Exhibits A B C - 22R5107 ITS-BFTT CDRL PKG DTD 26MAY2022 Signed.pdf

PDF 1 MB Posted

Attached to
BFTT/ATD Production Federal contract opportunity
Solicitation number
N0002422R5107
Issued by
Department of the Navy Naval Sea Systems Command

About this file

This Request for Proposal (RFP) solicits production, engineering, and other services in support of Battle Force Tactical Training and Advanced Training Domain programs. The Naval Sea Systems Command intends to award this as a total small business set-aside. Services required include production, engineering support, and program management. Responses are due within 60 days of RFP posting on SAM.gov. The RFP supersedes all previous solicitations for this opportunity. Inquiries may be directed to the points of contact listed. Future amendments, if any, will also be posted to SAM.gov. This announcement does not constitute a contract or funding commitment and is issued for information only.

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Other files for this federal contract opportunity

Other files attached to BFTT/ATD Production, newest first.
File Type Posted
RFP Amendment N00024-22-R-5107-0004.docx DOCX document
Amendment 0004 Responses to Attachment L-03 - Questions Comments and Data Request Form.xlsx XLSX spreadsheet
Conformed N00024-22-R-5107 through Amendment 0004.docx DOCX document
Conformed N00024-22-R-5107 through Amendment 0003.docx DOCX document
Amendment 0003 Responses to Attachment L-03 - Questions Comments and Data Request Form.xlsx XLSX spreadsheet
RFP Amendment N00024-22-R-5107-0003.docx DOCX document
RFP Amendment N00024-22-R-5107-0002.docx DOCX document
Amendment 0002 Responses to Attachment L-03 - Questions Comments and Data Request Form.xlsx XLSX spreadsheet
Conformed N00024-22-R-5107 through Amendment 0002.docx DOCX document
RFP Amendment N00024-22-R-5107-0001.docx DOCX document
Amendment 0001 Responses to Attachment L-03 - Questions Comments and Data Request Form.xlsx XLSX spreadsheet
Conformed N00024-22-R-5107 through Amendment 0001.docx DOCX document
Exhibits A B C - 22R5107 ITS-BFTT CDRL PKG DTD 26MAY2022_Amend 001 Update.pdf PDF
CDRL B010 - MIL-STD-40051-2C.pdf PDF
Attachment J-04 - BFTT 5.1 Linux Gold Disk 12MAY2022.docx DOCX document
Attachment J-08 - Production Acceptance Test 12MAY2022.docx DOCX document
N00024-22-R-5107 RFP.docx DOCX document
Attachment J-03 - T52A TDP 12MAY2022.docx DOCX document
Attachment J-06 - BFTT T52A and VTBeSR FAU GFM PARTS LIST 12MAY2022.xlsx XLSX spreadsheet
Attachment J-10 - BFTT_ATD SOM Report Template 12MAY2022.xlsx XLSX spreadsheet
Attachment L-01 - Cost and Price Sheet 21JULY2022.xlsx XLSX spreadsheet
Attachment L-02 - Past Performance Questionnaire 12MAY2022.xlsx XLSX spreadsheet
Attachment L-05 - Facility Checklist 12MAY2022.xlsx XLSX spreadsheet
Attachment J-01 - T46E TDP 12MAY2022.docx DOCX document
Attachment J-09 - TRM Version 3.0_27MAR20 12MAY2022.pdf PDF
Attachment L-03 - Questions Comments and Data Request Form 12MAY2022.xlsx XLSX spreadsheet
Attachment L-04 - Compliance Checklist 12MAY2022.doc DOC document
Attachment L-06 - Past Performance Reference List Form 12MAY2022.docx DOCX document
Attachment J-02 - VTBeSR TDP 12MAY2022.docx DOCX document
Attachment J-05 - Using BFTT Linux Gold Disk (T46E - 5.1.1A) 12MAY2022.docx DOCX document
Attachment J-11 - Key Personnel Requirements 27JUL2022.docx DOCX document
Attachment L-07 - Press Release BFTT_ATD Production 12MAY2022.docx DOCX document
Evaluation Factor Offeror Self Assessment Checklist.xlsx XLSX spreadsheet
Attachment J-07 - Consolidated GFM 12MAY2022.xlsx XLSX spreadsheet
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Text version

CDRL DATA PACKAGE

FOR

ITS/BFTT PRODUCTION

N00024-22-R-5107

TABLE OF CONTENTS MATRIX

23-MAY-2022

CDRL

DID NUMBER

TITLE OF DID (SUBTITLE)

CONTRACT REFERENCE

EXHIBIT A

A001 DI-FNCL-80166C PROGRAM COST AND TECHNICAL DATA

REPORTS (FINANCIAL & TECHNICAL

STATUS REPORT)

SOW PARAs C.3.1, C.3.3.7, C.3.3.8, C.3.5.2, C.3.6 & 3.7

A002 DI-ADMN-81505 REPORT, RECORD OF MEETING/MINUTES SOW PARA C.3.1

A003 DI-MGMT-81928 CONTRACTOR’S PROGRESS AND STATUS

REPORT

SOW PARAs C.3.1, C.3.3.7, C.3.3.8, C.3.5.2, C.3.6 & C.3.7

A004 DI-MISC-80508B TECHNICAL REPORT – STUDY/SERVICES

(ANALYSIS REPORTS)

SOW PARAs C.3.1 & C.3.3.8

A005 DI-MGMT-80596 GOVERNMENT FURNISHED INFORMATION

DEFICIENCY REPORT (DEFICIENCY/

DISCREPANCY REPORTS)

SOW PARAs C.3.3.7 & C.3.5.2

A006 DI-NDTI-80809B TEST/INSPECTION REPORT SOW PARAs C.3.2.1, C.3.4, C.3.8 & C.3.4.1

A007 DI-ADMN-81373 PRESENTATION MATERIAL

(PRESENTATION AND BRIEFING MATERIAL)

SOW PARA C.3.1

A008 DI-MISC-80508B TECHNICAL REPORT – STUDY/SERVICES

(HARDWARE TROUBLE REPORTS (HTR))

SOW PARAs C.3.3.7, C.3.5.2 & C.3.8

A009 DI-QCIC-80553A ACCEPTANCE TEST PLAN (PRODUCTION

ACCEPTANCE TEST PLAN)

SOW PARA C.3.4

A010 DI-SESS-80639E ENGINEERING CHANGE PROPOSAL (ECP) SOW PARAs C.3.3.7 & C.3.5.2

A011 DI-SESS-81830 AS BUILT CONFIGURATION LIST - COMMON

(ABCL-C)

SOW PARA C.3.3.7 & 3.5.2

A012 DI-MGMT-82273 DIMINISHING MANUFACTURING SOURCES

AND MATERIAL SHORTAGES (DMSMS)

HEALTH ASSESSMENT REPORT (DMS

ENGINEERING, MODELING AND HEALTH

ASSESMENT)

SOW PARA C.3.1

A013 DI-MGMT-81804A ITEM UNIQUE IDENTIFICATION (IUID)

MARKING ACTIVITY, VALIDATION AND

VERIFICATION REPORT

SOW PARA C.3.3.8

A014 DI-MISC-80508B TECHNICAL REPORT – STUDY/SERVICES SOW PARAs C.3.1, C.3.3.7, 3.5.2, & C.3.8

A015 DI-SESS-80255B FAILURE SUMMARY AND ANALYSIS

REPORT (CORRECTIVE ACTION SUMMARY

REPORT)

SOW PARAs C.3.1, C.3.2, C.3.3.8 & C.3.8

CDRL

DID NUMBER

TITLE OF DID (SUBTITLE)

CONTRACT REFERENCE

A016 DI-MGMT-80269 STATUS OF GOVERNMENT FURNISHED

EQUIPMENT (GFE) REPORT (GOVERNMENT

FURNISHED EQUIPMENT (GFE) REPORT)

SOW PARAs C.3.3.7, C.3.5.2, & C.3.8

A017 DI-NDTI-80603A TEST PROCEDURE SOW PARAs C.3.1, C.3.2, C.3.3.8 & C.3.4

A018 DI-SESS-81875 CONFIGURATION MANAGEMENT PLAN

(MIL-STD-3046)

SOW PARA C.3.1

EXHIBIT B

B001 DI-ADMN-80925A REVISIONS TO EXISTIING GOVERNMENT

DOCUMENTS (TECHNICAL DATA PACKAGE

(TDP))

SOW PARAs C.3.1, C.3.3.7, C.3.3, C.3.5.1 & C.3.5.2

B002 DI-ADMN-80925A REVISIONS TO EXISTING GOVERNMENT

DOCUMENTS (PRODUCT DRAWINGS)

SOW PARAs C.3.1, C.3.3.7, C.3.3, C.3.5.1 & C.3.5.2

B003 DI-ADMN-80925A REVISIONS TO EXISTING GOVERNMENT

DOCUMENTS PRODUCT DRAWINGS/MODELS

AND ASSOCIATED LIST

SOW PARAs C.3.1, C.3.3.7, C.3.3, C.3.5.1 & C.3.5.2

B004 DI-ADMN-80925A REVISIONS TO EXISTING GOVERNMENT

DOCUMENTS (CONCEPTUAL DESIGN

DRAWINGS/MODELS)

SOW PARAs C.3.1, C.3.3.7, C.3.3, C.3.5.1 & C.3.5.2

B005 DI-ADMN-80925A REVISIONS TO EXISTING GOVERNMENT

DOCUMENTS (DEVELOPMENTAL DESIGN

DRAWINGS AND ASSOCIATED LISTS)

SOW PARAs C.3.1, C.3.3.7, C.3.3, C.3.5.1 & C.3.5.2

B006 DI-ADMN-80925A REVISIONS TO EXISTING GOVERNMENT

DOCUMENTS (ENGINEERING

DOCUMENTATION PRODUCT DRAWINGS)

SOW PARAs C.3.1, C.3.3.7, C.3.3, C.3.5.1 & C.3.5.2

B007 DI-SESS-80776B TECHNICAL DATA PACKAGE (TDP) SOW PARAs C.3.1, C.3.3.7, C.3.3, C.3.5.1 & C.3.5.2

B008 DI-SESS-81000F PRODUCT ENGINEERING DESIGN DATA AND

ASSOCIATED LISTS

SOW PARAs C.3.1, C.3.3.7, C.3.3, C.3.5.1 & C.3.5.2

B009 DI-SESS-81002F DEVELOPMENTAL DESIGN DRAWINGS AND

ASSOCIATED LISTS

SOW PARAs C.3.1, C.3.3.7, C.3.3, C.3.5.1 & C.3.5.2

EXHIBIT C

C001 DI-TMSS-81677B SYSTEM TECHNICAL MANUAL (SANITIZED) SOW PARAs C.3.1, C.3.3.7, C.3.3, C.3.5.1 & C.3.5.2

ATTACHMENT TO THE CDRL

ATTACHMENT TITLE

NUMBER OF PAGES

1 GENERAL DD FORM 1423 GLOSSARY WITH

ADDRESSEE LIST

2 TECHNICAL DATA PACKAGE (TDP) OPTION

SELECTION WORKSHEETS

CDRL DD FORM 1423

EXHIBIT A

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

A

C. CATEGORY:

TDP TM OTHER FNCL

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

PROGRAM COST AND TECHNICAL DATA REPORTS

3. SUBTITLE

FINANCIAL & TECHNICAL STATUS REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-80166C(SEE BLK 16)

5. CONTRACT REFERENCE

SOW PARAs C.3.1, C.3.3.7, C.3.3.8, C.3.5.2, C.3.6 & 3.7

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

60DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

15DARP

Draft

Final

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 8: Approval will be for contractual compliance and technical content. The Government will provide comments or approval within 30 calendar days after receipt of submission. Final submission is due 30 calendar days after Final System testing is complete.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to:

Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS 1IT 1 1

PEO IWS COR 1 1

NAVSEA 02513 0 1

15. TOTAL 2 3 0

G. PREPARED BY

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

J. DATE

2022/05/24

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 28 Pages

17. PRICE 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 Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

TDP TM OTHER ADMN

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

REPORT, RECORD OF MEETING/MINUTES

3. SUBTITLE

N/A

DI-ADMN-81505 (SEE BLK 16)

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLK 16

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 8: Approval will be for contractual compliance and technical content. The Government will provide comments or approval within 30 calendar days after receipt of submission.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to:

Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Administration Act of 1979, as amended, Title 50, U.S.C., App. 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.

BLKs 10/12/13: Submit draft conference minutes to COR for review and approval 7 (seven) working days after each conference/meeting/review.

Submit final version 7 days after receipt of approval or comments.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction (TI) number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

PEO IWS COR 0 1

15. TOTAL 1 2 0

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 28 Pages

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

A

TDP TM OTHER MGMT

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

CONTRACTOR’S PROGRESS AND STATUS REPORT

3. SUBTITLE

N/A

DI-MGMT-81928

SOW PARAs C.3.1, C.3.3.7, C.3.3.8, C.3.5.2, C.3.6 & C.3.7

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

20DAC

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

15DARP

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable. Report shall be a compilation of all previous interim progress reports.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLK 14a: For Glossary and Addressee List see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical

PEO IWS 1IT 0 1

NAVSEA 02513 0 1

15. TOTAL 0 3 0

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 28 Pages

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

A

TDP TM OTHER MISC

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

TECHNICAL REPORT-STUDY/SERVICES

3. SUBTITLE

ANALYSIS REPORTS

DI-MISC-80508B (SEE BLK 16)

SOW PARAs C.3.1 & C.3.3.8

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Deliver 10 working days at the end of event being studied and/or analyzed. The Government will provide a response within 15 working days. Subsequent delivery will be 10 working days after receipt of Government comments.

BLK 14a: For Glossary and Addressee List see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

15. TOTAL 0 2 0

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 28 Pages

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

A

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

GOVERNMENT FURNISHED INFORMATION DEFICIENCY REPORT

3. SUBTITLE

DEFICIENCY/DISCREPANCY REPORTS

DI-MGMT-80596 (SEE BLK 16)

SOW PARAs C.3.3.7 & C.3.5.2

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Deliver 5 working days after occurrence of deficiency being reported. Subsequent delivery shall be as required by the TI as required.

BLK 14a: For Glossary and Addressee List see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 28 Pages

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

A

TDP TM OTHER NDTI

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

TEST/INSPECTION REPORT

3. SUBTITLE

N/A

DI-NDTI-80809B (SEE BLK 16)

SOW PARAs C.3.2.1, C.3.4, C.3.8 & C.3.4.1

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Deliver 5 working days after test and/or inspection.

The Government will provide response within 15 working days.

Subsequent delivery shall be 10 working days after receipt of Government comments.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 28 Pages

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

A

TDP TM OTHER ADMN

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

PRESENTATION MATERIAL

3. SUBTITLE

PRESENTATION AND BRIEFING MATERIAL

DI-ADMN-81373 (SEE BLK 16)

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Submit presentation material 10 calendar days prior to each meeting/conference/review.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 28 Pages

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

A

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

TECHNICAL REPORT - STUDY/SERVICES

3. SUBTITLE

HARDWARE TROUBLE REPORTS (HTR)

SOW PARAs C.3.3.7, C.3.5.2 & C.3.8

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE SEE BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Deliver 5 working days after discovery.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 28 Pages

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

A

TDP TM OTHER QCIC

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

ACCEPTANCE TEST PLAN

3. SUBTITLE

PRODUCTION ACCEPTENCE TEST PLAN

DI-QCIC-80553A (SEE BLK 16)

SOW PARA C.3.4

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

90DAC

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval. Revised plan shall be subject to DD 250.

BLK 8: Approval will be for contractual compliance and technical content. The Government will provide comments or approval within 20 business days after receipt of each submission.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: The Contractor shall provide the revised PATP with incorporated Government comments and revisions within 10 business days after receipt.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical

15. TOTAL 2 2 0

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 28 Pages

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

A

TDP TM OTHER SESS

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

ENGINEERING CHANGE PROPOSAL (ECP)

3. SUBTITLE

N/A

DI-SESS-80639E

SOW PARAs C.3.3.7 & C.3.5.2

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Delivery shall be in accordance with the TI.

Subsequent deliveries shall be as required by the TI.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 10 of 28 P

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

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

AS BUILT CONFIGURATION LIST - COMMON (ABCL-C)

3. SUBTITLE

N/A

DI-SESS-81830 (SEE BLK 16)

SOW PARA C.3.3.7 & 3.5.2

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Delivery shall be in accordance with the Technical Instruction (TI).

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14: Data transmittals shall be marked with applicable Technical

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 11 of 28

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

A

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

DIMINISHING MANUFACTURING SOURCES AND MATERIAL

SHORTAGES (DMSMS) HEALTH ASSESSMENT REPORT

3. SUBTITLE

DMS ENGINEERING, MODELING AND HEALTH

ASSESMENT

DI-MGMT-82273 (SEE BLK 16)

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Delivery shall be in accordance with the Technical Instruction (TI).

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 12 of 28

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

A

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

ITEM UNIQUE IDENTIFICATION (IUID) MARKING ACTIVITY,

VALIDATION AND VERIFICATION REPORT

3. SUBTITLE

N/A

DI-MGMT-81804A (SEE BLK 16)

SOW PARA C.3.3.8

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Delivery shall be in accordance with the Technical Instruction (TI).

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 13 of 28

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

A

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A014

2. TITLE OF DATA ITEM

TECHNICAL REPORT-STUDY/SERVICES

3. SUBTITLE

N/A

SOW PARAs C.3.1, C.3.3.7, 3.5.2, & C.3.8

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of Transmittal shall be via e-mail with notification of file attributes and directory information for retrieval.

BLK 8: Approval will be for contractual compliance and technical content. The Government will provide comments or approval within 45 calendar days after receipt.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: Delivery shall be in accordance with the TI.

Deliveries shall be as required by the TI and as required.

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 14 of 28

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

A

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A015

2. TITLE OF DATA ITEM

FAILURE SUMMARY AND ANALYSIS REPORT

3. SUBTITLE

CORRECTIVE ACTION SUMMARY REPORT

DI-SESS-80255B (SEE BLK 16)

SOW PARAs C.3.1, C.3.2, C.3.3.8 & C.3.8

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

SEMIA

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLK 11: "As of Date" is the last day of each six-month period.

BLKs 10/12/13: Delivery shall be in accordance with the Technical Instruction (TI).

BLK 14a: For Glossary and Addressee List: see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 15 of 28

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

A

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A016

2. TITLE OF DATA ITEM

STATUS OF GOVERNMENT FURNISHED EQUIPMENT (GFE) REPORT

3. SUBTITLE

GOVERNMENT FURNISHED EQUIPMENT (GFE) REPORT

DI-MGMT-80269 (SEE BLK 16)

SOW PARAs C.3.3.7, C.3.5.2, & C.3.8

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

QRTLY

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

BLK 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 23-MAY-2022. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1IT, 1333 Isaac Hull Avenue, SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

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 Executive Order 12470. Violations of these export laws are subject to severe criminal penalties.

BLKs 10/12/13: A GFE Deficiency Report shall be submitted in accordance with the following guidelines:

a. If GFE is not received within 10 calendar days after the date it is scheduled to be delivered.

b. Within 20 calendar days after contractor receipt of the GFE and inspection for latent defects, such as condition, installation, and effectiveness of GFE, or if it differs in some other significant respect from that expected. Negative reports, i.e., no defects found upon inspection, are required.

c. Within 10 calendar days after contractor determination that GFE has latent defects, such as technical, engineering, or design deficiencies that existed at the time of delivery, but which were not discovered until actual attempted use of the GFE.

BLK 14a: For Glossary and Addressee List see Attachment 1 to the

CDRL.

BLK 14b: Data transmittals shall be marked with applicable Technical Instruction number(s). The deliverable shall be posted in a Government approved electronic or portable media format.

KATHERINE E. PARKER

PEO IWS 1AP, DATA MANAGER

H. DATE

2022/05/23

I. APPROVED BY

IMA RIVERA

PEO IWS 1AQ, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 16 of 28

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

A

TDP TM OTHER NDTI

E. CONTRACT/PR NO.

N00024-22-R-5107

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A017

2. TITLE OF DATA ITEM

TEST PROCEDURE

3. SUBTITLE

N/A

DI-NDTI-80603A (SEE BLK 16)

SOW PARAs C.3.1, C.3.2, C.3.3.8 & C.3.4

6. REQUIRING OFFICE

PEO IWS 1IT

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor's format is acceptable with pre-approval by the Government.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated .