_Exhibit Q - SUSTAINMENT - Priced (Q001 - Q007) - CNR - FINAL - 24 June 2021.pdf

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

10. FREQUENCY 12. DATE OF 1ST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT

Draft

Final Reg Repro

16. REMARKS

15. TOTAL ---------

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

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

2015 Q

Combat Net Radio (CNR) W15P7T-21-R-0009 TBD

Q001 Scientific and Technical Reports Core Depot Assessment (CDA) Data Report

DI-MISC-80711A SOW 6.1.1 and appendix 7 PdM Waveforms (WF) PM TR

SEE BLK 16

N/A SEE BLK 16

ACC KO

COR

PdMWF POC 1

011CECOM ILSC

1 0

3 3 0

BLK 4: Delete Block 10.2 of Data Item Description (DID) DI-MISC-80711A and submit in accordance with this CDRL and the SOW. Contractor shall submit in MS Office (version to be specified in order)

BLK 7: Unclassified submissions shall be via email, or web-based electronic file delivery system (ex: SharePoint). Classified submissions shall be via approved classified methods.

BLK 8: The Government requires 45 business days to review all draft submissions and provide comments addressing the technical content and format. Government approval will be provided within 30 business days after receipt of the final submission that incorporates all of the Government’s comments.

BLK 9: THE CONTRACTOR SHALL APPLY THE FOLLOWING DISTRIBUTION

STATEMENT TO EACH DELIVERABLE:

DISTRIBUTION STATEMENT: Distribution authorized to the Department of Defense and U.S.

DoD contractors only for critical technology effective 19 August 2014. Other requests shall be referred to Program Executive Office Command Control Communications-Tactical, Project Manager Tactical Radios.

WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Control Reform Act of 2018 (Title 50, U.S.C., Chapter 58, Sec. 4801-4852). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Controlled by: PM TR CUI Category(ies): Controlled Technical Information (CTI), Export Control (EXPT) Limited Dissemination Control: Federal Employees and Contractors Only (FEDCON) POC: Glen R. Gearhart (443) 395-2923

BLK 13: Updated submissions due NLT 30 days following the receipt of Government comments.

LOG

8. APP CODE

SEE BLK 16

ASREQ 180DAODD

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

10. FREQUENCY 12. DATE OF 1ST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT

Draft

Final Reg Repro

16. REMARKS

15. TOTAL ---------

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

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

2015 Q

Combat Net Radio (CNR) W15P7T-21-R-0009 TBD

Q002 Technical Report - Study/Services Organic Depot Support Package

DI-MISC-80508B SOW 6.1.1 PdM Waveforms (WF) PM TR

SEE BLK 16

N/A SEE BLK 16

ACC KO

COR

PdMWF POC 1

1 0

3 3 0

BLK 4: Prepare in accordance with DI-MISC-80508B and content described within the order.

Contractor shall submit in MS Office (version to be specified in order)

BLK 7: Unclassified submissions shall be via email, or web-based electronic file delivery system (ex: SharePoint). Classified submissions shall be via approved classified methods.

BLK 8: The Government requires 60 business days to review all draft submissions and provide comments addressing the technical content and format. Government approval will be provided within 60 business days after receipt of the final submission that incorporates all of the Government’s comments.

BLK 9: THE CONTRACTOR SHALL APPLY THE FOLLOWING DISTRIBUTION

STATEMENT TO EACH DELIVERABLE:

DISTRIBUTION STATEMENT: Distribution authorized to the Department of Defense and U.S.

DoD contractors only for critical technology effective 19 August 2014. Other requests shall be referred to Program Executive Office Command Control Communications-Tactical, Project Manager Tactical Radios.

WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Control Reform Act of 2018 (Title 50, U.S.C., Chapter 58, Sec. 4801-4852). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Controlled by: PM TR CUI Category(ies): Controlled Technical Information (CTI), Export Control (EXPT) Limited Dissemination Control: Federal Employees and Contractors Only (FEDCON) POC: Glen R. Gearhart (443) 395-2923

BLK 12: Submit draft NLT 30 days following direction by Contracting Officer (KO) or Contracting Officers Representative (COR)

BLK 13: Updated submissions due NLT 30 days following the receipt of Government comments.

LOG

8. APP CODE

ASREQ SEE BLK 16DD

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

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST

STATEMENT

10. FREQUENCY 12. DATE OF 1ST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT

Draft

Final Reg Repro

16. REMARKS

15. TOTAL ---------

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

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

2015 Q

Combat Net Radio (CNR) W15P7T-21-R-0009 TBD

Q003 Special Tooling (ST) Engineering Design Data and Associated Lists

Tooling Drawings

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81008F SOW 6.1.3 PdM Waveforms (WF) PM TR

SEE BLK 16

N/A SEE BLK 16

ACC KO

COR

PdMWF POC 1

1 0

3 3 0

BLK 4: Prepare in accordance with DI-SESS-81008F and Paragraph 5.3.3.6 of MIL-STD-31000B, and content described within the order. Contractor shall submit in MS Office (version to be specified in order)

BLK 7: Unclassified submissions shall be via email, or web-based electronic file delivery system (ex: SharePoint). Classified submissions shall be via approved classified methods.

BLK 8: The Government requires 60 business days to review all draft submissions and provide comments addressing the technical content and format. Government approval will be provided within 60 business days after receipt of the final submission that incorporates all of the Government’s comments.

BLK 9: THE CONTRACTOR SHALL APPLY THE FOLLOWING DISTRIBUTION

STATEMENT TO EACH DELIVERABLE:

DISTRIBUTION STATEMENT: Distribution authorized to the Department of Defense and U.S.

DoD contractors only for critical technology effective 19 August 2014. Other requests shall be referred to Program Executive Office Command Control Communications-Tactical, Project Manager Tactical Radios.

WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Control Reform Act of 2018 (Title 50, U.S.C., Chapter 58, Sec. 4801-4852). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Controlled by: PM TR CUI Category(ies): Controlled Technical Information (CTI), Export Control (EXPT) Limited Dissemination Control: Federal Employees and Contractors Only (FEDCON) POC: Glen R. Gearhart (443) 395-2923

BLK 12: Submit draft NLT thirty (30) days following direction by Contracting Officer (KO) or Contracting Officers Representative (COR)

BLK 13: Updated submissions due NLT 30 days following the receipt of Government comments.

LOG

8. APP CODE

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

10. FREQUENCY 12. DATE OF 1ST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT

Draft

Final Reg Repro

16. REMARKS

15. TOTAL ---------

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

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

2015 Q

Combat Net Radio (CNR) W15P7T-21-R-0009 TBD

Q004 Public-Private Partnership Funded Organic Workload Forecast Depot Level Test Fixtures

DI-MGMT-82309 SOW 6.1.4 PdM Waveforms (WF) PM TR

SEE BLK 16

N/A SEE BLK 16

ACC KO

COR

PdMWF POC 1

1 0

3 3 0

BLK 4: Prepare in contractor format and content described within the order. Contractor shall submit in MS Office (version to be specified in order)

BLK 7: Unclassified submissions shall be via email, or web-based electronic file delivery system (ex: SharePoint). Classified submissions shall be via approved classified methods.

BLK 8: The Government requires 30 business days to review all draft submissions and provide comments addressing the technical content and format. Government approval will be provided within 30 business days after receipt of the final submission that incorporates all of the Government’s comments.

BLK 9: THE CONTRACTOR SHALL APPLY THE FOLLOWING DISTRIBUTION

STATEMENT TO EACH DELIVERABLE:

DISTRIBUTION STATEMENT: Distribution authorized to the Department of Defense and U.S.

DoD contractors only for critical technology effective 19 August 2014. Other requests shall be referred to Program Executive Office Command Control Communications-Tactical, Project Manager Tactical Radios.

WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Control Reform Act of 2018 (Title 50, U.S.C., Chapter 58, Sec. 4801-4852). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Controlled by: PM TR CUI Category(ies): Controlled Technical Information (CTI), Export Control (EXPT) Limited Dissemination Control: Federal Employees and Contractors Only (FEDCON) POC: Glen R. Gearhart (443) 395-2923

BLK 12: Submit draft NLT thirty (30) days following direction by Contracting Officer (KO) or Contracting Officers Representative (COR)

BLK 13: Updated submissions due NLT 30 days following the receipt of Government comments.

LOG

8. APP CODE

DD FORM 1423-1, FEB 2001

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

2015 Q LOG

Combat Net Radio (CNR)

Q005 Failure Summary and Analysis Report Failure Summary and Analysis Report

DI-SESS-80255B SOW 6.3.2 PdM Waveforms (WF) PM TR

DD

SEE BLK 16 SEE BLK 16

MTHLY

TBD

SEE BLK 16

SEE BLK 16

PdMWF POC 1 1

COR 1 1

ACC KO 1 1

AMEL-LCC-RV 1 1

4 4 0

BLK 4: Prepare in contractor format with content described within the order. Contractor shall submit in MS Office (version to be specified in order). The contractor shall submit the following reports for compliance to evaluate the contractor’s Failure Reporting program. The report shall summarize the results of the contractor’s failure reporting program, implementation required by the statement of work, and shall include a cumulative tabulation of failure data. Failures that occurred during the latest report period shall be identified by suitable notation.

1. The contractor shall provide a monthly failure data for 24-months

2. Format: Failure reporting can be in OEM format and shall be electronic .xls or .xlsx, compatible. The CDRL failure reporting will include the following content:

a. Failure Item Number (Reference 3.1)

b. Failure Date (DD/MM/YYYY) (Reference 3.3)

c. Failed Part Name (Reference 3.5)

d. Failed Part Number (e.g. national stock number (NSN), logistics control number (LCN) work unit code (WUC) - (Reference 3.6)

e. Subassembly (LRU) Name (Reference 3.8)

f. Subassembly (LRU) Number (Reference 3.8)

g. Equipment Nomenclature (Reference 3.10)

h. Equipment Serial Number (Reference 3.10)

i. AMDF Price

j. # of Part Failure per Month in Monthly Buckets (numeric value of failed part name/number with associated SRU; part name/numbers with multiple SRUs should be listed on separate lines. failures of the per month)

BLK 7: Unclassified submissions shall be via email, or web-based electronic file delivery system (i.e. SharePoint). Classified submissions shall be via approved classified methods

BLK 8: The Government requires 60 business days to review all draft submissions and provide comments addressing the technical content and format. Government approval will be provided within 30 business days after receipt of the final submission that incorporates all of the Government's comments

Adobe Professional 8.0

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

16. REMARKS (Continued)

DD FORM 1423-1, FEB 2001 Page of Pages

2015 Q LOG

Combat Net Radio (CNR)

BLK 9: THE CONTRACTOR SHALL APPLY THE FOLLOWING DISTRIBUTION STATEMENT TO EACH DELIVERABLE:

DISTRIBUTION STATEMENT: Distribution authorized to the Department of Defense and U.S. DoD contractors only for critical technology effective 19 August 2014. Other requests shall be referred to Program Executive Office Command Control Communications-Tactical, Project Manager Tactical Radios.

WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Control Reform Act of 2018 (Title 50, U.S.C., Chapter 58, Sec. 4801-4852). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Controlled by: PM TR UI Category(ies): Controlled Technical Information (CTI), Export Control (EXPT) Limited Dissemination Control: Federal Employees and Contractors Only (FEDCON) POC: Glen R. Gearhart (443) 395-2923

BLK 10: Provide with Contract Progress, Status, and Management Report on a monthly basis

BLK 11: Subsequent deliveries submitted monthly by the 15th of the month following the conclusion of the previous month reporting period

BLK 12: Submit draft NLT 30 days following direction by Contracting Officer (KO) or Contracting Officer's Representative (COR)

BLK 13: Updated submissions due NLT 30 days following the receipt of Government comments. Report shall include data from the previous calendar month, the repair status for all on-going repairs, and a summary of all completed repairs under this contract

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

10. FREQUENCY 12. DATE OF 1ST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT

Draft

Final Reg Repro

16. REMARKS

15. TOTAL ---------

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

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

2015 Q

Combat Net Radio (CNR) W15P7T-21-R-0009 TBD

Q006 Calibration and Measurements Requirements Summary (CMRS) Test, Maintenance, and Diagnostic Equipment (TMDE)

DI-QCIC-80278C SOW 6.4 PdM Waveforms (WF) PM TR

SEE BLK 16

N/A SEE BLK 16

ACC KO

COR

PdMWF POC 1

1 0

3 3 0

BLK 4: Contractor format is acceptable with content described within the order. Contractor shall submit in MS Office (version to be specified in order).

BLK 7: Unclassified submissions shall be via email, or web-based electronic file delivery system (i.e. SharePoint). Classified submissions shall be via approved classified methods.

BLK 8: The Government requires 30 business days to review all draft submissions and provide comments addressing the technical content and format. Government approval will be provided within 30 business days after receipt of the final submission that incorporates all of the Government's comments.

BLK 9: THE CONTRACTOR SHALL APPLY THE FOLLOWING DISTRIBUTION

STATEMENT TO EACH DELIVERABLE:

DISTRIBUTION STATEMENT: Distribution authorized to the Department of Defense and U.S.

DoD contractors only for critical technology effective 19 August 2014. Other requests shall be referred to Program Executive Office Command Control Communications-Tactical, Project Manager Tactical Radios.

WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Control Reform Act of 2018 (Title 50, U.S.C., Chapter 58, Sec. 4801-4852). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Controlled by: PM TR CUI Category(ies): Controlled Technical Information (CTI), Export Control (EXPT) Limited Dissemination Control: Federal Employees and Contractors Only (FEDCON) POC: Glen R. Gearhart (443) 395-2923

BLK 10: NLT 7 days after direction of the KO or COR, submit for Government approval new and/or revised reports or after discovery of items not addressed in previous submissions.

BLK 13: Updated submissions due NLT 30 days following the receipt of Government comments.

LOG

8. APP CODE

SEE BLK 16 45DAODD

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

10. FREQUENCY 12. DATE OF 1ST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

11. AS OF DATE 13. DATE OF SUBSEQUENT

Draft

Final Reg Repro

16. REMARKS

15. TOTAL ---------

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

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

2015 Q

Combat Net Radio (CNR) W15P7T-21-R-0009 TBD

Q007 Special Tooling/Special Test Equipment (ST/STE) Information Special Test Equipment (STE) List

DI-SESS-81744 SOW 6.4 PdM Waveforms (WF) PM TR

SEE BLK 16

N/A SEE BLK 16

ACC KO

COR

PdMWF POC 1

1 0

3 3 0

BLK 4: Submit IAW DI-SESS-81744, delete AFEMS, and submit in contractor format with content described within the order. Contractor shall submit in MS Office (version to be specified in order).

BLK 7: Unclassified submissions shall be via email, or web-based electronic file delivery system (i.e. SharePoint). Classified submissions shall be via approved classified methods.

BLK 8: The Government requires 30 business days to review all draft submissions and provide comments addressing the technical content and format. Government approval will be provided within 30 business days after receipt of the final submission that incorporates all of the Government's comments.

BLK 9: THE CONTRACTOR SHALL APPLY THE FOLLOWING DISTRIBUTION

STATEMENT TO EACH DELIVERABLE:

DISTRIBUTION STATEMENT: Distribution authorized to the Department of Defense and U.S.

DoD contractors only for critical technology effective 19 August 2014. Other requests shall be referred to Program Executive Office Command Control Communications-Tactical, Project Manager Tactical Radios.

WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Control Reform Act of 2018 (Title 50, U.S.C., Chapter 58, Sec. 4801-4852). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Controlled by: PM TR CUI Category(ies): Controlled Technical Information (CTI), Export Control (EXPT) Limited Dissemination Control: Federal Employees and Contractors Only (FEDCON) POC: Glen R. Gearhart (443) 395-2923

BLK 10: NLT 7 days after direction of the KO or COR, submit for Government approval new and/or revised reports or after discovery of items not addressed in previous submissions.

BLK 13: Updated submissions due NLT 30 days following the receipt of Government comments.

LOG

8. APP CODE

SEE BLK 16 45DAODD