Complete_CDRL_Package_Micro-Focus_CT_27_Jun_16.pdf

STANDARD FORM 1447 (2/2012)

Prescribed by GSA FAR (48 CFR) 53.215-1(d)

Contract Data Requirements List (CDRL) Program: Micro-Focus Computed Tomography System

Date: 27 June 2016

Version:

1. Introduction

This document was developed in accordance with DOD MIL-STD 31000A and represents the general requirements for the Technical Data Package (TDP) for this program. The purpose of this Attachment, Technical Data Package, is to define the data deliverables due for this program, including the instructions for their development, and delivery. All specific delivery instructions are specified on the CDRL forms or its digital (word, excel, pdf) equivalent.

2. General Guidelines

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 program manager, 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 AFNWC/NIE, 6054 Dogwood

Ave Bldg 1255, Hill AFB UT 84056-5816.

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 AFNWC/NIE, 6054 Dogwood

Ave Bldg 1255, Hill AFB UT 84056-5816.

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/NIE, 6054

Dogwood Ave Bldg 1255, Hill AFB UT

84056-5816.

Distribution Statement E:

Distribution authorized to Department of Defense

(DoD) Components only (fill in reason) (date determination). Other requests shall be referred to

AFNWC/NIE, 6054 Dogwood Ave Bldg 1255, Hill

AFB UT 84056-5816.

Distribution Statement F:

Further dissemination only as directed by

AFNWC/NIE, 6054 Dogwood Ave Bldg 1255, Hill

AFB UT 84056-5816 (date of determination) or higher Department of Defense (DoD) authority.

5.3 Other Notices

All technical documents marked with Distribution Statements B, C, D, E, or F 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.

5.4 Pricing CDRL Items Separately

If blocks 17 and 18 of the DD form 1423 documents are marked as "N/A" and "NSP" respectively, then the Government does not want to separately group or price CDRL items. If blocks 17 and 18 are left blank, the Government intends to seek separate pricing for the development costs of each CDRL. This pricing is for development costs of the data items and is considered separate from data rights costs.

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 TopVue, https://icbm.topvue.com/topvue-icbm/ THIS IS FOR UNCLASSIFIED CDRL SUBMITTALS ONLY. See below for Classified CDRL submittals (6.3.2).

https://icbm.topvue.com/topvue-icbm/

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:

Address

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/DMO 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 documents 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 6030 Gum Ln Bldg 1217 Hill AFB UT 84056-5826

Steven Hooper steven.hooper.1@us.af.mil

ORG2/AFNWC/NIAB 6014 Dogwood Ave Bldg 1258 Hill AFB UT 84056-5816

Julie Kidd julia.kidd@us.af.mil

ORG3/AFNWC/NIEV 6053 Elm Ln Ave (Bldg 1245 Hill AFB UT 84056-5816

TOMA afnwc.niev.tomamodmanager@us.af.mil

ORG4/AFNWC/PZBA 6008 Wardleigh Rd (Bldg 1580) Hill AFB UT 84056-5816

Lt Col Steven Bury steven.andrade_bury@us.af.mil

ORG5/AFNWC/NIES 6054 Dogwood Ave (Bldg 1255) Hill AFB UT 84056-5816

Data Management afnwc.nies.datamgmtoffice@us.af.mil

10. CDRL Master Listing Index

Full 1423’s for CDRL’s applicable to this program are included in section 11 of this document.

CDRL # DID TITLE DID #

A001 Report, Record of Meeting/Minutes DI-ADMN-81505

A002 Work Management Plan ( DI-MGMT-81911

A003 Technical Report – Study/Services (Facility Integration Requirements) DI-MISC-80508B/T

A004 Acceptance Test Plan DI-QCIC-80553A

A005 Acceptance Test Report (ATR) DI-QCIC-81891

A006 Training Material DI-ILSS-80872

A007 Commercial Off-The-Shelf (COTS Manuals and Associated Supplemental Data) DI-TMSS-80527C mailto:steven.hooper.1@us.af.mil mailto:julia.kidd@us.af.mil mailto:afnwc.niev.tomamodmanager@us.af.mil mailto:steven.andrade_bury@us.af.mil mailto:afnwc.nies.datamgmtoffice@us.af.mil

11. DD Form 1423s (full 1423’s)

*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

AFNWC/NIBB

6. REQUIRING OFFICE

SOO Para 3.1

5. CONTRACT REFERENCE

DI-ADMN-81505

4. AUTHORITY (Data Acquisition Document No.)

3. SUBTITLE

Meeting Minutes Report, Record of Meeting/Minutes

2. TITLE OF THE DATA ITEM

A001

1. DATA ITEM NO.

Not awarded yet

F. CONTRACTOR FD2020-16-50991

E. CONTRACT/PR NO.

Micro-Focus Computed Tomography

System

D. SYSTEM/ITEM

TDP

C. CATEGORY

TM X OTHER

A

B. EXHIBIT A. CONTRACT LINE ITEM NO.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Form Approved

OMB No. 0704-0188 CONTRACT DATA REQUIREMENTS LIST (1 Data Item)

8. APP CODE

LT

7. DD 250 REQ

D

9. DIST STATEMENT

REQUIRED

DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

11. AS OF DATE

SEE BLK 16

DATE OF FIRST

SUBMISSION

As Reqd

10. FREQUENCY

Repro Reg

Final

Draft

b. COPIES

a. ADDRESSEE

14. DISTRIBUTION

27-JUN-2016

J. DATE

Hooper, Steven

I. APPROVED BY

27-JUN-2016

H. DATE G. PREPARED BY

Baker, Nancy

Change to office symbols, when necessary, shall be made by the CO/ACO without revisions to the CDRL.

BLOCK 9:

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

BLOCKS 10, 11, 12 & 13:

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 TopVue

16. REMARKS

ORG5

ORG4

1 ORG2

1 ORG1

0 2 0 15. TOTAL

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

Page 9 of 15 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

LM 16-13

SOO Para 3.3

DI-MGMT-81911

WORK MANAGEMENT PLAN

2. TITLE OF THE DATA ITEM

A002

1. DATA ITEM NO.

Not awarded yet

F. CONTRACTOR FD2020-16-50991

E. CONTRACT/PR NO.

Micro-Focus Computed Tomography

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Form Approved

REQUIRED

DATE OF SUBSEQUENT

SUBMISSION

N/A

DATE OF FIRST

SUBMISSION

Hooper, Steven

I. APPROVED BY

27-JUN-2016

Contractor shall submit Work Management Plan NLT 30 calendar days after contract award. Government will be allowed 15 working days after receipt from contractor to review for approval/disapproval/comments. Contractor shall resubmit corrected Work Management Plan incorporating Government comments, if applicable, NLT 10 working days after receipt from Government.

BLOCK 14: Contractor shall submit Work Management Plan to TopVue, ORG5 (LODO)

1 ORG4 (LODO)

ORG2 (LODO)

ORG1 (LODO)`

0 1 0 15. TOTAL

Page 10 of 15 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

SOO Para 3.5

DI-MISC-80508B

Facilities Integration Requirements Technical Report - Studies/Services

2. TITLE OF THE DATA ITEM

A003

1. DATA ITEM NO.

Not awarded yet

F. CONTRACTOR FD2020-16-50991

E. CONTRACT/PR NO.

Micro-Focus Computed Tomography

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Form Approved

REQUIRED

DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

DATE OF FIRST

SUBMISSION

Hooper, Steven

I. APPROVED BY

27-JUN-2016

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

Contractor shall submit Technical Report - Study/Services (Facility

Integration Requirements) NLT 30 days after requested by the Government.

Government will be allowed 20 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Technical

Report - Study/Services (Facility Integration Requirements) incorporating Government comments, if applicable, NLT 10 days after receipt from Government.

BLOCK 14: Contractor shall submit Technical Report - Study/Services

(Facility Integration Requirements) to TopVue, ORG4 (LODO)

1 ORG1

1 ORG2

Page 11 of 15 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

SO0 Paras 3.6, 3.9.1

DI-QCIC-80553A

Acceptance Test Plan

A004

1. DATA ITEM NO.

Not awarded yet

F. CONTRACTOR FD2020-16-50991

E. CONTRACT/PR NO.

Micro-Focus Computed Tomography

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Form Approved

E

REQUIRED

DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

DATE OF FIRST

SUBMISSION

Hooper, Steven

I. APPROVED BY

27-JUN-2016

Distribution Statement E: (see page 3 & 4 for distribution statement, warning, Contractor shall submit Acceptance Test Plan NLT 75 days prior to testing. Government will be allowed 60 days, after receipt from contractor, to review for comments/approval/disapproval. Contractor shall submit revised

Acceptance Test Plan incorporating Government change(s), if applicable, NLT 15 days after receipt from Government.

BLOCK 14: Contractor shall submit Acceptance Test Plan to TopVue, NOTE: Acceptance Test Plan shall be submitted IAW AFNWCI 99-101 and ICBMSD 99-103

1 ORG2

Page 12 of 15 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

SOO Paras 3.6, 3.9.1

DI-QCIC-81891

Acceptance Test Report (ATR)

A005

1. DATA ITEM NO.

Not awarded yet

F. CONTRACTOR FD2020-16-50991

E. CONTRACT/PR NO.

Micro-Focus Computed Tomography

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Form Approved

E

REQUIRED

DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

DATE OF FIRST

SUBMISSION

Hooper, Steven

I. APPROVED BY

27-JUN-2016

Distribution Statement E: (see page 3 & 4 for distribution statement, warning, Contractor shall submit Acceptance Test Report NLT 45 days after completion of test. Government will be allowed 30 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Acceptance Test Report incorporating Government comments, if applicable, NLT 15 days after receipt from Government.

BLOCK 14: Contractor shall submit Acceptance Test Report to TopVue, NOTE: Acceptance Test Report shall be submitted IAW AFNWCI 99-101 and ICMBSD

99-103

1 ORG2

ORG5 (LODO)

Page 13 of 15 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

SOO Para 3.8.3

DI-ILSS-80872

TRAINING MATERIALS

A006

1. DATA ITEM NO.

Not awarded yet

F. CONTRACTOR FD2020-16-50991

E. CONTRACT/PR NO.

Micro-Focus Computed Tomography

TM OTHER ILSS

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Form Approved

N/A

REQUIRED

DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

EOC

DATE OF FIRST

SUBMISSION

Hooper, Steven

I. APPROVED BY

27-JUN-2016

BLOCKS 10:

Contractor shall submit Training Material 30 days prior to first production unit delivery. Government will be allowed 15 days after receipt from contractor to review for comments. Contractor shall submit revised Training

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

Contractor shall notify Government NLT 45 days prior to training

BLOCK 14:

Contractor shall submit Training Materials to TopVue

1 ORG2

Page 14 of 15 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

SOO Paras 3.7, 3.9.2

DI-TMSS-80527C

See Block 16

A007

1. DATA ITEM NO.

Not awarded yet

F. CONTRACTOR FD2020-16-50991

E. CONTRACT/PR NO.

Micro-Focus Computed Tomography

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Department of Defense, Executive Services and Communications Directorate (07040188). Respondents should be aware that not withstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Form Approved

N/A

REQUIRED

DATE OF SUBSEQUENT

SUBMISSION

N/A

DATE OF FIRST

SUBMISSION

Hooper, Steven

I. APPROVED BY

27-JUN-2016

Block 2: COMMERCIAL

OFF-THE-SHELF (COTS0 MANUALS AND ASSOCIATED SUPPLEMENTAL DATA

Contractor shall submit Commercial Off-The-Shelf (COTS) Manuals and

Associated Supplemental Data as required by the Government.

BLOCK 14: Contractor shall submit COTS Manuals and Associated

Supplemental Data to TopVue https://icbm.topvue.com/topvue-icbm/

1 ORG3

ORG2 (LODO)

Page 15 of 15 Pages PREVIOUS EDITION MAY BE USED. DD FORM 1423-1, FEB 2001

LM 16-13

https://icbm.topvue.com/topvue-icbm/