Exhibit A N6852020R0124 Draft CDRLs A001 through A006 - 6.9.20.pdf

DD FORM 1423-1, FEB 2001 Previous edition may be used. Page 1 of 8

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

0009 A TDP TM OTHER R&D

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

FST Site Logistics Support Services N6852020R0124 TBD

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

A001 Contractor’s Progress, Status and Management

Report Monthly Summary Report

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

DI-MGMT-80227 (see block 16) SEE BLK 16 FST Site Logistics Office

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT MTHLY SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

B

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

N/A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS FRCE TOCOR 0 1 1

1. BLOCK 4 – REPORT TO PROVIDE DETAILED PROJECT STATUS, SCHEDULE,

COST, PROBLEM AREAS, ETC (SEE DI-MGMT-80227 FOR FULL DETAILS) FOR

EACH ACTIVE TASK ORDER, REFERENCING THE TASKING PERFORMED TO

BOTH THE APPLICABLE TASK ORDER STATEMENT OF WORK SECTION AND

ANY OTHER RELATED CDRLS.

2. BLOCK 5 – 3.1.3.1, 3.1.5.1.3

3. BLOCK 9 – DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT AGENCIES

ONLY TO PROTECT INFORMATION IN MANAGEMENT REVIEWS, RECORDS OF

CONTRACT PERFORMANCE EVALUATION, OR OTHER ADVISORY

DOCUMENTS EVALUATING PROGRAMS OF CONTRACTORS. DATE OF

DETERMINATION 08 JUNE 2020. OTHER REQUESTS FOR THIS DOCUMENT

SHALL BE REFERRED TO COMMANDING OFFICER, FLEET READINESS

CENTERS, 47038 MCLEOD RD., BLDG 448, PATUXENT RIVER, MD 20670.

4. BLOCK 11 – AS OF THE TASK ORDER EFFECTIVE DATE.

5. BLOCK 12 AND 13 – THE 20th CALENDAR DAY OF EACH MONTH. IF THE 20TH

FALLS ON A WEEKEND OR HOLIDAY, THE DATE OF SUBMISSION IS THE

NEXT REGULAR BUSINESS DAY.

6. BLOCK 14 – See Clause 5252.247-9505 TECHNICAL DATA AND INFORMATION

(NAVAIR)(FEB 1995) in Section F for electronic delivery addresses.

7. THE FOLLOWING INFORMATION IS PROVIDED AS CLARIFICATION OF DI-

MGMT-80227 SECTION 10:

ELECTRONIC SUBMISSION IS REQUIRED

FOR EACH SPECIFIC TASK ORDER ONLY; CONTRACTUAL EXPENDITURES NOT

REQUIRED. SUMMARY OF TOTAL ORDER CEILING, FUNDED AMOUNT,

EXPENDITURES AND REMAINING CEILING, BROKEN DOWN BY LABOR (COST AND

FEE) AND AS APPLICABLE, TRAVEL AND MATERIAL.

FRCE COR 0 1 1

0 2 2

G. PREPARED BY

H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, FEB 2001 Previous edition may be used. Page 2 of 8

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort

(production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1, FEB 2001 Previous edition may be used. Page 3 of 8

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

0009 A TDP TM OTHER R&D

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

FST Site Logistics Support Services N6852020R0124 TBD

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

A002 Transition Out Strategy Transition Out Plan

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

DI-MGMT-81945 (see block 16) SOW Paragraph 3.1.8 FST Site Logistics Office

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

B

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

N/A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS FRCE COR 0 1 1

1. BLOCK 4 – REPORT TO PROVIDE DETAILED WORK TURNOVER, QUALITY

ASSURANCE, RISK MITIGATION STRATEGIES, AND DATA/INFORMATION

TRANSFER TO THE FOLLOW-ON CONTRACTOR. 3.1.8 SOW paragraph.

2. BLOCK 9 – DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT

AGENCIES ONLY TO PROTECT INFORMATION IN MANAGEMENT

REVIEWS, RECORDS OF CONTRACT PERFORMANCE EVALUATION, OR

OTHER ADVISORY DOCUMENTS EVALUATING PROGRAMS OF

CONTRACTORS. DATE OF DETERMINATION 08 JUNE 2020. OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO

COMMANDING OFFICER, FLEET READINESS CENTERS, 47038 MCLEOD

RD., BLDG 448, PATUXENT RIVER, MD 20670.

3. BLOCK 11 – 60 CALENDAR DAY TRANSITION PERIOD.

4. BLOCK 12 AND 13 – WEEKLY REPORTS

5. THE FOLLOWING INFORMATION IS PROVIDED AS CLARIFICATION OF DI-

MGMT-81945 SECTION 1:

6. BLOCK 14 – See Clause 5252.247-9505 TECHNICAL DATA AND INFORMATION (NAVAIR)(FEB 1995) in Section F for electronic delivery addresses.

ELECTRONIC SUBMISSION IS REQUIRED.

0 1 1

DD FORM 1423-1, FEB 2001 Previous edition may be used. Page 4 of 8

Form Approved OMB No. 0704-0188

The public reporting burden for this 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

0009 A TDP TM OTHER R&D

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

FST Site Logistics Support Services N6852020R0124 TBD

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

A003 Contractor’s Progress, Status and Management

Report Annual Total Case Incidence Rate/Days Away Restricted Time (TCIR/DART)

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

DI-MGMT-80227 (see block 16) SOW PARAGRAPH 3.5.6 FST Site Logistics Support Office

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ANNUAL SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

E

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

N/A SEE BLK 16 ANNUAL Reg Repro

16. REMARKS

FRCE COR 0 1 1

1. BLOCK 4: REPORT SHALL BE DEVELOPED USING MS OFFICE TOOLS,

SUCH AS WORD OR EXCEL. REPLACE INSTRUCTIONS OF PARA 10

WITH THE FOLLOWING: SUBMIT YOUR TOTAL CASE INJURY RATES

(TCIR) AND DAYS AWAY, RESTRICTED AND/OR TRANSFERRED (DART)

RATES OR INJURY AND ILLNESS RATES (FOR THE STANDARD

INDUSTRIAL CLASSIFICATION SYSTEMS (SICS) CODE OR THE NORTH

AMERICAN INDUSTRIAL CLASSIFICATION SYSTEMS (NAICS) CODE) FOR

THE APPLICABLE INDUSTRY ANNUALLY USING THE BUREAU OF LABOR

STATISTICS (BLS) FORMULA IAW CSP 03-01-003, VOLUNTARY

PROTECTION PROGRAMS (VPP): POLICIES AND PROCEDURES MANUAL,

APPENDIX A. IF TRICR/DART RATES OR INJURY AND ILLNESSES RATES

ARE NOT MAINTAINED DUE TO OSHA AUTHORIZED EXCLUSIONS,

SUBMIT COMPARABLE INSURANCE RATES OR COMPENSATION INJURY

RATES.

2. BLOCK 9: DISTRIBUTION AUTHORIZED TO DOD COMPONENTS ONLY TO

PROTECT INFORMATION IN MANAGEMENT REVIEWS, RECORDS OF

CONTRACT PERFORMANCE EVALUATION, OR OTHER ADVISORY

DOCUMENTS EVALUATING PROGRAMS OF CONTRACTORS. DATE OF

DETERMINATION 08 JUNE 2020. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO COMMANDING OFFICER, FLEET

READINESS CENTERS, 47038 MCLEOD RD., BLDG 448, PATUXENT

RIVER, MD 20670.

3. BLOCK 11: THE EFFECTIVE DATE OF THE BASE CONTRACT.

4. BLOCK 12: NO LATER THAN THE FINAL WORKING DAY IN THE MONTH

OF JANUARY OF EACH CALENDAR YEAR.

5. BLOCK 14 – See Clause 5252.247-9505 TECHNICAL DATA AND

DD FORM 1423-1, FEB 2001 Previous edition may be used. Page 5 of 8

Form Approved OMB No. 0704-0188

The public reporting burden for this 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

0009 A TDP TM OTHER R&D

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

FST Site Logistics N6852020R0124 TBD

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

A004 OPERATIONS SECURITY (OPSEC) PLAN OPSEC PLAN

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

DI-MGMT-80934C SOW PARAGRAPH 3.2.5 FST Site Logistics

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD ASREQ 1MAC

a. ADDRESSEE

b. COPIES

8. APP CODE

C

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

A N/A SEE BLK 16 Reg Repro

16. REMARKS FRCE COR 1 0 1

1. BLK 12: FIRST SUBMISSION SHALL BE PROVIDED ONE (1) MONTH

AFTER CONTRACT AWARD.

2. BLK 13; SUBSQUENT SUBMISSIONS (REVISIONS) SHALL BE DUE

THROUGHOUT THE END OF THE CONTRACT.

3. BLOCK 14 – See Clause 5252.247-9505 TECHNICAL DATA AND

4. THE GOVERNMENT WILL HAVE 20 BUSINESS DAYS FOR REVIEW AND

ACCEPTANCE/REJECTION OF EACH SUBMISSION.

5. CONTRACTOR SHALL INCORPORATE GOVERNMENT COMMENTS

WITHIN 10 WORKING DAYS OF RECEIPT OF COMMENTS.

6. REQUIREMENTS OF THE DD-254.

7. ACCEPTANCE OF ANY REPORT THAT INCLUDES INFORMATION

CONCERNING CHANGES IN CONTRACT REQUIREMENTS, STANDARDS,

AND SPECIFICATIONS DOES NOT CONSTITUTE GOVERNMENT

AGREEMENT TO THOSE CHANGES. ONLY BY DIRECTION OF THE

CONTRACTING OFFICER CAN SUCH CHANGES BE MADE.

8. BLK 9: THE FOLLOWING STATEMENT SHALL BE INCLUDED IN THE

DELIVERABLE:

DISTIBUTION C: DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT

AGENCIES AND THEIR CONTRACTORS, (ADMINISTRATIVE OR OPERATIONAL

USE), (08 JUNE 2020). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE

REFERRED TO COMMANDING OFFICER, FLEET READINESS CENTERS, 47038

MCLEOD RD., BLDG 448, PATUXENT RIVER, MD 20670.

1 0 1

2 0 2

DD FORM 1423-1, FEB 2001 Previous edition may be used. Page 6 of 8

ANNEX TO EXHIBIT A001

The Operations Security (OPSEC) Plan format and content shall be in accordance with the following:

a. The OPSEC Plan shall be marked “FOR OFFICIAL USE ONLY,” with “Exemption Category b(2)” specified in accordance with SECNAVINST 5720.42F, Enclosure (4), DoN Freedom of Information Act (FOIA)

Program.

b. The OPSEC Plan shall specify control, destruction, transmission, dissemination, storage, and/or marking requirements for sensitive unclassified information, (as defined in the Computer Security Act of 1987, including

“FOR OFFICIAL USE ONLY (FOUO)” information).

c. The OPSEC Plan shall specify how the transmission of privacy data, intellectual property, and acquisition related information, will meet the requirements of Federal Information Processing Standard (FIPS)

140-2 compliant protection.

d. The OPSEC Plan shall specify how public releases will be approved prior to release.

e. The OPSEC Plan shall define specific “Critical Information,” rather than Essential Elements of Friendly

Information (EEFI), to determine what data requires protection. Care shall be taken when compiling a list of

“Critical Information”, as this is much broader than an EEFI list. Also, a listing of EEFI, a subset of critical information that is limited to “counter, kill, or clone” data, may be classified.

f. The OPSEC Plan shall address the use of Distribution Statements on technical documents within the

OPSEC Plan, as required by Exhibit 8A of SECNAVINST 5510.36.

g. The OPSEC Plan shall delineate graphic arts support for sensitive unclassified and/or FOUO program information. The OPSEC plan shall delineate how graphic arts support will be provided, and how graphics products are produced, handled, used, stored, and transmitted. (This requirement focuses on materials prepared by program personnel for conferences, briefings, trade shows, and/or expositions.)

h. If applicable, the OPSEC Plan shall specify how the approval for use of deception activities will be coordinated through AIR-7.4.4 to CNO.

i. The OPSEC Plan shall specify how foreign travel briefs required for employees traveling to foreign countries will be provided. The processes and procedures for foreign travel briefs and foreign national involvement in the program shall be clearly specified.

j. The OPSEC Plan shall contain an overview of all activities, operations, tests to be undertaken in performance of the contract; identify those in which classified/ critical program information will manifest itself;

determine how, where, when the classified/critical program information is embodied in the hardware, software, or operations; determine what type access (visual, physical possession, audio, etc.) permits knowledge of the classified/critical program information.

k. The OPSEC Plan shall contain the threats deemed applicable to the specific contract activities.

l. The OPSEC Plan shall contain vulnerabilities derived by comparing threat to sensitive activities to determine which sensitive activities the adversary can exploit.

m. The OPSEC Plan shall include, for each vulnerability, the protective counter-measures deemed appropriate to mitigate the potential damage to the project.

DD FORM 1423-1, FEB 2001 Previous edition may be used. Page 7 of 8

Form Approved OMB No. 0704-0188

The public reporting burden for this 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

0009 A TDP TM OTHER R&D

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

FST Site Logistics Support Services N6852020R0124 TBD

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

A005 BRIEFING MATERIAL AS DESIGNATED IN TASK ORDERS

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

DI-MGMT-81605 SEE BLK 16 FST Site Logistics Support Office

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT MTHLY SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

E

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

N/A N/A SEE BLK 16 Reg Repro

FRCE TOCOR 0 1 1

1. BLOCK 4 – CONTRACTOR FORMAT IS ACCEPTABLE, USING MICROSOFT

OFFICE TOOLS AS REQUIRED (FOR EXAMPLE, MS POWER POINT

PRESENTATIONS).

2. BLOCK 5 – CONTRACT REFERENCE PARAGRAPHS: 3.1.2.3, 3.3.1.7.12,

3.3.1.8.3, 3.3.1.9.7, 3.3.1.10.1, 3.3.2.7.15, 3.3.2.8.9, 3.3.2.9.10, 3.3.2.10.18, 3.3.2.10.26, 3.3.2.10.29.7, 3.3.2.12.4, 3.3.3.7.8, 3.3.3.8.10, 3.3.3.10.4

3. BLOCK 9 – DISTRIBUTION AUTHORIZED TO DOD COMPONENTS ONLY

TO PROTECT TECHNICAL OR OPERATIONAL DATA OR INFORMATION

FROM AUTOMATIC DISSEMINATION UNDER THE INTERNATIONAL

EXCHANGE PROGRAM OR BY OTHER MEANS. THIS PROTECTION

COVERS PUBLICATIONS REQUIRED SOLEY FOR OFFICAL USE OR

STRICTLY FOR ADMINISTRATIVE OR OPERATIONAL PURPOSES. THIS

STATEMENT MAY APPLY TO MANUALS, PAMPHLETS, TECHNICAL

ORDERS, TECHNICAL REPORTS, AND OTHER PUBLICATIONS

CONTAINING VALUABLE TECHNICAL OR OPERATIONAL DATA. DATE OF

DETERMINATION 08 JUNE 2020. OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO BLOCK 9: DISTRIBUTION

AUTHORIZED TO DOD COMPONENTS ONLY TO PROTECT INFORMATION

IN MANAGEMENT REVIEWS, RECORDS OF CONTRACT PERFORMANCE

EVALUATION, OR OTHER ADVISORY DOCUMENTS EVALUATING

PROGRAMS OF CONTRACTORS. DATE OF DETERMINATION 08 JUNE

2020. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED

TO COMMANDING OFFICER, FLEET READINESS CENTERS, 47038

MCLEOD RD., BLDG 448, PATUXENT RIVER, MD 20670.

4. BLOCKS 10, 12, AND 13 – SUBMIT THE 20th CALENDAR DAY OF EACH

MONTH. IF THE 20TH FALLS ON A WEEKEND OR HOLIDAY, THE DATE OF

SUBMISSION IS THE NEXT REGULAR BUSINESS DAY.

5. BLOCK 14 – See Clause 5252.247-9505 TECHNICAL DATA AND

DD FORM 1423-1, FEB 2001 Previous edition may be used. Page 8 of 8

Form Approved OMB No. 0704-0188

The public reporting burden for this 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

0009 A TDP TM OTHER R&D

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

FRC Site Logistics Support Services N6852020R0124 TBD

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

A006 Component Tracking and Reconstruction Component Tracking and Reconstruction

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

SEE BLK 16 3.1.3.2 FRC Site Logistics Support Office

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT MONTHLY SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

E

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION Draft

Final

N/A N/A SEE BLK 16 Reg Repro

1. BLOCK 4 – THE CDRL SHALL CONTAIN THE FOLLOWING:

Section I – Database: A) Number of aircraft on Master file. B) Number of aircraft not loaded. C) Number of new aircraft loaded. D) Number of components tracked per aircraft. E) Number of components in the Master file. F) Number of aircraft inducted into SDLM/Rework. G) Number of aircraft completed SDLM/Rework. H) Number of aircraft in SDLM/Rework.

Section II – Current Month’s Activity: Total Aircraft Updated this Month – 1) Mail-In Program. 2) Data Call Submissions. 3) Savings/Benefits. 4) Dollar Loss Due to Penalty Application. 5) Flight Summary Update. 6) Special Reports.

2. BLOCK 9 – DISTRIBUTION E. DISTRIBUTION AUTHORIZED TO DOD

COMPONENTS ONLY TO PROTECT TECHNICAL OR OPERATIONAL DATA OR

INFORMATION FROM AUTOMATIC DISSEMINATION UNDER THE

INTERNATIONAL EXCHANGE PROGRAM OR BY OTHER MEANS. THIS

PROTECTION COVERS PUBLICATIONS REQUIRED SOLEY FOR OFFICAL USE

OR STRICTLY FOR ADMINISTRATIVE OR OPERATIONAL PURPOSES. THIS

STATEMENT MAY APPLY TO MANUALS, PAMPHLETS, TECHNICAL ORDERS,

TECHNICAL REPORTS, AND OTHER PUBLICATIONS CONTAINING VALUABLE

TECHNICAL OR OPERATIONAL DATA. DATE OF DETERMINATION 08 JUNE

2020. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO

COMMANDING OFFICER, FLEET READINESS CENTERS, 47038 MCLEOD RD.,

BLDG 448, PATUXENT RIVER, MD 20670.

3. BLOCK 12 & 13 – THE 20th CALENDAR DAY OF EACH MONTH. IF THE 20TH

FALLS ON A WEEKEND OR HOLIDAY, THE DATE OF SUBMISSION IS THE

NEXT REGULAR BUSINESS DAY.

4. BLOCK 14 – See Clause 5252.247-9505 TECHNICAL DATA AND INFORMATION

(NAVAIR)(FEB 1995) in Section F for electronic delivery addresses.

FRCE TOCOR 0 1 1