Draft ISC CDRL Package_Posted 20111121.pdf

Hill AFB UT 84056-5713 PREFACE TO CONTRACT DATA REQUIREMENTS LIST (CDRL) (DD FORM 1423)

1. The contractor shall develop and deliver only that data agreed to by the Government in the Exhibit(s) and data items deliverable under any contract clause. The contractor may suggest changes to deliverable data listed in the Exhibit(s) but all changes shall include an explanation. If the contractor elects to suggest changes, the contractor shall use Data Item Descriptions (DIDs) listed at http://www.dodssp.daps.mil, in ASSIST to convey format and content preparation instructions. The use of DIDs by the Contractor is required by the Government to comply with Public Law

104.13, the Paperwork Reduction Act of 1995 as amended. Additional information on the use of DIDs is contained in paragraph 3.0 below. Any additional data proposed by the contractor shall be presented in the format illustrated by CDRLs identified in the Exhibit(s).

2. Delivery media for data shall be digital whenever possible, however no data identified with distribution statement "B" through "F" shall be transmitted over the commercial Internet or equivalent unless password/ID protected and encrypted by a government approved program. Information may also be provided via onsite reviews, technical interchange meetings, telecommunications conferencing, or other means in lieu of formal submissions considered adequate by the contractor and agreed to by the Government.

3. If the contractor proposes the use of a commercial or contractor unique process as part of the Single Process Initiative (SPI), the contractor unique process documentation shall be provided in the response to the solicitation unless previously approved under the SPI. If the proposed process results in the delivery of data in a specific format and/or content and no DID listed in ASSIST is suitable, the contractor shall develop a One Time

(OT) DID for each type of data and submit a electronic version with the corresponding CDRL Sequence Number. MIL-STD- 963B may be used as a preparation guide. If the OTIME DID is determined to be acceptable, the contractor shall electronically transmit the DID to the CO using Microsoft

Word. If the DID is approved by HQ AFMC, the OTIME DID and the contractor unique process shall become part of the contract as an attachment to the applicable CDRL. In selecting a DID from ASSIST, the contractor should consider that each DID represents the maximum allowable information to be delivered for any one type of data. Information in the DID has been approved as written by the Office of Management and Budget and cannot be expanded upon, only reduced

4. As part of the response to the solicitation, the offeror shall provide an estimated cost and supporting rational for each item of data listed on the

CDRL (CDRL items are identified individually by the sequence number appearing in Block 1 of each CDRL). Price Group definitions are contained on the last page of this CDRL package (Form 1423 Reverse JUN 90).

a. The offeror shall complete Blocks 17 and 18 of the DD Form 1423 and include the estimated number of pages plus estimate the number of man-hours (broken down by skill category) attributable to the preparation and delivery of the data.

NOTE: 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.

b. The offeror is encouraged to submit recommendations, suggested changes, or alternate proposals with the response (right hand margin of the

CDRL or a separate sheet may be used).

5. The following comments are provided as clarification to the CDRL:

Block 1: Data Item Number: An identification number assigned to each individual item of data.

Block 2: Title: The exact title taken from the Data Item Description (DID) (DD Form 1664).

Block 3: Subtitle: Used to further identify the title or as a continuation line for a long title. Also used to differentiate the same data item description used more that one time on the same contract.

Block 4: Authority: The identification number assigned to the Data Item Description (DID) (DD Form 1664) number, military specification number or military standard number listed in ASSIST or one-time DID number that defines data content and format requirements.

a. A letter immediately following the number indicates a revision to the DID.

b. A DID may be tailored. Tailoring is the process of focusing on obtaining only minimum essential technical data and data rights for each acquisition. Tailoring instructions e.g., instructions that specify those portions of the DID or other acquisition document that are not applicable to the acquisition, will be specified in BLK 16 of the CDRL.

c. More than one data item may be used to construct a specific data requirement. Each data item will be separately listed on the CDRL and

CDRL BLK 16 will be used to show the relationship (for example, “Combine with contract data item DI-X-XXX for submission”, or “Data prepared in accordance with DI-X-XXX”).

Block 5: Contract Reference: A cross-reference to the associated contract tasking document (Statement of Work, Appendix “A” and/or “B”, procurement specification, etc.) which causes the data to be generated. Appropriate document identifiers and paragraph numbers will be used.

Block 6: Requiring Office: the office responsible for advising on the technical adequacy of the data.

Block 7: DD Form 250 Required: Designation of the location for government inspection and acceptance of the data. One of the following codes will be used, depending on how the data is to be delivered:

DRAFT

http://www.dodssp.daps.mil/

CODE INSPECTION ACCEPTANCE

SS *Source (DD Form 250) *Source (DD Form 250)

DD Destination (DD Form 250) Destination (DD Form 250)

SD *Source (DD Form 250) Destination (DD Form 250)

DS Destination (DD Form 250) * Source (DD Form 250)

LT Letter of Transmittal only

N/A No inspection or acceptance required.

XX Inspection and acceptance requirement specified elsewhere in the contract.

*Source indicates contractor‟s facility.

a. Unless noted otherwise in CDRL BLK 16, the activity to perform destination acceptance will be the first addressee in CDRL BLK 14.

b. When DD Form 250 is required, it shall be submitted for final deliveries only. All submissions prior to final delivery, i.e., outlines, drafts, preliminary, or review copies, etc., shall be submitted by letter of transmittal.

Block 8: Approval Code: All data are subject to Government approval however, selected data will require advance approval of a preliminary, draft, outline or review prior to being distributed as final copies to the addressees listed in Block 14 of the DD Form 1423. The letter

“A” appearing in Block 8 of the DD Form 1423 will designate such data.

Block 9. Distribution Statement Required: If a Distribution Statement is required, enter appropriate Distribution Code in this block. The distribution of technical data containing US technology with military or space application must be controlled. All data including software that is regulated by Title 22 CFR (Code of Federal Regulations) Parts 120-130, known as the International Traffic in Arms Regulation, and contractor proprietary data shall be safeguarded from export and unauthorized dissemination IAW Title 22 U.S.C (United States Code) 2571 et. seq., or

Executive Order 12470, Air Force Instructions (AFI) 61-204 and when transmitted electronically, AFI 33-129. No data identified with distribution statement "B" through "F" shall be transmitted over the commercial Internet or equivalent unless password/ID protected and encrypted by a

Government approved program. The following Distribution Statements when identified as a requirement on the CDRL shall be affixed to deliverable data in a conspicuous position. Enter in BLK 16, the information required for the contractor to complete the distribution statement (fill in reason), (date of determination) and (DoD controlling Office). When the contracting agency cannot determine the correct statement, the contractor may be tasked to recommend one of the statements listed in Attachment 2 to this Preface.

Distribution Code Statement

A Approved for public release; distribution is unlimited

B Distribution authorized to US Government Agencies only (fill in reason) (date of determination). Other requests for this document shall be referred to (insert controlling DOD office)

C Distribution authorized to US Government Agencies and their contractors (fill in reason) (date of determination).Other requests for this document shall be referred to (insert controlling DOD office)

D Distribution authorized to DoD and U.S. DoD contractors only for administrative or operational use determined as of

(date of determination). Other requests shall be referred to AFNWC/NWI SPM , 6014 Dogwood Ave Bldg 1258, Hill AFB

UT 84056-5816.

E Distribution authorized to DoD Components only (fill in reason) (date of determination). Other requests shall be referred to (insert controlling DOD office)

F Further dissemination only as directed by (insert controlling DOD office) (date of determination) or higher authority.

X Distribution authorized to US Government agencies and private individuals or enterprises eligible to obtain export-controlled technical data in accordance with DoD Directive 5230.25 (date of determination). Controlling DoD office is (insert).

Warning Notice and Destruction Notice to be used with export controlled data, unclassified limited documents (not for public release) and classified documents. Do not use with Distribution Statement A.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2778 et seq.) or the Export Administration Act of 1979, as amended, Title 50, USC., App. 2401 et seq. Violation of these export-control laws is subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program

Operating Manual (NISPOM), Chapter 5, Para 5-704, or DoD 5200.1-R, Information Security Program Regulation, Chapter 6, Para C6.7.

For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Block 10: Frequency: The frequency for submitting the data will be indicated by use of one of the following codes:

DAILY - Daily ANNLY - Annually

WEKLY - Weekly SEMIA - Each 6 months

BI-WE - Each 2 weeks OTIME - One time

MTHLY - Monthly ONR/R - One time & revisions

BI-MO - Each 2 months R/ASR - As required

QRTLY - Quarterly *ASREQ- As required

2TIME - Two separate submittals DFDEL -Deferred delivery

ONE/P One-time preliminary draft

* When ASREQ is used in Block 10, 12, or 13, an explanation of the requirement will be entered in Block 16.

Block 11: As of Date: If the data will be submitted only once, the entry in this field will be the cut-off-date as follows: year/month/day. If the data will be input on a recurring basis, which has been set by item 10, the entry will show the number of days between the cut-off date and the end of the input period. As an example, if the data are to be submitted 15 days before the end of the input period, the entry will be 15. If the data are to be submitted at the end of the input period, the entry will be 0. If necessary, BLK 16 will be used to explain further.

Block 12. Date of First Submission. The entry will be Year/month/day. If delivery of the data depends on the initiation of a specific event or milestone, the event or milestone will be identified. If the contract start date is unknown, the entry will be the number of days the data is due after contract start e.g. 3RD (Days After Contract). If this date is not known or needs more clarification, BLK 16 will be used to explain further. If the data are subject of deferred deliver “DFDEL” will be used. In all cases when an acronym is created to identify an event or milestone, the acronym will be further defined in BLK 16 if not else where in the contract.

Block 13: Date of Subsequent Submission: If the data will be required to be submitted more than once the dates will be entered. If a draft is required, the date the final document is to be submitted will be entered. (If this event would cause the data list to become classified, the field will be left blank. „for example Not later than 15 days before start of production, 45 days before launch e., If an acronym is used to identify an event or milestone, the acronym will be further defined in BLK 16 if not else where in the contract.

Block 14a Addressees: Each addressee will be identified by office symbol, contractor initials or DOD Handbook H-4 code numbers and command initials; in this case a list explaining the codes will be attached. If the data are not to be delivered to the government or to associate contractors, appropriate instructions will be entered either in BLK 14a or BLK 16.

Block 14b. Copies: The number and type of copies (regular and reproducible to be received by each addressee will be entered in these fields). If reproducibles are required, the type of reproduction request will be specified e.g. offset, mat, vellum, negative, floppy disk, magnetic tape, aperture card etc. either in these fields or defined further in BLK 16.

Block 15 Total: This entry will be the total number of copies (regular and/or reproducible) for one delivery. If distribution fluctuates, the use of Not To Exceed (NTE) will be used.

Block 16 Remarks: This block will be used to explain:

a. Tailored features of the DID.

b. Items 1 through 15 when required.

c. Any submittal schedule or special conditions involved in updating data submitted for government approval.

d. The BLK 9 distribution statement when deemed appropriate by the contracting agency.

6. The following Organizational Cross Reference List shall be used in conjunction with the CDRLs to determine actual addressees for distribution of data. The ORG number will be entered in lieu of a address on the CDRL and will be a part of the CDRL package.

Changes to the list will be identified by an asterisk next to the ORG number and a revision date to the list.

ORG1= AFNWC/NWIX

6014 Dogwood Ave (Bldg.1258, Rm 23)

Hill AFB UT 84056-5816

Attention: Ko Hussain

Email Address: ko.hussain@hill.af.mil

ORG2= AFNWC/NWIX

Hill AFB UT 84056-5816

Attention: Gregory Wooley

Email Address: gregory.wooley@hill.af.mil

ORG3= AFNWC/NWIX

Hill AFB UT 84056-5816

Attention: Jason Nelson

Email Address: jason.nelson@hill.af.mil

ORG4= AFNWC/NWIEV

6054 Dogwood Ave (Bldg 1255)

Hill AFB UT 84056-5816

Attention: TOMA

ORG5= AFNWC/NWIE

ORG6 = AFNWC/NWIES

ORG7 = AFNWC/NWIEI

ORG8 = AFNWC/NWIET

ORG9 = AFNWC/NWIEV

ORG10 = AFNWC/NWIEI

Hill AFB UT 84056-5816

Attention: John Pulver

Email Address: john.pulver@hill.af.mil

ORG11 = AFGSC/A3I

245 Davis Ave E, Ste 256

Barksdale AFB LA 71110-2287

ORG12 = 75 ABW/SEG

7290 Weiner St., Bldg 383 Rm 215

Hill AFB UT 84056-5830

Attention: David Battle

Email Address: david.battle@hill.af.mil mailto:ko.hussain@hill.af.mil mailto:gregory.wooley@hill.af.mil mailto:jason.nelson@hill.af.mil mailto:john.pulver@hill.af.mil mailto:david.battle@hill.af.mil

ORG13 = AFNWC/NWIL

6023 Elm Ln (Bldg 1248)

Hill AFB UT 84056-5023

Attention: David Beasley

Email Address: david.beasley@hill.af.mil

ORG14 = AFNWC/PKMA

6014 Dogwood Ave (Bldg 1258)

Hill AFB UT 84056-5816

Attention: Scott Wessell

E-Mail Address: scott.wessell@hill.af.mil

ORG15 = AFNWC/NWIES

Hill AFB UT 84056-5816

Attention: Data Manager/Nancy Baker

E-Mail Address: nancy.baker@hill.af.mil mailto:david.beasley@hill.af.mil mailto:scott.wessell@hill.af.mil mailto:nancy.baker@hill.af.mil

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

INTEGRATION SUPPORT

CONTRACT (ISC)

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001

INTEGRATED MASTER SCHEDULE (IMS)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MGMT-81650 PWS Paras 1.2 & 1.6.2.1 AFNWC/NWIX

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT

MTHLY SEE BLK 16

b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft Final

N/A

EOM SEE BLK 16

Reg

Repro

16. REMARKS: CHANGES TO OFFICE SYMBOLS, WHEN NECESSARY, SHALL

BE MADE BY THE CO/ACO WITHOUT REVISIONS TO THE CDRL.

BLOCK 9:

Distribution Statement D: (see page 2 & 3 for distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

Initial Submittal:

Contractor shall submit initial Integrated Master Schedule (IMS) NLT the 15 th day of the month following the first complete month of the contract.

Subsequent Submittals:

Contractor shall submit subsequent IMS NLT the 15 th day of each month thereafter for the duration of the contract. Government will be allowed 10 days, after receipt from contractor, to review for comments. Contractor shall submit revised IMS incorporating

Government comments, if applicable, on the following month‟s IMS.

BLOCK 14: Contractor shall submit IMS to ORG1 (see pages 4 & 5 for address).

ORG1

ORG2 (Lt of Delivery Only)

ORG3 (Lt of Delivery Only)

ORG14 (Lt of Delivery Only)

ORG15 (Lt of Delivery Only)

15. TOTAL 1

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

Pamela A. Lopez/Nancy Baker

Data Manager

AFNWC/NWIES

5 Nov 2011

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

LM 11-45

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A002

MANAGEMENT PLAN

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-80004A/T PWS Paras 1.2 & 1.6.2.2 AFNWC/NWIX

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

DD

ASREQ SEE BLK 16

a. ADDRESSEE

Draft

A

N/A N/A

BLOCK 4:

1. Delete paragraph 2.c. in its entirety.

2. Paragraph 3.1, add the following to the end of the paragraph: “to include a

Security Program Plan and a Life Cycle Sustainment Plan”.

BLOCK 7:

DD 250 or Receiving Document

Distribution Statement D: (see page 2 & 3 for distribution statement, warning, and destruction notices)

Contractor shall submit Management Plan NLT 30 days after award of contract. Government will be allowed 30 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit updated Management Plan incorporating Government comments, if applicable, NLT 30 days after receipt from Government.

Contractor shall submit individual change pages, only, to the Management

Plan upon request thereafter. Government will be allowed 15 days after receipt from contractor, to review for approval/disapproval/comments.

Contractor shall submit updated change pages incorporating Government comments, if applicable, NLT 15 days after receipt of comments from

Government.

BLOCK 14: Contractor shall submit Management Plan to ORG1 (see pages

4 & 5 for address).

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

A003

TRANSITION PLAN

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-80790 PWS Paras 1.2, 1.4.6.2, 1.6.5.1 &

1.6.5.1.1

AFNWC/NWIX

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

N/A SEE BLK 16

BLOCKS 10, 12 & 13:

Contractor shall submit initial Transition Plan NLT 20 days after award of contract. Government will be allowed 20 days, after receipt from contractor, to review for approval/disapproval/comments.

Contractor shall submit revised Transition Plan incorporating

Government comments, if applicable, NLT 15 business days after receipt from Government.

The Government and the contractor shall jointly produce the final

Transition Plan as required.

BLOCK 14: Contractor shall submit initial Transition Plan to ORG1

(see pages 4 & 5 for address).

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A004

CONTRACTOR‟S RISK MANAGEMENT PLAN

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81808 PWS Para 1.2 AFNWC/NWIX

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

Contractor shall submit Contractor‟s Risk Management Plan NLT 30 days after award of contract. Government will be allowed 20 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Risk

Management Plan incorporating Government comments, if applicable, NLT 15 days after receipt from Government.

Contractor shall submit subsequent submittals as required by the

BLOCK 14: Contractor shall submit Contractor‟s Risk Management

Plan to ORG1 (see pages 4 & 5 for address).

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A005

CONFERENCE AGENDA

Meeting Agenda

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-ADMN-81249A

PWS Paras 1.6.1.1.1.4.3,

1.6.1.1.2.4.3 & 1.6.2.4

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

ASREQ N/A

a. ADDRESSEE

Draft

Contractor shall submit Conference Agenda (Meeting Agenda) NLT 5 days prior to scheduled meetings or meetings deemed necessary by the

Government. Government will be allowed 2days, after receipt from contractor, to review for comments. Contractor shall submit revised

Meeting Agenda incorporating Government comments, if applicable, NLT 2 days after receipt from Government.

BLOCK 14: Contractor shall submit Meeting Agenda to ORG1 (see pages 4 & 5 for address).

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A006

BRIEFING MATERIALS

1. Meetings

2. Requirements Validation Board

3. Point Papers

4. White Papers

5. Presentations

6. Briefing Materials for Each

Flight Result

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81605

PWS Paras 1.6.1.1.1, 1.6.1.1.1.1, 1.6.1.1.1.4.2, 1.6.1.1.1.4.3, 1.6.1.1.2.2, 1.6.1.1.2.4.3, 1.1.1.14.4.5, 1.6.1.1.15, 1.6.1.2.6, 1.6.2.9.2, 1.6.3.1.1.3, 1.6.3.1.2.2 &

1.6.3.1.5.10

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

Contractor shall submit Briefing Materials NLT 5 days prior to each scheduled meeting and/or any other meeting deemed necessary by the

Government and as requested by the Government. Government will be allowed 2 days, after receipt from contractor, to review for comments.

Contractor shall present corrected Briefing Materials incorporating

Government comments, if applicable, NLT 2 days after receipt from

BLOCK 14:

Contractor shall submit Briefing Materials to ORG1 (see pages 4 & 5

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A007

REPORT, RECORD OF MEETING/MINUTES

Meeting Minutes

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-ADMN-81505

PWS Paras 1.6.1.1.1.4.3, 1.6.1.1.2.4.3, 1.6.1.2.9.4 &

1.6.2.4

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

Contractor shall submit Report, Record of Meeting Minutes (Meeting

Minutes) NLT 15 days after meeting or event has been held.

Government will be allowed 5 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Meeting Minutes incorporating Government comments, if applicable, NLT 5 days after receipt from Government.

BLOCK 14: Contractor shall submit Meeting Minutes to ORG1 (see

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A008

STATUS REPORT

1. Compliance of Nuclear Surety &

Safety Support to AFI 91 Series

Policies

2. Engineering Assessments and/or

Answers to Action Items

3. Engineering Assessments for

Working Groups

4. Survivability Management Status

Report

5. Assessment of Subsystem Contractor

Deliverables

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-80368A

PWS Paras 1.6.1.1.1, 1.6.1.1.1.4.2, 1.6.1.1.1.4.3, 1.6.1.1.2.4.2, 1.6.1.1.2.4.3 &

1.6.1.1.14.5.5

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

Distribution Statement D: (see page 2 & 3 for distribution statement, warning, and destruction notices)

Contractor shall submit initial Status Report the 10th day of the month following the first complete month of the contract.

Subsequent Submittals:

Contractor shall submit subsequent Status Report the 10th day of each month thereafter for the duration of the contract.

Government will be allowed 10 days, after receipt from contractor, to review for comments. Contractor shall submit revised Status Report incorporating Government comments, if applicable, NLT 10 days after receipt from Government.

BLOCK 14: Contractor shall submit Status Report to ORGs1, 7 & 9 (see pages 4 & 5

NOTE: As part of the Basic Contract, this CDRL will only be required when requested by the Government. This CDRL may also be required when subsequent contracts against the Basic Contract are initiated.

ORG7

ORG9

15. TOTAL 3

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A009

CONTRACT SUMMARY REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-ADMN-80447A/T PWS Para 1.6.2.9.2 AFNWC/NWIX

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

1TIME EOC

a. ADDRESSEE

Draft

1. Delete paragraph 2.1 in its entirety

2. Paragraph 3. Content. Add the following words “As applicable”

Contractor shall submit Contract Summary Report NLT 15 days prior to end of contract.

BLOCK 14: Contractor shall submit Contract Summary Report to

ORG1 (see pages 4 & 5 for address).

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A010

CONTRACT FUNDS STATUS REPORT (CFSR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81468 PWS Para 1.6.2.9.2 AFNWC/NWIX

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

Contractor shall submit initial Contract Funds Status Report (CFSR)

NLT the 20 th of the month following the first complete month of the contract.

Subsequent Submittals:

Contractor shall submit subsequent cumulative CFSRs NLT the 20 th of each month thereafter for the duration of the contract.

Government will be allowed 10 days, after receipt from contractor, to review for comments. Contractor shall submit revised CFSR incorporating Government comments, if applicable, NLT 10 days after

Cutoff date for the information shall be the end of each month.

BLOCK 14: Contractor shall submit CFSR to ORG1 (see pages 4 &

5 for address).

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A011

CONTRACT PERFORMANCE REPORT (CPR)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81466A PWS Para 1.6.2.9.2 AFNWC/NWIX

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

Contractor shall submit initial Contract Performance Report (CPR)

NLT the 20 th of the month following the first complete month of the contract.

Subsequent Submittals:

Contractor shall submit subsequent CPR NLT the 20 th of each month for the duration of the contract.

review for comments. Contractor shall submit revised CPR incorporating Government comments, if applicable, NLT 10 days after

Cutoff date for the information shall be the end of each month.

BLOCK 14: Contractor shall submit CPR to ORG1 (see pages 4 & 5

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A012

PERFORMANCE & COST REPORT

Monthly Budget Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-FNCL-80912 PWS Paras 1.6.2.9.2 &

1.6.2.9.3.1

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

Contractor shall submit Performance & Cost Report NLT the 20 th of the month after the first complete month of the contract.

Subsequent Submittals:

Contractor shall submit subsequent Performance & Cost Report NLT the 20 th of each month for the duration of the contract.

review for comments. Contractor shall submit revised Performance &

Cost Report incorporating Government comments, if applicable, NLT

10 days after receipt from Government.

Cutoff date for the data shall be the end of each month.

BLOCK 14: Contractor shall submit Performance & Cost Report to

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A013

CONTRACT WORK BREAKDOWN

STRUCTURE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81334D PWS Paras 1.6.2.9.2 &

1.6.2.9.3.1

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

SEE BLK 16 SEE BLK 16

Initial Submittal: Contractor shall submit initial Contract Work

Breakdown Structure NLT the 10 th of the month following the first complete month of the contract.

Subsequent Submittals: Contractor shall submit subsequent

Contract Work Breakdown Structure NLT the 10 th of each month for the duration of the contract.

Government will be allowed 20 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Contract Work Breakdown Structure incorporating

Government comments, if applicable, in the following month‟s

Contract Work Breakdown Structure.

Cutoff date for data gathering shall be the end of each month.

NOTE: Contractor shall provide cumulative reports for the months of

January, April, July and October.

Final Report: Contractor shall submit Final Contract Work

Breakdown Structure incorporating all previous submissions NLT 20 days prior to the end of the contract period of performance.

BLOCK 14: Contractor shall submit Contract Work Breakdown

Structure to ORG1 (see pages 4 & 5 for address).

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A014

TECHNICAL REPORT – STUDY/SERVICES

Health of the Weapon System

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80508B/T PWS Para 1.6.1.2.1 AFNWC/NWIEI

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

1. Paragraph 2., add the words “ Contractor Format Acceptable” after

Format.

2. Delete paragraphs 2. (a) & (b) in their entirety

Contractor shall submit Technical Report – Study/Services (Health of the Weapon System) NLT 30 days after completion of study.

Government will be allowed 20 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Technical Report – Study/Services (Health of the Weapon

System) incorporating Government comments, if applicable, NLT 10 days after receipt from Government.

BLOCK 14: Contractor shall submit Technical Report –

Study/Services (Health of the Weapon System) to ORG7 (see pages 4

& 5 for address).

NOTE: As part of the Basic Contract, this CDRL will only be required when requested by the Government. This CDRL may also be required when subsequent contracts against the Basic Contract are initiated.

ORG1 (Lt of Delivery Only)

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A015

System Engineering Assessment Model

(SEAM)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80508B/T PWS Paras 1.6.1.1 & 1.6.1.2.5.1 AFNWC/NWIEI

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

ANNLY SEE BLK 16

a. ADDRESSEE

Draft

Contractor shall initial submit Technical Report – Study/Services

(System Engineering Assessment Model (SEAM)) NLT 30 days after award of contract.

Contractor shall submit annual update to SEAMS to begin 30 days after the first complete year of the contract.

Government will be allowed 30 days, after receipt from contractor to review for approval/disapproval/comments. Contractor shall submit revised SEAM incorporating Government comments, if applicable, NLT 15 days after receipt from Government.

BLOCK 14: Contractor shall submit SEAM to ORG7 (see pages 4 &

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A016

System Level Requirements

Recommendations

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80508B/T PWS Para 1.6.1.1.7 AFNWC/NWIES

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

Contractor shall submit Technical Report – Study/Services (System

Level Requirements) NLT 30 days after completion of study.

Government will be allowed 20 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised System Level Requirements Recommendations incorporating

Government comments, if applicable, NLT 10 days after receipt from

BLOCK 14: Contractor shall submit System Level Requirements

Recommendation to ORG6 (see pages 4 & 5 for address).

ORG6

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

(1 Data Item)

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

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

A TDP TM OTHER ___X_____

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

SERVICE CONTRACT/ICBM

A017

Weapon System Risk

Management Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80508B/T & OI 62-10 PWS Para1.6.1.1.5 AFNWC/NWIES

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

ONE/R SEE BLK 16

a. ADDRESSEE

Draft

Contrac…