CDRLs.pdf

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

Th. public: reporting b•••den for this eollec:tion 01 information is estim"ed to .verage 110 hours per ruponse, including the 'time for reviewing instrue:tions, searching existing data sources, gathering ilInd mlint.ining the data ~~d. and completing and reviewing the collection of information. Send commenu tegatding Itlis burden estimate or ..,y other aspect of this eon.etion 01 inform.tion, ineluding suggestions for reduci"lg the burden, to the Depanment of Deler\$e, EJcecutive Services and Communications Oireetor;lt. (0704-0188). Respol'lCilnU should be aWare that notwithstanding any other provision 01 law, no pel'son shan be sub,iK:t to .,y penalty for failing to comply with.

collec:tion of information if It does not display illcurrently v.tid OMS control number. ~"se do not r.tum you. form to d,. above O'1l"rQ.tio<\, S.nd completed form to the Gonmment Issuing ContrKUng OfflC'er for the COf'ltrKtJPR No. listed in 81oc:k E.

IA. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY: MGMT

X002 A TOP TM OTHER

D. SYSTEMnTEM IE. CONTRACTIPR NO. F.CONTRACTOR

ANIFMQ-19 AMS FD2020-11-76371

I1. DATA ITEM NO. 2. nTLe OF DATA ITEM 3. SUBTITLE

AOOI Program Management Plan I

4. AUTHORITY (Data Acqui~irion Document No.1 I' CONTRACT REFERENCE 6. REQUIRING OFFICE

IDI-MGMT-81797A PWS 3.1, 3.1.1, 3.7,4.6, & 5.3 OO-ALC/GHSBG

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION ... DISTRIBUTION

ILT

REQUIRED ANNLY 30DAC b. COPIES

8. APP CODE ".AS OF DATE 13. DATE OF SUBSeQUENT a. ADORESSEE Final

IA B SUBMISSION DraftN/A See Blk 16 R., Repro

16. REMARKS OO-ALC/GHSBG I I 0

(7) The letter of transmittal shall be annotated to reflect if additional submittals are 6039WardIeigh Rd to be furnished or if this is the final submittal of data. The letter of transmittal shall Hill AFB Utah be used only for this data item: do not combine other data item subminals with this 84056-5838 requirement.

(8) Government CommentsiApprovallDisapproval of technical content will be submitted within 10 calendar days of receipt of draft. Failure to comment/approve/disapprove within 30 working days does not constitute full/final OO-ALC/GHSKB 0 I 0 approval by the government 6039 WardIeigh Rd

(9) DISTRIBUTION STATEMENT B: Authorized to U.S. Government Agencies Hill AFB, Utah for Administrative or Operational Use Only, August 2011. Other requests shall be 84056-5838 referred to OO-ALC/GHSGB, Hill AFB, Utah.

(10)(12)(13) Submit draft for approval 30 DAC award and annually thereafter. HQAFWNA5/8 0 I 0 Submit final copies no later than seven (7) calendar days after government 101 Nelsoo Drive approval of the draft. Offutt AFB, NE

68113 DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document. PCMA 1 I 0

(14) One (1) copy of the submittals (to include all revisions) shall be provided electronically to each addressee as indicated in block 14 in Microsoft Word compatible format. The draft distribution list is for Inspection. Final distribution is for distribution ofthe accepted CDRL delivery. Electronic addresses:

carol.kairn@hill.af.mil;james.thiros@hill.af.mil; and AFW NA5A8@offutl.af.mil.

15. TOTAL , 2 4 0

G. PREPARED BY H.DATE Ill~ J. DATE

Carol Kaim, GS-12, Program Manager 6 Oct II I~de-'/- If

I;';;T"'. P"R,"IC::;E~G;;R;;OU;;;:P'

16. ESTIMATED

TOTAL PRICE

DO FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages mailto:carol.kairn@hill.af.mil;james.thiros@hill.af.mil;

mailto:NA5A8@offutl.af.mil.

CONTRACT DATA REQUIREMENTS LIST

(T Data Item)

Form Approved OMS No. 0704-0188

Th. public reponing burden lor this eolleetion of information is estimated to illlilrege 110 naUf. per response, including the time for reviewing instructions, seMching uislin;

dUiI souren, gathering and maintaining me datil needed, and eompJelinll and reviewing the collection of information. Send commenlS regarding this burden .slimatll or anv other aspect 01 this colJe<;tion of information. including sUllgestiQns for red\.lcinlil the burden, to the Oepanment of Defense, Executive Silrvicu and ComfTM,lnieilltions Directorate (0704-0188). Respondents sl'lO\lld be aWilre that notwithstanding anv other provision of Jew. no person sh.11 be subject to any penalty lor flili"glo comply with.

collection 01 informet,on if it do.s not dizplllY a currently valid OMB control numb.r. Pl •••• do not r.turn your form to the IIlbove orglllnillltion. S.nd eompl.ted form to the Gov.rnm.nl Issuing Contraeting Officer for the ConuactJPR No. lisled in Bloek E.

3. SUBTtTlE

F.CONTRACTOR

A. CONTRACT LINE ITEM NO.

X002 D.SYSTEMnTEM

ANIFMQ-19 AMS

,. DATA ITEM NO.2. TInE OF DATA ITEM

B. EXHIBIT C. CATEGORY,

A TOP TM

IE. CONTRACTIPR NO.

I FD2020-11-76371

OTHER

MGMT

1;,;;,"1.• ;oR""C"'".;;ROrnU'"''''

A002 Status Report

4. AUTHORITY (Dala Acqvisirion Document No.1

DI-MGMT-80368A

I 5. CONTRACT REFERENCE

I PWS: Reference Blk 16

6. REQUIRING OFFICE

OO-ALC/GHSBG

18. ESTIMATED

TOTAL PRICE

OO-ALC/GHSBG

6039 Wardleigh Rd Hill AFB, Utah 84056-5838

7. DO 250 REQ 9. DIST STATEMENT 10. FREQUENCy 12. DATE OF FIRST SUBMISSION '4.

LT

REQUIRED MTHLY 40DAC

8. APP CODE ".AS OF DATE 13. DATE OF SUBSEQUENT

N/A C SUBMISSION

0 See BLK 16

16. REMARKS

(5) Contract reference paragraphs: 3.3, 4.1,4.1.1.6,4.2.6, 4.3, 4.3.1,4.3.4,4.4, 4.6,4.6.1,4.9

(9) D1STRlBUTION STATEMENT C: Authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use Only, August 2011.

Other requests shall be referred to OO-ALC/GHSBG, Hill AFB, Utah.

DISTRIBUTION

iI. ADDRESSEE

b. COPIES

Final

Reg Repto o I 0

(10)(11 )(12)( 13) Submittal report no later than the fifteen (15th) of each month for the previous month.

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

(14) One (I) copy of the' submittal shall be provided electronically to each addressee as indicated in block 14 in Microsoft Office compatible format.

Electronic addresses: carol.kaim@hill.af.mil;james.thiros@hiIl.af.miI; and AFWNA5A8@offutt.afmil.

OO-ALC/GHSKB

6039 Wardleigh Rd Hill AFB,Utah 84056-5838

HQ AFWNA5/8

101 Nelson Drive Offutt AFB, NE 68113

DCMA

o o o o o o

H. DATE

6 Oct II

G. PREPARED BY

Carol Kaim, GS-12, Program Manager

DO FORM 1423-1 FEB 2001

15. TOTAL

I. A~qVE,7) ~V

PREVIOUS EDITION MAY aE1J1, D.

I 0 4 0

J. DATE

I~Dei 'I Page of Pages mailto:carol.kaim@hill.af.mil;james.thiros@hiIl.af.miI;

mailto:NA5A8@offutt.afmil.

CONTRACT DATA REQUIREMENTS LIST Form Approved

Th. public reporting burden lor this colfection of information is estim ••ted to tv.,,;. 110 hours per response, including the time for reviewing instructions, searching existing data sour<:u, !lllthering and maintaining the data needed, and completing and r.viewing the collection of information. Send comments regardinlil this burden .stimate Of any other aspect of this colll'Ction of informiltion, including suggestions lor reducing the burden, to the Oepartment of Defense, Executiv. S'rvi<::es and Communications Directorate (0704·01881. Rtspondents should be ilW••.• thill notwithstMlding any other provision of law, no person shall be sub;ect to any pen.lty for f,iling to comply with • collection 0' ,nformation if it does not display ;;II currently valid OMB control number. PI.a •• do not return your form to the above orgarnation. S.nd completed form to the Government Issuing Contraeting Offic:er for the ContraetlPR No. listed in Sloe" E.

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

X002 A TOP TM OTHER

D. SYSTEM/ITEM IE. CONTRACTIPR NO. F.CONTRACTOR

ANIFMQ-19AMS FD2020-11-76371

1. DATA ITEM NO. 2. TITLE Of DATA ITEM 3. SUBTITLE

A003 Conference Minutes

4. AUTHORITY (D.r. Aequisition Doeument No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-ADMN-81250A PWS: 3.2 OO-ALC/GHSBG

7. DO 250 REQ 9. DIST STAnMENT 10. FREQUENCY 12. DATE Of FIRST SUBMISSION '4. DISTRIBUTION

LT

REQUIRED Blk 16 Blk 16 b. COPIES

8. APP CODE ".AS Of DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

A B N/A

SUBMISSION Or."Blk 16 R., Repro

16. REMARKS OO-ALC/GHSBG 1 I 0

(7) The Letter of Transmittal shall be used only for this data item: do not combine 6039 Wardleigh Rd other data item submittals with this requirement. Hill AFB Utah

84056-5838

(9) DISTRIBUTION STATEMENT B: Authorized to U.S. Government Agencies for Administrative or Operational Use Only, August 2011. Other requests shall be referred to OO-ALC/GHSBG, Hill AFB, Utah.

(8)(10)(12)(13) Submit draft minutes no later than seven (7) calendar days after OO-ALC/GHSKB 0 1 0 scheduled meetings. Government will review and provide comments within 10 6039Wardleigh Rd(10) calendar days. Final Conference Minutes submitted for approval/disapproval Hill AFB, UtahNLT than seven (7) calendar days after receipt and incorporation of Government comments. 84056-5838

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

HQ AFW AfA5/8 0 I 0

(14) One (I) copy of the submittals (to include all revisions) shall be provided 101 Nelson Drive electonically to each addressee as indicated in block 14 in Microsoft Word Ofutl AFB, NE compatible format. Electronic addresses: carol.kaim@hill.af.mil; 68113 ·ames.thiros@hill.af.mil; and AFWAfA5A8@offutt.af.mil.

DCMA 0 I 0

15. TOTAL I 1 4 0

G. PREPARED BY H. DATE

I.~~

J. DATE

Carol Kaim, GS-12, Program Manager 6 Oct 11 "A HOd f( DD FORM 1423-1, FEB 2001 PREVIOUS EDIT ON MAY BE USED. Page of Pages r.,","'. PR""',e"e"G"R"ov""'P'"

18. EsnMATEO

TOTAL PRICE

mailto:carol.kaim@hill.af.mil;

mailto:AfA5A8@offutt.af.mil.

(1 Data Item) OM8 No. 0704-0188

The public reporting b~den lor this collection of information is estimated to aVllfage 110 hours per response, including the time for r~i.wing instruc:tions. sear-ching ellistirtg data sources, gathefing llnd maintaining the data needed, and completing and reviewing the col~tion of inform.tion. Send com~ts regarding thi$ burden estimate Of any other aSpKt of this collection of information, including suggestions for reducing the burden, to the Oepartmeflt of Defense, Exeeutive Services and Communie~ion$ Director.t. I07()4.{)188). Respondents should be aware thilt notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with • colleetion of inform<rtion if it don not display •• eurrerrtly valid OMS control number. PIe;r.se do not return your form to the above organization. Send completed form to 1M Government l!J$uing Con~ting Otf'oeet fOf the Contra<:tIPR No. listed in BIoek E.

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

X002 A TOP 1M OTHER

O. SYSTEM/ITEM IE. CONTRACTIPR NO. F. CONTRACTOR

ANIFMQ-I9 AMS FD2020-11-76371

1. DATA ITEM NO, 2. Tine Of DATA ITEM 3. SUBTITLE

A004 Engineering Change Proposal (ECP)

4. AUTHORITY (Data Acquisition Document No.1 15. CONTRACT REFERENCe 6. REQUIRING OFFICE

DI-CMAN-80639C PWS: 4.3.1, 4.3.2,4.3.3, 4.11,4.11.1 OO-ALCIGHSBG

7. DO 250 REO 9. orST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION '4. OISTRIBUTION

LT

REQUIRED Blk 16 Blk 16 b. COPIES

8. APP CODe ".AS Of DATE 13. DATE OF SUBSEQUENT •. ADDRESSEE Final

A C N/A

SUBMISSION DraftBlk 16 Ro, R.",.

16. REMARKS OO-ALClGHSBG 1 1 0

(7) The letter of transmittal shall be annotated to reflect if additional submittals are 6039 Wardleigb Rd to be furnished or if this is the final submittal of data. The letter of transmittal shall tHili AFB, Utah be used only for this data item: do not combine other data item submittals with this 84056-5838 requirement.

(8) Government CommentsiApprovaVDisapproval may be submitted within thirty

(30) calendar days of receipt. Failure to comment/approve/disapprove within 30 calendar days does not constitute full/final acceptance or rejection of ECP by the OO-ALCIGHSKB 1 1 0 government. 6039 Wardleigh Rd

(9) DISTRIBUTION STATEMENT C: Authorized to U.S. Government Agencies Hill AFB, Utah and their contractors for Administrative or Operational Use Only, August 2011. 84056-5838

Other requests shall be referred to OO-ALCIGHSBG, Hill AFB, Utah.

HQAFWNA5/8 1 1 0

(10)(12)(13) Submit draft ECP no later than thirty (30) calendar days after 101 Nelson Drive identification of requirement. Government may review and provide comments Offutt AFB, NE within 30 calendar days. Final ECP is due no later than seven (7) calendar days 68113 after receipt and incorporation of Government comments. All submissions are considered drafts until final Government approval. DCMA 1 1 0

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

(14) One (1) copy of the submittals (to include all revisions) shall be provided electronically to each addressee as indicated in block 14 in Microsoft Office compatible fennat. The draft distribution list is for Inspection. Final distribution is for distribution of the Accepted CDRL delivery. Electronic addresses:

carol.kaim@hill.af.mil;james.thiros@hill.af.mil; and AFW AI A5A8@offutt.af.mil.

15. TOTAL I 4 4 0

G. PREPAREO BY H.OATE I.

rzVEOOOA-

J. DATE

Carol Kaim, GS-12, Program Manager 6 Oct 11 N ()cf /{

.,","". P"R"'C"""'G"R"OU"'P'"

18. ESTIMATED

TOTAL PRICE

DO FORM 1423-1. FEB 2001 PREVIOUS EOITION MAY BE USEO. Page of Pages mailto:kaim@hill.af.mil;james.thiros@hill.af.mil;

mailto:A5A8@offutt.af.mil.

Th. publie reporting burden fOf thil co'lec:tion of information is estimated to average 110 hours per '8$1)01'1$1, including the time for reyiewi"lg instrl,lCtions. searching existing data sources, gathering lIl'Id m.irll • .ining the data needed, Vld completing and reviewing the eoUeetion of information. Send comments regarding this burden es,imllte or ."y otner aspect 01 this collection of inform.tion, ioclud;ng sugllestions for reducing the burden, to the Dep,nment of Delense, Executive Services and Communications Director.'. (0704-0188). RtlSpondeols should b. aware that notwithst.,dinll any other provi$ion of law, no person shaU be subject to"V penalty for failing to comply with.

collection of informlltion if it d<as not disp'-V • cUl'Tently viIllid OMB t;Ontrol number. Please do not return your form to the above organiz.tion. Send completed form to the Government luuing Contr.u;:ting Ome.r for thoe Contnlct/f'R No. lilted in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY, ILSS

X002 A TOP TM OTHER

D. SYSTEM/ITEM I E. CONTRACTIPR NO. F.CONTRACTOR

ANIFMQ-19 AMS FD2020-11-76371

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

A005 Spare Parts Usage Report

4. AUTHORITY (D8tt! Acquisition Documenr No.1 I' CONTRACT REFERENCE 6. ReQUIRING OFFICE

DI-ILSS-80483fT PWS: 3.3, 404, 4.10 OO-ALC/GHSBG

7.00250 REQ 9. DIST STATEMENT 10. FREaUENCY 12. DATE OF FIRST SUBMISSION '4. DISTRIBUTION

LT

REQUIRED MTHLY 40DAC b. COPlES

8. APP COOE ".AS OF DATE 13. DATE OF SUBSEQUENT •. ADDRESSEE Final

N/A C SUBMISSION Draft0 See BLK 16 "". Repro

16. REMARKS JO-ALC/GHSBG 0 I 0

(4) Tailoring to DI-ILSS-80483 as following, Delete paragraphs lOA, 6039 Wardleigh Rd 1004.1, I004.2, 1004.3, 100404, 10.4.5 Hill AFB, Utah

84056-5838

(9) DISTRIBUTION STATEMENT C Authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use Only, August 2011.

Other requests shall be referred to OO-ALC/GHSBG, Hill AFB, Utah.

(10)(12)(13) First submission due NLT forty (40) DAC award. Subsequent OO-ALC/GHSKB 0 I 0 submittals due NLT the 15th of each month for the preceding calendar month. 6039 Wardleigh Rd

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of Hill ABF, Utah contents or reconstruction of the document. 84056-5838

(14) One (I) copy of the submittal shall be provided electronically to each HQ AFWNA5/8 0 I 0 addressee as indicated in block 14 in Microsoft Office compatible fonnat. 101 Nelson Drive Electronic addresses: carol.kaim@hill.af.mil;james.thiros@hill.af.mil;and Offutt, NE 68113 AFW N A5A8@offutt.af.mil.

DCMA 0 I 0

15. TOTAL I 0 4 0

G. PREPARED BY H.DATE I.A

II'RPVEiV1 J. DATE

Carol Kaim, GS-12, Program Manager 6 Oct II r/~. I I~OC~ (( /. ..., 1;;2 '..<.

r.'~7-. P:::R;:'C';E~G;:R;;O;;U;;P'

~,;:.-. E;:S~T;;'M~A~7:::E::D-I TOTAL PRIce

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages mailto:carol.kaim@hill.af.mil;james.thiros@hill.af.mil;and

(1 Data !tem) OM8 No. 0704·0188

The public reporting burdef'l for this eolleetion of information is estimated to average 110 hours per response, including the time fo' reviewirlg instructions, searching existing d.u sources, gam.r~ ¥>d mMntainil'lg the d.n •• needed. and completinll and reviewing the collection 01 information. Send comment$ regarding thi$ burden estimate or any other npec:l of this coUec:tion of information, including suggestions for reducing the b~den. to the o.partment 01 Oeferl$e, Ext'eVtiY. Services and Communications Oirec:torat.I0704--0188J. Respondents should be aware that notwithstanding any other provision of law, no person sh,ll be $ub~ to any penalty for fili~ng to comply with.

colleetion of information it it does not display a currmtly valid OMS control number. Please do no1 return you. form 10 the above organiution. Send complete-d form to tM Government luuing Contrac:ting Offic:•• for the ContriJCtIPR No. listM! in Block e.

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

X002 A TOP TM OTHER

D. SYSTEMnTEM IE. CONTRACT/PR NO. F.CONTRACTOR

ANIFMQ-19 AMS FD2020-11-76371

,. DATA ITEM NO. 2. TIne OF OATA ITEM 3. SUBTiTlE

A006 Commercial Off-the-Shelf (COTS) Manual and T.O. 3IMI-2FMQI9-1 Technical Manual Associated Supplemental Data Operations & Organizational Maintenance

4. AUTHORITY IData Acquisition DocumMt No,} I S. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-TMSS-80527B PWS:4.8 OO-ALC/GHSBG

7.00250 REa 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION ,.. DISTRIBUTION

SS

REQUIRED BLK 16 180DAC b. COPIES

8. APJ> CODe ". AS OF DATE 13. DATE OF SUBSEQUENT 8. ADDRESSEE Final

A C SUBMISSION DraftN/A BLK 16 Ro, Repro

16. REMARKS DCMA 1 I 0

(3) Full Title of the T.O. is 31MI-2FMQI9-1 Technical Manual Operations and Organizational Maintenance with Illustrated Parts Breakdown ANIFMQ-19 Automatie Meteorologieal Station (AMS) JO-ALC/GHSBG I I 0

6039 Wardleil!h Rd

(7) DCMA inspector/acceptor may request a hard copy at the contractor's facility Hill AFB, Utah during time of inspection and acceptance. The receiving report is required 80456-5838 electronically via the Internet through Wide Area Work Flow, https://wawf.eb.mi1.

OO-ALC/GHSKB 0 I 0

(9) DISTRIBUTION STATEMENT C: Authorized to U.S. Government Agencies 6039 Wardleigh Rd and their contractors for Administrative or Operational Use Only, August 2011. Hill AFB, UtahOther requests shall be referred to OO-ALC/GHSBG, Hill AFB, Utah.

84056-5838

(8)(10)(12)(13) Submit draft initial T.O. no later than 180 days after contract e..FWAJA5/8 I I 0award. The FMQ-19 program office will provide comments for correction (with a courtesy copy to DCMA). The contractor will accomplish corrections to the 101 Nelson Drive manual based on program office comments until the program office validates the Offutt AFB, NE manuaL DCMA will then conduct inspection and acceptance. Changes and 68113 supplements to the COTS manual will be determined during Program Management Reviews or Technical Interchange Meetings. Government CommentsiApprovallDisapproval will be submitted within 30 working days of receipt of draft COTS ManuaL Failure to comment/approve/disapprove within 30 working days does not constitute fulVfmal acceptance or rejection by the government.

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

(14) One (I) copy of the initial and subsequent submittals (to include all revisions) shall be provided electronically to each addressee in bloek 14 in Microsoft Office compatible format.

The contractor will use attachment TM-86-0 IN for format.

J'\ 15. TOTAL , 3 4 0

G. PREPARED BY H. DATE I.

J.DATE

Carol Kaim, GS-12, Program Manager 6 Oct II 14 GC+ ( [

1':,":', .-:P:;R::='C~'':;G~RO~U-;:P"

t:''::'8."':':::S;:T1::M':'A T;;';;;O:-;

TOTAL PRICE

DD FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USEO. Page of Pages

(1 Data Irem) OMB No. 0704·0788

The public reponing burden for this collection of information is estimated to average 110 hours per response, inc:.luding the time for reviewing mstNctions. se.ching existing dill' sources, gathering and maintaining the dati ne-eded, and completing ilnd reviewing the colle-ction 01 inform.tion. Send com menu: reg_ding this bur6trn estimate or any other aspect 01 this collection of information, including sUl/gestions for reducing the bur6en, to the o.p.nment of Defense, Exeevtiv. Services and Communications Directorate (0704-0188). Re:opondents should be lIWiIl'e that notwithsunding any other provision of lilW, no p.flson shan be subjet=t to"y penlllty for failing to comply with II collection of informltion if it does not displ.y I currently valid OMS control numb.r. P1u,. do not .etum your form to ttw above organiution. Send f;omp!eted form to the Govemment Inuing Contrllf;ting OHi<:er for t"- ContrlletlPR No. Hsted in Bleek E.

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

X002 A TOP TM OTHER

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

ANIFMQ-19 AMS FD2020-11-76371

1. DATA ITEM NO. 2. TITLE OF OATA ITEM 3. SUBTlnE

A007 Technical Repon-Study/Services

4. AUTHORITY (DII(II Acquisition Documenr No.' 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508BfT PWS: 4.3.1, 4.3.3 OO-ALClGHSBG

7.00250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIR.ST SUBMISSION ,.. DISTRIBUTION

LT

R.EQUIRED Blk 16 Blk 16 b. COPIES

8. APP CODE ".AS OF DATE 13. DATE OF SUBSEQUENT iI. ADDRESSEE Final

A C SUBMISSION Dr.ltN/A Blk 16 Roo Repro

16. REMARKS OO-ALC/GHSBG I I 0

(4) Tailoring to DI-MISC-80508 as follows: Delete paragraph 2(a), and 2(c). 6039 Wardleigh Rd Contractor format acceptable. ill" AFB,Utah

84056-5838

(7) The lener of transminal shall be annotated to reflect the subminal is a draft or if this is the final subminal of data. The letter of transmittal shall be used only for this data item: do not combine other data item submittals with this requirement.

(9) DISTRIBUTION STATEMENT C: Authorized to U.S. Government Agencies OO-ALC/GHSK 0 I 0 and their contractors for Administrative or Operational Use Only. August 2011. 6039 Wardleigh Rd Other requests shall be referred to OO-ALC/GHSBG, Hill AFB, Utah. Hi" AFB, Utah

(10)(12)(13) Submit repon no later than thiny (30) calendar days following the 84056-5838 completion of each study/service to addressees in block 14. Government will HQ AFWNA5/8 0 Ireview and provide comments within 30 calendar days following receipt. Final report is due no later than seven (7) calendar days after receipt and incorporation of 101 Nelson Drive Government comments. All submissions are considered drafts until final Offun AFB, NE Government approval. 68113

IDESTRUCTION NOTICE: Destroy by any method that wi" prevent disclosure of contents or reconstruction of the document.

(14) One (I) copy of the submittal (to include all revisions) shall be provided electronically to each addressee as indicated in block 14 in Microsoft Office compatible format. The draft distribution list is for Inspection. Final distribution is for distribution of the accepted CDRL delivery. Electronic addresses:

caroLkaim@hiILafrnil;james.thiros@hiILaf.mil; and AFW NA5A8@offun.afmiL

15. TOTAl I I 3 0

G. PREPARED BY H.DATE '-

A~t~~, J. DATE

Carol Kaim, GS-12, Program Manager 60ctll f<f ()e;,f tf(y "V

17. PRICE GROUP

18. ESTIMATED

TOTAL PRice

DO FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages mailto:caroLkaim@hiILafrnil;james.thiros@hiILaf.mil;

mailto:NA5A8@offun.afmiL

The public reponing burden for this collection of information is estimated to aVlKage 110 hours per response, including the time for reviewing instrue:tions. surehing existinsJ data sources. lIati"lering and maintaining the dilla needed, and completing and reviewing the collection of information. Send comments regarding thi$ burden ulima'. Of any othfi as~t of this collection of information, including suggestions for reducing the burdlm, to the Oepartment of Defense, Executive Services and Communications Directorate (0704-01881. Respondents should b. aware that notwithst •.• ding any other provision of law, no person stulil be subject to "v penalty 101' failing to comply with a collection of information if it does not di:;play illcurrently vllid OMB control number. Please do not return your form to the above o'llaniution. Send completed form to the Government ISlui~ Contracting Officer fo, the ContractJPR No. li,ted in Block E.

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

X002 A TOP TM OTHER

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

ANIFMQ-19 AMS

1. DATA ITEM NO. 2. Tine OF DATA ITEM 3. SUBTlne

A008 Configuration Status Accounting Information

4. AUTHORITY (Ollrll Acquisition Documrnt No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-CMAN-81253A PWS 4.7, 4.9, 4.11.1, 5.1 OO-ALC/GHSBG

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION '4. DISTRIBUTION

SS

REQUIRED ANNLY 180 DAC b. COPlES

8. APP CODE ".AS OF OATE ". DATE OF SUBSEQUENT a. AODRESSEE Final

A B SUBMISSION DraftN/A Blk 16 Ro, Repro

16. REMARKS DCMA I I 0

(7) DCMA inspector/acceptor may request a hard copy at the contractor's facility during time of inspection and acceptance. Receiving report required electronically via the Internet through the Wide Area Work Flow, https:/Iwawfeb.mil. OO-ALClGHSBG I I 0

6039 WardleiQh Rd

(9) DISTRlBUTION STATEMENT B: Authorized to U.S. Government Agencies Hill AFB, Utah for Administrative or Operational Use Only, August 2011. Other requests shall be 84056-5838 referred to OO-ALC/GHSBG, Hill AFB, Utah.

OO-ALC/GHSKB I I 0

(10)(12)(13) First submission of information due no later than 180 DAC award and 6039 Wardleigh Rd annually thereafter. DCMNQA will review and provide comments, in Hill AFB, Utahcoordination with the FMQ-19 program office, NL T 30 calendar days following receipt. Final report is due NLT seven (7) calendar days after receipt and 84056-5838 incorporation ofDCMNQA comments.

AFWNA5/8 0 I 0

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of 10I Nelson Drive contents or reconstruction of the document. Offutt AFB, NE 681

(14) One (I) copy of the submittals (to include all revisions) shall be provided electronically to each addressee as indicated in block 14 in Microsoft Office compatible fonnat. The draft distribution list is for Inspection. Final distribution list is for the accepted CDRL delivery. Electronic addresses:

carol.kaim@hill.af.mil;james.thiros@hill.afmil; and AFW N A5A8@offutt.afmil.

15. TOTAL I 3 4 0

G. PREPARED BY H.DATE I.

APl!EDNaJ, J. DATE

Carol Kaim, GS-12, Program Manager 60ctll Nod If r.'''7-. PR='C"""G"'R"O"U"'P'

18. ESTIMATED

TOTAL PRICE

DO FORM 1423-1. FEB 2001 PREVIOUS EDITION MAV BE USED. Page of Pages mailto:carol.kaim@hill.af.mil;james.thiros@hill.afmil;

mailto:A5A8@offutt.afmil.

(1 Data Item)

Form Approved OM8 No. 0704·0188

The public reporting burden lor this collection of information is estimllleel to average 110 nour$ per rtsponn, including the time for leviewing instruetions, searehin'Ol elC;sting data sourus, gathering and mllinteining the data needed, and eomp'-ting and reviewing the collec:tion of informilltion. Send comments regarding this burden !!"limat. 01 ¥ly OlM aspect of this collection of information, InCluding sU99tstioru for redvc;ing the b•••.den. to tha Department of Defense, EJ!lICUtive Services and Communic.tions Directorat. 10704-0188}. Respondents should be aware that notwithst..,ding any other provision of I.w, no per$on shall be subject to "'1' penalty for failing to comply with •.

collKtion of information if It does not display a currently v••••id OMS eontrol number. PIo.ase do not ,.tum your form to the above organization. Send compler..:! form to t~ Govcmmem lulling ContrKting OffICer for the ConttaetJPR No. listed in Block E.

F.CONTRACTOR

A. CONTRACT LINE ITEM NO.

X002

D. SYSTEMIITEM

ANIFMQ-19 AMS

B. EXHIBIT C. CATEGORY:

A TOP TM

IE. CONTRACTIPR NO.

I FD2020-11-76371

OTHER

ADMN

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

A009 Conference Agenda

4. AUTHORITY IData Acquisition Document No.!

DI-ADMN-81249AIT I

5. CONTRACT REFERENCE

PWS: 3.2

6. REQUIRING OFFICE

OO-ALC/GHSBG

18. ESTIMATED

TOTAL PRIce

DISTRIBUTION7. DO 250 ReQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION '4.

LT

REQUIRED Blk 16 Blk 16

8. APP CODE ".AS OF DATE 13. DATE Of SUBSEQUENT

N/A C N/A

SUBMISSION

Blk 16

01. ADDRESSEE

Draft

b. COPIES

Final

Reg Repro

16. REMARKS

(4) Tailoring to DI-ADMN-81249A as follows: Delete paragraph 10.2 (d), (e), (g), (h), (i), (1).

(9) DISTRIBUTION STATEMENT C: Authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use Only, August 20 II.

Other requests shall be referred to OO-ALC/GHSBG, Hill AFB, Utah.

OO-ALC/GHSBG

6030 Wardleigh Rd Hill AFB,Utah 84056-5838 o

(10)(12)(13) Submit draft agenda no later than ten (10) business days prior to OO-ALC/GHSKB 0 1 0 conference. Government will review and provide comments/revisions within two 6039 Wardleigh Rd

(2) business days. Final agenda is due no later than five (5) business days priol to Hill AFB, Utahconference.

84056-5838 DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of

A.FWNA5/8 0 1 Icontents or reconstruction of the document.

101 Nelson Drive

(14) One (1) copy of the submittals (to include all revisions) shall be provided Offutt AFB, NE 681 electronically to each addressee as indicated in block 14 in Microsoft Word "ompatible format. Electronic addresses: carol.kaim@hill.af.mil; QCMA 0 I 0 ames.thiros@hill.af.mil; and AFWNA5A8@offutt.af.mil.

G. PREPARED BY

Carol Kaim, GS-12, Proglam Manager

H.DATE

60ctl1

I. APPJlO

15. TOTAL

ED~~

J. DATE

l'f rJoI f ( DO FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages mailto:carol.kaim@hill.af.mil;

mailto:ames.thiros@hill.af.mil;

mailto:NA5A8@offutt.af.mil.

(1 Data Item) OMS No. 0704-0188

The public reporting burden for this colJeoction of infonnation is estimated to aVlIl'age 110 hours per res.pon;e, including the time for r~iewing iMtruetions. searching existing data sources, gath«ing and maintaining the datil needed, and completing and reviewing the colloM:tion of information. Send comme-nts regarding this burden .stim ••t" or any other npec:t of this conection of inform.ticm. including sug~stions for reducing the burden, 10 the Department of Defense, Executive Sarv;c.s and CommunH;iltions Directorate 10704-0188). Respondents should be ",ware that notwithSll1rlding any other provision of law, no person shall be subject to any penalty for failing to complv with II collection of inform.tion if it doe$ not display II currently valid OMB conuol number. Please do not return your fonn to the above organization. Send completed form to the Government l$.Suing Contrac:ting Officer for 1hoeContrac:tlPR No. lis1ed in Bloc:k E.

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

X002 A TOP TM OTHER

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

ANIFMQ-19 AMS FD2020-11-76371

1. DATA ITEM NO. 2. nnE OF DATA ITEM 3. SUBTlnE

AOIO Training Materials

4. AUTHORITY IOlltll Ac:qui$ition DoaJf'Mllt No.} 15. CONTRACT REFERENCE 6. REQUIRING OFACE

DI-ILSS-80872!T PWS: 4.12 OO-ALC/GHSBG

7.00250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION '4. DISTRIBUTION

SS

REQUIRED BLK 16 BLK 16 b. COPIES

8. APP CODE ".AS OF DATE 13. DATE OF SUBSEQUENT 1I. ADDRESSEE Final

A C N/A SUBMISSION DraftBLK 16 Ro, Repro

16. REMARKS DCMA I I 0

(4) Tailoring to DI-ILSS-80872 as follows: Delete paragraphs 10.1, 10.2.1.2, 10.2.1.7.

OO-ALC/GHSBG I 1 0

(7) DCMA inspector/acceptor may request a hard copy at the contractor's facility 6039 Wardleigh Rd during time of inspection and acceptance. Receiving report required electronically Hill AFB, Utah via the Internet through the Wide Area Work Flow, htlps://wawf.eb.mil. 84056-5838

(8) Failure of Government to comment/approve/disapprove within thirty (30) OO-ALC/GHSKB 0 I 0 calendar days does not constitute full/final acceptance by the Government. 6039 Wardleigh Rd

(9) DISTRIBUTION STATEMENT C: Authorized to U.S. Government Agencies Hill AFB, Utah and their contractors for Administrative or Operational Use Only, August 2011. 84056-5838

Other requests shall be referred to OO-ALC/GHSBG, Hill AFB, Utah.

HQ AFWAlA5/8 0 I 0

(10)(12)(13) Submit draft training material no later than thirty (30) calendar days 101 Nelson Drive after identification of requirement. DCMA will review and provide comments, in Offutt AFB, NE coordination with the FMQ-19 program office, NLT 30 calendar days following 68113 receipt. Final material is due no later than seven (7) calendar days after receipt and incorporation ofDCMA's comments. All submissions are considered drafts until final Government (OO-ALC) approval of the technical content.

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

(14) One (I) copy of the submittals (to include all revisions) shall be provided electronically to each addressee as indicated in block 14 in Microsoft Word compatible format. The draft distribution list is for inspection. Final distribution list is for the accepted CDRL delivery. Electronic addresses:

carol.kaim@hill.af.mil;james.thiros@hill.af.mil; and AFW AIA5A8@offutt.af.mil.

......•• 15. TOTAl I 2 4 0

G. PREPARED BY H.DATE I.A

~7E:Nb

J. DATE

Carol Kaim, GS-12, Program Manager 6 Oct II Nckf (f 'V" ~

',",'". "PR",e"""G"'R"OO""P'"

18. ESTIMATED

TOTAl. PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages mailto:carol.kaim@hill.af.mil;james.thiros@hill.af.mil;

Form Approved OMB No. 0704·01B8

The publie reporting burden for this collKtion of information ;s "limn..:! to ayera~ 110 haUfS per "$poose, ineludinii the time for f8'Yie••••.ing ins~tions. se.ching existing data sources, gathering and maintaining the data needed, and completing and reviewing the col~tion of 'nfOl'mnion. Send eommt'ftts regll<"ding this burd~ ,""milte Of any other aspect of this collection of information, including sUllgestions for reducing the burden, to the OepartrTlent of Defenn, Exeeutive S~iee$ and Communieiltions Direc;tofi'" (0704-01881. Respondents should be ilWitfl! that notwithsli1nding any other provision of law. no person shan be subjeet to ••.•y penalty for failing to comply with ill eollection a' information if it does not display. currently v.lid OM6 control number. Pleue do not feturn your form to the above organization. Send completed form to tile Government luuing Contracting Officer for the ContraetlPR No. listed in Block E.

F. CONTRACTOR

A. CONTRACT LINE ITEM NO.

X002

D. SYSTEM/ITEM

ANIFMQ-19 AMS

B. EXHIBIT C. CATEGORY:

A TOP TM

I E. CONTRACT/PR NO.

I FD2020-11-76371

OTHER

CMAN

1. DATA ITEM NO.2. TITlE OF DATA ITEM 3. SUBTITlE 17. PRICE GROUP

AOII Contractor's Configuration Management Plan

4. AtlTHORITY (O.r. Acqui$ition Doeu~r No.1

DI-CMAN-80858B

I 5. CONTRACT REfERENCE

I PWS: 4.7,4.7.2,4.7.3, & 4.11

6. REQUIRING OFFICE

OO-ALClGHSBG

18. ESTIMATED

TOTAL PRICE

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

(7) DCMA inspector/acceptor may request a hard copy at the contractor's facility during time of inspection and acceptance. Receiving report required electronically via the Internet through Wide Area Work Flow, hltps://wawf.eh.rniL

(9) DISTRIBUTION STATEMENT C: Authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use Only, August 2011.

Other requests shall be referred to OO-ALC/GHSBG, Hill AFB, Utah.

(10)(12)(13) Submit draft plan no later than thirty (30) calendar days after identification of requirement. DCMA will review and provide conunents, in coordination with FMQ-19 program office, no later than (NLT) 30 calendar days following receipt. Final material is due NLT seven (7) calendar days after receipt and incorporation ofDCMA's conunents. Revisions as required. All submissions arc considered drafts until Government (OO-ALC) approval of the technical content.

o oo

b. COPIES

Final Draft

R.g Repro

I I 0

I I 0

DISTRIBUTION

a. ADDRESSEE

14.

HQ AFWAlA5/8 101 Nelson Drive Offutt AFB, NE 68113

DCMA

OO-ALC/GHSKB

6039 Wardleigh Rd Hill AFB, Utah 84056-5838

OO-ALC/GHSBG

6039 Wardleigh Rd Hill AFB, Utah 84056-5838

BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

BLK 16

12. DATE OF FIRST SUBMISSION

11. ASOfDATE

N/A

10. FREQUENCY

BLK 16

C

9. DIST STATEMENT

REQUIREDSS

16. REMARKS

7.00250 REQ

8. APP CODE

A

(14) One (I) copy of the submittals (to include all revisions) shall be provided electronically to each addressee as indicated in block 14 in Microsoft Office compatible format. The draft distribution list is for inspection. Final distribution list is for the accepted CDRL delivery. Electronic addresses:

caroLkaim@hill.af.mil;james.thiros@hill.afmil; and AFWAIA5A8@offutt.afmiL

G. PREPARED BY

Carol Kaim, GS-12, Program Manager

H.DATE

6 Oct 11

15. TOTAl I 3 4 0

J. DATE

Nod If DD FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages mailto:caroLkaim@hill.af.mil;james.thiros@hill.afmil;

mailto:A5A8@offutt.afmiL

The public reporting burden for this. c;olwetioo 01 information is ltStimated to average 110 hours per response, including the time for rllYiewing instructions, s•••. ching uistinSl data SCH.Ifees, gathering and maintillining the data needed. md completing md reviewing the c:olle-ction 01 information. Send comments regarding this burden estimate or ~v other aspect of this colleetion of information. ineluding SUliIliIlStions for redueing the burden. to the Dllpill'tment of Ollfenn, Executive Services md Communications Directorate (0704-01881. Respondents snould b•• ware that nolwithst.,ding any other provision at liIlW, no person shaM be svbjKt to any penalty for 'ailing to comply with a COllection of information if it does not display. currently valid OMB control numb.r, Plea •• do not return your form to the above organiution. Send completed form to the Government Issuing Contracting OffICer for the Contract/PR No. listed in Block E.

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

X002 A TOP TM OTHER

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

ANIFMQ-19 AMS FD2020-11-76371

1. DATA ITEM NO. 2. TinE OF DATA ITEM 3. SUBTITLE

AOl2 Information Systems Accreditation Documentation

4. AUTHORITY (O.r. Acq •.•sition Document No.) I S. CONTRACT REFERENCE _ 6. REQUIRING OFFICE

DI-ADMN-80239ff PWS: ).2,5.3 OO-ALC/GHSBG

7.00250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION '4. DlSTRI8UTION

SS

REQUIRED BLK 16 BLK 16 b. COPIES

8. APP CODE n. AS OF DATE 13. DATE OF SUBSEQUENT e. ADDRESSEE Final

A C SUBMISSION DraftN/A BLKI6 R" Repro

16. REMARKS DCMA 1 1 0

(4) Tailoring to DI-ADMN-80239 as follows: Delete paragraphs 3.2,7.2, & 10.2.

Contractor's format is acceptable.

OO-ALC/GHSBG I I 0

(7) DCMA inspector/acceptor may request a hard copy at the contractor's facility 6039 Wardleil!h Rd during time of inspection and acceptance. Receiving report required electronically Hill AFB, Utah ia the Internet through Wide Area Work Flow, https:/Iwawf.eb.mil. 84056-5838

(9) DISTRIBUTION STATEMENT C: Authorized to U.S. Government Agencies OO-ALC/GHSKB 0 I 0 and their contractors for Administrative or Operational Use Only, August 20 II. 6039 Wardleigh Rd Other requests shall be referred to OO-ALC/GHSBG, Hill AFB, Utah. Hill AFB, Utah

(10)(12)(13) Submit draft security accreditation changes or updates NLT thirty 84056-5838

(30) days after identification of requirement. DCMA will review and provide HQAFWNA5/8 I I 0comments, in coordination with the FMQ-19 program office, within 30 calendar days. Final material is due no later than seven (7) calendar days after receipt and 101 Nelson Drive incorporation of DCMAs comments. Revisions as required. All submissions are Offutt AFB, NE considered drafts until Government (OO-ALC) approval of the technical content. 68113 For Time Compliance Network Orders (TCNOs), provide status and recommendations within 24 hours for urgent action TCNOs and within seven (7) days for routine.

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

(14) One (1) copy of the submittals (to include all revisions) shall be provided electronically to each addressee as indicated in block 14 in Microsoft Office compatible format. The draft distribution list is for inspection. Final distribution list is for the accepted CDRL delivery. Electronic addresses:

carol.kaim@hill.af.mil;james.thiros@hill.af.mil; and AFW N A5A8@offutt.af.mil.

/'\ 15. TOTAL I 3 4 0

G. PREPARED BY H.DATE 1. AP RjED lX r/h J. DATE

Carol Kaim, GS-12, Program Manager 60ctlI N Ocf!( r;':;7~. P;;R;':'C::E~G;:R~D~U:::P'

I:,::.~.E;:s:;n;:M~A~T:;ED;:--t

TOTAL PRICE

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

Form Approved OMS No. 0704·0188

Th. public rlllponin<jl burden for this collection of information is .stim.ted to average 110 MUl'S per response. including the time fo' reviewing instructions, s•• ching existing daUl sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send commenu regarding this burden estimate or any oth..- aspect 01 this collection of inlormetion, including sUllgestions for reducing the burden, to the Department of Oef.nse, Executive Serviees .nd Communic;nions Oir..etorate (0704-0188). Re$ponod.-nts should be aWllre thet notwith$t •• ding any othltr provision of law, no ~Ison shall be subject to any penalty for f,iling 10 comply with III collection of inf01'mation it it does not displey IIIcurrently valid OMS control numb'r. Pleas. do not return your form to the above organintion. Send completed form to the Government Issuing Contr<llctlng Officer for the ContractlPR No. li$t~ in Block E.

A. CONTRACT LINE ITEM NO.

X002

D. SYSTEM/ITEM

ANIFMQ-19 AMS

1. DATA ITEM NO.2. TITLE OF DATA ITEM

B. EXHIBIT C. CATEGORY:

A TOP TM

I E. CONTRACT/PR NO.

I FD2020-11-76371

OTHER QCIC

F. CONTRACTOR

3. SUBTITLE ',",'". "p.",e""'"G"'."O"U"''''

AOl3 Quality Assurance Program Plan

(7) The letter of transmittal shall be used only for this data item: do not combine other data item submittals with this requirement.

I 5. CONTRACT REFERENCE

I PWS 3.4, & 3.4.1

DISTRIBUTION

18. ESTIMATED

TOTAL PRICE

o Reg Repro

Final

b. COPIES o Draft

OO-ALC/GHSBG

a. ADDRESSEE

'4.

6. REQUIRING OfFICE

OO-ALC/GHSBG

6039 Wardleigh Rd Hill AFB, Utah 84056-5838

30DAC

13. DATE OF SUBSEQUENT

SUBMISSION

BLK 16

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

N/A

10. FREQUENCY

ANNLY

C

DI-QCIC-81794

9. OIST STATEMENT

REQUIREDLT

16. REMARKS

7.00250 REQ

8. APP CODE

N/A

(9) DISTRIBUTION STATEMENT C: Authorized to U.S. Government Agencies and their contractors for Administrative or Operational Use Only, August 20 II.

Other requests shall be referred to OO-ALClGHSBG, Hill AFB, Utah.

(10)(12)(13) Submit QAPP NL T thirty (30) days after contract award and annually thereafter.

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

OO-ALC/GHSKB

6039 Wardleigh Rd Hill AFB, Utah 84056-5838 o o

(14) One (1) copy oftbe submittals sball be provided electronically to eacb addressee as indicated in block 14 in Microsoft Office compatible format.

Electronic addresses: carol.kaim@hill.afmil;james.thiros@hill.afmil; and I>J'W NA5A8@offutt.afmil.

HQ MW NA5/8

101 Nelson Drive Offutt MB, NE 68113 o o

DCMA o o

G. PREPARED BY

Carol Kaim, GS-12, Program Manager

H.DATE

60ctll

I 0 4 0

J. DATE

rr-rOd If DD FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages mailto:carol.kaim@hill.afmil;james.thiros@hill.afmil;

mailto:NA5A8@offutt.afmil.

The public reporting burden for thi$ c:ol'-etion of information is estim.ted to "Vef~ 110 nours per responst. including the tm. for r_iewing instructions, ,.•• ching exi$ting

du. sources, 98thIll',n; and maintaining the data needed •• nd completing and rev>ewil'lg the collotetion of inforrnltion. Send comments •• gill.ding this burden .nlm'le or anV other aspect 01 this collection of information, including suggestions for reducing the burden, to the Dep.rtment of Defense, &.evtiv. Services and Communications OicKtofateI0704·01S8). Respondents should M aware tnn notwithstanding anv other provision of law, no person shan be subjeet to any ~nalty fo' failing 10 comply with.

eollection of informltion if ;, dc>es not displ.y a currently v,lid OMS control number. Please do not return your form to the .bove organizetion. Send completed form to the Governmentl$$uing CQntrlllc:ting OHic:er fot the Contrac:tlPR No. liued in Block E.

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

X002 A TOP TM OTHER

D. SYSTEM/ITEM I E. CONTRACTIPR NO. F.CONTRACTOR

ANIFMQ-19 AMS FD2020-11-76371

1. DATA ITEM NO. 2. TinE OF DATA ITEM 3. SUBTITLE

AOl4 Interface Specification

4. AUTHORITY (D.f. AcquisitionDtn:u~nt No.) 15. CONTRACT REFERENCE 6. REQUIRING OFACf

DI-SESS-8I 632/T PWS:4.3.2,4.3.3,4.11,&4.11.1 OO-ALClGHSBG

7.00250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE Of ARST SUBMISSION 14. DISTRIBUTION

SS

REQUIRED ONEIR BLK 16 b. COPlES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

A C N/A SUBMISSION DraftBLK 16 R., Repro

16. REMARKS DCMA I I 0

(4) Tailoring to DI-SESS-81632 as follows: Delete paragraph 2. Contractor's format is acceptable.

OO-ALC/GHSBG I I 0

(7) DCMA inspector/acceptor may request a hard copy at the contractor's facility 6039 WardJeigh Rd during time of inspection and acceptance. Receiving report required electronically Hill AFB, Utah via the Internet through the Wide Area Work Flow, hrtps://wawf.eb.mil. 84056-5838

(9) DISTRIBUTION STATEMENT C: Authorized to U.S. Government Agencies OO-ALC/GHSKB 0 I 0 and their contractors for Administrative or Operational Use Only, August 20 II. 6039 Wardleigh Rd Other requests shall be referred to OO-ALC/GHSBG, Hill AFB, Utah. Hill AFB, Utah

(8)(10)(12)(13) DCMNQA will review and provide comments, in coordination 84056-5838 with the FMQ-19 program office, within 30 calendar days. Final material is due HQAFWNA5/8 1 I 0no later than seven (7) calendar days after receipt and incorporation of DCMA's comments. Revisions as required. All submissions are considered drafts until 101 Nelscon Drive Government (OO-ALC) approval of the technical content. Offutt AFB, NE

68113 DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

(14) One (1) copy of the submittals (to include all revisions) shall be provided electronically to each addressee as indicated in block 14 in Microsoft Office compatible format. The draft distribution list is for inspection. Final distribution list is for the accepted CDRL delivery. Electronic addresses:

carol.kaim@hill.af.mil;james.thiros@hill.af.mil; and AFW N A5A8@offutt.af.mil.

/l 15. TOTAl , 3 4 0

G. PREPARED BY H.DATE I. ~

PLEo;:;.

r/ J. DATE

Carol Kaim, GS-12, Program Manager 60ctll ~ !fool Ify. 'i

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

The public r.porting burden for this eolleetion of informlltion i$ .sti~ted to avera~ 110 "ours per response. inelvding the t"'" for r.view;"g ir\.l:uue;tions, sa.ching existing data sources, llath«ing and maintaining the data needed, and completing and reviewing the collection of information. Send com menu reg.rding this burden otstim"t. or any other aspect of this coUection of inform.tion, including suggestions for reducing the burden, to the Department of OefeN', &eevtive Servic:e$ and Communications Oiractorate {0704-01881. Respondents should be aware that notwithrtrlding any other provision of law, no person shall be sub;.et to ••.•y ~nalty fo' f.ilil'g 10 eompty with a 0;011e1;1;onof information if it does not display a currently valid OMB control number. ~a •• do not r.turn your fann 10 the above otg.~ation. Send completed form to the Government Issuing Contnlcting Officer for the ContractlPR No. li.ted in Block E.

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

X002 A TOP TM OTHER

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

ANIFMQ-19 AMS FD2020-11-76371

1. DATA ITEM NO. 2. TiTlE OF DATA ITEM 3. SUBTiTlE

AOl5 Presentation Material

4. AUTHORITY (O.r. Acqvi$ition Document No.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-ADMN-81373rr PWS: 3.2.1,4.7.2 OO-ALClGHSBG

7.00250 REQ 9. OIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION ,.. DISTRIBUTION

LT

REQUIRED BLK 16 BLK 16 b. COPIES

B. APP CODE ". AS OF DATE 13. DATE OF SUBSEQUENT a. ADORESSEE Final

N/A C N/A SUBMISSION DraftBLK 16 Ro, Repro

16. REMARKS OO-ALC/GHSBG 0 I 0

(4) Tailoring to DI-ADMN-81373 as follows: Delete paragraph 10.1. .6039 Wardleigh Rd

Hill AFB, Utah

(9) DISTRIBUTION STATEMENT C: Authorized to U.S. Government Agencies 84056-5838 and their contractors for Administrative or Operational Use Only, August 2011.

Other requests shall be referred to OO-ALC/GHSBG, Hill AFB, Utah.

(10)(12)(13) Submit hardcopy material NLT the day of meeting with electronic material NLT 15 days after scheduled event.

DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of

OO-ALC/GHSKB 0 I 0

contents or reconstruction of the document. 6039 Wardleigh Rd Hill AFB, Utah

(14) For meetings, one (I) hardcopy of Microsoft PowerPoint slides will be 84056-5838 provided to each person in attendance. One (1) electronic copy of all material shaH

HQ AFWNA5/8be provided electronically to each addressee as indicated in block 14 in Microsoft 0 I 0 Office compatible format following the meeting. Electronic addresses: 101 Nelson Drive carol.kaim@hill.af.mil;james.thiros@hill.af.mil; and AFWN A5A8@offutt.af.mil. Offutt AFB, NE 681

DCMA 0 I 0

~ 15. TOTAL , 0 4 0

G. PREPARED BY H. DATE I. APP~l~~ J. DATE

Carol Kaim, GS-12, Program Manager 6 Oct II /'( do/If

',",'". "PR"'C"""G"'R"OU""P"

1B. ESTIMATED

TOTAL PRIce

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

Form Approved OMS No. 0704-0188

The pvbt~ .eporting burden for this collection of information is estimated 10 average 110 ho~s per response, including the time for reviewing in.$uuetiotl$, s ••••rching uisting datil sources, Ililttlffing .and' m.mtaining the dilu, needed, and compl.ting and reviewing…