RSRV_SSC_CDRLs_-_8_Feb_2018.pdf

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ICBM MMIII Re-entry System/Re-entry Vehicle Subsystem Support
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Contract Data Requirements List (CDRL) Program: RS/RV Subsystem Sustainment Contract (SSC) Date: 7 February 2018 Version: 3

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

Code Description DAILY Daily WEKLY Weekly BI-WE Each 2 weeks MTHLY Monthly BI-MO Each 2 months QRTLY Quarterly ANNLY Annually SEMIA Each 6 months 1TIME 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

Code Description 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) Version

The most current version of the DID at the time of the award of the contract or Task Order, whichever date is most current, specified in Block 4, is to be used when submitting data. The most current version can be found at http://quicksearch.dla.mil/.

5.2 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).

5.3 Distribution Statement Marking

The designation in Block 9 of the CDRL form indicates that one of the following six (6) authorized distribution statements from Department of Defense Instruction (DoDI) 5230.24 and Air Force Instruction (AFI) 61-201 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 Volume 2. 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 for Administrative or Operational Use (date of determination). Other requests for this document shall be referred to AFNWC/NI.

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/NI.

Distribution Statement D:

Distribution authorized to Department of Defense and U.S. DoD contractors only for Administrative or Operational Use and Export Control (date of determination). Other requests shall be referred to

AFNWC/NI.

Distribution Statement E: Distribution Statement F:

http://quicksearch.dla.mil/

Distribution authorized to DoD Components only for Test and Evaluation (date determination). Other requests shall be referred to AFNWC/NI.

Further dissemination only as directed by

AFNWC/NI.

5.4 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 contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Add the following statement to the bottom of every page of the report except the SF 298, Report Documentation Page: “WARNING: EXPORT CONTROLLED.”

NOTE: The CDO Program Manager (PM) may remove the “Export Control Warning” if “critical technology” is not a reason annotated in the distribution statement and if the CDO PM can verify the technical report/document is not export control.

Destruction Notice:

Documents designated as Distribution B, C, D, E, or F shall be marked with one of the following statements:

For classified documents:

DESTRUCTION NOTICE: Follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, DoDM 5200.01-V3, DoD Information Security Program: Protection of Classified Information, Enclosure 3, paragraph 17 or AFI 16-1404, Air Force Information Security Program, para 5.2.5.

For unclassified, limited documents:

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

5.5 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. Due dates are based on calendar days unless otherwise noted.

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

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 DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM). 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/NIAE 6030 Gum Ln Bldg 1217

Hill AFB UT 84056-5838 Maj Charles Skrovan charles.skrovan@us.af.mil

ORG2/AFNWC/NIAF 6030 Gum Ln Bldg 1217 Hill AFB UT 84056-5838

Bruce Richman bruce.richman@us.af.mil

ORG3/AFNWC/NI N/A

ORG4/AFNWC/NIES 6054 Dogwood Ave Bldg 1255

Hill AFB UT 84056-5816 CM afnwc.nies.icbm.conm@us.af.mil

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

Software afnwc.nies.software@us.af.mil

ORG6/AFNWC/NIES 6054 Dogwood Ave Bldg 1255 Hill AFB UT 84056-5816

Quality afnwc.nies.quality.office@us.af.mil

ORG7/AFNWC/NIES 6054 Dogwood Ave Bldg 1255 Hill AFB UT 84056-5816

IUID/Parts Engineering afnwc.nies.partsengineering@us.af.mil

ORG8/AFNWC/NIES 6054 Dogwood Ave Bldg 1255 Hill AFB UT 84056-5816

Risk Management afnwc.nies.riskmgmt@us.af.mil

ORG9/AFNWC/NIEV 6053 Elm Ln Bldg 1245 Hill AFB UT 84056-5816

Safety afnwc.niev.safetymanager@us.af.mil

ORG10/AFNWC/NIEV 6053 Elm Ln Bldg 1245 Hill AFB UT 84056-5816

Security afnwc.niev.securitymanager@us.af.mil

ORG11/AFNWC/NIEV 6053 Elm Ln Bldg 1245 Hill AFB UT 84056-5816

Environmental afnwc.niev.environmentalgroup@us.af.mi l

ORG12/AFNWC/NIEV 6053 Elm Ln Bldg 1245 Hill AFB UT 84056-5816

Corrosion afnwc.niev.corrosiongroup@us.af.mil

ORG13/AFNWC/NIEV 6053 Elm Ln Bldg 1245 Hill AFB UT 84056-5816

Nuclear Surety afnwc.niev.nuclearsuretymanager@us.af.

mil

ORG14/AFNWC/NIEV 6053 Elm Ln Bldg 1245 Hill AFB UT 84056-5816

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

ORG15/AFNWC/NIEI 6054 Dogwood Ave Bldg 1255 Hill AFB UT 84056-5816

Assessment afnwc.niei.assessment@us.af.mil

ORG16/AFNWC/NIEI N/A

ORG17/AFNWC/NIEI 6054 Dogwood Ave Bldg 1255

Hill AFB UT 84056-5816 EMI afnwc.niei.emirequests@us.af.mil

ORG18/AFNWC/NIEI N/A

ORG19/AFNWC/NIEI 6054 Dogwood Ave Bldg 1255

Hill AFB UT 84056-5816 NHS afnwc.niei.nhs@us.af.mil

ORG20/AFNWC/NIEI N/A

ORG21/AFNWC/NIEE 6054 Dogwood Ave Bldg 1255

Hill AFB UT 84056-5816 TE afnwc.niee.te@us.af.mil

ORG22/AFNWC/NIT 6053 Elm Ln Bldg 1245 Hill AFB UT 84056-5816

Cybersecurity afnwc.ni.cybersecurity@us.af.mil

ORG23/AFNWC/NIET N/A

ORG24/AFGSC/A31 N/A

mailto:charles.skrovan@us.af.mil mailto:bruce.richman@us.af.mil mailto:afnwc.nies.icbm.conm@us.af.mil mailto:afnwc.nies.software@us.af.mil mailto:afnwc.nies.quality.office@us.af.mil mailto:afnwc.nies.partsengineering@us.af.mil mailto:afnwc.nies.riskmgmt@us.af.mil mailto:afnwc.niev.safetymanager@us.af.mil mailto:afnwc.niev.securitymanager@us.af.mil mailto:afnwc.niev.environmentalgroup@us.af.mil mailto:afnwc.niev.environmentalgroup@us.af.mil mailto:afnwc.niev.corrosiongroup@us.af.mil mailto:afnwc.niev.nuclearsuretymanager@us.af.mil mailto:afnwc.niev.nuclearsuretymanager@us.af.mil mailto:afnwc.niev.tomamodmanager@us.af.mil mailto:afnwc.niei.assessment@us.af.mil mailto:afnwc.niei.emirequests@us.af.mil mailto:afnwc.niei.nhs@us.af.mil mailto:afnwc.niee.te@us.af.mil mailto:afnwc.ni.cybersecurity@us.af.mil

ORG25/AFNWC/NILA

6014 Dogwood Ave Bldg 1258 Hill AFB UT 84056-5816

DEMIL

ORG26/406 SCMS/GULAB N/A

ORG27/406 SCMS/GULAA 7973 Utility Dr Bldg 1135

Hill AFB UT 84056-5306 Packaging 406scms.gulaa.pack@us.af.mil

ORG28/419 SCMS/GUBA 6051 Gum Ln Bldg 1226 Hill AFB UT 84056-5826

CAV AF 419scms.guba.worklfow@us.af.mil

ORG29/75 ABW/SE 7290 8th St Bldg 383 Hill AFB UT 84056-5003

Base Safety

75abw.se.workflow@us.af.mil

ORG30/DCMA/ACO N/A

ORG31/AFNWC/NIF 6008 Wardleigh Rd Bldg 1580

Hill AFB UT 84056-5816 Funds afnwc.nifc.costoffice@us.af.mil

ORG32/AFNWC/PZBB 6008 Wardleigh Rd Bldg 1580 Hill AFB UT 84056-5816

Casey Wiseman casey.wiseman@us.af.mil

ORG33/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 #

A002 Conference Agenda (Meeting Agenda) DI-ADMN-81249 A003 Briefing Material DI-MGMT-81605 A004 Report, Record of Meeting/Minutes DI-ADMN-81505 A006 Program Management Plan DI-MGMT-81797

A007-1 Work Management Plan (Closed Loop Failure Analysis Plans) DI-MGMT-81911 A007-2 Work Management Plan (Small Business Subcontracting Plan) DI-MGMT-81911 A007-3 Work Management Plan (Work-Around Recovery Plans) DI-MGMT-81911 A007-4 Work Management Plan (Knowledge Transfer Plans) DI-MGMT-81911 A007-5 Work Management Plan (DEMIL/Disposal Plan) DI-MGMT-81911 A007-6 Work Management Plan (Pollution Prevention Program Plan) DI-MGMT-81911 A007-7 Work Management Plan (Partnering Agreement) DI-MGMT-81911 A007-8 Work Management Plan (Approval to Travel) DI-MGMT-81911 A009 Contractor’s Risk Management Plan DI-MGMT-81808 A011 Contractor’s Corrective Action Plan DI-MGMT-80501 A012 Corrosion Prevention and Control Plan DI-MFFP-81403 A014 Quality Assurance Program Plan DI-QCIC-81794 A016 Implementation Plan DI-MGMT-81737 A018 Contract Funds Status Report (CFSR) DI-MGMT-81468 A019 Performance and Cost Report DI-FNCL-80912 A021 Funds and Labor Hour Expenditure Report DI-FNCL-81537 A022 Status Report (Engineering Assessments) DI-MGMT-80368 A023 Product Drawings/Models and Associated Lists DI-SESS-81000/T A026 Specification Change Notice (SCN) DI-SESS_80643 A027 Engineering Change Proposal (ECP) DI-SESS-80639 A028 Interface Control Document (ICD) DI-SESS-81248 A030 Master Engineering Document Lists (MEDL) DI-MISC-82127 A031 Deficiency Report (DR) (to include Recommended Corrections) DI-PSSS-81535 A033 Request for Variance (RFV) DI-SESS-80640 A036 Computer Software Product End Item DI-AVCS-80700 mailto:406scms.gulaa.pack@us.af.mil mailto:419scms.guba.worklfow@us.af.mil mailto:75abw.se.workflow@us.af.mil mailto:afnwc.nifc.costoffice@us.af.mil mailto:casey.wiseman@us.af.mil mailto:afnwc.nies.datamgmtoffice@us.af.mil

A037 Software Development Plan (SDP) DI-IPSC-81427 A038 Software Requirements Specification (SRS) DI-IPSC-81433 A040 Software Design Description (SDD) DI-IPSC-81435 A042 Software Test Plan (STP) DI-IPSC-81438 A043 Software Test Description (STD) DI-IPSC-81439 A044 Software Test Report (STR) DI-IPSC-81440 A045 Software Product Specification (SPS) DI-IPSC-81441 A046 Software Version Description (SVD) DI-IPSC-81442 A050 Automated Computer Program Identification Number (ACPIN) Data and Control Record DI-MISC-81454

A055-1 Technical Report - Study/Services (Changes to ICBM Items in the Master Nuclear Certification Listing (MNCL)) DI-MISC-80508/T

A055-2 Technical Report - Study/Services (Closed Loop Analysis Report) DI-MISC-80508/T A055-3 Technical Report - Study/Services (Root Cause Analysis and Recommendations) DI-MISC-80508/T A055-4 Technical Report - Study/Services (OSCR Assessment) DI-MISC-80508/T A055-5 Technical Report - Study/Services (Fault Tree Analysis) DI-MISC-80508/T A055-6 Technical Report - Study/Services (Probabilistic Risk Assessment) DI-MISC-80508/T A055-7 Technical Report - Study/Services (Recommendations for Closure of Action Items) DI-MISC-80508/T A055-8 Technical Report - Study/Services (Verification of Compliance with AFI091 Series) DI-MISC-80508/T A055-9 Technical Report - Study/Services (Acceptance Decisions and ESOH Risk Status) DI-MISC-80508/T

A055-10 Technical Report - Study/Services (System Vulnerabilities) DI-MISC-80508/T

A055-11 Technical Report - Study/Services (Identify, Define, and provide Evaluation input of Assigned ITTS Tasks) DI-MISC-80508/T

A055-12 Technical Report - Study/Services (Analysis of WSER Data) DI-MISC-80508/T A055-13 Technical Report - Study/Services (Cost Analysis) DI-MISC-80508/T A055-14 Technical Report - Study/Services (Review of Schematics and Providing Instructions) DI-MISC-80508/T A055-15 Technical Report – Study/Services (Processing and Tracking Action Items) DI-MISC-80508/T A055-16 Technical Report - Study/Services (Best Value Outcome) DI-MISC-80508/T A055-17 Technical Report - Study/Services (Anomaly Analysis and Resolution) DI-MISC-80508/T A055-18 Technical Report - Study/Services (Trend Analysis) DI-MISC-80508/T

A055-19 Technical Report - Study/Services (Problems or Discrepancies that Require Corrective Actions or Adjustment) DI-MISC-80508/T

A055-20 Technical Report - Study/Services (DEMIL/Disposal Report) DI-MISC-80508/T

A055-21 Technical Report - Study/Services (Analysis Vulnerability Attacks and provide Recommendations) DI-MISC-80508/T

A055-22 Technical Report - Study/Services (Total Case Incidence Rate) DI-MISC-80508/T A056 Test Plan DI-NDTI-80566 A057 Test Procedure DI-NDTI-80603 A058 Test/Inspection Report DI-NDTI-80809 A059 Acceptance Test Plan (ATP) DI-QCIC-80553 A060 Acceptance Test Report (ATR) DI-QCIC-81891 A061 System Safety Program Plan (SSPP) DI-SAFT-81626 A062 System Safety Hazard Analysis Report (SSHAR) DI-SAFT-80101 A063 Safety Assessment Report (SAR) DI-SAFT-80102 A066 Mishap Risk Assessment Report (MRAR) DI-SAFT-81300 A067 Accident/Incident Report DI-SAFT-81563/T A068 Work Management Plan (Safety Plan (Appendix C)) DI-MGMT-81911 A069 Operating, Support, Health and Safety (OSH&S) Hazard Analysis Report DI-SAFT-81841 A070 Programmatic Environmental Safety and Health Evaluation (PESHE) Plan DI-ENVR-81840 A071 Technical Report- Study/Services (National Environmental Policy Act (NEPA)) DI-MISC-80508/T A073 Aircraft Nuclear Safety Analysis Report (NSAR) DI-NUOR-81405/T A076 Nuclear Certification Impact Statement (NCIS) DI-NUOR-81888

A077 Technical Report – Study/Services (Nuclear Surety Evaluation Report (NSER) DI-MISC-80508/T A081 Electromagnetic Environmental Effects (E3) Integration and Analysis Report (E3IAR) DI-EMCS-81540 A082 Electromagnetic Environmental Effects (E3) Verification Procedures (E3VP) DI-EMCS-81541 A083 Electromagnetic Environmental Effects (E3) Verification Report (E3VR) DI-EMCS-81542 A085 Nuclear Hardness and Survivability Design Analysis Report DI-ENVR-80266 A086 Preservation & Packing Data DI-PACK-80120/T A087 Special Packaging Instructions (SPIs) DI-PACK-80121/T A088 Container Design Retrieval System (CDRS) Search Request DI-PACK-80683 A089 Container Design retrieval System (CDRS) Data Input DI-PACK-80684 A090 Performance Oriented Packaging Test Report DI-PACK-81059/T A094 Commercial Asset Visibility Air Force (CAV AF)/ Government Furnished Material Report DI-MGMT-81634 A096 Failure Summary and Analysis Report DI-SESS-80255 A099 Item Unique Identification (IUID) Marking Plan DI-MGMT-81803 A100 Item Unique Identification (IUID) Marking Activity, Validation and Verification Report DI-MGMT-81804 A101 Information Systems Accreditation Documentation DI-ADMN-80239 A102 Naval Aviation Program Protection Implementation Plan DI-MGMT-82144/T A103 Training Materials DI-ILSS-80872 A104 Status of Government Furnished Equipment (GFE) Report DI-MGMT-80269 A106 Technical Manual contract Requirement (TMCR) TM 86-01 A107 Data Accession List (DAL) DI-MGMT-81453 A108 Bill of Materials (BOM for Logistics and Supply chain Risk Management DI-PSSC-81656 A109 Program Progress Report DI-MGMT-80555 A110 Training Program Development and Management Plan DI-ILSS-81070 A111 Repair Procedure DI-MGMT-81910 A112 Tracking Report for Equipment Modification DI-CMAN-81018 A113 Report of Shipping (Item) and Packaging Discrepancy DI-MGMT-80503

A114 DoD Information Assurance Certification and Accreditation Process (DIACAP) and Risk Management Framework (RMF) Deliverable Data DI-MGMT-82000

A115 Environmental Compliance Report DI-MGMT-82052 A116 Hazardous Materials Management Program (HMMP) Plan DI-MGMT-81398 A117 Transition Plan DI-MGMT-80790 A118 Finish Specification Report DI-MFFP-81402 A119 Contract Work Breakdown Structure DI-MGMT-81334

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

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

RS/RV SUBSYSTEM

SUSTAINMENT CONTRACT

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

A002 CONFERENCE AGENDA Meeting Agenda

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

TOTAL PRICE

DI-ADMN-81249

PWS Paras 1.6.1.4.4, 1.6.1.8, 1.6.1.10

AFNWC/NIAE

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

LT ASREQ N/A b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A N/A N/A 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 paras 5.3 & 5.4 of instructions for distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

Contractor shall submit Conference Agenda (Meeting Agenda), if applicable, as negotiated during request or NLT 5 days prior to scheduled meetings or meetings deemed necessary by the Government. Government will be allowed time as negotiated during request or 2 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Meeting Agenda incorporating Government comments, if applicable, as negotiated during request or NLT 2 days after receipt from Government.

BLOCK 14: Contractor shall submit Meeting Agenda to TopVue https://icbm.topvue.com/topvue-icbm/

ORG1

ORG2 (Lt of delivery only)

ORG32 (Lt of delivery only)

ORG33 (Lt of delivery only)

15. TOTAL 1

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

2/7/2018

X Nancy N. Baker Nancy N. Baker, GS-12 Data Manager Signed by: BAKER.NANCY.N.1239591376

7 Feb 18

2/8/2018

X Charles A. Skrovan Maj Charles A Skrovan Program Manager Signed by: SKROVAN.CHARLES.A.1073413903

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

LM 17-57

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

A003 BRIEFING MATERIALS

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

DI-MGMT-81605

PWS Paras 1.6.1.3.1, 1.6.1.4, 1.6.1.4.4, 1.6.1.8, 1.6.1.10, 1.6.3.5.2

10. FREQUENCY 12. DATE OF FIRST

LT ASREQ SEE BLK 16 b. COPIES

a. ADDRESSEE Draft

Final

N/A N/A N/A

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

BLOCK 9:

Distribution Statement D: (see paras 5.3 & 5.4 of instructions for distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

Contractor shall submit Briefing Materials as negotiated during request or 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 time as negotiated during request or 2 days, after receipt from contractor, to review for comments. Contractor shall present corrected Briefing Materials incorporating Government comments, if applicable, as negotiated during request or NLT 2 days after receipt from Government.

BLOCK 14:

Contractor shall submit Briefing Materials to TopVue

2/7/2018

X Nancy N. Baker Nancy N. Baker, GS-12

X Charles A. Skrovan Maj Charles A Skrovan

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

A004

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 1.6.1.4.4, 1.6.1.8, 1.6.1.10, 1.6.3.5.4

10. FREQUENCY 12. DATE OF FIRST

a. ADDRESSEE Draft

Final

A N/A SEE BLK 16

distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

Contractor shall submit Report, Record of Meeting Minutes (Meeting Minutes) as negotiated during request or NLT 15 days after meeting or event has been held. Government will be allowed time as negotiated during request or 5 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Meeting Minutes incorporating Government comments, if applicable, as negotiated during request or NLT 5 days after receipt from Government.

BLOCK 14: Contractor shall submit Meeting Minutes to TopVue

2/7/2018

X Nancy N. Baker Nancy N. Baker, GS-12

X Charles A. Skrovan Maj Charles A Skrovan

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

A006 PROGRAM MANAGEMENT PLAN

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

TOTAL PRICE

DI-MGMT-81797 PWS Para 1.6.3.3.4 AFNWC/NIAE

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

LT ONE/R SEE BLK 16 b. COPIES

a. ADDRESSEE

Draft Final

A SEE BLK 16 SEE BLK 16

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

BLOCK 4:

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

BLOCK 9:

Distribution Statement D: (see paras 5.3 & 5.4 of instructions for distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

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

BLOCK 14: Contractor shall submit Program Management Plan to TopVue, https://icbm.topvue.com/topvue-icbm/

ORG7 (Lt of delivery only)

ORG8 (Lt of delivery only)

2/7/2018

X Nancy N. Baker Nancy N. Baker, GS-12

X Charles A. Skrovan Maj Charles A Skrovan

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

A007-1 WORK MANAGEMENT PLAN Closed Loop Failure Analysis Plans

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

TOTAL PRICE

DI-MGMT-81911 PWS Para 1.6.1.1 AFNWC/NIAE

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

a. ADDRESSEE

Draft Final distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

Contractor shall submit Work Management Plan (Closed Loop Failure Analysis Plans) as negotiated during request or NLT 30 days after request from Government. Government will be allowed time as negotiated during request or 20 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Work Management Plan (Closed Loop Failure Analysis Plans) incorporating Government comments, if applicable, as negotiated during request or NLT 20 days after receipt from Government.

BLOCK 14: Contractor shall submit Work Management Plan (Closed Loop Failure Analysis Plans) to TopVue https://icbm.topvue.com/topvue-icbm/ .

2/7/2018

X Nancy N. Baker Nancy N. Baker, GS-12

X Charles A. Skrovan Maj Charles A Skrovan

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page https://icbm.topvue.com/

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

A007-2 WORK MANAGEMENT PLAN Small Business Subcontracting Plan

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

TOTAL PRICE

DI-MGMT-81911 PWS Para 1.6.3.1.1 AFNWC/NIAE

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

a. ADDRESSEE

Draft Final distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

Contractor shall submit Work Management Plan (Small Business Subcontracting Plan) as negotiated during request or NLT 30 days after request from Government. Government will be allowed time as negotiated during request or 20 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Work Management Plan (Small Business Subcontracting Plan) incorporating Government comments, if applicable, as negotiated during request or NLT 20 days after receipt from Government.

BLOCK 14: Contractor shall submit Work Management Plan (Small Business Subcontracting Plan) to TopVue

2/7/2018

X Nancy N. Baker Nancy N. Baker, GS-12

X Charles A. Skrovan Maj Charles A Skrovan

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

A007-3 WORK MANAGEMENT PLAN Work-Around Recovery Plans

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

TOTAL PRICE

DI-MGMT-81911 PWS Para 1.6.3.3.2 AFNWC/NIAE

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

a. ADDRESSEE

Draft Final distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

Contractor shall submit Work Management Plan (Work-Around Recovery Plans) as negotiated during request or NLT 30 days after request from Government. Government will be allowed time as negotiated during request or 20 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Work Management Plan (Work-Around Recovery Plans) incorporating Government comments, if applicable, as negotiated during request or NLT 20 days after receipt from Government.

BLOCK 14: Contractor shall submit Work Management Plan (Work- Around Recovery Plans) to TopVue https://icbm.topvue.com/topvue-icbm/ .

2/7/2018

X Nancy N. Baker Nancy N. Baker, GS-12

X Charles A. Skrovan Maj Charles A Skrovan

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

A007-4 WORK MANAGEMENT PLAN Knowledge Transfer Plans

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

TOTAL PRICE

DI-MGMT-81911 PWS Para 1.6.3.9 AFNWC/NIAE

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

a. ADDRESSEE

Draft Final distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

Contractor shall submit Work Management Plan (Knowledge Transfer Plans) as negotiated during request or NLT 30 days after request from Government. Government will be allowed time as negotiated during request or 20 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Work Management Plan (Knowledge Transfer Plans) incorporating Government comments, if applicable, as negotiated during request or NLT 20 days after receipt from Government.

BLOCK 14: Contractor shall submit Work Management Plan (Knowledge Transfer Plans) to TopVue

2/7/2018

X Nancy N. Baker Nancy N. Baker, GS-12

X Charles A. Skrovan Maj Charles A Skrovan

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

A007-5 WORK MANAGEMENT PLAN DEMIL/Disposal Plan

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

TOTAL PRICE

DI-MGMT-81911 PWS Para 1.6.3.12 AFNWC/NIAE

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

a. ADDRESSEE

Draft Final distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

Contractor shall submit Work Management Plan (DEMIL/Disposal Plan) as negotiated during request or NLT 30 days after request from Government. Government will be allowed time as negotiated during request or 20 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Work Management Plan (DEMIL/Disposal Plan) incorporating Government comments, if applicable, as negotiated during request or NLT 20 days after receipt from Government.

BLOCK 14: Contractor shall submit Work Management Plan (DEMIL/Disposal Plan) to TopVue https://icbm.topvue.com/topvue-

2/7/2018

X Nancy N. Baker Nancy N. Baker, GS-12

X Charles A. Skrovan Maj Charles A Skrovan

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

A007-6 WORK MANAGEMENT PLAN Pollution Prevention Program Plan

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

TOTAL PRICE

DI-MGMT-81911 PWS Para 4.9.2 AFNWC/NIAE

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

a. ADDRESSEE

Draft Final distribution statement, warning, and destruction notices)

BLOCKS 10, 11, 12 & 13:

Contractor shall submit Work Management Plan (Pollution Prevention Program Plan) as negotiated during request or NLT 30 days after request from Government. Government will be allowed time as negotiated during request or 20 days, after receipt from contractor, to review for approval/disapproval/comments. Contractor shall submit revised Work Management Plan (Pollution Prevention Program Plan) incorporating Government comments, if applicable, as negotiated during request or NLT 20 days after receipt from Government.

BLOCK 14: Contractor shall submit Work Management Plan (Pollution Prevention Program Plan) to TopVue

2/7/2018

X Nancy N. Baker Nancy N. Baker, GS-12

X Charles A. Skrovan Maj Charles A Skrovan

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…

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