EXHIBIT D CDRL A0XX CDRLs 5Dec22.pdf
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- AN/TRN-41 MP TACAN Replacement Federal contract opportunity
- Solicitation number
- FA8102-23-R-2000
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Exhibit D
CONTRACT DATA REQUIREMENTS LIST (CDRL)
Man-Portable TACAN Program
Contract Reference: FA8102-23-R2000
Prepared by Air Force Life Cycle Management Center Air Traffic Control and Landing Systems
(AFLCMC/HBAA)
3580 D Avenue – Bldg 201W
Tinker AFB, OK 73145
Updated 05 December 2022
1. METHOD OF TRANSMITTAL
a. Unless otherwise noted on the CDRL Form (DD Form 1423) in Block 16, all data shall be delivered electronically via email or CD/DVD, and shall be in a software file format that is compatible with Government systems. If the required data cannot be delivered electronically, the Contractor shall distribute per Block 14 of the CDRL.
b. All data submitted by a letter of transmittal or DD Form 250 shall be delivered to the attention of the Requiring Office (Block 6) and will identify the contract number, Data Item Description number, CDRL sequence number, document number and title.
c. Unless otherwise specified in Block 16 of the CDRL, the data submittal date is interpreted as the date the Government (Block 14) receives the data or the date it is submitted electronically.
d. For each data item in the CDRL, the Contractor shall clearly state in the final transmittal letter that this is the last submittal being made and that all contractual requirements concerning the data item have been fulfilled.
2. MODIFICATION OF DATA REQUIREMENTS
a. The Data Manager (DM) is a member of the MP TACAN Replacement Program Integrated Product Team (IPT). No changes to the data requirements of this contract shall be made without coordination of the DM specific approval of the Procurement Contracting Officer (PCO).
b. Changes to Requiring Office (Block 6) and Distribution (Block 14) may be authorized and directed by a PCO letter to be incorporated by subsequent contract modification.
3. DATA APPROVAL:
Unless otherwise specified in the Remarks (Block 16) of the appropriate data item, the following definition applies to Block 8 of the CDRL:
a. The use of an “A” in Block 8 means the document identified is critical and requires written Government approval. The review cycle for data will begin on the date the last addressee receives the data, or upon submittal if delivered electronically. The Office of Primary Responsibility (OPR) designated in Block 6 of the DD Form 1423 will consolidate the evaluations performed by the data recipients with his own and respond through the PCO to the Contractor within thirty (30) working days after receipt of the data submittal, unless otherwise specified.
b. The absence of an “A” in Block 8 does not relieve the Contractor of the obligation to comply with the Data Item Description (DID) requirements.
c. Data submittal requirements shall not be considered to have been met until the CO has determined that all contractual requirements have been met regarding the identified data.
4. REVISIONS TO DATA SUBMITTALS AND RESUBMITTALS OF DATA:
Unless otherwise specified, data submittals that are disapproved by the Government shall be revised and resubmitted by the Contractor within thirty (30) days from the date of the PCO letter unless otherwise noted on the CDRL.
5. TAILORED DATA ITEMS
A slash (/) and the letter “T” (i.e. DI-E-3103A/T) added to the DID number in Block 4 of the CDRL denotes the DID has been tailored to comply with specific program requirements. If data preparation instructions contained in Block 10 of the DID conflict with those of the CDRL, the CDRL instructions will govern.
6. ACRONYMS:
ACO Administrative Contracting Officer ASREQ As Required CO Contracting Officer DAC Days After Contract Award IAW In Accordance With MTHLY Monthly ONE/R One time with revisions LT Letter of Transmittal
7. MARKING TECHNICAL DOCUMENTATION
a. Distribution Marking System:
i. In accordance with Section 1.30 of Title 10, “United States Code” a DoD distribution marking system for technical data has been established by DoD Directive 5230.24, “Distribution Statements on Technical Documents,” 18 March 1987. The intent of the system is to stem the flow of military-related technical data to our adversaries, without inhibiting technological growth or blocking the exchange of technical data that is vital to progress and innovation. All DoD components responsible for technical data are required to determine the distribution availability and arrange to mark the data appropriately before primary distribution. Distribution statements and export-control statements, supplemental to any security markings, shall be marked on all technical data to denote the extent of its availability for secondary distribution, release, and disclosure without need for additional approvals and authorizations from the controlling DoD office.
ii. Based on the technical content of the data, one of seven distribution statements defined in DoD Directive 5230.24 is to be applied to indicate the extent of secondary distribution. The seven authorized distribution statements provide options ranging from unlimited distribution to no secondary distribution without specific authority of the controlling DoD office. Distribution statements should be selected to denote the audience for which the data is intended. The statement selected shall not restrict the data any further than is actually required to protect the interests of the Government. The authority to withhold unclassified technical data from the public is found in Section 130 of Title 10, “United States Code” as implemented by DoD Directive 5230.25 “Withholding of Unclassified Technical Data from Public Disclosure,” 6 November 1984.
iii. It is the responsibility of the program office to select the correct distribution statement, to ensure that the corresponding code letter (“A”, “B”, “C”, “D”, “E”, “F”, or “X”) is in Block 9 of the DD Form 1423 or that Block 16 of the DD Form 1423 contains instructions on application of the correct distribution statement before initial distribution of the technical data. If the Contractor feels that a different statement is required, he may formally notify the contracting officer in a letter, make it a subject of discussion during negotiations or at one of the scheduled program audits or reviews.
b. Marking Technical Data:
i. All new or requested unmarked production, engineering, logistics, and scientific and technical information, regardless of its medium, physical form, or characteristics, including preliminary drafts and working papers, shall be marked with a distribution statement. This includes technical reports, blueprints, drawings, technical orders, technical manuals, plans, instructions, computer software, viewgraphs, film, technical papers, photographs, etc. If the document contains export-controlled technical data, it also must be marked with an export control warning statement. Distribution statements can be applied to technical data that contain or reveal proprietary information used.
(Location suggestions for placing the statements on the data may be obtained from MIL-STD-1806.)
ii. Technical data categorized as cryptographic/communications security, communications/electronic intelligence, and similar categories as may be designated by the Director, National Security Agency, whose distribution is limited through alternate methods, are exempt from these marking provisions.
iii. Certain types of technical data preclude placing the entire notice on the document. To accommodate this problem, each distribution statement contains an authorized abbreviation form. Abbreviated distribution statements are to be used only when space precludes placing the entire notice on the document. The use and wording of these statements are described in the following paragraphs.
c. Controlling Office: The following address shall be used for the “controlling office” for the program:
AFLCMC/HBK, 3001 Staff Dr. Ste 2AC-81A, Tinker AFB, OK 73145
d. Export-Controlled Warning Statement: Besides a distribution statement, the marking system also requires the use of a warning notice on all documents that contain export-controlled technical data. That notice may be used in conjunction with any of the six limited distribution statements (“B”, “C”, “D”, “E”, “F” and “X”.) Statement “A”, which denotes public release, cannot be used in conjunction with the export-control warning notice.
e. Destruction Notice: All unclassified technical data marked with distribution statements “B”, “C”, “D”, “E”, “F” or “X” shall be handled and destroyed as “Controlled Unclassified Information” (CUI), as described in DoD 5400.7-R. Classified data and classified limited technical data shall be handled and destroyed in accordance with the procedures in Chapter IX of DoD 5200.1-R “Information Security Program Regulation” or follow the procedures in DoD 5220.22-M “Industrial Security Manual”.
8. ELECTRONIC DATA TRANSMISSION
a. Electronic Data Transmission Statement for the CDRL:
i. The recipients will be notified by email of each submission of CDRL data. All submissions will be via email or CD/ DVD, unless other arrangements are approved by the Government. The versions of this software shall remain compatible with current program office software. The Contractor shall inform AFLCMC/HBK if any of their data deliverables cannot comply with the above electronic formats. In such cases the Contractor shall recommend, for program office approval, alternative delivery format(s).
ii. The Government review cycle for data will begin on the date the last addressee listed in Block 14 receives the data or the date it is submitted electronically.
"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 THE
PROVISIONS OF DOD DIRECTIVE 5230.25.
9. MAILING LISTS:
OFFICE SYMBOL/MAIL ADDRESS
AFLCMC/HBK (ATCALS)
3001 Staff Drive, Post 2AC-81A Tinker AFB, OK 73145 Attn: ATCALS Contract Officer
AFLCMC/HBAA
3580 D Ave, Bldg 201W, RM 74 Tinker AFB, OK 73145 AFLCMC.HBAAA.Navaids@us.af.mil Attn: Ms. Cathy Tassell mailto:Cathy.Tassell@us.af.mil
CONTRACT DATA REQUIREMENTS LIST
TABLE OF CONTENTS
CDRL
No. Authority CDRL Title - Subtitle
A001 DI-MGMT-80004A Management Plan A002 DI-MGMT-81928/T Contractor's Progress Status and Management Report A003 DI-MGMT-81861C/T Integrated Program Management Data and Analysis Report (IPMDAR)
Subtitle: Integrated Master Schedule (IMS) A004 DI-ADMN-81249C/T Meeting Agenda A005 DI-ADMN-81250C Meeting Minutes A006 DI-AVCS-80700A Computer Software Product End Items A007 DI-IPSC-81442A Software Version Description (SVD) A008 DI-SESS-81785A System Engineering Management Plan (SEMP) A009 DI-SESS-80858D Supplier’s Configuration Management Plan A010 DI-SESS-80639E Engineering Change Proposal (ECP) A011 DI-SESS-80640E Request for Variance (RFV) A012 DI-SESS-81022E Configuration Audit Summary Report and Certification A013 DI-NDTI-80603A/T Test Procedures – Factory Acceptance Test (FAT), Qualification Test and
Evaluation (QT&E) A014 DI-NDTI-80809B/T Test/Inspection Report – Factory Acceptance Test (FAT), Qualification Test and Evaluation (QT&E) A015 DI-SAFT-80101C System Safety Hazard Analysis Report (SSHAR) A016 DI-SAFT-81626 System Safety Program Plan (SSPP) A017 DI-ENVR-81840 Programmatic Environmental Safety and Health Evaluation (PESHE) Plan A018 DI-ILSS-80095/T Integrated Logistics Support Plan (ILSP) A019 DI-PSSS-81970 Common Repairable Item (CRI) Identification Listing
A020 DI-MGMT-81948 Diminishing Manufacturing Sources and Material Shortages (DMSMS) Plan A021 DI-MGMT-81949 Diminishing Manufacturing Sources and Material Shortages (DMSMS)
Implementation Plan A022 DI-SESS-81758A/T Logistics Product Data A023 DI-SESS-81874/T Engineering Data for Provisioning (EDFP) A024 DI-PSSS-80134B Proposed Spares Parts List A025 DI-SESS-80255B Failure Summary and Analysis Report A027 MIL-DTL-38804F Manuals, Technical - Time Compliance Technical Orders (TCTO) and TCTO
Supplements A029 DI-ILSS-80872/T Training Materials
A030 DI-SESS-81759A
Logistics Product Data Summaries
A031 DI-SESS-81248B Interface Control Document (ICD) A032 DI-PACK-80120D/T Preservation and Packing Data A033 DI-PACK-80121C/T Special Packaging Instructions (SPI) A034 DI-PACK-80683E Container Design Retrieval System (CDRS) Research Request A035 DI-PACK-80684E Container Design Retrieval System (CDRS) Data Input A036 DI-PACK-81059B Performance Oriented Packaging (POP) Test Report A037 DI-SAFT-81640B/T Ammunition and Explosives (A&E) Demilitarization (DEMIL) Plan
Subtitle: Demilitarization and Disposition Plan A038 DI-IPSC-82249A/T Software Assurance Evaluation Report (SAER) A039 DI-EMCS-81827 Spectrum Certification Spectral Characteristics Data - DD Form 1494 A040 DI-MGMT-81642 Small Business Subcontractor Report A041 DI-MISC-81454D Computer Program Identification Number Catalog Information (CPIN) A042 DI-MGMT-81803A Item Unique Identification (IUID) Marking Plan A043 DI-SESS-81254D Request for Nomenclature
A044 DI-MGMT-82247 Contractor’s Systems Security Plan and Associated Plans of Action to Implement NIST SP 800-171 on a Contractor’s Internal Unclassified Information System
A045 DI-PSSS-81872A Level of Repair Analysis (LORA) Report A046 DI-MGMT-81605/T Briefing Material A048 DI-ATTS-80041A Test Requirements Document (TRD) A049 DI-SESS-81639B Warranty Performance Report
DD FORM 1423-1, FEB 2001
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATE
Page of Pages
MGMT
MP TACAN Replacement Program
A001 Management Plan Program Management Plan
DI-MGMT-80004A SOW Paragraph 4. AFLCMC/HBAA
DD
N/A B
ONE TIME
N/A
30 DAC
AS REQ
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Block 14: Electronic Media compatible with Microsoft Office Suite 2016 is required.
"Repro" copy defined as electronic media.
Adobe Professional 8.0
0017 D
FA8102-23-R2000
Joseph M. Griffin, GS-12 William P. Parker II, NH-04 10/27/202210/26/2022
1366949700C Bill signature
1366949700C sig
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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.
B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE J. DATE
Page of Pages
MGMT
MP TACAN Replacement Program
A002 Contractor's Progress and Status Report
DI-MGMT-81928/T SOW Paragraph 4. AFLCMC/HBAAA
LT
N/A B
MTHLY
SEE BLOCK16
SEE BLOCK16
SEE BLOCK16
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Block 4: The data item description is tailored as follows:
a. Para 1: The format of the report is contractor format and does not need to follow that of the included figures.
b. Para 2.4 - 2.7: Cost and labor hour information is only required for CLINs that are not firm-fixed price.
Blocks 11, 12 & 13: Submit by the 10th of each month beginning the month following contract award.
Block 14: Electronic media compatible with Microsoft Office Suite 2016 is required.
Submission shall be delivered concurrently with Integrated Master Schedule, CDRL A003. "Repro" copy defined as electronic media.
Adobe Professional 8.0
FA8102-23-R2000
A. CONTRACT LINE ITEM NO.
0017 D
William P. Parker II, NH-04Joseph M. Griffin, GS-12
Contractor's Progress Status and Management Report
10/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE J. DATE
Page of Pages
MGMT
MP TACAN Replacement Program FA8102-23-R2000
A003 Integrated Program Management Data and Analysis Report
(IPMDAR)
Integrated Master Schedule (IMS)
DI-MGMT-81861C/T SOW Paragraph 4, 4.1. AFLCMC/HBAA
See Block 16
See Block 16 B
MTHLY
N/A
20 DAC
See Block16
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Block 4:
The Contractor shall provide monthly Integrated Master Schedule (IMS) per DID
DI-MGMT-81861C.
Only Paragraphs 1.2.2 and 2.4 (and its sub-paragraphs) of the IPMDAR DID (Ref Block 4) are applicable and all others are deleted. All references to Schedule Performance Dataset (SPD) are not applicable. The following sub-paragraphs of 2.4 are not applicable:
2.4.2.5 through 2.4.2.7, 2.4.2.9, 2.4.2.15, 2.4.2.16, 2.4.2.18, 2.4.2.19, 2.4.2.19.1, 2.4.2.19.2, 2.4.3.2
The Government will determine the milestone target(s) for the Scheduled Risk Assessment (SRA(s)) based on contract events and due dates for SRA(s) are with the second IMS and quarterly thereafter until determined by the government they are not required. For all tasks identified as deliverables to the Government, joint events conducted with the Government, and in direct support of Government activities, the IMS shall use U.S. Government Holidays as non-working days.
Block 7&8: The first submittal shall be delivered with a DD250 with a code of DD and Government inspection and approval is required (App Code A). All subsequent submissions shall be delivered with a Letter of Transmittal (LT) with no Government approval required (App Code N/A).
Block 13: Submit monthly concurrent with Contractor's Progress and Status Reports (CDRL A002). For the first submittal, Government comments, if any, shall be incorporated within 10 calendar days of receipt of comments.
Block 14: Electronic Media compatible with Microsoft Project 2010 (unprotected) and a copy in Adobe Acrobat PDF format are required. Submission shall be delivered concurrently with Progress and Status Report (CDRL A002). "Repro" copy defined as electronic media.
Adobe Professional 8.0
0017 D
Joseph M. Griffin, GS-12 William P. Parker II, NH-0410/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
ADMN
MP TACAN Replacement Program
A004 Conference Agenda
DI-ADMN-81249C/T SOW Paragraph 4.2. AFLCMC/HBAA
LT
N/A B
AS REQ
N/A
See Block16
See Block16
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Block 4: The data item description is tailored as follows:
a. Para 3.e & f. - Add "..., if applicable" to the end of the sentence.
b. As an attachment, submit a list of Contractor's quality design standards with the Kickoff Meeting Agenda.
Blocks 12 & 13: Submission shall be 10 calendar days prior to each meeting.
Block 14: Electronic Media compatible with Microsoft Office Suite 2016 is required.
"Repro" copy defined as electronic media.
Adobe Professional 8.0
FA8102-23-R2000
0017 D
Joseph M. Griffin, GS-12 William P. Parker II, NH-04
Meeting Agenda
10/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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.
B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
ADMN
MP TACAN Replacement Program
A005 Meeting Minutes
DI-ADMN-81250C SOW Paragraph 4.2. AFLCMC/HBAA
LT
N/A B
ASREQ
N/A
See Block16
See Block16
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Blocks 10 & 12:
Minutes are required for major programmatic events, e.g., Test Readiness Review(s) (TRR) Technical Interchange Meetings (TIM) Program Management Review(s) (PMR) Functional Configuration Audit (FCA) and Physical Configuration Audit (PCA)
Blocks 12 & 13: Report shall be submitted within 5 calendar days after conference/meeting. The Government shall have 10 working days to respond to contractor.
Final shall be submitted two (2) working days after Government review. Subsequent submittal(s) as required.
Block 14: Electronic Media compatible with Microsoft Office Suite 2016 is required.
"Repro" copy defined as electronic media.
Adobe Professional 8.0
A. CONTRACT LINE ITEM NO.
FA8102-23-R2000
D
Joseph M. Griffin, GS-12 William P. Parker II, NH-04 10/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
AVCS
MP TACAN Replacement Program
A006 Computer Software Products End Items
DI-AVCS-80700A SOW Para 6.3. AFLCMC/HBAA
DD
N/A B
SEE BLOCK 16
N/A
SEE BLOCK16
SEE BLOCK16
AFLCMC/HBK 1
AFLCMC/HBAAA 2
0 0 3
Block 7: Contractor may identify the software on the same DD 250 as the MP TACAN equipment when delivered pre-installed.
Blocks 10, 12, 13: All MP TACAN systems shall be delivered with all operating, maintenance, test, and communications software pre-installed. In addition 2 copies of the software used to control the operation and sustainment functions are to be delivered 10 calendar days prior to OUE and subsequent copies delivered if new versions are developed.
All Contractor code and software specifically written and designed for the MP TACAN system shall be delivered to the Government. Firmware for components on all Line Replaceable Units (LRUs) that are determined to be repairable items shall also be delivered to support organic depot maintenance. This shall be delivered once provisioning has determined the repairable LRUs and subsequent copies delivered if newer versions are developed.
Block 14: The exact media, content and format shall be shall be agreed upon by the Government and the Contractor at the Kickoff Meeting. "Repro" copy defined as electronic media.
Adobe Professional 8.0
FA8102-23-R2000
D0017
Joseph M. Griffin, GS-12 William P. Parker II, NH-04 10/26/2022
10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY I. APPROVED BY J. DATE
Page of Pages
IPSC
MP TACAN Replacement Program
A007 Software Version Description (SVD)
DI-IPSC-81442A SOW Paragraph 6.3. AFLCMC/HBAA
DD
A B
ONE/R
N/A
60 DAC
AS REQ
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Block 4:
Clarification for content: software includes, but is not limited to, Operating Systems (OS), commercial software, developmental software, Application Programming interfaces (API), firmware, scripts, and configuration files.
Block 14: Electronic Media compatible with Microsoft Office Suite 2016 is required.
"Repro" copy defined as electronic media.
Adobe Professional 8.0
FA8102-23-R2000
0017 D
Joseph M. Griffin, GS-12 William P. Parker II, NH-0410/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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.
B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
SESS
MP TACAN Replacement Program
A008 System Engineering Management Plan (SEMP)
DI-SESS-81785A/T SOW Paragraph 7.1. AFLCMC/HBAA
DD
A B
ONE/R
N/A
30 DAC
AS REQ
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Block 14: Electronic Media compatible with Microsoft Office Suite 2016 is required.
"Repro" copy defined as electronic media.
Adobe Professional 8.0
FA8102-23-R2000
A. CONTRACT LINE ITEM NO.
0017 D
Joseph M. Grifin, GS-12 William P. Parker II, NH-0410/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
SESS
MP TACAN Replacement Program
A009 Supplier's Configuration Management Plan
DI-SESS-80858D SOW Paragraph 7.2. AFLCMC/HBAA
DD
N/A B
ONE/R
N/A
30 DAC
AS REQ
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Block 14: Electronic Media compatible with Microsoft Office Suite 2016 is required.
"Repro" copy defined as electronic media.
Adobe Professional 8.0
FA8102-23-R2000
D0017
Joseph M. Griffin, GS-12 William P. Parker II, NH-04 10/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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.
B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
SESS
MP TACAN Replacement Program
A010 Engineering Change Proposal (ECP)
DI-SESS-80639E SOW Paragraph 7.2.1. AFLCMC/HBAA
DD
A B
AS REQ
N/A
SEE BLOCK16
SEE BLOCK 16
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Blocks 12 & 13: The Contractor shall deliver an ECP upon the request of the Government in accordance with the PCO's direction. In addition, the Contractor shall deliver a no-cost ECP when the baseline configurations require a change to correct discrepancies or deficiencies as required by the SOW.
Block 14: Electronic Media compatible with Microsoft Office Suite 2016 is required.
"Repro" copy defined as electronic media.
Adobe Professional 8.0
A. CONTRACT LINE ITEM NO.
0017 D
FA8102-23-R2000
Joseph M. Griffin, GS-12 William P. Parker II, NH-0410/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
SESS
MP TACAN Replacement Program
A011 Request for Variance (RFV)
DI-SESS-80640E SOW Paragraph 7.2.1. AFLCMC/HBAA
DD
N/A B
AS REQ
N/A
SEE BLOCK16
SEE BLOCK16
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Blocks 12 & 13: Submit request when, prior to manufacture, it is necessary to temporarily depart from a particular requirement of an item's current approved configuration documentation for a specified number of units or for a specified period of time or to obtain authorization to deliver non-conforming material which does not meet the prescribed configuration identification documentation.
Block 14: Electronic Media compatible with Microsoft Office Suite 2016 is required.
"Repro" copy defined as electronic media.
Adobe Professional 8.0
FA8102-23-R2000
D0017
Joseph M. Griffin, GS-12 William P. Parker II, NH-04 10/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
H. DATE I. APPROVED BY J. DATE
Page of Pages
SESS
MP TACAN Replacement Program
A012 Configuration Audit Summary Report and Certification
DI-SESS-81022E SOW Para 7.2.2.1., 7.2.2.2. AFLCMC/HBAA
DD
A B
SEE BLOCK 16
SEE BLOCK16
SEE BLOCK16
SEE BLOCK16
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Block 8: MIL-HDBK-61B, Section 8 will be used as guidance to conduct the Physical Configuration Audit (PCA) and Functional Configuration Audit (FCA).
Block 10, 11, 12 & 13: Submit a report within 10 calendar days after each audit. This shall include a PCA at the Contractor's facility prior to OUE and a FCA at the contractor's facility after OUE. Updates shall be as required. Comments, if any, by the Government shall be incorporated within 10 calendar days of receipt of comments.
Block 14: Electronic Media compatible with Microsoft Office Suite 2016 is required. " Repro" copy defined as electronic media.
Adobe Professional 8.0
FA8102-23-R2000
D0017
Joseph M. Griffin, GS-12 William P. Parker II, NH-04 10/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE J. DATE
Page of Pages
NDTI
MP TACAN Replacement Program
A013 Test Procedures SEE BLOCK 16
DI-NDTI-80603A/T SOW Para 8.2., 8.4. AFLCMC/HBAA
DD
A B
SEE BLOCK 16
SEE BLOCK16
SEE BLOCK16
SEE BLOCK16
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Block 3: 5 sets of test procedures shall be submitted and are subtitled as:
- Qualification Test and Evaluation (QT&E) Procedures
- Factory Acceptance Test (FAT) Procedures
Block 4: The data item description is tailored as follows:
a. Para 2: The report shall be delivered electronically so format requirements specific to hard copies are deleted.
Block 10, 11, 12 & 12: Submit QT&E Procedures 45 calendar days prior to testing. Submit FAT Procedures 60 calendar days prior to FAT of first production system. Comments, if any, by the Government shall be incorporated within 10 calendar days of receipt of comments.
Block 14: Submitted in Microsoft Office 2016 or Extensible Markup Language (XML) is preferred but Adobe Acrobat .PDF is acceptable. "Repro" copy defined as electronic media.
Adobe Professional 8.0
FA8102-23-R2000
D0017
Joseph M. Griffin, GS-12 William P. Parker II, NH-04 10/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
NDTI
MP TACAN Replacement Program
A014 Test/Inspection Report SEE BLOCK 16
DI-NDTI-80809B/T SOW Para 8.2., 8.4. AFLCMC/HBAA
DD
A B
SEE BLOCK 16
SEE BLOCK16
SEE BLOCK16
SEE BLOCK16
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Block 3: Depending on the test performed, the test reports shall be subtitled as either
- Qualification Test and Evaluation (QT&E) Report
- Factory Acceptance Test (FAT) Report
Block 4: The data item description is tailored as follows:
a. Para 10.2.6.2: If all this information is identified within the test procedures, the Contractor can just refer to the procedures.
b. Para 10.2.6.3: Contractor can simply refer to the test procedures unless there were any Government approved variances.
Block 10, 11, 12 & 13: Submit QT&E Report(s) within 14 calendar days after testing.
Submit FAT Reports within 7 calendar days after each FAT.
Block 14: Electronic submittal in Microsoft Office 2016 or Extensible Markup Language (XML). "Repro" copy defined as electronic media.
Adobe Professional 8.0
FA8102-23-R2000
D0017
Joseph M. Griffin, GS-12 William P. Parker II, NH-04 10/26/2022 10/27/2022
1228765160C SigParker45
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
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.
B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
SAFT
MP TACAN Replacement Program
A015 System Safety Hazard Analysis Report (SSHAR)
DI-SAFT-80101C SOW Para 8.5. AFLCMC/HBAA
DD
A B
ONE/R
N/A
90 DAC
AS REQ
AFLCMC/HBK 1
AFLCMC/HBAAA 1
0 0 2
Block 14: Submit in Contractor format. Submitted in Microsoft Office 2016 or Extensible Markup Language (XML) is required. "Repro" copy defined as electronic media.
Adobe Professional 8.0
FA8102-23-R2000
D
A. CONTRACT…
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