2:
ReproRow15_2:
SWMRC 490Row13:
DraftRow16_2:
1Row13_2:
ReproRow16_2:
SWMRC 490Row14:
DraftRow17_2:
1Row14_2:
ReproRow17_2:
SWMRC 490Row15:
DraftRow18_2:
1Row15_2:
ReproRow18_2:
SWMRC 490Row16:
DraftRow19_2:
1Row16_2:
ReproRow19_2:
SWMRC 490Row17:
DraftRow20_2:
1Row17_2:
ReproRow20_2:
SWMRC 490Row18:
DraftRow21_2:
1Row18_2:
ReproRow21_2:
SWMRC 490Row19:
DraftRow22_2:
1Row19_2:
ReproRow22_2:
SWMRC 490Row20:
DraftRow23_2:
1Row20_2:
ReproRow23_2:
SWMRC 490Row21:
DraftRow24:
1Row21:
ReproRow24:
Draft15 TOTAL_2:
Repro3_2:
17 PRICE GROUPRow1_2:
18 ESTIMATED TOTAL PRICERow1_2:
G PREPARED BY Lisa M Fulton_2:
H DATE_2:
I APPROVED BY Chris Buckley_2:
J DATE_2:
Form Approved OMB No 07040188_3:
B EXHIBIT A_3:
C CATEGORY TDP TM OTHER X_3:
undefined_3:
E CONTRACTPR NO N0002419R4303_2:
F CONTRACTOR TBD_3:
5 CONTRACT REFERENCE SECTION 155:
6 REQUIRING OFFICE PMS312_3:
7 DD 250 REQ NA_3:
8 APP CODE NA_2:
9 DIST STATEMENT REQUIRED D SEE BLK 16_3:
12 DATE OF FIRST SUBMISSION ASREQ SEE BLK 16_3:
14 DISTRIBUTION ASREQ SEE BLK 16_3:
Reg_2:
DraftMARMC 410_3:
Repro1_7:
DraftSUPSHIP 400_3:
Repro1_8:
DraftSWRMC 490_2:
Repro1_9:
SWRMC 490Row1_2:
DraftRow4_3:
1Row1_3:
ReproRow4_3:
SWRMC 490Row2_2:
DraftRow5_3:
1Row2_3:
ReproRow5_3:
SWRMC 490Row3_2:
DraftRow6_3:
1Row3_3:
ReproRow6_3:
SWRMC 490Row4_2:
DraftRow7_3:
1Row4_3:
ReproRow7_3:
SWRMC 490Row5_2:
DraftRow8_3:
1Row5_3:
ReproRow8_3:
SWRMC 490Row6_2:
DraftRow9_3:
1Row6_3:
ReproRow9_3:
SWRMC 490Row7_2:
DraftRow10_3:
1Row7_3:
ReproRow10_3:
SWRMC 490Row8_2:
DraftRow11_3:
1Row8_3:
ReproRow11_3:
SWRMC 490Row9_2:
DraftRow12_3:
1Row9_3:
ReproRow12_3:
SWRMC 490Row10_2:
DraftRow13_3:
1Row10_3:
ReproRow13_3:
SWRMC 490Row11_2:
DraftRow14_3:
1Row11_3:
ReproRow14_3:
SWRMC 490Row12_2:
DraftRow15_3:
1Row12_3:
ReproRow15_3:
SWRMC 490Row13_2:
DraftRow16_3:
1Row13_3:
ReproRow16_3:
SWRMC 490Row14_2:
DraftRow17_3:
1Row14_3:
ReproRow17_3:
SWRMC 490Row15_2:
DraftRow18_3:
1Row15_3:
ReproRow18_3:
SWRMC 490Row16_2:
DraftRow19_3:
1Row16_3:
ReproRow19_3:
SWRMC 490Row17_2:
DraftRow20_3:
1Row17_3:
ReproRow20_3:
SWRMC 490Row18_2:
DraftRow21_3:
1Row18_3:
ReproRow21_3:
SWRMC 490Row19_2:
DraftRow22_3:
1Row19_3:
ReproRow22_3:
SWRMC 490Row20_2:
DraftRow23_3:
1Row20_3:
ReproRow23_3:
SWRMC 490Row21:
DraftRow24_2:
1Row21_2:
ReproRow24_2:
Draft15 TOTAL_3:
Repro3_3:
17 PRICE GROUPRow1_3:
18 ESTIMATED TOTAL PRICERow1_3:
G PREPARED BY Lisa M Fulton_3:
H DATE_3:
I APPROVED BY Chris Buckley_3:
J DATE_3:
Form Approved OMB No 07040188_4:
B EXHIBIT A_4:
C CATEGORY TDP TM OTHER X_4:
undefined_4:
E CONTRACTPR NO N0002419R4303_3:
F CONTRACTOR TBD_4:
1 DATA ITEM NO A004:
2 TITLE OF DATA ITEM REVISIONS TO EXISTING GOVERNMENT DOCUMENTS:
5 CONTRACT REFERENCE SECTION 1561:
6 REQUIRING OFFICE PMS312_4:
7 DD 250 REQ NA_4:
8 APP CODE NA_3:
9 DIST STATEMENT REQUIRED D SEE BLK 16_4:
12 DATE OF FIRST SUBMISSION ASREQ SEE BLK 16_4:
14 DISTRIBUTION ASREQ SEE BLK 16_4:
17 PRICE GROUPRow1_4:
18 ESTIMATED TOTAL PRICERow1_4:
DraftMARMC 410_4:
Repro1_10:
DraftSUPSHIP 400_4:
Repro1_11:
DraftSWRMC 490_3:
Repro1_12:
SWRMC 490Row1_3:
DraftRow4_4:
1Row1_4:
ReproRow4_4:
SWRMC 490Row2_3:
DraftRow5_4:
1Row2_4:
ReproRow5_4:
SWRMC 490Row3_3:
DraftRow6_4:
1Row3_4:
ReproRow6_4:
SWRMC 490Row4_3:
DraftRow7_4:
1Row4_4:
ReproRow7_4:
SWRMC 490Row5_3:
DraftRow8_4:
1Row5_4:
ReproRow8_4:
SWRMC 490Row6_3:
DraftRow9_4:
1Row6_4:
ReproRow9_4:
SWRMC 490Row7_3:
DraftRow10_4:
1Row7_4:
ReproRow10_4:
SWRMC 490Row8_3:
DraftRow11_4:
1Row8_4:
ReproRow11_4:
SWRMC 490Row9_3:
DraftRow12_4:
1Row9_4:
ReproRow12_4:
SWRMC 490Row10_3:
DraftRow13_4:
1Row10_4:
ReproRow13_4:
SWRMC 490Row11_3:
DraftRow14_4:
1Row11_4:
ReproRow14_4:
SWRMC 490Row12_3:
DraftRow15_4:
1Row12_4:
ReproRow15_4:
SWRMC 490Row13_3:
DraftRow16_4:
1Row13_4:
ReproRow16_4:
SWRMC 490Row14_3:
DraftRow17_4:
1Row14_4:
ReproRow17_4:
SWRMC 490Row15_3:
DraftRow18_4:
1Row15_4:
ReproRow18_4:
SWRMC 490Row16_3:
DraftRow19_4:
1Row16_4:
ReproRow19_4:
SWRMC 490Row17_3:
DraftRow20_4:
1Row17_4:
ReproRow20_4:
SWRMC 490Row18_3:
DraftRow21_4:
1Row18_4:
ReproRow21_4:
SWRMC 490Row19_3:
DraftRow22_4:
1Row19_4:
ReproRow22_4:
SWRMC 490Row20_3:
DraftRow23_4:
1Row20_4:
ReproRow23_4:
SWRMC 490Row21_2:
DraftRow24_3:
1Row21_3:
ReproRow24_3:
Draft15 TOTAL_4:
Repro3_4:
G PREPARED BY Lisa M Fulton_4:
H DATE_4:
I APPROVED BY Chris Buckley_4:
J DATE_4:
Form Approved OMB No 07040188_5:
B EXHIBIT A_5:
C CATEGORY TDP TM OTHER X_5:
undefined_5:
E CONTRACTPR NO N0002419R4303_4:
F CONTRACTOR TBD_5:
3 SUBTITLE PMS FEEDBACK REPORT:
5 CONTRACT REFERENCE SECTION 1561_2:
6 REQUIRING OFFICE PMS312_5:
7 DD 250 REQ NA_5:
8 APP CODE NA_4:
9 DIST STATEMENT REQUIRED D SEE BLK 16_5:
12 DATE OF FIRST SUBMISSION ASREQ SEE BLK 16_5:
14 DISTRIBUTION ASREQ SEE BLK 16_5:
17 PRICE GROUPRow1_5:
18 ESTIMATED TOTAL PRICERow1_5:
DraftPMS312:
Repro1_13:
DraftMARMC 410_5:
Repro1_14:
DraftSUPSHIP 400_5:
Repro1_15:
DraftSWRMC 490_4:
Repro1_16:
SWRMC 490Row1_4:
DraftRow5_5:
1Row1_5:
ReproRow5_5:
SWRMC 490Row2_4:
DraftRow6_5:
1Row2_5:
ReproRow6_5:
SWRMC 490Row3_4:
DraftRow7_5:
1Row3_5:
ReproRow7_5:
SWRMC 490Row4_4:
DraftRow8_5:
1Row4_5:
ReproRow8_5:
SWRMC 490Row5_4:
DraftRow9_5:
1Row5_5:
ReproRow9_5:
SWRMC 490Row6_4:
DraftRow10_5:
1Row6_5:
ReproRow10_5:
SWRMC 490Row7_4:
DraftRow11_5:
1Row7_5:
ReproRow11_5:
SWRMC 490Row8_4:
DraftRow12_5:
1Row8_5:
ReproRow12_5:
SWRMC 490Row9_4:
DraftRow13_5:
1Row9_5:
ReproRow13_5:
SWRMC 490Row10_4:
DraftRow14_5:
1Row10_5:
ReproRow14_5:
SWRMC 490Row11_4:
DraftRow15_5:
1Row11_5:
ReproRow15_5:
SWRMC 490Row12_4:
DraftRow16_5:
1Row12_5:
ReproRow16_5:
SWRMC 490Row13_4:
DraftRow17_5:
1Row13_5:
ReproRow17_5:
SWRMC 490Row14_4:
DraftRow18_5:
1Row14_5:
ReproRow18_5:
SWRMC 490Row15_4:
DraftRow19_5:
1Row15_5:
ReproRow19_5:
SWRMC 490Row16_4:
DraftRow20_5:
1Row16_5:
ReproRow20_5:
SWRMC 490Row17_4:
DraftRow21_5:
1Row17_5:
ReproRow21_5:
SWRMC 490Row18_4:
DraftRow22_5:
1Row18_5:
ReproRow22_5:
SWRMC 490Row19_4:
DraftRow23_5:
1Row19_5:
ReproRow23_5:
SWRMC 490Row20_4:
DraftRow24_4:
1Row20_5:
ReproRow24_4:
SWRMC 490Row21_3:
DraftRow25:
1Row21_4:
ReproRow25:
Draft15 TOTAL_5:
Repro4:
G PREPARED BY Lisa M Fulton_5:
H DATE_5:
I APPROVED BY Chris Buckley_5:
J DATE_5:
Form Approved OMB No 07040188_6:
B EXHIBIT A_6:
C CATEGORY TDP TM OTHER X_6:
undefined_6:
E CONTRACTPR NO N0002419R4303_5:
F CONTRACTOR TBD_6:
5 CONTRACT REFERENCE SECTION 157 15713:
6 REQUIRING OFFICE PMS312_6:
7 DD 250 REQ NA_6:
8 APP CODE NA_5:
9 DIST STATEMENT REQUIRED D SEE BLK 16_6:
12 DATE OF FIRST SUBMISSION ASREQ SEE BLK 16_6:
14 DISTRIBUTION ASREQ SEE BLK 16_6:
17 PRICE GROUPRow1_6:
18 ESTIMATED TOTAL PRICERow1_6:
DraftMARMC 410_6:
Repro1_17:
DraftSUPSHIP 400_6:
Repro1_18:
DraftSWRMC 490_5:
Repro1_19:
SWRMC 490Row1_5:
DraftRow4_5:
1Row1_6:
ReproRow4_5:
SWRMC 490Row2_5:
DraftRow5_6:
1Row2_6:
ReproRow5_6:
SWRMC 490Row3_5:
DraftRow6_6:
1Row3_6:
ReproRow6_6:
SWRMC 490Row4_5:
DraftRow7_6:
1Row4_6:
ReproRow7_6:
SWRMC 490Row5_5:
DraftRow8_6:
1Row5_6:
ReproRow8_6:
SWRMC 490Row6_5:
DraftRow9_6:
1Row6_6:
ReproRow9_6:
SWRMC 490Row7_5:
DraftRow10_6:
1Row7_6:
ReproRow10_6:
SWRMC 490Row8_5:
DraftRow11_6:
1Row8_6:
ReproRow11_6:
SWRMC 490Row9_5:
DraftRow12_6:
1Row9_6:
ReproRow12_6:
SWRMC 490Row10_5:
DraftRow13_6:
1Row10_6:
ReproRow13_6:
SWRMC 490Row11_5:
DraftRow14_6:
1Row11_6:
ReproRow14_6:
SWRMC 490Row12_5:
DraftRow15_6:
1Row12_6:
ReproRow15_6:
SWRMC 490Row13_5:
DraftRow16_6:
1Row13_6:
ReproRow16_6:
SWRMC 490Row14_5:
DraftRow17_6:
1Row14_6:
ReproRow17_6:
SWRMC 490Row15_5:
DraftRow18_6:
1Row15_6:
ReproRow18_6:
SWRMC 490Row16_5:
DraftRow19_6:
1Row16_6:
ReproRow19_6:
SWRMC 490Row17_5:
DraftRow20_6:
1Row17_6:
ReproRow20_6:
SWRMC 490Row18_5:
DraftRow21_6:
1Row18_6:
ReproRow21_6:
SWRMC 490Row19_5:
DraftRow22_6:
1Row19_6:
ReproRow22_6:
SWRMC 490Row20_5:
DraftRow23_6:
1Row20_6:
ReproRow23_6:
SWRMC 490Row21_4:
DraftRow24_5:
1Row21_5:
ReproRow24_5:
SWRMC 490Row22:
DraftRow25_2:
1Row22:
ReproRow25_2:
Draft15 TOTAL_6:
Repro3_5:
G PREPARED BY Lisa M Fulton_6:
H DATE_6:
I APPROVED BY Chris Buckley_6:
J DATE_6:
Form Approved OMB No 07040188_7:
B EXHIBIT A_7:
C CATEGORY TDP TM OTHER X_7:
undefined_7:
E CONTRACTPR NO N0002419R4303_6:
F CONTRACTOR TBD_7:
3 SUBTITLE FORMAL WORK PACKAGE:
5 CONTRACT REFERENCE SECTION 158:
6 REQUIRING OFFICE PMS312_7:
7 DD 250 REQ NA_7:
8 APP CODE NA_6:
9 DIST STATEMENT REQUIRED D SEE BLK 16_7:
12 DATE OF FIRST SUBMISSION ASREQ SEE BLK 16_7:
14 DISTRIBUTION ASREQ SEE BLK 16_7:
17 PRICE GROUPRow1_7:
18 ESTIMATED TOTAL PRICERow1_7:
DraftMARMC 410_7:
Repro1_20:
DraftSUPSHIP 400_7:
Repro1_21:
DraftSWRMC 490_6:
Repro1_22:
SWRMC 490Row1_6:
DraftRow4_6:
1Row1_7:
ReproRow4_6:
SWRMC 490Row2_6:
DraftRow5_7:
1Row2_7:
ReproRow5_7:
SWRMC 490Row3_6:
DraftRow6_7:
1Row3_7:
ReproRow6_7:
SWRMC 490Row4_6:
DraftRow7_7:
1Row4_7:
ReproRow7_7:
SWRMC 490Row5_6:
DraftRow8_7:
1Row5_7:
ReproRow8_7:
SWRMC 490Row6_6:
DraftRow9_7:
1Row6_7:
ReproRow9_7:
SWRMC 490Row7_6:
DraftRow10_7:
1Row7_7:
ReproRow10_7:
SWRMC 490Row8_6:
DraftRow11_7:
1Row8_7:
ReproRow11_7:
SWRMC 490Row9_6:
DraftRow12_7:
1Row9_7:
ReproRow12_7:
SWRMC 490Row10_6:
DraftRow13_7:
1Row10_7:
ReproRow13_7:
SWRMC 490Row11_6:
DraftRow14_7:
1Row11_7:
ReproRow14_7:
SWRMC 490Row12_6:
DraftRow15_7:
1Row12_7:
ReproRow15_7:
SWRMC 490Row13_6:
DraftRow16_7:
1Row13_7:
ReproRow16_7:
SWRMC 490Row14_6:
DraftRow17_7:
1Row14_7:
ReproRow17_7:
SWRMC 490Row15_6:
DraftRow18_7:
1Row15_7:
ReproRow18_7:
SWRMC 490Row16_6:
DraftRow19_7:
1Row16_7:
ReproRow19_7:
SWRMC 490Row17_6:
DraftRow20_7:
1Row17_7:
ReproRow20_7:
SWRMC 490Row18_6:
DraftRow21_7:
1Row18_7:
ReproRow21_7:
SWRMC 490Row19_6:
DraftRow22_7:
1Row19_7:
ReproRow22_7:
SWRMC 490Row20_6:
DraftRow23_7:
1Row20_7:
ReproRow23_7:
SWRMC 490Row21_5:
DraftRow24_6:
1Row21_6:
ReproRow24_6:
SWRMC 490Row22_2:
DraftRow25_3:
1Row22_2:
ReproRow25_3:
Draft15 TOTAL_7:
Repro3_6:
G PREPARED BY Lisa M Fulton_7:
H DATE_7:
I APPROVED BY Chris Buckley_7:
J DATE_7:
Form Approved OMB No 07040188_8:
B EXHIBIT A_8:
C CATEGORY TDP TM OTHER X_8:
undefined_8:
E CONTRACTPR NO N0002419R4303_7:
F CONTRACTOR TBD_8:
3 SUBTITLE CONTROLLED WORK PACKAGE:
5 CONTRACT REFERENCE SECTION 158_2:
6 REQUIRING OFFICE PMS312_8:
7 DD 250 REQ NA_8:
8 APP CODE NA_7:
9 DIST STATEMENT REQUIRED D SEE BLK 16_8:
12 DATE OF FIRST SUBMISSION ASREQ SEE BLK 16_8:
14 DISTRIBUTION ASREQ SEE BLK 16_8:
17 PRICE GROUPRow1_8:
18 ESTIMATED TOTAL PRICERow1_8:
DraftMARMC 410_8:
Repro1_23:
DraftSUPSHIP 400_8:
Repro1_24:
DraftSWRMC 490_7:
Repro1_25:
SWRMC 490Row1_7:
DraftRow4_7:
1Row1_8:
ReproRow4_7:
SWRMC 490Row2_7:
DraftRow5_8:
1Row2_8:
ReproRow5_8:
SWRMC 490Row3_7:
DraftRow6_8:
1Row3_8:
ReproRow6_8:
SWRMC 490Row4_7:
DraftRow7_8:
1Row4_8:
ReproRow7_8:
SWRMC 490Row5_7:
DraftRow8_8:
1Row5_8:
ReproRow8_8:
SWRMC 490Row6_7:
DraftRow9_8:
1Row6_8:
ReproRow9_8:
SWRMC 490Row7_7:
DraftRow10_8:
1Row7_8:
ReproRow10_8:
SWRMC 490Row8_7:
DraftRow11_8:
1Row8_8:
ReproRow11_8:
SWRMC 490Row9_7:
DraftRow12_8:
1Row9_8:
ReproRow12_8:
SWRMC 490Row10_7:
DraftRow13_8:
1Row10_8:
ReproRow13_8:
SWRMC 490Row11_7:
DraftRow14_8:
1Row11_8:
ReproRow14_8:
SWRMC 490Row12_7:
DraftRow15_8:
1Row12_8:
ReproRow15_8:
SWRMC 490Row13_7:
DraftRow16_8:
1Row13_8:
ReproRow16_8:
SWRMC 490Row14_7:
DraftRow17_8:
1Row14_8:
ReproRow17_8:
SWRMC 490Row15_7:
DraftRow18_8:
1Row15_8:
ReproRow18_8:
SWRMC 490Row16_7:
DraftRow19_8:
1Row16_8:
ReproRow19_8:
SWRMC 490Row17_7:
DraftRow20_8:
1Row17_8:
ReproRow20_8:
SWRMC 490Row18_7:
DraftRow21_8:
1Row18_8:
ReproRow21_8:
SWRMC 490Row19_7:
DraftRow22_8:
1Row19_8:
ReproRow22_8:
SWRMC 490Row20_7:
DraftRow23_8:
1Row20_8:
ReproRow23_8:
SWRMC 490Row21_6:
DraftRow24_7:
1Row21_7:
ReproRow24_7:
SWRMC 490Row22_3:
DraftRow25_4:
1Row22_3:
ReproRow25_4:
Draft15 TOTAL_8:
Repro3_7:
G PREPARED BY Lisa M Fulton_8:
H DATE_8:
I APPROVED BY Chris Buckley_8:
J DATE_8:
Form Approved OMB No 07040188_9:
B EXHIBIT A_9:
C CATEGORY TDP TM OTHER X_9:

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