Attachment 5 - KC-135 Increased Capacity Latrine CDRLs.pdf

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(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 and Communications 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

1_DATA_ITEM_NO: A045

2_TITLE_OF_DATA_ITEM: Airworthiness Compliance Report

3_SUBTITLE: Compliance Report

4_AUTHORITY_Data_Acquisit: DI-SESS-81768

5_CONTRACT_REFERENCE: SOW 3.6.1.2

6_REQUIRING_OFFICE: AFLCMC/WLT

7_DID_250_REQ: LT

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: AS REQ

11_AS_OF_DATE: CAWD

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: See Blk 16 addressee1: AFLCMC/WLT draft1: 1 reg1: 1 repro1:

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16_REMARKS: The Contractor shall identify hazards due to non-compliances, recommend near term restrictions, and identify work remaining to strengthen compliance. This information shall be captured in the Compliance Report, the associated Program Safety Assessment Report, and the AW Risk Acceptance (AWRA) package. The Contractor shall support the Government’s risk acceptance efforts in accordance with AWB-150.

BLOCK 4. Data Acquisition Document can be found at https://quicksearch.dla.mil/qsSearch.aspx (a). Use in conjunction with DI-SAFT-80102C, Safety Assessment Report (SAR), 12 Jun 15 (b). Utilize MIL-HDBK-516C, Airworthiness Certification Criteria, 12 Dec 2014, in conjunction with AFLCMC OI 62-601, 5 Dec 2013, as guidance.

(c). Utilize AWB-150B, Airworthiness Risk Assessment and Acceptance, as guidance.

BLOCK 7: The letter of transmittal shall contain the System name, Contract Number, Contract Data Requirements List (CDRL) number, data description, data item no (block 1), technical contact, contracting contact, and any additional comments.

BLOCK 9: Data item will only be distributed to DoD agencies and DoD contractors.

BLOCK 11: As of contract award date.

BLOCK(s) 12, 13: Contractor shall deliver the draft AW Risk Assessment thirty (30) business days prior to ground and/or flight testing, update as required, and final ten (10) business days post ground and/or flight test report delivery.

BLOCK 14: Contractor shall upload data item in the KC-135 Life Cycle Management Program (LCMP) CDRL module. Acceptable file formats are: xls, xlsx, pdf, doc, docx, ppt, pptx, xml, zip, mpp, vsd, jpg, gif, png, mht, or xlsm.

Contractor format is acceptable.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0009

B_EXHIBIT: A

TDP:

TM:

OTHER: SESS

DSYSTEMITEM: C/KC-135 Increased Capacity Latrine

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

of_pages:

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A001

2_TITLE_OF_DATA_ITEM: Meeting Agenda

3_SUBTITLE: Conference Agenda

4_AUTHORITY_Data_Acquisit: DI-ADMN-81249C

5_CONTRACT_REFERENCE: See Block 16

6_REQUIRING_OFFICE: AFLCMC-WLTMC

7_DID_250_REQ: NO

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: ASREQ

11_AS_OF_DATE: CAWD

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: ASREQ

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16_REMARKS: Block 5: SOW paragraphs 3.4.1

Block 12: Submit per IMS

Contractor format acceptable. Deliverable header and footer will be marked with CUI banner on all pages and the following CUI Designation Indicator on front page.

Controlled by: USAF Controlled by: AFLCMC/WLTMC CUI Category(ies): CTI Limited Dissemination Control: FEDCON POC: Robert Jackson, (405) 582-9445

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 law as are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

HANDLING AND DESTRUCTION NOTICE – Comply with distribution statement and destroy by any method that will prevent disclosure of contents or reconstruction of the document.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO:

B_EXHIBIT: A

TDP:

TM:

OTHER: ADMN

DSYSTEMITEM: C/KC-135 Increased Capacity Latrine

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

of_pages:

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A002

2_TITLE_OF_DATA_ITEM: Presentation Material

3_SUBTITLE:

4_AUTHORITY_Data_Acquisit: DI-ADMN-81373

5_CONTRACT_REFERENCE: SOW Para. See Block 16

6_REQUIRING_OFFICE: AFLCMC-WLTMC

7_DID_250_REQ: NO

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: ASREQ

11_AS_OF_DATE: CAWD

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: ASREQ

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16_REMARKS: Block 5: SOW Reference 3.4.1

Block 12: Submit per IMS

Contractor format acceptable. Deliverable header and footer will be marked with CUI banner on all pages and the following CUI Designation Indicator on front page.

Controlled by: USAF Controlled by: AFLCMC/WLTMC CUI Category(ies): CTI

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 law as are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

HANDLING AND DESTRUCTION NOTICE – Comply with distribution statement and destroy by any method that will prevent disclosure of contents or reconstruction of the document.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0009

B_EXHIBIT: A

TDP:

TM:

OTHER: ADMN

DSYSTEMITEM: C/KC-135 Increased Capacity Latrine

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

of_pages:

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A003

2_TITLE_OF_DATA_ITEM: Conference Minutes

3_SUBTITLE: Meeting Agenda

4_AUTHORITY_Data_Acquisit: DI-ADMN-81250C

5_CONTRACT_REFERENCE: SOW Para. See Block 16

6_REQUIRING_OFFICE: AFLCMC-WLTMC

7_DID_250_REQ: NO

8_APP_CODE: A

DIST_STATEMENT: A

10_FREQUENCY: ASREQ

11_AS_OF_DATE: CAWD

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: ASREQ

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16_REMARKS: Block 5: SOW Reference 3.4.1

Block 12: Submit per IMS

Contractor format acceptable. Deliverable header and footer will be marked with CUI banner on all pages and the following CUI Designation Indicator on front page.

Controlled by: USAF Controlled by: AFLCMC/WLTMC CUI Category(ies): CTI

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 law as are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

HANDLING AND DESTRUCTION NOTICE – Comply with distribution statement and destroy by any method that will prevent disclosure of contents or reconstruction of the document.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY:

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0009

B_EXHIBIT: A

TDP:

TM:

OTHER: ADMN

DSYSTEMITEM: C/KC-135 Increased Capacity Latrine

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

of_pages:

Reset:

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, FEB 2001 PagesPage of

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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.

TDP TM OTHER

15.TOTAL

16. REMARKS (Continued)

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

DD FORM 1423-1 (BACK), FEB 2001

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

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

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

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

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

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

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

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

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

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

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

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

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

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

DoDD 5230.24).

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

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

Item 12. Specify when first submittal is required.

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

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

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

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13;

Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

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

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

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

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

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

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

Estimated Price - Costs to be included under Group III are the

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

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

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

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

DRAFT

SAMPLE

PREVIOUS EDITION MAY BE USED.

DD FORM 1423-1, FEB 2001

Pages

PREVIOUS EDITION MAY BE USED.

DD FORM 1423-1, FEB 2001

Pages

DRAFT

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

DD FORM 1423-1 (BACK), FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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.

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

Reg

Repro

15.TOTAL

G. PREPARED BY

I. APPROVED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

C. CATEGORY:

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

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

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

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

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

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

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

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

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

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

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

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

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

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

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

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

DoDD 5230.24).

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

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

Item 12. Specify when first submittal is required.

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

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

Item 16.

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

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in

Item 4; Clarification of submittal dates in Items 12 and 13;

Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

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

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

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

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

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

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

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

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

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

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

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

9.0.0.2.20120627.2.874785

DD Form 1423-1, "CONTRACT DATA REQUIREMENTS LIST (1 Data Item) "

Click this button to save this form.:

Click this button to print this form.:

Click this Reset button to erase data from all fields.:

Enter total page numbers.:

A. CONTRACT LINE ITEM NUMBER: 0009

EXHIB: A

Select for "TDP.": 0

Select for "TM.": 0

Enter specification for "Other.": MGMT

SYS: KC-135 Increased Capacity Latrine

PR: TBD

CONF: TBD

TextField2: A005

TextField2: Item Unique Identification (IUID) Marking Plan

TextField2: DI-MGMT-81803A

TextField2: SOW Paragraph 3.11.1

TextField2: AFLCMC/WLTM

TextField2: LT

TextField2: N/A

TextField2: D

TextField2: See Blk. 16

TextField2: CAWD

TextField2: See Blk. 16

TextField2: See Blk. 16

TextField2: BLOCK 4: Data Acquisition Document can be found at https://quicksearch.dla.mil/qsSearch.aspx

BLOCK 12: IUID Marking will be completed prior to Ground Testing. The contractor shall provide deliver the marking plan no later than ten (10) business day prior to Ground Testing.

BLOCK 14: Contractor shall upload data item in the KC-135 Life Cycle Management Program (LCMP) CDRL module. Acceptable file formats are: xls, xlsx, pdf, doc, docx, ppt, pptx, xml, zip, mpp, vsd, jpg, gif, png, mht, or xlsm.

Contractor format is acceptable.

CDRL will be marked at a minimum "Controlled Classified Information" or "CUI".

TextField2: In Teamcenter

TextField2: 2.2 The Report shall contain cumulative cost of evaluation and repair, to reflect the total repair cost for completed repairs.

2.3 The Report shall also identify:

a. Ceiling amount for the Contract Line Item Number (CLIN).

b. Funded amount for the CLIN.

c. Contract Modification number on which the funded amount is based.

d. Cumulative expenditure amount by CLIN as of the report date.

e. Total monthly expenditure amount for that month, including labor, a list of labor categories, labor hours, and fully burdened labor rates

Total draft copies is automatically calculated.: 1

Total draft copies is automatically calculated.: 1

Total final regular copies is automatically calculated.: 1

Total final regular copies is automatically calculated.: 1

Total final reproducible copies is automatically calculated.:

DecimalField1:

G. PREPARED BY (Signature):

I. APPROVED BY (Signature):

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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.

15.TOTAL

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

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

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

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

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

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

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

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

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

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

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

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

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

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

DoDD 5230.24).

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

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

Item 12. Specify when first submittal is required.

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

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

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

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13;

Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort conformance with Government requirements, and the required to perform additional work to conform to Government without conforming to Government requirements, and the contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of

Estimated Price - Costs to be included under Group III are the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any

DRAFT

SAMPLE

PREVIOUS EDITION MAY BE USED.

DD FORM 1423-1, FEB 2001

Pages

PREVIOUS EDITION MAY BE USED.

DD FORM 1423-1, FEB 2001

Pages

DRAFT

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

DD FORM 1423-1 (BACK), FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188 OMB Approval Expires 20221130

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.

C. CATEGORY:

14. DISTRIBUTION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft

Final

Reg

Repro

15.TOTAL

G. PREPARED BY

I. APPROVED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

C. CATEGORY:

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

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

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

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

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

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

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

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

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

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

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

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

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

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

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

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

DoDD 5230.24).

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

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

Item 12. Specify when first submittal is required.

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

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

Item 16.

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

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in

Item 4; Clarification of submittal dates in Items 12 and 13;

Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

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

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

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

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

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

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

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

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

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

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

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

9.0.0.2.20120627.2.874785

DD Form 1423-1, "CONTRACT DATA REQUIREMENTS LIST (1 Data Item) "

Click this button to save this form.:

Click this button to print this form.:

Click this Reset button to erase data from all fields.:

Enter total page numbers.:

A. CONTRACT LINE ITEM NUMBER: 0009

EXHIB: A

Select for "TDP.": 0

Select for "TM.": 0

Enter specification for "Other.": MGMT

SYS: KC-135 Increased Capacity Latrine

PR: TBD

CONF: TBD

TextField2: A006

TextField2: Item Unique Identification (IUID) Marking Activity, Validation and Verification Report

TextField2: DI-MGMT-81804A

TextField2: SOW Paragraph 3.11.1

TextField2: AFLCMC/WLTM

TextField2: LT

TextField2: N/A

TextField2: D

TextField2: See Blk. 16

TextField2: CAWD

TextField2: See Blk. 16

TextField2: See Blk. 16

TextField2: BLOCK 4: Data Acquisition Document can be found at https://quicksearch.dla.mil/qsSearch.aspx

BLOCK 12: IUID Verification will be conducted in conjunction with Ground Testing. The contractor shall provide verification results no later than ten (10) business day after Ground Testing.

BLOCK 14: Contractor shall upload data item in the KC-135 Life Cycle Management Program (LCMP) CDRL module. Acceptable file formats are: xls, xlsx, pdf, doc, docx, ppt, pptx, xml, zip, mpp, vsd, jpg, gif, png, mht, or xlsm.

CDRL will be marked at a minimum "Controlled Classified Information" or "CUI".

TextField2: In Teamcenter

TextField2: 2.2 The Report shall contain cumulative cost of evaluation and repair, to reflect the total repair cost for completed repairs.

2.3 The Report shall also identify:

a. Ceiling amount for the Contract Line Item Number (CLIN).

b. Funded amount for the CLIN.

c. Contract Modification number on which the funded amount is based.

d. Cumulative expenditure amount by CLIN as of the report date.

e. Total monthly expenditure amount for that month, including labor, a list of labor categories, labor hours, and fully burdened labor rates

Total draft copies is automatically calculated.: 1

Total draft copies is automatically calculated.: 1

Total final regular copies is automatically calculated.: 1

Total final regular copies is automatically calculated.: 1

Total final reproducible copies is automatically calculated.:

DecimalField1:

G. PREPARED BY (Signature):

I. APPROVED BY (Signature):

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 and Communications 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

1_DATA_ITEM_NO: A013

2_TITLE_OF_DATA_ITEM: TECHNICAL MANUAL CONTRACT REQUIREMENTS (TMCR)

3_SUBTITLE: Technical Orders

4_AUTHORITY_Data_Acquisit: TM-86-01R/T

5_CONTRACT_REFERENCE: SOW p. 3.5.1

6_REQUIRING_OFFICE: AFLCMC-WLTMC

7_DID_250_REQ:

8_APP_CODE: A

DIST_STATEMENT: D

10_FREQUENCY: ASREQ

11_AS_OF_DATE: CWAD

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: ASREQ

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total_draft: 0 total_repro: 0

16_REMARKS: 1. In-Process Reviews will be added to the IMS as a milestone.

2. 50%, 75% and 100% In-Process Review shall be in conjunction with on aircraft verification of TO/TCTO procedures

Block 4:

(a) TOs and checklists that may be developed shall conform to the maintenance level and task involved. TOs must describe system and LRU theory of operation, interfaces, operational check out, component removal/installation, preventive maintenance, emergency response procedures and repair, and must include necessary fault isolation manuals and fault reporting manuals. All new AF operations and/or maintenance manuals and TOs should be provided to the skill level of the technician performing operations, maintenance and inspection tasks.

Technical data will allow maximum on-site maintenance. The contract number, document name, CDRL number, and date of submission shall be on the first page of deliverable.

(b) Comply with Technical Manual Contract Requirement TM-86-01R/T

Block 9: for TOs.

DISTRIBUTION STATEMENT D – Secondary Distribution: the Controlling DoD office AFLCMC/WLT does not authorize secondary distribution, release, and dissemination permitted by this distribution statement without additional approvals or authorizations. Primary Distribution by AFLCMC/WLT authorized to the Department of Defense and U.S. DoD contractors only, Export Controlled, Administrative or Operational Use, 03 March 2022. Refer other requests for this document to AFLCMC/WLT, Tinker AFB, Oklahoma 73145-3019 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 law as are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

HANDLING AND DESTRUCTION NOTICE – Comply with distribution statement and destroy by any method that will prevent disclosure of contents or reconstruction of the document Block 9: TCTOs shall have the same markings as above and shall also include Controlled Unclassified Information (CUI) markings per MIL-DTL-38804F Blocks 10,12,13:

(a) TO Guidance Conference can be held in conjunction with the kick off meeting within 30 days of contract award.

17_PRICE_GROUP:

ESTIMATED_TOTAL_PRICE:

G_PREPARED_BY: Tiffany Scott AFLCMC/WLTC

H_DATE:

1_APPROVED_BY:

J_DATE:

Page:

reg38t: 1

A_CONTRACT_LINE_ITEM_NO: 0009

B_EXHIBIT: A

TDP:

TM: X

OTHER:

DSYSTEMITEM: C/KC-135 Increased Capacity Latrine

E_CONTRACTPR_NO: TBD

FCONTRACTOR: TBD

of_pages:

Reset:

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 and Communications 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

1_DATA_ITEM_NO: A008

2_TITLE_OF_DATA_ITEM: Contract Summary Report

3_SUBTITLE: Closeout Letter

4_AUTHORITY_Data_Acquisit: DI-ADMN-80447A

5_CONTRACT_REFERENCE: SOW Para. 5.0

6_REQUIRING_OFFICE: AFLCMC-WLTMC

7_DID_250_REQ: NO

8_APP_CODE: N/A

DIST_STATEMENT: D

10_FREQUENCY: 1TIME

11_AS_OF_DATE: CAWD

12_DATE_OF_FIRST_SUBMISSI: See Blk 16

13_DATE_OF_SUBSEQUENT_SUB: ASREQ

addressee1: LCMP draft1:

reg1: 1 repro1:

addressee2:

draft2:

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addressee…