Complete_CDRL_Package_PSSC_16_Jan_14.pdf

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Propulsion Subsystem Support Contract Federal contract opportunity
Solicitation number
FA8214-14-R-0003
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Department of the Air Force Materiel Command Lifecycle Management Center Hill Air Force Base

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Text version

Contract Number: FA8214-13-R-0003

Propulsion Subsystem Support Contract (PSSC)

4 September 2013

CDRL Instructions & Master Listing

1. Introduction

This document was developed in accordance with DOD MIL-STD 310000 and represents the general requirements for the Technical Data Package (TDP) for this program. The purpose of this Attachment, Contract

Data Requirement List (CDRL) Instructions and Master Listing, is to supplement the Government Rights in

Data Attachment (GRID). All delivery instructions are specified on the CDRL forms or its digital (word, excel, pdf) equivalent.

2. General Guidelines

The CDRL is a list of data requirements authorized for this specific contract. The CDRLs shall apply to the

Propulsion Subsystem Support Contract (PSSC) program unless otherwise stated. The CDRL form, Department of Defense (DD) Form 1423, specifies the data required to be delivered to the Government, as well as the frequency and approval requirements. The Data Item Descriptions (DID), listed on the CDRL form, were selected from the Acquisition Streamlining and Standardization Information System (ASSIST) and provide additional direction for data preparation.

3. Communications

Any correspondence related to requests for data delivery deviations and/or amendments, additions or deletions to the CDRL form shall be addressed to the Procuring Contracting Officer (PCO) with a courtesy copy to the

Data Management Officer (DMO) (Air Force Nuclear Weapons Center (AFNWC)/NIES) and the cognizant program manager (PM). Copies of all forms & templates noted in this file are available as requested from your

PM, the DMO or your PCO.

4. Codes used in the DD Form 1423

The directions for submittal and approval of data is indicated in Blocks 7, 8, 9, 10, 11, 12, 13, 14, 15 or 16 of the DD Form 1423. Usually, the direction is in the form of a code (explained below). The following abbreviations/codes are common usage within AFNWC.

4.1 Block 7, DD Form 250 Requirements

Block 7 of the CDRL form indicates whether Procurement Quality Assurance (PQA) inspections and acceptance of deliverable data by DD Form 250 is required. “Draft” copies submitted for advance approval and

“Preliminary Draft” copies submitted are exempt from the DD Form 250 requirements. Information copies of

DD Form 250 to accompany each letter of transmittal for this category of data.

Code Inspection Acceptance SS Source (DD Form 250 or equivalent document) Source (DD Form 250 or equivalent document) DD Destination (DD Form 250 or equivalent document) Destination (DD Form 250 or equivalent document)

SD Source (DD Form 250 or equivalent document) Destination (DD Form 250 or equivalent document) DS Destination (DD Form 250 or equivalent document) Source (DD Form 250 or equivalent document)

Code Inspection LT Letter of Transmittal only NO No inspection or acceptance required XX Inspection and acceptance requirements specified elsewhere in contract S Indicates the contractor’s facility

D Indicates the primary destination point

4.2 Block 8, Approval Code

When document approval is required (code “A”), the approval authority (ORG) for that 1423 is designated with an (A). Approval coordination shall be done using the Contract Document Action Form (CDA). When document approval is not required (code “N/A”), no approval of the CDRL is required (note that documents that do not require approval shall also be marked as “NO” or “LT” in block 7.

Code Description

A Approval Required N/A Approval Not Required

4.3 Block 10, Frequency of Submittals

DAILY Daily WEKLY Weekly BI-WE Each 2 weeks MTHLY Monthly BI-MO Each 2 months QRTLY Quarterly ANNLY Annually SEMIA Each 6 months OTIME One time ONE/R One time and revisions R/ASR Revisions as required ASGEN As generated ASREQ As required* DFDEL Deferred delivery DFORD Deferred ordering DFREQ Deferred requisitioning ONE/P One time preliminary draft XTIME Multiple separate submittals (i.e., 2Time, 3Time)

* When ASREQ is used in Blocks 10, 11, 12 or 13 an explanation of the requirements must be entered in Block

16.

4.4 Block 12 and 13, Dates of Initial and Subsequent Submissions

ATP Authority To Proceed ASGEN As generated ASREQ As required* CDR Critical Design Review CA Contract Award CO Change Order CD Calendar Day(s) CP/REQ Change page/as required CP/O Change page/(only)

DCARC Defense Cost and Research Center DFDEL Deferred delivery FQT Formal Qualification Test FCA Functional Configuration Audit PCA Physical Configuration Audit TRR Test Readiness Review SA Supplemental Agreement WD Working Day(s)

* When ASREQ is used in Blocks 10, 11, 12 or 13 an explanation of the requirements must be entered in Block

16.

5. Supplemental Data Preparation Instructions

5.1 Data Item Description (DID) Tailoring

The DID is a specification for the preparation of data. DID tailoring is reflected in Block 16 of the CDRL form.

“T” entered after the DID number in Block 4, means that the DID has been tailored. Block 4 tailoring is made to either relax preparation instructions or to tailor the DID to be in consonance with the source document tailoring contained in the Statement of Work (SOW), Performance Work Statement (PWS) or Statement of

Objectives (SOO).

5.2 Distribution Statement Marking

The designation in Block 9 of the CDRL form indicates that one of the following seven (7) authorized distribution statements from Department of Defense (DoD) Directive 5230.24 and Air Force Instruction

(AFI) 61.204 shall be annotated on that technical data. Distribution statements will be selected to denote the audience the data is intended for: A distribution statement marking is distinct from and in addition to a security classification marking assigned in accordance with (IAW) DoD 5200.1-R. Should Block 9 of the CDRL form and the DID be in conflict, Block 9 of the CDRL form shall take precedence. The following distribution statements are authorized for use in marking technical documents:

Distribution Statement A:

Approved for public release; distribution is unlimited.

Distribution Statement B:

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

Distribution Statement C:

Distribution authorized to U.S. Government Agencies and their contractors (fill in reason) (date of determination).

Other requests for this document shall be referred to (insert controlling DoD office).

Distribution Statement D:

Distribution authorized to the 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/NI, 6054 Dogwood Ave Bldg 1255, Hill AFB UT 84056-5816.

Distribution Statement E:

Distribution authorized to Department of Defense (DoD)

Distribution Statement F:

Further dissemination only as directed by AFNWC/NI, 6054

Components only for Administrative or Operational Use (date determination). Other requests shall be referred to AFNWC/NI, 6054 Dogwood Ave Bldg 1255, Hill AFB UT 84056-5816.

Dogwood Ave Bldg 1255, Hill AFB UT 84056-5816.

(date of determination) or higher Department of Defense (DoD) authority.

Distribution Statement X:

Distribution authorized to U.S. Government Agencies and private individuals or enterprises eligible to obtain export-controlled technical data in accordance with (IAW) regulations implementing 10 U.S.C. 140 (date of determination). Controlling office is (insert).

5.3 Other Notices

All technical documents marked with Distribution Statements B, C, D, E, F, or X will also be marked with the following notices:

WARNING:

This document/software contains technical data/software whose export is restricted by the Arms Export Control

Act (Title 22, U.S.C., Sec 2751 et seq.) or the Export Administration Act of 1979, as amended, (Title 50, U.S.C., App 2401 et seq). Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DOD Directive 5230.25.

Destruction Notice:

For classified documents, follow the procedures in DOD 5220.22M, National Industrial Security Program

Operating Manual, Chapter 5, Section 7, or DOD 5200.1R, Information Security Program Regulation, Chapter

6, Section 7. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

6. Supplemental Data Delivery Instructions

6.1 Due Dates

Due dates for delivery of data are to be construed as receipt at destination.

6.2 Late Delivery

Delivery of data is considered late if it does not arrive at its destination by 1530 hours (3:30 PM) Mountain

Time on the date specified in Blocks 12, 13 or 16 of the CDRL.

6.3 Submittal Procedures

6.3.1 CDRL Submittal Procedure

For the purposes of data submittal. Unclassified CDRLs are submitted to the government via encrypted email to the recipient outlined in Block 14.

Each data submittal shall be accompanied by a Contract Document Action (CDA) form (please request current version from ORG1). If for any reason a CDA form is not available, a cover letter shall contain the following information:

1. Contract number

2. CDRL sequence number (i.e., A001)

3. Exact title and subtitle (if applicable) of the document being transmitted

4. Line item or CLIN number

5. Modification Number or Order Number

4. Document date, number, and revision information (if applicable)

5. Data delivery method and date of delivery

6. Whether the document is a draft, or final submittal

7. For approval data: State “For Approval”

8. If the document is a re-submittal, reference the Government letter Contractual Document Action (CDA) requesting re-submittal or disapproval of previous submittal

9. For periodic reports: The report period that the document covers

10. Distribution: Information disclosing the total contractual distribution being made per Block 14, or

Block 16 of the CDRL Form

6.3.2 Classified CDRL Submittal Procedure

Classified CDRLs and classified documentation are submitted in accordance with this instruction and are never to be emailed. Classified CDRLs or portions of a CDRL, as applicable, shall be forwarded IAW Appendix B of the DD254. For Classified Disks send two (2) copies.

Outer Envelope:

Address

ATTN: Security Office/Document Control

Inner Envelope:

Addresss

ATTN: Name of person for whom the document should be delivered

7. Supplemental Data Review and Approval Process

7.1 Approval CDRLs

The letter “A” in Block 8 of the DD Form 1423 indicates that the Government must approve the data item. In addition, Block 16 of the form may contain additional directions.

Written Approval

Written approval indicates agreement or concurrence with the contractor furnished data only and shall not be construed as changing any of the terms or conditions of the subject contract. The approval authority shall be ORG 1 as outlined in section 9 of this document.

Approval shall take the form of either a letter signed by the PCO/DMO or concurrence using the Contractual Document Action (CDA) form, signed and dated by the representative stated in ORG 1. Data items submitted for approvals are NOT automatically approved without government approval.

Approved with Comment or Disapproved

The Contractor shall revise data items Approved with Comments or Disapproved in accordance with the specific written comments transmitted with the CDA or PCO/DMO letter and resubmit not later than 30 calendar days (unless otherwise directed) from receipt of the Approval with Comments or Disapproval, unless otherwise directed. The resubmitted data will require a new approval cycle as indicated in Block 8 of the DD Form 1423.

Draft Versions of the CDRL

If a DD Form 1423 directs the Contractor to submit a “draft” version of an approval CDRL in advance of the final version, the draft will be considered an information only submission.

However, the PCO still retains the right to disapprove a draft data item that does not comply with the contract requirements. Unless otherwise directed by the PCO, the Contractor shall incorporate the Government’s comments in the final submission and shall not resubmit the draft version of the data item.

7.2 Contractual Document Action (CDA)

After the Government receives a data item submission, a Temporary Data Identification Number (TDID), a unique identifier to that submission, will be assigned by the DMO. The Government’s review of that data item will result in a coordinated CDA form, or PCO letter, indicating the data items approval or disapproval. Should the Government have comments on the data item; the CDA will include either comments on the CDA form itself or a Comment Resolution Matrix (CRM). Comments will be provided to the submitter in accordance with the format and timeline noted in block 16. Comments will be assigned one of the following codes:

COMMENT CODE CODE DESCRIPTION

C Critical Comments of a very serious nature that will preclude final approval and publication of the document. You are willing to elevate the comment or issue to senior organization leadership (e.g., general officer) and recommend they non-concur. These are the "show-stoppers". Convincing rationale for critical comments must be provided. The individual making the comment and the document writer will reconcile the comment.

S Substantive Comments of a less serious nature that have noticeable impact on the document's quality or content. The document appears to be incorrect, misleading, confusing, or inconsistent with other sections.

A Administrative Comments that address minor items such as typographical, format and/or grammatical errors.

7.3 Information Only CDRLs

When an “A” is not indicated in Block 8 of the DD Form 1423, the PCO/DMO still retains the right to disapprove any data that does not comply with contract requirements. The Contractor shall revise the disapproved data item in accordance with the specific written comments transmitted with the CDA form or PCO letter and resubmit not later than 30 calendar days, unless otherwise directed, from receipt of the disapproval.

The resubmitted data will require a new approval cycle as indicated in Block 8 of the DD Form 1423.

8. Data Accession List (DAL)

During performance of the contract, requests from the PCO for data ordered from the Data Accession List

(DAL) (with the application of DID DI-MGMT-81453A) shall be provided at no increase in contract price.

Requests for quantities greater than two each per document shall be honored upon receipt of PCO direction and with Contractor concurrence that such request can be filled at no increase in contract price.

9. Organizational Cross Reference List

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.

ORG#/ Name Address Attention/To Contact Info

ORG1/ AFNWC/NIBB 6011 Gum Lane Hill AFB, Utah, 84056-5826

Donald Mowles donald.mowles@hill.af.mil

ORG2/AFNWC/NIBE 6011 Gum Lane Hill AFB, Utah, 84056-5826

Dave Engen dave.engen@hill.af.mil

ORG3/AFNWC/NIEV 6054 Dogwood Ave (Bldg 1255)

TOMA N/A

ORG4/AFNWC/NIES 6054 Dogwood Ave (Bldg 1255)

N/A

ORG5/AFNWC/NIEI 6054 Dogwood Ave (Bldg 1255) Hill AFB, Utah, 84056-5826

N/A

ORG6/AFNWC/NIET 6054 Dogwood Ave (Bldg 1255) Hill AFB, Utah, 84056-5826

N/A

ORG7/AFNWC/NIEV 6054 Dogwood Ave. (Bldg. 1255) Hill AFB, Utah, 84056-5826

N/A

ORG8/AFGSC/A3I 245 Davis Ave E Ste 256 Barksdale AFB, LA 71110-2287

N/A

ORG9/75ABW/SEG 7290 Weiner St Bldg 383 Rm 215 Hill AFB, UT 84056-5830

David Battle david.battle@hill.af.mil

ORG10/AFNWC/NILA 6023 Elm Ln (Bldg 1248) Hill AFB UT 84056-5023

David Beasley david.beasley@hill.af.mil

ORG11/AFNWC/PZBF 6014 Dogwood Ave (Bldg 1258) Hill AFB UT 84056-5816

Jed Noorda jed.noorda@hill.af.mil

ORG12/AFNWC/NIES 6054 Dogwood Ave (Bldg 1255) Hill AFB UT 84056-5816

Nancy Baker nancy.baker@hill.af.mil

ORG13/AFNWC/NIF 6014 Dogwood Ave (Bldg 1258) Hill AFB UT 84056-5816

Kevin Brown kevin.brown.ctr@hill.af.mil mailto:donald.mowles@hill.af.mil mailto:dave.engen@hill.af.mil mailto:david.battle@hill.af.mil mailto:david.beasley@hill.af.mil mailto:jed.noorda@hill.af.mil mailto:nancy.baker@hill.af.mil mailto:kevin.brown.ctr@hill.af.mil

10. CDRL Master Listing Index

CDRL# Description DID

A001 Integrated Program Management Report (IPMR) DI-MGMT-81861

A002 Management Plan DI-MGMT-80004A/T

A003 Transition Plan DI-MGMT-80790/T

A004 Contractor's Risk Management Plan DI-MGMT-81808

A005 Conference Agenda (Meeting Agenda) DI-ADMIN-81249A

A006 Briefing Materials DI-MGMT-81605

Briefings for Meetings

Requirements Validation Board (RVB)

Point Papers

White Papers

Presentations

A007 Report, Record of Meeting/Minutes (Meeting Minutes) DI-ADMN-81505

A008 Status Report (Contract Update) DI-MGMT-80368A

A009 Item Unique Identification (IUID) Marking Plan DI-MGMT-81803

A010 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report

DI-MGMT-81804A

A011 Performance & Cost Report DI-FNCL-80912/T

A012 Funds and Man-Hours Expenditure Report DI-FNCL-80331A/T

A013 Contract Summary Report DI-ADMN-80447A/T

A014 Contract Funds Status Report (CFSR) DI-MGMT-81468

A015 Contract Work Breakdown Structure DI-MGMT-81334D

A016 Technical Report – Study/Services DI-MISC-80508B/T

A017 Flight Performance Report DI-MISC-80508B/T

A018 Metric Tracker Report DI-MISC-80508B/T

A019 RESERVED

A020 System/Subsystem Requirements DI-MISC-80508B/T

A021 Aging Surveillance Assessment Report DI-MISC-80508B/T

A022 Risk Assessment Studies and/or Recommendations DI-MISC-80508B/T

A023 Technical Memorandum (Safety & Nuclear Surety) DI-MISC-80508B/T

A024 Changes to ICBM Items in the Master Nuclear Certification List (MNCL) DI-MISC-80508B/T

A025 Nuclear Surety Evaluation (NSE) DI-MISC-80508B/T

A026 Fault Tree Analysis DI-MISC-80508B/T

A027 Probabilistic Risk Assessment DI-MISC-80508B/T

A028 Pollution Prevention Program DI-MISC-80508B/T

A029 National Environmental Policy Act (NEPA) DI-MISC-80508B/T

A030 RESERVED

A031 Service Life Assessment Report (SLAR) DI-MISC-80508B/T

A032 Shelf Life Analysis DI-MISC-80508B/T

A033 Aging Surveillance DI-MISC-80508B/T

A034 Test Plan DI-NDTI-80566A

A035 Test Procedure DI-NDTI-80603A

A036 Test/Inspection Report DI-NDTI-80809B

A037 Quality Assurance Program Plan DI-QCIC-81794

A038 Technical Data Assessment DI-MISC-80734/T

A039 Technical Data Package Review Report DI-MISC-80750

A040 Product Drawings/Models & Associated List DI-SESS-81000D/T

A041 Engineering Change Proposal (ECP) DI-CMAN-80639C

A042 Specification Change Notice (SCN) DI-CMAN-80643C

A043 RESERVED

A044 RESERVED

A045 Interface Control Document (ICD) DI-CMAN-81248A

A046 RESERVED

A047 Automated Computer Program Identification Number (ACPIN) Data & Control Record

DI-MISC-81454B

A048 Software Version Description (SVD) DI-IPSC-81442A

A049 Software Test Plan (STP) DI-IPSC-81438A

A050 Software Test Description (STD) DI-IPSC-81439A

A051 Software Test Report (STR) DI-IPSC-81440A

A052 System Safety Program Plan (SSPP) DI-SAFT-81626

A053 Safety Studies Plan DI-SAFT-81066/T

A054 Safety Studies Report DI-SAFT-81065/T

A055 Safety Assessment Report (SAR) DI-SAFT-80102B

A056 Operating Procedures for Hazardous Material DI-SAFT-80402

A057 Pollution Incident Report DI-SAFT-80494A

A058 RESERVED

A059 RESERVED

A060 Chemical Accident or Incident Report DI-SAFT-80975

A061 Nuclear Certification Impact Statement (NCIS) DI-NUOR-81888

A062 Aircraft Nuclear Safety Analysis Report (NSAR) DI-NUOR-81405A/T

A063 Photographic Requirements DI-SAFT-81126

A064 Mishap Risk Assessment Report (MRAR) DI-SAFT-81300A

A065 Accident/Incident Report (Mishap Report) DI-SAFT-81563/T

A066 RESERVED

A067 Engineering Evaluation Report (EER) DI-NUOR-81411/T

A068 RESERVED

A069 Deficiency Report (DR) DI-ALSS-81535/T

A070 Government Industry Data Exchange Program (GIDEP) Annual Progress Report DI-QCIC-80127A

A071 Programmatic Environmental Safety & Health Evaluation (PESHE) DI-ENVR-81840

A072 Environmental Health & Safety Plan (HSP) DI-ENVR-81375

A073 Corrosion Prevention & Control Plan DI-MFFP-81403/T

A074 Environmental Compliance Assessment and Management Program (ECAMP) Action Plan Report

DI-MGMT-80898

A075 Hazardous Materials Management Program (HMMP) Plan DI-MGMT-81398A

A076 Contractor's Corrective Action Plan DI-MGMT-80501

A077 Technical Manual Contracts Requirement TMCR TM-86-01

A078 Commercial Off-The-Shelf (COTS) Manuals and Associated Supplemental Data DI-TMSS-80527C

A079 RESERVED

A080 Source Data for Forecasting Diminishing Manufacturing Sources & Materiel DI-SESS-81656

Shortages (DMSMS)

A081 Technical Data Package Index DI-EGDS-80918/T

A082 Proposed Spare Parts List DI-ILSS-80134A

A083 Data Accession List DI-MGMT-81453A/T

A084 Technical Manual Research and Analysis Source Data DI-TMSS-81354

11. DD Form 1423s

The purpose of the below references is to provide a single reference for block A and E of the included 1423 forms. This provides for efficient renumbering of blocks A and E, in lieu of renumbering each block at the time of contract award.

*1423’s, block A Reference Number: CLIN number to be added at time of award

**1423’s block E Reference Number: Contract and Mod/TO number to be added at time of award

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

ICBM/PROPULSION SUBSYSTEM

SUPPORT CONTRACT (PSSC)

FA8214-13-R-0003

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

A001

INTEGRATED PROGRAM MANAGEMENT

REPORT (IPMR)

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

TOTAL PRICE

DI-MGMT-81861 PWS Paras 1.6.5.5.1, 1.6.5.9 AFNWC/NIBB

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

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.

BLOCK4:

a. Paragraph 2.1.1.1 – Replace “Format 1 data in XML shall be provide at the reporting level per the guidance in section 2.2.2.

unless specified at a lower level, such as to the control account level, in the CDRL.”, with “Format 1 data XML shall be provided at WBS Level 2 (e.g. 1.1. Program Management) as identified in the Performance Work Statement.

b. Section 2.2.3. – Formats 1-4 are required additionally to be submitted in human readable format such as MS Excel/Word compatible or word searchable PDF format.

c. Paragraph 3.3.1.1.1 – Add at the end of first sentence: “down to at least the IPT level (Solids, Liquids, Flight Controls, Flight

Batteries and System Ordnance).”

d. Paragraph 3.3.1.1.4 – Add at the end of first sentence: “down to at least the IPT level (Solids, Liquids, Flight Controls, Flight

Batteries and System Ordnance).”

e. Paragraph 3.4.2.2 – Add the following sentence: “The term

“significant” is defined as any single baseline change where the impact of the baseline change on the total budget exceeds 5%.”

All other baseline changes shall be summarized and titled

“other”.

ORG1

ORG2 (Lt of Delivery Only)

ORG11 (Lt of Delivery Only)

ORG12 (Lt of Delivery Only)

ORG13

15. TOTAL 2

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

Nancy Baker

Data Manager

AFNWC/NIES

4 Sept 13

DD Form 1423-1, FEB 2001 Page___1__of__2_ Page

LM 11-50

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

A TDP X TM OTHER _____ ____

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

16. REMARKS (Continued): CDRL A001 Continued.

f. Paragraph 3.4.5.3 – Replace the following sentence: “In the PMB (end of period) line (Block 6.c) of this report, enter the BCWS by month for the next six months and for periodic increments (monthly, quarterly, or annually) thereafter for the remainder of the contract.”, with “In the PMB (end of period) line (Block 6.c) of this report, enter the projected BCWS (column 4-14 as follows: Columns 4 to 9 by month for the next 6 months following the current period; columns 10 and 11 shall report quarterly through the balance of the fiscal year.”

g. Paragraph 3.5.1 – Change “The Government and the contractor may negotiate staffing to be reported in hours, equivalent month, or total head count.”, to “staffing will be reported in hours.”

h. Paragraph 3.5.1.4. – Replace the following sentence: “Enter a staffing forecast by month for the next six months and for the pre-determined periodic increments thereafter for the remainder of the contract, as defined in the CDRL or determined by the contractor if undefined.”, with “Staffing forecast (columns

4-11) shall be consistent with columns 4-11 of the Format 3 (see section 3.4.5.3).”

i. Paragraph 3.5.1.5. – Add the following sentence: “The thresholds for explaining any staffing forecast – at-completion changes for the prior period in the Format 5 are as follows:

1) “Organizational Category” change is great than 10%”

2) “Total Direct” change is great than 5%”

j. Paragraph 3.6.7.1 – Delete in its entirety.

k. Paragraph 3.6.10.2.1. – Add the following: “Current, cumulative, and at complete analysis thresholds that define the reportable WBS elements pool from which the up to 15 WBS elements are selected are required. The thresholds are:

Current Month Cost and Schedule Variances +/- 10%

Cumulative Cost and Schedule Variances +/- 5%

At Complete Variances (BAC-EAC) +/- 5%

l. Paragraph 3.6.10.2.4. – Replace “The Government may decide on an alternate method of the selection of 15 variance report categories of reported WBS elements”, with “The variance reporting categories will be determined without Government Selection as defined in paragraph 3.6.10.2.4.2.”

m. Paragraph 3.7.1.3.6.4. – Replace with “No schedule risk assessment (SRA) is required except prior to

IBR.

BLOCK 9:

Distribution Statement D: (see page 3 & 4 for distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

Initial Submittal:

Contractor shall submit initial Integrated Program Management Report (IPMR), formats 1-6, NLT 12 days following the end of the second full accounting period following the contract authority to proceed (ATP).

Subsequent Submittals:

Contractor shall submit subsequent IPMR, formats 1-6, NLT 12 days following the accounting month end.

Format 7 shall be submitted with the final formats 1-6 for that year reporting period. Government will be allowed 10 days, after receipt from contractor, to review for comments. Contractor shall submit revised IPMR incorporating Government comments, if applicable, on the following month’s IPMR.

BLOCK 14: Electronic Submission of Data. All formats shall be submitted electronically in accordance with the DoD approved XML schemas located in the EVM Central Repository (EVM-CR). Refer to PARCA EVM

Website for a link to the EVM-CR (http://www.acq.osd.mil/evm/). Formats 1-7 are required additionally to be submitted in human readable format such as MS Excel/Word compatible or word searchable PDF format to

ORG1 (see page 7 for address.)

DD Form 1423-1, FEB 2001 Page___2__of___2__Page http://www.acq.osd.mil/evm/

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

A002

MANAGEMENT PLAN

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

DI-MGMT-80004A/T PWS Paras 1.6.5.6.1, 1.6.5.9 AFNWC/NIBB

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

ANNLY SEE BLK 16

a. ADDRESSEE

Draft

A

SEE BLK 16 SEE BLK 16

BLOCK 4:

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

Distribution Statement D: (see page 3 & 4 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 revised Management Plan no more than once a year. 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 page 7 for address).

ORG2 (Lt of delivery only)

ORG11 (Lt of delivery only)

ORG12 (Lt of delivery only)

15. TOTAL 1

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

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

GROUP

A003 TRANSITION PLAN SEE BLK 16

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

DI-MGMT-80790/T PWS Paras 1.6.5.8.3, 1.6.5.9 AFNWC/NIBB

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

2TIME SEE BLK 16

a. ADDRESSEE

Draft

N/A SEE BLK 16

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

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

BLOCK 3:

Includes: Data Transition and Housing

1. Paragraph 3.1: delete “from development to production” replace with “support operations”

2. Paragraph 10.2.1: delete everything after “all” and replace with “GFP/data/tools/models, and tasks to be transferred.”

3. Paragraph 10.2.2: delete in its entirety.

4. Paragraph 10.2.3: delete everything after “Plan”

5. Paragraph 10.2.4: delete everything after “as” and replace with “impacts, risks, and mitigation(s) of on-going

Guidance efforts and transfer of GFP/GFE.”

6. Paragraph 10.3: delete everything after “Format” and replace with “Contractor format acceptable.”

7. Paragraph 10.3.1: replace “utilized” with “implemented”

8. Paragraph 10.3.2: delete in its entirety.

9. Paragraph 10.3.3: delete in its entirety.

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

DD Form 1423-1, FEB 2001 Page___1__of__2_ Page

LM 12-13

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

16. REMARKS (Continued): CDRL A003 Continued.

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.

Contractor shall submit a draft Transition Plan (Phase Out/Follow On) NLT nine months prior to contract completion. Government will be allowed 30 days after receipt from contractor to review for comments.

Contractor shall submit revised Transition Plan (Phase Out/Follow On) NLT 60 days prior to contract completion. Government will be allowed 20 days after receipt to review for approval/disapproval/comments.

Contractor shall submit revised Transition Plan incorporating Government comments, if applicable, NLT 15 days after receipt from Government.

BLOCK 14: Contractor shall submit initial Transition Plan to ORG1 (see page 7 for address).

DD Form 1423-1, FEB 2001 Page___2__of___2__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

A004 CONTRACTOR’S RISK MANAGEMENT PLAN

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

DI-MGMT-81808 PWS Paras 1.6.5.1.3, 1.6.5.9 AFNWC/NIBB & AFNWC/NIES

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

1TIME SEE BLK 16

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 comment. 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

Government.

BLOCK 14: Contractor shall submit Contractor’s Risk Management

Plan to ORGs 1&4 (see page 7 for address).

ORG 4

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

A005 CONFERENCE AGENDA Meeting Agenda

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

DI-ADMN-81249A PWS Paras 1.6.5.9, 1.6.6.1.3.6.3 AFNWC/NIBB

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

ASREQ N/A

a. ADDRESSEE

Draft

N/A N/A

Contractor shall submit the following Conference Agenda (Meeting

Agenda) NLT 5 days prior to scheduled meetings: Technical Council, Technical Interchange Meetings, Corrosion Prevention Advisory

Board, Task Log Review (Management Review), Interface Control

Working Group, DMSMS Working Group, Materiel Review Boards, ICBMSD System Engineering, Environment, Safety, & Technical

Data (NIEV) Safety IPTs, ICBM Nuclear Surety Working Group

(NSWG), Air Force Nuclear Weapon System Safety Groups

(NWSSG), ICBM Project Officers Working Group (POG), Nuclear

Security Working Groups, ICBM Codes Conference, and Risk

Management Boards.

Agenda) NLT 10 days prior to scheduled meetings: Reliability

Scoring Panel, and Configuration Control Board (CCB) to include

Technical Requirements Working Group (TRWG), and Technical

Review Board (TRB).

Agenda) NLT 15 days prior to scheduled meetings: Program

Management Reviews.

DD Form 1423-1, FEB 2001 Page___1__of__2_ Page

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

16. REMARKS (Continued): CDRL A005 Continued.

Government will be allowed 2 days, after receipt from contractor, to review for approval/disapproval/comments.

Contractor shall submit revised Conference Agenda (Meeting Agenda) incorporating Government comments, if applicable, NLT 2 days after receipt from Government.

Contractor shall provide Conference Agenda (Meeting Agenda) NLT 5 days prior to all meetings deemed necessary by the Government unless specifically stated above or agreed upon by Government and contractor. If deemed necessary, Government may require specific meeting agendas further in advance than outlined.

Reasonable notice and deadlines will be given for such instances.

BLOCK 14: Contractor shall submit Conference Agenda (Meeting Agenda) to ORG1 (see page 7 for address).

DD Form 1423-1, FEB 2001 Page___2__of___2__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

A006

BRIEFING MATERIALS

1. Briefings for Meetings

2. Requirements Validation Board

3. Point Papers

4. White Papers

5. Presentations

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

DI-MGMT-81605

PWS Paras 1.6.5.4.3, 1.6.5.9, 1.6.6.1.3.3, 1.6.6.1.3.6.2, 1.6.6.1.3.6.3, 1.6.6.1.8.1.1, 1.6.6.1.9.6, 1.6.6.1.10.1, 1.6.6.1.17.4.2, 1.6.6.1.22.5.1

AFNWC/NIBB

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

ASREQ SEE BLK 16

a. ADDRESSEE

Draft

This CDRL may contain technical or non-technical data.

Contractor shall submit the following Briefing Material NLT 5 days prior to scheduled meetings: Technical Council, Technical Interchange

Meetings, Corrosion Prevention Advisory Board, Task Log Review

(Management Review), Interface Control Working Group, DMSMS

Working Group, Materiel Review Boards, ICBMSD System

Engineering, Environment, Safety, & Technical Data (NIEV) Safety

IPTs, ICBM Nuclear Surety Working Group (NSWG), Air Force

Nuclear Weapon System Safety Groups (NWSSG), ICBM Project

Officers Working Group (POG), Nuclear Security Working Groups, ICBM Codes Conference, and Risk Management Boards.

Contractor shall submit the following Briefing Material NLT 10 days prior to scheduled meetings: Reliability Scoring Panel, and

Configuration Control Board (CCB) to include Technical

Requirements Working Group (TRWG), and Technical Review Board

(TRB).

DD Form 1423-1, FEB 2001 Page___1__of__2_ Page

(1 Data Item)

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

16. REMARKS (Continued): CDRL A006 Continued.

Contractor shall submit the following Briefing Material NLT 15 days prior to scheduled meetings: Program

Management Reviews.

Government will be allowed 2 days, after receipt from contractor, to review for approval/disapproval/comments.

Contractor shall submit revised Briefing Material incorporating Government comments, if applicable, NLT 2 days after receipt from Government.

Contractor shall provide Briefing Material NLT 5 days prior to all meetings deemed necessary by the

Government unless specifically stated above or agreed upon by Government and contractor. If deemed necessary, Government may require specific meeting agendas further in advance than outlined. Reasonable notice and deadlines will be given for such instances.

BLOCK 14: Contractor shall submit Briefing Material to ORG1 (see page 7 for address).

DD Form 1423-1, FEB 2001 Page___2__of___2__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

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 1.6.5.9, 1.6.6.1.3.6.3, 1.6.6.1.21.3

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

A008

STATUS REPORT

Contract Update

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

DI-MGMT-80368A PWS Paras 1.6.5.4.1, 1.6.5.9 AFNWC/NIBB

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

MTHLY SEE BLK 16

a. ADDRESSEE

Draft

Contractor shall submit initial Status Report for Contract Update the

10th day of the month following the first complete month of the contract.

Subsequent Submittals:

Contractor shall submit subsequent Status Report for Contract Update 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 for Contract Update incorporating Government comments, if applicable, NLT 10 days after receipt from Government.

BLOCK 14: Contractor shall submit Status Report for Contract

Update to ORG1 (see page 7 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

A009

ITEM UNIQUE IDENTIFICATION (IUID)

MARKING PLAN

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

DI-MGMT-81803 PWS Paras 1.6.5.9, 1.6.6.1.20.1 AFNWC/NIBB

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

This CDRL contains technical data.

Contractor shall submit Item Unique Identification (IUID) Marking

Plan NLT 30 days after contract award. Government will be allowed

20 days after receipt from contractor to review for approval/ disapproval/comments. Contract shall submit revised IUID Marking

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

BLOCK 14: Contractor shall submit IUID Marking Plan to ORG1

(see page 7 for address).

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

A010

ITEM UNIQUE IDENTIFICATION (IUID)

MARKING ACTIVITY, VALIDATION AND

VERIFICATION REPORT

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

DI-MGMT-81804A PWS Paras 1.6.5.9, 1.6.6.1.20.1 AFNWC/NIBB

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

a. ADDRESSEE

Draft

Contractor shall submit Item Unique Identification (IUDI) Marking

Activity, Validation and Verification Report NLT 45 days prior to contract end. Government will be allowed 15 days after receipt from contractor to review for approval/disapproval/comments. Contractor shall submit revised IUID Marking Activity, Validation and

Verification Report incorporating Government comments, if applicable, NLT 15 days after receipt from Government.

BLOCK 14: Contractor shall submit IUID Marking Activity, Validation and Verification Report to ORG1 (see page 7 for address).

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.

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