Exhibits A B C - 22R5107 ITS-BFTT CDRL PKG DTD 26MAY2022 Signed.pdf
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- Attached to
- BFTT/ATD Production Federal contract opportunity
- Solicitation number
- N0002422R5107
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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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.
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