MTE_450V_PS_CDRL.pdf

Contract Data Requirements List (CDRL) Package for

AN/MSQ-T43(V)1&4

MODULAR THREAT EMITTER (MTE)

450 VOLT POWER SUPPLY ASSY (1A3PS1) UPGRADE

Note:

For General Data Management, Submissions Information and Explanations

SEE DODM 5010.12-M

MTE 450V POWER SUPPLY (1A3PS1) 29 April 2019 CDRL PACKAGE

TABLE OF CONTENTS

CONTRACT: MTE 450VPS (1A3PS1)

CONTRACT ID:

CONTRACT NO./PR:

SYSTEM ITEM: AN/MSQ-T43(V)1&4 Modular Threat Emitter (MTE) 450VPS (1A3PS1)

CDRL

SEQ.

NO.

DID/TITLE DID NUMBER SOW PARA

A001 Conference Minutes DI-ADMN-

81250B/T

3.3.1

A002 Contractor's Progress and Status Report DI-MGMT-

81928/T

3.3.1 / 3.3.2

A003 Contract Work Breakdown Structure (CWBS) DI-MGMT-

81334D/T

3.3.1

A004 Configuration Audit Plan DI-SESS-81646B/T 3.2.1.3 / 1.1

A005 Test Procedures DI-NDTI-

80603A/T

3.1.1 / 3.2.1.7

A006 Test/Inspection Reports DI-NDTI-80809B/T 3.2.1.1 / 3.2.1.7 /

A007 Configuration Audit Summary Report and

Certification

DI-SESS-81022D/T 3.1.1 / 3.2.1.1 /

3.2.1.3

A008 Acceptance Test Plan DI-QCIC-

80553A/T

3.1.1 / 3.2.1.7

A009 Integrated Master Schedule DI-MGMT-

81650/T

3.3.1 / 4.2

A010 Item Unique Identification (IUID) Marking

Plan

DI-MGMT-

81803/T

3.3.9

A011 Item Unique Identification (IUID) Marking

Activity, Validation and Verification Report

DI-MGMT-

81804A/T

3.3.9

A012 Counterfeit Prevention Plan DI-MISC-81832/T 3.3.5

A013 Technical Manuals TMCR-TM-86-

01Q450vPS

3.1.1 / 3.2.1.1 /

3.3.9 / 3.2.1.2 A014 Contractor Furnished Aeronautical Equipment or Contractor Furnished Equipment

(CFAE/CFE) Notice

DI-TMSS-

80067C/T

3.1.1 / 3.2.1.1 /

3.3.9 / 3.2.1.2

A015 System/Subsystem Specification (SSS) DI-IPSC-81431A/T 3.3.6 / 3.1.1 A016 Technical Data Package DI-SESS-80776A/T 3.1.1 / 3.2.1.1 /

3.2.1.2 / 3.2.1.3

A017 Subsystem Design Analysis Report DI-SESS-80567B/T 3.2.1.1 / 3.2.1.4

END OF CDRL TABLE

DISTRIBUTION STATEMENT

The following Distribution Statements when identified as a requirement on the CDRL shall be affixed to deliverable MTE data item document.

Technical Order Data delivered per CDRL A013. The following disclosure, distribution, warning, handling and destruction notice statements as aligned shall be used:

DISCLOSURE NOTICE: This information is furnished upon the condition that it will not be released to another nation without the specific authority of the Department of the Air Force of the United States, that it will be used for military purposes only, that individual or corporate rights originating in the information, whether patented or not, will be respected, that the recipient will report promptly to the United States, any known or suspected compromise, and that the information will be provided substantially the same degree of security afforded it by the Department of Defense of the United States. Also, regardless of any other markings on the document, it will not be downgraded or declassified without written approval of the originating United States agency.

DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only, Administrative and Operational Use (29 April 2019). Other requests shall be referred to AFLCMC/HBZCA, Hill AFB, Utah 84056-5820.

WARNING: This document contains technical data whose export is restricted by the Arms

Export Control Act (Title 22, USC, Sec 2751 et seq.) or the Export Administration Act of

1979, as amended (Title 50, USC, App 2401 et seq.). Violations Published under authority of the Secretary of the Air Force.

HANDLING AND DESTRUCTION NOTICE: Comply with the distribution statement and destroy by any method that will prevent disclosure of the contents or reconstruction of the document.”

Commercial Off-The-Shelf Vendor manuals delivered per CDRL A014. The following distribution statements shall be used as aligned shall be used:

ADDITIONAL COPIES: Additional copies are available from AFLCMC/HBZET, Hill

AFB, Utah 84056-5820.

FILE LOCATION: The above described commercial manual is filed in .

NOTICE: Reproduction for non-military use of the information or illustrations contained in this publication is not permitted. The policy for military reproduction is established for the

Army in AR38-4, for the Navy and Marine Corps in OPNAVINDST 5510.1 and for the Air

Force in AFPD 34-1.

DISCLOSURE NOTICE: This information is furnished upon the condition that it will not be released to another nation without the specific authority of the Department of the Air

Force of the United States, that it will be used for military purposes only, that individual or corporate rights originating in the information, whether patented or not, will be respected, that the recipient will report promptly to the United States, any known or suspected compromise, and that the information will be provided substantially the same degree of security afforded it by the Department of Defense of the United States. Also, regardless of any other markings on the document, it will not be downgraded or declassified without written approval of the originating United States agency.

DISTRIBUTION STATEMENTS: The following example statements shall be used for

MTE data delivered per CDRLs.

1.3.5.1. Distribution Statement A: Approved for public release, distribution unlimited.

1.3.5.2. Distribution Statement B: Distribution authorized to DoD and US

DoD contractors only; Administrative/Operational Use (29 April

2019). Other requests for this document shall be referred to the MTE

Program Office AFLCMC/HBZCA, Hill AFB, UT.

1.3.5.3. Distribution Statement C: Distribution authorized to DoD and US

DoD contractors, Administrative/Operational Use (29 April 2019).

Other requests for this document shall be referred to the MTE Program

Office AFLCMC/HBZCA, Hill AFB, UT.

1.3.5.4. Distribution Statement D: Distribution authorized to DoD and US

DoD contractors only; Administrative/Operational Use (29 April

2019). Other requests for this document shall be referred to the MTE

Program Office AFLCMC/HBZCA, Hill AFB, UT.

1.3.5.5. Distribution Statement E: Distribution authorized to DoD and US

DoD contractors only; Administrative/Operational Use (29 April

2019). Other requests for this document shall be referred to the MTE

Program Office AFLCMC/HBZCA, Hill AFB, UT.

1.3.5.6. Distribution Statement F: Further dissemination only as directed by

MTE Program Office AFLCMC/HBZCA, Hill AFB, UT 29 April

2019.

1.3.5.7. Distribution Statement X: Distribution authorized to US

Government and private individuals or enterprises eligible to obtain export-controlled technical data in accordance with DODD 5230.25

.Controlling DOD Office AFLCMC/HBZCA.

WARNING & DESTRUCTION NOTICES

Warning Notice to be used with export controlled data and Destruction Notice to be used with unclassified limited documents (not for public release) and classified documents.

WARNING - All technical documents which have Distribution Statement F, and as appropriate, D and E, shall be marked "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 Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: All technical documents marked with Distribution

Statements D, E, or F, will also be marked DESTRUCTION NOTICE - FOR

CLASSIFIED DOCUMENTS, FOLLOW THE PROCEDURES IN DOD

5220.22-M, NATIONAL INDUSTRIAL SECURITY MANUAL, CHAPTER 5,

SECTION 7 OR DOD 5200.1-R, INFORMATION SECURITY PROGRAM

REGULATION, CHAPTER 6 PARAGRAPH 7. FOR UNCLASSIFIED,

LIMITED DOCUMENTS, DESTROY BY ANY METHOD THAT WILL

PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE

DOCUMENT.

PRICE GROUP.

Group I Definition. Data which is not otherwise essential to the Contractors performance of the primary contracted effort (production, development. testing, and administration) but which is listed on the Data List. Estimated costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering s data to the

Government.

Group II Definition. That which is essential to the performance c: primary contracted effort but the Contractor is required to perform additional work to conform to Government requirements with regard to depth of control, format, and frequency of submission, preparation, control or quality of the data item. Estimated costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

Group III Definitions. Data which the Contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submission, preparation, control, and quality of the data item. Estimated costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

Group IV Definition. Data, which is developed by the Contractor as part of his normal operating procedures and his effort in supplying these data to the Government, is minimal.

Estimated costs for Group IV data items should normally be shown as no cost.

In addition to the estimated price and price group, the Contractor shall include the following information:

Number of submissions proposed for each CDRL.

Number of pages, page changes, or revisions per submission per CDRL.

The level of expertise and number of hours for each person involved in the preparation and submission of each CDRL.

CDRL INTERPRETATION AND PREPARATION

The following information shall be used to interpret CDRL instructions for preparation and delivery of data. This information may also be used to prepare new CDRLs or revise existing CDRLs.

Title: Enter title as it appears on data acquisition document cited under Authority (see below).

Subtitle: Enter subtitle of data item for further definition of data (optional entry).

Authority: See ASSIST database (http://assist.daps.dla.mil).

Contract Reference: Enter reference to tasking in the contract that generates requirement for the d (e.g. Statement of Work, Work Specification paragraph number, Contract Line Item Number

(CLIN) etc.

Requiring Office: Enter the Government technical office responsible for ensuring adequacy of the data item.

http://assist.daps.dla.mil/

DD Form 250 Required. Applicable code designating the requirement for inspection and acceptance of the data item, as shown in the following list:

DD Form 250 Code

Inspection Acceptance

SS (1) (2)

DD (3) (4)

SD (1) (4)

DS (3) (5)

LT (6) (7)

*NO (8) (8)

XX (9) (9)

(1) Inspection at source.

(2) Acceptance at source.

(3) No inspection performed at source. Final inspection performed at destination.

(4) Acceptance at destination.

(5) Acceptance at source. Acceptance based on written approval from the Contracting

Officer.

Government Approval: Specify requirement for Government approval of a draft, preliminary or formal copy before preparation of the final data item.

Distribution Statement Required: For technical data, specify requirement for Contractor to mark the appropriate distribution statement on the data (as defined in paragraph 4).

Frequency: Specify number of times data item is to be delivered. This entry may be written out such as "NLT 30 days after completion of each test or test series", or by use of the following codes with additional clarification in the Remarks section:

ANNLY (Annually)

ASGEN (As generated*)

ASREQ (As required*)

BI-MO (Every 2 months)

BI-WE (Every 2 weeks)

DAILY (Daily)

DFDEL (Deferred delivery)

MTHLY (Monthly)

ONEIP (One preliminary)

ONE/R (One time with revisions)

QRTLY (Quarterly)

R/ASR (Revision as required*)

SEMIA (Every 6 months)

WEKLY (Weekly)

XTIME (Number of times to be submitted, I time, 2 times, 9 times etc.)

* Requires further explanation in Remarks section.

As of Date: Specify as-of-date of data item, when applicable. This date is usually associated with a one-time submission.

Date of First Submission: Specify when first submission is required. This entry may be written out such as 30 days after contract award or by use of the following codes with additional clarification when required in the Remarks section:

ASGEN (As generated*)

ASREQ (As required*)

XXDAC (Days after contract start**) DFDEL (Deferred Delivery*) EOC (End of contract) EOM (End of month)

EOQ (End of quarter)

XDACM (Days after contract modification**)

XDARP (Days after reporting period**) XDATC (Days after test**) XDPTT (Days before test**) XDARC (Days after receipt of comments**)

XDARP (Days after reporting period

XDADO (Days after delivery order)

* Requires further explanation in Remarks section.

** A number must be inserted in place of the ‘X’.

Date of Subsequent Submission: Specify when subsequent submissions are required, when applicable.

Distribution: The following Organizational Cross Reference List shall be used in conjunction with the CDRLs to determine actual addressees for distribution of data hard copies. The ORG number will be entered in lieu of an address on the CDRL and will be a part of the CDRL package. An asterisk next to the ORG number and a revision date to the list will identify changes to the list.

ORG-1:

AFLCMC/HBZCA

MTE Program Manager 6057 Box Elder Lane, Bldg 1285 Hill AFB UT 84056-5811

ORG-2:

AFLCMC/PZZKC

6039 Wardleigh Rd, Bldg 1206 Hill AFB UT 84056-5838

Other Data Shipment Directions:

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a

Government approved location. CDRL data will be considered delivered when access by the

Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current Government guidelines for handling of classified materials.

This Page Intentionally Left Blank

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

A001 Conference Minutes

DI-ADMN-81250B/T 3.3.1 AFLCMC/HBZCA

LT

A B

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor format Acceptable. Data shall be delivered as electronic media in a format compatible with MS WORD. Resubmissions shall contain history of changes and indications of changes made. The Minutes shall include Action Items and all presentation material used/created for the Conference.

Ref Blk 8: The Government will provide comments within 15 calendar days after receipt of data item. Resubmission, if required, is due 5 working days after receipt of Government comments.

Ref Blks 10, 12, 13: The Conference Minutes are to be recorded in draft format for each Conference and coordinated with Government Program Manager at the end of each Conference. First submittal shall be NLT 5 working days following the last day of the conference. Final submittal shall be submitted NLT 10 working days after receipt of Government comments.

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

Roger Webster EBH-HBZC 17 JAN 2019

1 1

Conference Minutes

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

A002 Contractor's Progress and Status Report

DI-MGMT-81928/T 3.3.2 / 3.3.1 AFLCMC/HBZCA

LT

A B

MTHLY

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor format acceptable. Data shall be delivered as electronic media in a format compatible with MS WORD. Resubmissions shall contain history of changes and indications of changes made.

Ref Blk 8: The Government will provide comments within 15 calendar days after receipt of data item. Resubmission, if required, is due 5 working days after receipt of Government comments.

Ref Blks 10, 10, 12, 13: First Submittal NLT 30 calendar days after contract award. Subsequent resubmission shall be submitted NLT 10 working days following the end of the preceding month. Final monthly reports shall be submitted NLT 10 working days after receipt of Government comments.

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

Roger Webster EBH-HBZC 17 JAN 2019

Contractor's Progress and Status Report

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

A003 CWBS

DI-MGMT-81334D/T 3.3.1 AFLCMC/HBZCA

LT

A D

MTHLY

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor shall maintain the CWBS throughout the life of the contract, developing and recommending and providing changes as required or directed by the Government.

Ref Blk 8: The Government will approve the content of initial CWBS submittal NLT 15 calendar days after receipt of the data item. Contractor shall resubmit the IMS with the incorporated Government comments/recommendation, (if required), NLT 5 calendar days after receipt of Government comments/recommendation.

Ref Blks 10, 12, and 13: Contractor shall submit a proposed draft CWBS as an attachment to the Government Post Award Meeting (PAM) presentation material.

First Government approved submittal NLT 30 calendar days after completion of the Government conducted PAM. The monthly updated CWBS shall be provided as an attachment to each submittal of DI-MGMT-81928/T (Contractor's Progress and Status Report).

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

Roger Webster EBH-HBZC 17 JAN 2019

Contract Work Breakdown Structure (CWBS)

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

A004 Configuration Audit Plan

DI-SESS-81646B/T 3.2.1.3 AFLCMC/HBZCA

LT

A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor format Acceptable. Data shall be delivered as electronic media in a format compatible with MS WORD. Resubmissions shall contain history of changes and indications of changes made.

Ref Blk 8: The Government will provide comments within 15 calendar days after receipt of data item. Resubmission, if required, is due 5 calendar days after receipt of Government comments.

Ref Blks 10, 11, 12, 13: Draft Initial submittal shall be submitted NLT the Critical Design Review (CDR). Final NLT 20 calendar days before first (1st) planned Audit event.

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

Roger Webster EBH-HBZC 17 JAN 2019

Configuration Audit Plan

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

A005 TEST PROCEDURES

DI-NDTI-80603A/T 3.1.1 / 3.2.1.7 AFLCMC/HBZCA

LT

A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor format Acceptable. Data shall be delivered as electronic media in a format compatible with MS WORD. Resubmissions shall contain history of changes and indications of changes made.

Ref Blk 8: The Government will provide comments within 15 calendar days after receipt of data item. Resubmission, if required, is due 55 calendar days after receipt of Government comments.

Ref Blks 10, 12, 13: Initial submittal shall be submitted NLT 20 calendar days prior to the application Development Production Representative Article (PRA) test event.

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

Roger Webster EBH-HBZC 17 JAN 2019

TEST PROCEDURES

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

A006 TEST/INSPECTION REPORTS

DI-NDTI-80809B/T 3.2.1.1 / 3.2.1.7 AFLCMC/HBZCA

LT

A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor format Acceptable. Data shall be delivered as electronic media in a format compatible with MS WORD. Resubmissions shall contain history of changes and indications of changes made.

Ref Blk 8: The Government will provide comments within 15 calendar days after receipt of data item. Resubmission, if required, is due 5 calendar days after receipt of Government comments.

Ref Blks 10, 12, 13: Initial submittal shall be submitted NLT 15 working days after each test.

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

Roger Webster EBH-HBZC 17 JAN 2019

TEST/INSPECTION REPORTS

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

A007 Configuration Audit Summary Report and Certification

DI-SESS-81022D/T 3.1.1 / 3.2.1.1 / 3.2.1.3 AFLCMC/HBZCA

LT

A B

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor format acceptable. Data shall be delivered as electronic media in a format compatible with MS WORD. Resubmissions shall contain history of changes and indications of changes made.

Ref Blk 8: The Government will provide comments within 15 calendar days after receipt of data item. Resubmission, if required, is due 5 calendar days after receipt of Government comments.

Ref Blks 10, 12, 13: Submittal shall be NLT 15 working days following test event.

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

Roger Webster EBH-HBZC 17 JAN 2019

Configuration Audit Summary Report and Certification

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

A008 Acceptance Test Plan

DI-QCIC-80553A/T 3.1.1 / 3.2.1.7 AFLCMC/HBZCA

LT

A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor format acceptable. Data shall be delivered as electronic media in a format compatible with MS WORD. Resubmissions shall contain history of changes and indications of changes made.

Ref Blk 8: The Government will provide comments within 15 calendar days after receipt of data item. Resubmission, if required, is due 5 calendar days after receipt of Government comments.

Ref Blks 10, 11, 12, 13: . Initial submittal shall be submitted NLT 45 calendar days before First Article Test.

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

Roger Webster EBH-HBZC 17 JAN 2019

Acceptance Test Plan

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization.

Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE I. APPROVED BY J. DATE

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

1. DATA ITEM NO.

A009

3. SUBTITLE

Integrated Master Schedule

4. AUTHORITY (Data Acquisition Document No.)

DI- MGMT-81650/T 3.3.1, 4.2 AFLCMC/HBZCA

LT

A B

MTHLY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor format acceptable. Data shall be delivered as electronic media in a format compatible with MS Project and Adobe Acrobat.

Resubmissions shall contain history of changes and indications of changes made.

Ref Blk 8: The Government will provide comments within 15 calendar days after receipt of data item. Resubmission, if required, is due 5 working days after receipt of Government comments.

Ref Blks 10, 10, 12, 13: Contractor shall submit a proposed draft IMS as an attachment to the Government Post Award Meeting (PAM) presentation material.

Subsequent resubmission shall be submitted NLT 10 working days following the end of the preceding month in conjunction with Contractors Progress and Status Report (CDRL A002). Final monthly reports shall be submitted NLT 10 working days after receipt of Government comments.

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

G. PREPARED BY

Joseph Gordon, AFLCMC-HBZCA 7 MAY 2019

1 1

2. TITLE OF DATA ITEM

Integrated Master Schedule (IMS)

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

A010 IUID Marking Plan

DI-MGMT-81803/T 3.3.9 AFLCMC/HBZCA

LT

A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor format acceptable. Data shall be delivered as electronic media in a format compatible with MS WORD. Resubmissions shall contain history of changes and indications of changes made. Do Sections 1-3, 4.1.2, 4.2.1, 4.2.3, 4.4, 4.5 ONLY.

Ref Blk 8: The Government will provide comments within 15 calendar days after receipt of data item. Resubmission, if required, is due 5 calendar days after receipt of Government comments.

Ref Blks 10, 12, 13: Initial submittal shall be submitted NLT 90 calendar days following contract award.

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

Roger Webster EBH-HBZC 17 JAN 2019

Item Unique Identification (IUID) Marking Plan

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

A011 IUID Marking Activity, Validation and Verification Report

DI-MGMT-81804A/T 3.3.9 AFLCMC/HBZCA

LT

A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor format acceptable. Data shall be delivered as electronic media in a format compatible with MS WORD. Resubmissions shall contain history of changes and indications of changes made.

Ref Blk 8: The Government will provide comments within 15 calendar days after receipt of data item. Resubmission, if required, is due 5 calendar days after receipt of Government comments.

Ref Blks 10, 12, 13: Initial submittal shall be NLT 30 calendar days following completion of IUID requirement.

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

Roger Webster EBH-HBZC 17 JAN 2019

1 1

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A X

MTE, AN/MSQ-T43(V)1&4

A012 Counterfeit Prevention Plan

DI-MISC-81832/T 3.3.5 AFLCMC/HBZCA

LT

A D

ASREQ

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

ORG-1 1 1

ORG-2 1 1

2 2

16. REMARKS

Ref Blk 4: Contractor format acceptable. Data shall be delivered as electronic media in a format compatible with MS WORD. Resubmissions shall contain history of changes and indications of changes made. Only DID requirement Paragraphs 1a, 1b, 1c and 1f are applicable to this data submittal.

Ref Blk 8: The Government will provide comments within 15 days after receipt of data item. Resubmission, if required, is due 5 days after receipt of Government comments.

Ref Blks 10, 12, 13: Draft Initial submittal shall be submitted NLT the Critical Design Review (CDR). Final NLT 20 calendar days following CDR.

Ref Blk 14: Deliver data and submittal letters to the MTE Government PCO by posting to a government approved location. CDRL data will be considered delivered when access by the Government PCO or PM is confirmed. General notification of delivery will be accomplished via email to the Government PCO and PM with CC list to be established by the PM. Any classified data must be delivered IAW current government guidelines for handling of classified materials.

Roger Webster EBH-HBZC 17 JAN 2019

Counterfeit Prevention Plan

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

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

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10.