Attachment_3a_PACAF_CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

{1 Data Item) 0MB No. 0704-0188

Tha public reporting bllf(fen for this rolleciicn of informatlon is eslimat.ed lo avera.ga 110 lwurs per 111sponse, lnci�ding the tlme for reviewing _lnslr<:ollons, searching existing data sources, galha!lng and maintainirlij !he data needed,-and compleOnfc and revoewing the tollecilon of mfomiat1on. Sand comments regarding !his burden estimate or any other as�eci of this collection of information Including s:tions or raducing Iha burden, to lhe Dai::ant of Defense, Executive Services Directorate (0704-0 BB). Responclants shoufd be aware thBt 110lwithstan mg ar]Y other �rovlslCTl of law, no person shall a subjeci to any _pe!)S.ltv for falling lo comply with a collec\1on of information if It does not displa� a currently valid 0MB control numlH!r. lease do not return your form lo the above orga111zatmn Send ccmpleted form 10 the Government Issuing Contracting O rear for the Contracl/PR No. Usted in Blocil E.

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

0004 A m, '" OTHER ..M.!.iM.I.

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR i PWS PACAF Depot Clij-03-19 FA823220D0001 '

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

M01 Integrated Program Management Report Integrated Master Schedule I

4. A\JTHORITY (Dala Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE i DI-MGMT-81861A PWS para 1.5.3 AFLCMC/WWM 16. ESTIMATED i TOTAL PRICE

7. DD250 REQ ' DIST STATEMENT m FREQUENCY '2 DATE OF FIRST SUBMISSION " DISTRIBUTION o, REQUIRED QRTLY BLK 16 I

D " COPIES '

a. APP CODE 11. ASOFDATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final !

SUBMISSION '

N/A N/A Dra• IBLK 16 '" Reoro

16. REMARKS 1/'lFLCMC/WWM ' NOTE: Changes to office symbols and/or e-mail addresses when 606l. Gum Ln ' necessary shall be made by letter through the CO/ACO without further revision to this CDRL. !Bldg 1224 ill AFB, "

1. Blocks 4, 14, 84056 a, ALL DATA DELIVERIES SHALL BE SUBMI'ITED IN ENGLISH.

i b.

i All electronic files submittals shall be submitted without password protection or in any way shall the file be locked down by f'U'LCMC/WWMEJ ' pEirmissions. 6062 pj_r Ave

!Bldg 1234 ca " 2, Block ,, DISTRIBUTION STATEMENT "D", DISTRIBUTION authoriied to Ithe Department of Defense and u,s. DoD contractors only [Hill AFB, "' (Administration or'Operational Use). Date of determination, October 84056-5820

201.9. Other requests for this

(AFLCMC/WWM)

document shall be referred to

�EE BLK "

EXPORT CONTROL WARNING, All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled teclmical data, shall be marked with the following statement:

WARNING: This document contains technical data whose export ia restricted by the Arms Export control Act (Title 22, u.s.c., Seo 2751, et seq. ) or the Export Administration Act of 1979 (Title SO, u.s.c., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of non Directive 5230.25.

DESTRUCTION NOTICE, For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200 .1-.R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

,. Blocks ,,, 13, First submission will occur not later than forty-five (45) calendar days after contract award. Subsequent submissions will occ�r every three '" months thereafter, delivered by the fifteenth (15th) of that month.

,, Block 14, Contractor shall submit deliverable(s) to the following email addresses, AFLCMC.WWM.F16PMCDRLS@us.af.mil AFLCMC.Wl'/M.F-160ataMgmt@us.af.mil af1cmc.wwmd.f-16overseasdepot@us.af.mi1 FOB Destination

15. TOTAL 2 I

G. PREPARED BY H. DATE 1. APPROVED BY ,1

''J/,JL

J. DATE

benini.jenny.l.1037660899 2019/10/24 Kaiitlyn Mathes I 2!tr ',, ·"'Data Manager Program Manager

II .

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 23 Pages

(1 Data Item) OMB-No. 0704-0188

The pubITc reporting burden for thrs collection of inlotmation rs estimated lo average 110 tJours per response, Including the !!me for reviewing instructions, seEll"ching existing date sources, gathering and rna!ntalning the data needed, and complaliaig and ra�lawing the collection of !nformatlon. Send comments re.gardtr,g !his bu.rden estimate or any other aspect of this colleciion of information, lnciLR!ing suggesUons for redu.c1n9 lhe burden, to !he Debartmenl of Defense. Execullv_e_ Seivtoes Dore�orale (0704-0188). Respondanls shwl<! be aware that notwithstanding any other prov,slon of law, no person shall e subject to any PB"3lly for fudrng lo comply w,th a collection of lnron'natlon if It does nol display a cummUy valid 0MB conlrol number. Please do not relurn your form lo lhe above orgal'lfiation. Send compteled form lo the Government Issuing Corilracllng Officer fi,; the Contract/PR No. li5led In Block E.

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

0004 A me TM OTHER 1'fil!I

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

PWS PACAF Depot ClS-03-H FA823220P0001

1. DATA ITEM NO. '· Tm..EOFDATA ITEM 3. SUBTITLE 17. PRICE GROUP A002 Status Report Bi-Weekly Status Repor.t

4. AUTHORITY (Da\a Acquismon Document N"o.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-MGMT-80358A PWS para LS ' AFLCMC/WWM 18. ESTIMATEO

TOTALPRtCE

7. 00250 REQ " DIST STATEMENT ,0. FREQUENCY " DATE OF FIRST SUBMISSION " DISTRIBUTION

" REQUIREO

BI-WE BLK 15 COPIES' s.

6. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Flnal N/A N/A

SUBMISSION Drafl BLX 16 "" Re ro

16. REMARKS FLCMC/WWM '

NOTE, Changes to office symbols and/or e-mail addresses when 6061 Gum Ln necessary shall be made by letter through the CO/ACO without further p;ldg 1224 revision to this CDRL.

ill AFB, "' i 1. Blocks ,, 14: 84056 i a. .ALL DATA DELIVERIES SHALL BE SUBMITTED IN ENGLISH. • ! b. All electronic files submittals shall be submitted without i password protection or in any way shall tbe file he 1.ccked down by FLCMC/WWMSJ ' permissions. 6052 Fir Ave

1as 1234 rm "

2. Block '' DISTRIBUTION STATEMENT "D", DISTRIBUTION authorized to the Departmfillt of Def fill.Se and u. s. DoD contractors only ill AFB, UT

(Administration or Operational Use). Date of determination, October 64056-5820 2019, Other requests for this document shall be referred to •

(AFLCMC/WWM)

"' BLK 15

EXPORT CONTROL WARNING, All technical. doouments/data (printed, ' digital/electronic) that are determined to contain export-controlled I technical data, shall be marked with the fol.lowing statement, i WARNING: This document contains technical data whose export ia i restricted by the Arms Export Control Act (Title 22, u.s.c., Seo

2751, et seq. ) or the E�port Administration Act of 1.979 (Title so, ;

u.s.c.' App. 2401. et seq.), as amended. Viol.ations of these export laws are subject to severe criminal penalties. Disseminate in I accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE, For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200. l.-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that: will prevent discl.osure of contents or reconstruction of the document.

'. Blocks "· 1.3 ' First submission will occur fourte,en (14) calendar days after first aircraft induction and the Form 290 has been signed.

Subsequent submissions will occur every two ,,, weeks thereafter.

<. Block 14, Contractor shall submit deliverable(s) to the I following email addresses:

I AFLCMC. WWM, F16PMCDRLS@us, af. mil

AFLCMC.WWM.F-16DataMgrnt@us.af.mil i afl.cmc. wwmd. f-16overseasdepot®us'. af. mil FOB Destination

15. TOTAL 2

G. PREPARED BY H. DATE I. APPROVED BY

r / -JJ

J. DATE

bfill.ini. jenny. l .103 7660899 2019/10/24 Kaitlyn Mathesoij / i2/lc, f7()('Data Manager Program Manager r, IDD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 23 Pages

CONTRACT DAT A REQUIREMENTS LIST Form Approved

(1 Data llem) 0MB No. 0704-0188 ihe public reporting burden for !his collecUon of information is estimated to avera_ge 110 hours pee response, im:ly<Jing the time for reviewing ,instruc1;onr':J searching existing data sources galhering and maintaining the data needed, end comple�nfc and rev,ewlng Iha colleci,on of lntormabon. Send comments regarding !his bu en esUmale or any cU,er a"fiect' of this coll!telion of lnlormaUon, Including sugiies1iono or redu_ci.ng Iha burden, to lhe Oe�artmant of Defense, Exa<:ullv.� Services Olre',lorale (0704·0 S8), Respcrn!enls should be aware lhal notwithstanding aoy other �ml'lsmn of law, no p!lrson shall sub�cl to any penalty for faO,ng to comply with a oollechon of lnformatlon if ll does not displak, a cl!ITilntly valid 0MB conlrol number. lease do not return y<iur form 1o the a ov., organlzaUon. Send completed form to the Government (ssufng Contracting O ,cer for the Conlract/l'R No. listed in Block E.

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

0004 A me '" OTHER ADMN

D. SYSTEM/ITEM ·1 E. CONTRACT/PR NO. F. CONTRACTOR

pws PACAF Depot ClS-03-19 FAB2J220D000l

1, DATA ITEM NO. 2. TITLEOFDATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 Conference Minutes

4. AUTHORITY (Data Acqulslllon Document No.)

5. CON"TRACT RefERENCE 6. REQUIRING OFFICE

DI -ADMN-812SOB PWS para l.5.5 AFLCMC/WWM 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ ,. DIST STATEMENT 10. FREQUENCY 12. DATE·OF FIRST SUBMISSION "· DISTRIBUTION "' REQUIRED BI-WE BLK 16 b. COPIES

D

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a, ADDRESSEE Final N/A

SUBMISSION Draft A BLK 16 ,-- ,--ro

16. REMARKS liiFLCMC/WWM ' NOTE; Changes to office symbols and/or e-mail addresses when 6061 Gum Ln necessary shall be made by letter through the CO/ACO without further leldg revision to this CDRL. 1224 liiHl AFB. UT

L Blocks 4, 14: B4056

a. ALL DATA DELIVERIES SHALL BE SUBMITTED IN ENGLISH.

b. All electronic files submittals shall be submitted without ' password protection or in any way shall the file be locked down by AFLCMC/1-lWMEJ" ' permissions. 6062 Fir Ave I

2. Block 8, In the event of rejection of any deliverable, the

B1dg 1234 = " i

Contractor will be notified by the government Program Manager, Hill AFB, "' ' detailing 'the specific reasons why deliverable was rejected. The B4056-5820 Contractor shall have fourteen (14) calendar days to correct the • rejected deliverable and resubmit to the Government Program Manager <,EE BLR 16 for re-inspection. If no comments are provided within thirty (30) calendar days of deliverable receipt, the deliverable will be deemed to have been accepted by the Government.

3. Block 9' DISTRIBUTION STATEMENT "D"' DISTRIBUTION authorized to the Department 'of Defense and U.S. DoD contractors only (Administration or Operational Use}. Date of determination, October 2019. Other requests for this document shall be referred to

(AFLCMC/WWM) .

EXPORT CONTROL WARNING, All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

WARNING, Thia document contains technical data whose export is restricted by the Arma Export Control Act (Title 22, u.s.c., Sec

2751., et seq. ) or the Export Administration Act of 1979- {Titl� SO, u.s.c., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE, For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), 'Section S-705, or DoD 5200.1-R, Information Security Program Chapter VI. For unclassified, limited documents, de'stroy by any method that will prevent disclosure of contents pr reconstruction of the document.

,. Blocks '2, 13, Submissions will occur seven (7) calendar days after every bi-monthly meeting.

s. Block 14, Contractor shall submit deliverable(s) to the following email addresses, AFLCMC. WW!>l. F16PMCDRLS@us.af. mil AFLCMC.WWM.F-16DataMgmt@us.af.mil 15. TOTAL ( 2 0

G. PREPARED BY H.DATE I. APPROVED BY

J. DATE

benini.jenny.l,1037660899 2019/10/24 Kaitlyn Matheso� I2/ IPl/-ll>I� Data Mana"er Program Manager

7' DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 23 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data !!em)

Form Approved 0MB No. 0704-0188

The public rnp<>rUng Pl.lfden for this collection of Tnformalion is estimaled lo avern_ge .110 hours pe( response, including the Uma for revtewlng _lnst�otlons, searching exisllng data sources, gatharing and maintaining the dale needed, and ccmpleliflg and re�re.Wlr,g !ha collecticn of lnformatlon. Send comments re_gard,ng !!'IS bLI;den estimate or any other aspect of !his collection of information, lncluclfng suggestions for reducing !ho burden, to Iha O,,partmept of Defense, Elcacubve Serv.ces D1re�1orate _ (0704·0188) Resp<>ndanls shot!ld be aware that rmtwithstanding any other prov!sJon of law, no person shall ba subJeci to any penalty for falling lo comply w,lh a oollec!ion ol lnformauori If ll does nol display a currently valid 0MB control number. Pleasodo not rolum your form to the above organ!zalion. Send completed form 10 the Government Issuing Contracttflg Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. 8. EXHIBIT C, CATEGORY:

0004 A "' '" OTHER AOMN

D. ·SYSTEM/ITEM

PWS PACAF Depot

E. CONTRACT/PR NO.

FA823220DOOOl

F. CONTRACTOR

ClS-03-19

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

1\004 Conference Agenda

3. SUBTITLE

4. AUTHORITY (Data AcqulsiUon Document No.)

DI-ADMN-81249B

7. DD250 REQ ,, DIST STATEMENT

NA REQUIRED

6. APP CODE

A

16. REMARKS

5. CONTRACT REFERENCE

PWS para 1.S.6.3.1

rn. FREQUENCY 12. DATE OF FIRST SUBMISSION

BLK16 BLK 16

11 AS OF DATE 13, DATE OF SUBSEQUENT

SUBMISSION

N/A BLK 16

NOTE: Changes to-office symbols and/or e-mail addresses when necessary shall be made by letter through the CO/ACO without further revision to this CORL.

1. Blocks 4, 14:

a. ALL DATA DELIVERIES SHALL BE SUBMITTED IN ENGLISH.

b. All electronic files submittals shall be submitted without password protection or in any way ·shall the file be locked down by permissions.

2. Block 8, In the event of rejection of any deliverable, the Contractor will be notified by the government Program Manager, detailing the specific reasons why deliverable was rejected. The Contractor shall have fourteen {14) calendar days to correct the rejected deliverable and resubmit to the Government Program Manager for re-inspection. If no comments are provided within thirty (JO) calendar days of deliverable receipt, the deliverable will be deemed to have been accepted by the Government.

3 . Block 9, DISTRIBOTION STATEMENT "D" : DISTRIBUTION authorized to the Department of Defense and U.S. DoD contractors ·onl'y (Administration or Operational Use). Date of determination, October 2019. Other requests for this document shall be referred to

{AFLCMC/WWM)

EXPORT CONTROL WARNING, All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement, WARNING: This document contains technical data whose export is restricted by the Arms Export: Control Act (Title 22, U.S.C., Sec 2751, et seq. ) or the Export Administration Act of 1979 (Title so, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

6. REQUIRING OFFICE

AFLCMC/WWM

DISTRtBUT!ON a, ADDRESSEE Draft

Tz.FtCMC/WWM 6061 Gum Ln ldg 1224

IHill AFB, UT 840S6 iAFLCMC/WWMEJ 6062 Fir Ave !Bldg 1234 rm 15 ill AFB, UT 84056-5820

5EE BLK 16

b. COPIES Fine!

Re- Re ro

C----------<---l-- --1---0'

1--------1----l---l---1, 1-------1----1--l---l I I f-----------l'----l----1- -� !

1--------1---1---l---l''1--------�--1---l--l!

1-------+-+--l---li

DESTRUCTION NOTICE: For classified documents, follow the procedures '----------''----'---'--� ! in DoD 5220 .22-M,. National Industrial Security Program Operating i Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Securityf-----------l'----l----1--� Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction f-----------l- ---1----1---1of the document.

4. Blocks 10, 12 and 13: Agenda inputs from the USAF shall be requested by the Contractor not later than thirty (30) calendar days prior to meeting. The USAF shall provide agenda inputs not later than fourteen (14) calendar days prior to meeting. Final agen&,. shall be 1-----------l----l--+--�i provided by the Contractor not later than seven (7) calendar days prior to meeting. Contractor shall make a reasonable attempt to accommodate last minute agenda changes. 1s. TOTAL 2 ben,ini.jenny.l.10376608.99 201.9/10/24 Kaitlyn Matheso i//Ll/z0,, G. PREPAAED BY H. DATE I. APPROVED BY .,I

J. DATE

1.="e"e's•e,,Mc=,es•,go•or _____________ _i ________ 1"Peraoagtrcaemec_eMe•sne•sge•er'I-, c:,c...::.::c,D'::,__: ':_'.:_ 'u

DD FORM 1423-1, FEB2001 PREVIOUS EDITION MAY BE USED Page 5 of 23 Pages

17. PRICE GROUP

16. ESTIMATED

TOTALPR!CE

(1 Data Item) 0MB No, 0704-0188

The publTc reporting bL!l"den for this colleclion of lnlorma\lon Is estimated to avaraga 110 hours per response, incl�ing the time for reviewing Jnsl�otions, searchin� existing data sources, gathering and main!Wning the data needed, and completing aod reviawlng the collection of lnformahon. Send comments re_gerd,ng !h<S burden asllma e or any other aspect or this collecllon of Information, indl.!ding sug�sllons for re<!uclng Iha burden, to the cegartmenl or Defense, Executrv.e: Services O�eciorale (0704-0188). RespondMts should bl! awata (hat nolwllhstandlng any c\her fliovralon of law, no person shall e su�cl to any penalty for fa1Ung to comply w,1h a collect,on of information if it does not displak, a currently valid OMS control n�ber. leasedo not return your fonn to 1he ove orgamzetlon. Send CQmpleled form lo the Government Issuing C011tracting O ,oor for lha Con�act/f'R No. l1st!!d m Block E.

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

0004 A me '" OTliER ADMN

D. SYSTEMIITEM I E. CONTRACT/PR NO. F. CONTRACTOR

PWS PACAF Depot Cl8-03-19 FA623220D000l

1. DATA ITEM NO, 2. TITLEOFDATA ITEM 3. SUBTITLE 17. P!l,ICE GROUP A005 Conference Minutes aMR

4. AUTHORITY (Data AcquisiUon Document No.) 15. CONTRACTREFERENCE 6. REOUIRINGOFFICE DI-J\JJMN-81250B PWS para 1.5.6.J.3 AFLCMC/WWM 1S. ESTIMATED

TOTALPR!CE

7. DD250 REQ ,, DIST STATEMENT rn. FREQUENCY 12, DATE OF FIRST SUBMISSION "· DISTRIBUTION

NA

REQU!RED BLKl.6 BLK 16 b.'COPIES "

8. APP CODE 1L AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final SUBMISSION ""' A N/A BLK 16 R .. -.

16. REMARKS FLCMC/WWM '

NOTE: Changes to office symbols and/or e-mail addresses when 6061 Gum Ln necessary shall be made by letter through the CO/ACO without further revision to this CDRL. ["ldg 1224 fHill AFB, OT ,, Blocks 4, 14, S4056 a, ALL DATA DELIVERIES SHALL BE SUBMITTED DI ENGLISH.

b. All electronic files submittals shall be submitted without password protection or in any way shall the file be locked· down by l""LCMC/;!WMEJ ' permissions. 6062 Fi;. Ave

,. Block a, In the event of rejection of any deliverable, the "" 1234 •• " Contractor will be notified by the government Prcigram Manager, jHill AFB, "' detailing the specific reasons why deliverable was rejected. The 84056-5B20 Contractor shall have fourteen (14) calendar days to correct the rejected deliverable and resubmit to' the Government Program Manager for re-inspection. If no comments are provided within thirty (30) "' BLK 16 calendar days of deliverable receipt, the deliverable will be deemed to have been accepted by the Government.

'' Block 9, DISTRIBUTION STATEMENT "D": DISTRIBUTION authorized to the Department of Defense and U. s. DoD contractors only (Administration or Operational Use) . Date of determination, October 2019. Other requests for this document shall be referred to

{AFLCMC/WWM)

EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

WARNING, This document contains technical data whose export ia restricted by the Arms Export Control Act (Title 22, u.s.c., Sec

2751, et seq. ) or the Export Administration Act of 1979 (Title SO, u.s.c., App. 2401 et seq.), aa amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE, For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual {NISPOM}, Section 5-705, or DoD 5200 .1-R, Information Security Pxogram Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

,, Blocks 10, " and 13, Submission will occur thirty (30) calendar days after every PMR.

5. Block 14: Contractor shall submit deliverable(s) to the following email addresses, AFLCMC.WWM.F16PMC0RLS@us.af.mil AFLCMC,WWM.F-l6DataMgmt@uS.af.mi1 15. TOTAL I 2

G. PREPARED BY H.DATE I. APPROVED BY

J. DATE

benini.jenny.1.1037660899 2019/10/24 Kaitlyn Mathesol j2/ 16/, /76iG.Data Manager Program Manager

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 23 Pages

CONTRACT DATA REQUIREMENTS LIST

{1 Data Item)

Form Approved 0MB No. 0704�0188

Toa public reporting burden for this collecilon of Information is eslimaled to avera_ge _110 houra per reSPOl)ll8, im:t_tlding Iha Ume for reviewing _inst�ctions, searching exlsLing data sources gatherlng and maintaining lha dale needed, and <:empleUng end rev1ewmg the collecllon of rm'onnat,on. Send oomments regardmg th,s burden estimate or any other aspeci' of this collection Qf lnfomiation including sugg.,s\lons for reducing the burden, lo the Department of D,!lense, Executiv,, Services Directorate (0704--0188), Respoodenls should t>a aware lhiil notwithstanding any other provision of law, no person shall Im subject to any _pa�ally for falling to comply wi!h a collection of 1nrormiillon Tl It does not display a curranlly vaid 0MB conlfol number. Please do not return your form to the above orgarn,a�on. Send completed fonn to the Government Issuing Conlractlng Officer for the Contract/PR No. lls!9d In Block E.

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

D. SYSTEM/ITEM

PWS PACAF Depot ClB-03-19 ls DATA ITEM NO. 2. TITlEOFDATA ITEM

A me

I E. CONTRACT/PR NO.

FA623220D0001

F. CONTRACTOR

3. SUBTITlE A006 status Report Monthly Status Reports Action Items

4. AUTHORITY (Data Acqulsmon Document No.)

D!-MGMT-80368A

7. DD 2'i0 REQ

NA

9. DIST STATEMENT

REQUIRED

>-------f'

8. APP CODE

A

16. REMARKS

5. CONTRACT REFERENCE

PWS para 1.5.6.3.4

10 . FREQUENCY 12. DATE OF FIRST SUBMISSION

BLK16

11. AS OF DATE

N/A

BLK 16

13, DATE OF SUBSEQUENT

SUBMISSION

BLK 16

NOTE: Changes to office symbols and/or e-mail addJ::esses when necessary shall be made by letter through the CO/ACO without further revision 'to this CDRL.

1. Blocks 4, 14:

a. ALL DATA DELIVERIES SHALL BE SUBMITTED IN ENGLISH.

b. All electronic files submittals shall be submitted without password protection or in any way shall the file be locked down b y permissions.

2. Block 8: In the event of rej�ction of any deliverable, the Contractor will be notified by the government Program Manager, detailing the specific reasons why deliverable was rejected. The Contractor shall have fourteen (14) calendar days to correct the rejected deliverable and resubmit to the Government Program Manager for re-inspection. If no comments are provided within thirty {30) calendar days of deliverable receipt, the deliverable will be deemed to have been accepted by the Government.

3. Block 9, DISTRIBUTION STATEMENT "D", DISTRIBUTION authorized to the Department of Defense and U.S. DOD contractors only (Administration or Operational Use) . Date of determination, October 2019. Other requests for this document shall be referred to

(AFLCMC/WWM) .

EXPORT CONTROL WARNING, All technical documents/data (printed, digital/electronic) that are determined to contain export�controlled technical data, shall be marked with the following statement, WARNING, This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, u.s,c., Sec 2751, et seq. ) or the Export Administration Act of 1979 (Title 50, U.S.c., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE, For classified documents, follow the procedures in OoD 5220.22-M, National Industrial Security Program Operating

6. REQUIRING OFFICE

AFLCMC/WWM

DISTRIBU.TION

e. ADDRESSEE

FLCMC/WWM

6061 Gum Ln ldg 1224 ill AFB, UT

B4056 iAFLCMC/WWMEJ 6062 Fir Ave !Bldg 1234 rm 15 !Hill AFB, UT

SEE BLK 16

b. COPIES

Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Securityf----------f---f---+--" Program Chapter VI. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document. ;-------- ---t----t---+--0

4. Blocks 10, 12 and 13, Submission will occur the last business day;-----------t---+--�--S of every month.

5. Block 14: Contractor shall submit deliverable(s) to the following email addresses:

AFLCMC. Wl'lM. Fl6PMCDRLS®us. af. mil AFLCMC.W\'IM.,F-16DataMgmt©us.af.mil

G. PREPARED BY

15. TOTAL

benini.jenny.1.1037660899 2019/10/24 Kaitlyn Matheson'. .;, �D0a0t0a�M0a0n=a�me0r�-------------'--------'-'P0r0o0g,r0a0m"-0M0a0="'g'e0r4""'""'

( 2

DATE

I 2lteizot

DD FORM 1423-1, FEB 2001

H. DATE l. APPROVED BY

J.

PREVIOUS EDITION MAY BE USED Page 9 of 23 Pages

17. PRICE GROUP

18. ESTIMATEO

TOTAL PRICE

(1 Data Item) 0MB No. 0704-0188

The public reporting burden fur Ill,. collection of ln/OrrnaUon ls esllmaled to average 1·10. hours per response, including Iha lime rOr reviewing Tnstructions, searching exlsllng data sources, galhe�ng and maintalrilng the data needed, arid completin� and reviewing the collectiru, of in/Orrnalion. Sl!lld comments l"elJGrding this burden estimale or 1111y olher asfiecl of this ool!ectlon of TnformaUon, tnoluding su,Jffiestions or reducing the �urden, lo the Dfl:rtmenl of Defense. Executive Services Dire<:lorate (0704-0 86). R�pondanls should ba aware 1ha\ notwllhstan Ing any olher �revision of law, no person shall sufci lo any penally for tamng to comply with· a collactTon of lnf!lfmatlon If It does not dlsplaf, a currenlly valid 0MB conlrol numbar. lease do no! return your form to Iha a ova organizalion. Sand compleled form lo the Government l�uing Con1ract1ng a ,cer for !ha Contract/PR No. listad Tn Block E.

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

0004 A "' '" '""" SESS

D. SYSTEMflTEM I

E. CONTRACT!PR NO. F. CONTRACTOR

PWS PACAF Depot Cl0-03-19 FA823220D0001

1. DATA ITEM ND. ' TITLE OF DATA ITEM 3. SUBTITLE

A007 Configuration Management Plan (MIL-STD-3046)

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACTREFERENCE 6. REQUIRING OFFICE

DI-SESS-81875 PWS para 1.7.1 AFLCMC/WWM

7. 00250 REQ ' DIST STATEMENT 10. FREQUENCY 12. DATE OFFIRSTSUBM1SSION "· DISTRIBUTION

CT

REQUIRED BJ:aK16 Bl:aK 16 b. COPIES 6, APP CODE 11_ AS OF DATE 13, DATE OF SUBSEQUENT a. ADDRESSEE ""'

N/A N/A

SUBMISS!ON ""'

BLK· 16 Reo Reoro

16. REMARKS FLCMC/WWM i

NOTE, Changes to office symbols anil/or e-mail addresses when 6061 Gum Ln necessary shall be made by letter through the CO/ACO without further revision to this CDRL.

Bldg 1224 ill AFB, "'

1. Blocks 4, 14, 84056

a. ALL DATA DELIVERIES SHALL BE SUBMITTED IN ENGLISH.

b. All electronic files shall be submitted withoutsubmittals password protection oc in any way shall the file be locked down by FLCMC/WWMEJ ' permissions. 6062 Fir Ave

,. Block. 9, DISTRIBUTION STATEMENT "D": DISTRIBUTION authorized to "' 1234 co " the Department of Defense and U.S. DoD oontractors only ill AFB, 0, (Administration or Operational Use) . Date of determination, October 84056-5820 2019. Other requests for this document shall be referred to (AFLCMC/Wl'IM) .

SEE llLK "

EXPOB,T CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

WARNING, This document contains technical data whose export is restricted by the Arms Export Control Act {Title 22, u.s.c., Sec 2751, et- seq. ) or the Export Administration Act bf 1979 (Title 50, u.s.c., App. 2401 et seq.}, as amended. Violations of these export laws are subject to severe criminal penalties. Disseminj,.te in accordance with provisions of DoD Directive 5230.25, DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200 .1-R, Information Security Program Chapter VI. For unclassified, limited docum<:;nts, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

3. Blocks ,o, " and 13: First submission will occur forty-five (45) calendar days after contract award. Subsequent submissions will occur every six ,,, months thereafter.

'· Block 14: Contractor shall subm.it deliverable (s) to the following email addresses:

AFLCMC.WWM.F16PMC0RLS@us.af.mil AFLCMC.WWM.F-16DataMgmt@us.af.mil aflcmc.wwmd.f-16overseasdepot@us.af.mil

FOB Destination

15. TOTAL 2 G. PREPARED BY H. DATE I. APPROVED BY

,111,'IA�

J. DATE

benini. j'enny. l .10376608,99 2019/10/24 Kaitlyn Matheso 12/1 A/ZJ:At. Data Manaqer Program Manager f DD FORM 1423-1, FEB 2001 PREVIOUS EDITlDNMAY BE USED Page 11 of 23

17. PRICE GROUP

18. ESTIMATED

CONTRACT DATA REQUIREMENTS LIST Form ·Approved (1 Data Item) 0MB No. 0704�0188

Toe public reporting burden for this collection of information is esUmelad to avera_ge .110 hours p<![ respo�se, !rn:l�ing Iha time for reviewing . Instructions, searching existing da1a sources, gathering and maintaining the. data need.eel, and completin(c and re�1ewmg lhe oollecl1on of information. Send comments re_gard,ng !his bu_rdan estimate or any oth&r aspect of thls collection of JnformalJon, lncfudtng SU!!98S(1ons or re<Ju.t:1ng lhe burden, to lhe Dl!�artmant of Defense, Execut,ya Services DJre<,torate (0704-.01BB). Respondents should be awaf" !hat notwitha!ara!mg any other prov,slon of law, no person shell subj,eci to 1111y .P"':"llY for falling to comply w11h a oollectlon of ITTformallon If it does oot displal a currently vat,d 0MB conl!ol number. Please do nol rolum your fcrm lq lhe a <wa organiu,Uan. Send comi>leted form to the G<wemment Jssu"'tl Cantraciing O icer for !he Contract/PR No. llsleci In Bloq< E

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

0004. A rn, ,M OfHER ...M&M.I.

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

PWS PACAF Depot Cl8-03-19 FA823220D0001

1. DATA ITEMNO. 2. llll.E OF DATA ITEM 3. SUBTITLE A008 Cybersecurity vulnerability Report

4. AUTHORITY (Oala Acquisition Document Na.) 5. CONTRACT REFERENCE 6. REQUIRlNG OFFICE DI-MGMT-82191. PWS para 1.8.5.2 AFLCMC/WWM

7, DD250 REQ ,. DIST STATEMENT rn FREQUENCY 12, DATE OF FIRST SUBMISSION "· DISTRIBUTION

"' REQUIRED BLK16 BLK 1.6

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

N/A SUBMISSION N/A BLK 16

16. REMI\RKS

NOTE: Changes to office symbols and/or e-mail addresses when necessary shall be made by letter through the CO/ACO without further revision to this CDRL.

L Blocks 4, 14:

a. ALL DATA DELIVERIES SHALL EE SUBMITTED IN ENGLISH.

b. All electronic files submittals shall he submitted without password protection or in any way shall the file he locked down by permissions.

,. Block 9, DISTRIBUTION STATEMENT "D": DISTRIBUTION authorized to che Department of Defense and o.s. DoD contractors only {Administration or Operational Use). Date of determination, October 2019. Other requests for this document shall be referred to

(AFLCMC/WWM) .

EXPORT CONTROL WARNING: All technical documents/data (print'ed, digital/electronic) that are determined tc contain export-controlled technical data, shall be marked with the 'following statement:

WARNING: This document contains technical data whose export ia restricted by the Arms Export Control Act (Title n, u.s.c.,. Sec

2751, et seq. ) 0. the Export Ad�inistration Act of 1979 (Title 50, u.s.c., App. 2401 et seq.), as amended. Violations cf these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DOD 5220,22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200 .1-R, Information Security Program Chapter VI. For unclassified, limited documents, destroy by any method that will pre.vent disclosure of contents or reconstruction s, the document.

3. Blocks 10, 12 and 13, Submission will occur net later than twenty-four (24) hours from suspected or actual intrusion.

,. Block 14: Contractor shall submit deliverable (s) to the following email addresses:

AFLCMC.WWM.Fl6PMCDRLS@us.af.mi1 AFLCMC. Wl"IM. F-16DataMgmt@uS.af. mil aflcmc.wwmd.f-16overseasdepot@us.af.mi1

FOB Destination

a. ADDRESSEE

I\FLCMC/WWM

6061 Gum Ln

Mg 1224

!Bill AFB, OT 84056

�l'LCMC/WWMEJ 6062 Fir Ave

»dg 1234 i11 AFB, 84056-5820

" BLK 16

15. TOTAL

" COPIES

Final

Draft

,.- Ra"ro

' 2

G. PREPARED BY H. DATE L APPROVED BY

�t�

J. DATE

benini .jenny. l.1037660899 2019/10/24 Kaitlyn Matheso i2//0./7PJ' Data Manager Program Manage-

DD FORM 1423-1, FEB 2001 PREVIOUS EDJTIONMAY BE USED Page 12 of 23

17. PRICE GROUP

18. ESTIMATED

Tha public reporting burden for lhis collecUon of information is esLimated to average 110 hours per response, Including lhe t;me for reviewing _ln•lruc\ions, searc�lng existing data sources, gathering and melnlainlng the data needed, and completlnPt and reviewing the coneclion of lnrormallon. Send ccmmenls re.gerd,ng !hfs bUfden est1male or any oll1er a"fiect of !his collection of lnformallon, /rioluding su�gestions or reducipg the burden, lo 1he oeg,,artme�t of Defense, Execullv.e Servmes D1re<:1orale (0704·0 88). Resp011denls should be aware lhel notwilhstan 1119 any olhar provision of law. no person shall sub� lo any pa�ally fer fatllng 1o comply w,th a colleclcon of informaUon ir II does not displa� cc,rrenlly valid 0MB control number. Please do not return your form to the a a organlza�on. Send completed form to the Government lssuiT1jl Contracting O r for the ConlracUPR No. listed in Bloc!< E.

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

0004. A m, '" OTHER MGMT

D. SYSTEM/ITEM

I

E. CONTRACTIPR NO. F. CONTRACTOR

PWS PACAF Depot Cl8-03-19 FA823220D000l

l. DATA ITEM NO, 2. TITLEOFDATA ITEM 3. SUBTITlE 17,PR!CEGROUP A009 System Safety Program Plan (SSPP)

4. AUTHORITY {Data Acqulsilion Document No.) 15. CONTRACTREFERENCE 6. REQUIRING OFFICE DI-MGMT-81626 PWS para 1.9.1 AF.LCMC/WWM 18, ESTIMATED

TOTALPR!CE

7, DD250 RED ' DIST STATEMENT to. FREQUENCY 12. DATE OF FIRST SUBMISSION " DISTRIBUTION NA REQUIRED BLK16 BLK 16 b. COPIES B. APP.CODE 11. AS OF DATE 13, DATE OF SUBSEQUENT a. ADDRESSEE Final SUBMISSION Drafl A N/A BLK 16 " "

16. REMARKS fAFLCMC/WWM ' NOTE; Changes to office symbols and/or e-mail addresses when 6061 Gum Ln necessary shall be made by letter through the CO/ACO without further fBldg 1224 revision to this CDRL. i

!Hill APB, "' .

1. Blocks ,, 14, 84056

a. ALL DATA DELIVERIES SHALL BE SUBMITTED IN ENGLISH.

b. All electronic files submittals shall be submitted without password protection or in any way shall the file be locked dawn by l""LCMC/WWMBJ ' permissions. 6062 Fir Ave

,. Block a, In the event of rejection of any deliverable, the 19ldg 1234. cm "

Contractor will be notified by the government Program Manager, ill APB, UT detailing the specific reasons why deliverable was rejected. The B4056-5B20 Contractor shall have fourteen (14) calendar days to correct the rejected deliverable and resubmit to the Government Program Manager for re-inspection. " no comments are provided within thirty (30) '" BLK 16 calendar days of deliverable receipt, the deliverable will be deemed to have been accepted by the Government.

3. Block 9, DISTRIBUTION STATEMENT "D": DISTRIBUTION authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). Date of determination, October 2019. Other requests for this document shall be referred to

(AFLCMC/WWM)

EXPORT CONTROL WA.ru:i!ING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement, WARNING: This document contains technical data whose export is restricted by the Arms E,q,ort Control Act (Title 22, u.s.c., Sec 2751, et seq. I or the Export Administration Act of 1979 (Title 50, u.s.c., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200 .1-R, Information Security Program-Chapter VI. For unclassified, limited documents, destroy by any method that will prevent. disclosure of contents .or reconstruction of the document..

,. Blocks '°· " and J.3, First submission will occur not. later than forty�five (45) calendar days afteir contract. award and within seven ,,, calendar days following updates.

5. Block J.4, Contractor shall following email addresses:

submit deliverable (s) to the

AFLCMC.��.Fl6PMCDRLS@us.af.mil 15. TOTAL I 2 G. PREPARED BY H. DATE L APPROVED BY

J. DATE

benini.jenny.l.1037660899 2019/10/2-4 Kaitlyn MatheaO

\2/tP,/101° Data Manager .Program Manager

-DD FORM 1423 1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 13 of23

CONTRACT DATA REQUIREMENTS LIST Fenn Approved

{1 Data Item) 0MB No. 0704-0188

The public reporting burden for !hJs colleel1on of information is estimated lo avera.ge .110 hours Pl!( respoz,se, im:t.uding the Ume for reviewing _1nst�c1ions. searchirtg existing data sources gathering and maintaining the data needed, and complelli'/ end rev,ewrng lhe collection of onfotmaliori. Send commenls re_gard,ng this bUfcien esllmala or any olller a,fiect' of this collecllon of Information, including suJgestions or reducing !he burden, lo Iha D/b!r!ment of Defense, ExGcul1ve Services D,re�torale (0704·0 58). Res�denls should be aware that notwlthstan Ing any other provision of law, no parson shall subfcl lo any pa�alty for falling to comply with a collectmn of informallon II It does not display a currently lllllid 0MB con!,ol nUf(iber. Please do nol return your fom, lo the a ooe organ1zal1011- Send compl11!11d form to the Govamniant Issuing Contracting Orncer for the Con1racl/PR No. listed m Block E.

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

0004 A "" ,M OTHER SAFT

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

PWS l?AC'AF Depot Cl8-03-l9 FAS23220D000l

1. DATA JTEMNO. 2. TITLE bF DATA ITEM 3. SUBTITLE 1\010 Accident/Incident Report

4. AUTHORlTY (Dala Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-SAFT-81563 PWS para 1.9.4.l AFLCMC/WWM

7. OD 250 REQ '· DIST STATEMENT " FREQUENCY 12. DATE OF FIRST SUBMISSION " DISTRIBUTION � REQUIRED BLK16 BLK 16 t,. COPIES "

8. APPCOOE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION a ADDRESSEE R"°'

Draft A N/A BLK 16 "' Re�ro

16. RE!W\RKS f11FLCMC/WWM ' NOTE: Changes to office symbols and/or e-mail addresses when 6061 Gum Lo necessary shall be made by letter through the CO/ACO without further

'"' 1224 revision to this CORL.

ill AFB, OT

L Blocks 4, 14, 84056

a. ALL DATA DELIVERIES SW\.LL BE SUBMITTED IN ENGLISH.

b. All electronic files submittals shall be submitted without password protection or in any way shall the file be locked down by FLCMC/WWMEJ ' permissions. fi062 E'ir Ave

2. Block s, In the event of rejection of any deliverable, the !llldg 1234 rm "

Contractor will be notified by the government Program Manager, 1Hill AFB, ITT detailirig the specific reasons why deliverable was rejected. The 8405fi-5B20 Contractor shall have fourteen (14) calendar days to correct the rejected deliverable and resubmit to the Government Program Manager for re�inspection. If no comments are provided within thirty (30) "" BLK 16 calendar days of deliverable receipt, the deliverable will be deemed to have been accepted by the Government.

'· Block 9: DISTRIBUTION STATEMENT "D'': DISTRIBUTION authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use) . Date of determination, October 2019. Other requests for this document shall be referred to

{AFLCMC/WWM)

EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement, WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title ,,, u.s.c., Sec

2751, et seq. I or the Export Administration Act of 1979 (Title 50, u.s.c., App. 2401 et seq.), as amended, Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE, For classified documents, follow the procedures in Don 5220.22-M, National Industrial Security Program Operating Manual (NISE'OM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter vr. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

,. B10cks w, " and 13, Submission will occur not later than three ,,, calendar days after mishap.

5. Block 14, Contractor shall submit deliverable(s) to the following email addresses:

AFLCMC. WWM. F16PMCDRLS@us.af. mil AFLCMC.WWM.F-16DataMgmt@us.af.mil 15. TOTAL I 2

G. PREPARED BY H. DATE

benini. jenny l .1037660899 Data Manager

2019/10/24

I. APPROVED BY

J!/r!IJiJ. J. DATE

Kaitlyn Matheso

Program Manage / 2 / r f.J / -,.-.'I, f

DD FORM 1423-1 FEB 2001 PREVIOUS EDITION MAY BE USED i / Pa e 15 of23 g

17.PRlCEGROUP

18. ESTIMAT!cD

Toe publfc repoJ1it1ll burden for lhis colection of lnformalion Is esUmaled !o average .110 hours PG( response, incl.uding !ha Ume for reviewing .instr�ctlond sear"!"irw existing ·dala sources, galherir,g and malntainjng the, data needed, and completing and reylewmg lhe collect,on of 1nformaUon Send commenls r1:gard1ng !)11s bur en estimate or any othor espeel of this collection of information, includ;ng suggestions for redu_apg the burden, le the Departmert of Dafense, Execlll,v� Services D!re�orate (0704-0188). Rl>spondents should ba aware that notwithstanding any other prov,s,on of law. no person shall,bs subl,"ct lo any penalty fer falling to comply wdh a collecUon of Information If ft does not dlsp� a curren11y valid 0MB confrol number. Plaasado not return your rom1 to the a ov.i organ,za�on. Send completed form to lhe Governrnant 1,suing Confracling ·cer for lhe Conlract/PR No. listed in Block E.

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

0004 A "' ,M OTHER =

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

PW$ PACAF Depot Cl8-03•19 FA623220D000.1

1. DATA ITEM NO. ' TITLE OF DATA ITEM 3. SUBTffiE 17. PR!CE GROUP AOll Quality Assurance Program Plan

4. AUTHORITY (Dala Acqu;silion Doo.nrumt No.) S. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-QCIC-81794 PWS para 1.10.1 AFLCMC/WWM 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ ' DIST STATEMENT "· FREQUENCY " DATE OF F!RSTSUBMISSION "· DISTRIBUTION " REQUIRED BLK16 BLK 16 b . COPIES D

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Rnat N/A SUBMISSION ora, A BLK 16 "" R-ro

16. REMARKS l""LCMC/WWM '

NOTE: Changes to office symbols and/or e-mail addresses when 6061 Gum Ln necessary shall be made by letter through the CO/ACO without £urther

>d, 1224 revision to this CORL.

!Hill AFB, CT

'· Blocks 4, 14: 84056

a. ALL DATA DELIVERIES SHALL BE SUBMITTED IN ENGLISH.

b. All electronic files submittals shall be st\brnitted without password protection or in any way shall the file be locked down by FLCMC/WWMEJ ' permissions. 6062 Fir Ave

2. Block 8, In the event of rejection of any deliverable, the t!lldg 1234 '" "

Contractor will be notified by the government Program Manager, ill AFB, CT detailing the specific reasons why deliverable was rejected. The S4056-5820

Contractor shall have fourteen (14) calendar days to correct the rejected deliverable and resubmit to the Government Program Manager for re-inspection. If no comments are provided within thirty (JO) "' BLK 16 calendar days of deliverable receipt, the deliverable will be deemed to have been accepted by the Government.

3. Block 9: DISTRIBUTION STATEMENT "D": DISTRIBUTION authorized to the Department of Defense and U.S. DoD contractors only {Administration or Operational Use) . Date of determination, October 2019. Other requests for this document shall be referred to

{AFLCMC/WWM)

EXPORT CONTROL WARNING: AU technical documents/data {printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement.:

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title "· u.s.c.' Sec 2751, !c!t seq. ) or the Export Administration Act of 1.979 (Title so, u.s.c., App. 2401 et seq.),, aa amended. Violations of these export laws are subjeot to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220. 22-M, National Industrial Security Program Operating, Manual (NlSPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VI. For W'lclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

4. Blocks 10, 12 and 13, First submission will occur forty�five (45) calendar days after contract award. Subsequent submissions will occur annually thereafter.

5. Block 14, Contractor shall. submit deli.verable(s) to the following email addresses, AFLCMC.WWM.Fl6PMCDRLS@us.af.mil 15. TOTAL I 2 G. PREPARED BY H. DATE I. APPROVED BY ,;/i�-rJ..,.

J i2°lls111Yi°' benini. jenny. l .1037660899 2019/1.0/24 Kaitlyn Matheso Data Mana ... er Program Manage:r, DDFORM1423-1, FEB2001 PREVIOUS EDITION MAY BE USED

' Page 17 of 23

(1 Data ltern) 0MB No. 0704-0188

The public reporting blm!en fur this co!ecilon of infomralim'l is osUmated to 'aver"'.tle .110 hours per respoi;isa, Including 1h11 lime for reviewing _inst�clions, searching existing data sources, gathering and maintaining the data. need.ed, and C<Jmplellng and reyiewmg the collecllon of mrormaUon. Send e<imrnanls f"'.tlatdrng !f11s bu,rden estlmale or any other asfiacl of U,is collecUon of Information, 1ndudtng suggestions for reducmg 1he burden, 1o the Deg:rtme�l of Defense, Execuhv� Servoces D,ra�lorate (0704·0 86). Respondents should be aware that nolwlthstand;ng any other provision of lew, no person shall sub�Cl lo any .Pe�ally for fall,ng to comply w,lh a collection o! Information � il does not displafu a currenlly valid 0MB control number. �ease do not return your form to the a ove oryani:i:allon. S!!fld completed form to Iha Gov_emrnent tssulOfJ Contracting O 1cer for the Conlract/PR No. listed Tn Block E.

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

0004 A me TM OTHER�

D. SYSTEM!lTEM E. CONTRACT/PR NO. F. CONTRACTOR PWS PACAF Depot ClS-03-19 FA823220D000l

1. DATA ITEM NO. ' TITLEOFOATA ITEM 3. SUBTITLE 17. PRICE GROUP

A012 Force structural Maintenance Plan Maintenance Planning Documents

4. AUTHORITY (Da1a Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUJRING OFFICE DI-SESS-62039 PWS para 1.11.2.1 AFLCMC/WWM 18. ESTIMATED

TOTAL PRICE

7. 00250 REQ ' DIST STATEMENT " FREQUENCY 12. DATE OF FIRST SUBMISSION "· DISTRIBUTION

REQUIRED BLK16 BLK 16

D

b. COPIES

6. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a, ADDRESSEE Final SUBMISSION ora, A N/A BLK 16 eoo eooro

16. REMARKS I/IFLCMC/WWM '

NOTE: Changes to office symbols and/or e-mail addresses when 6061 Gum Ln necessary shall be made by letter through the CO/ACO without further

Me revision to this CDRL. 1224 ill AFB, "'

L Blocks ,, 14: 84056

a. ALL DATA DELIVERIES SHALL BE SUBMITTED IN ENGLISH.

b. All electronic files submittals shall be submitted without

.password protection o, in any way shall the file be locked down by JR"'LCMC/WWMEJ ' permissions. 6062 Fir Ave

2. Block ,, DISTRIBUTION STATEMENT ltD": DISTRIBUTION authorized to !Bldg 1234 '" " the Department of Defense and U.S. DoD contractors only ill AFB, u, (Administration or Operational Use). Date of determination, October 84056-5620 2019. Other requests fo, this document shall be referred to

(AFLCMC/WWM)

sss BLK 16 EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement, WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, u.s.c., See 2751., et seq. ) o, the Export Administration Act of 1..979 {Title 50, U.S.C·., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230 .25.

DESTRUCTION NOTICE, For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), Section 5-705, or DoD 5200.1-R, Information Security Program Chapter VT. For unclassified, limited documents. destroy by any method that will prevent disclosure of contents or reconstruction of the document.

3. Blocks 8, 10, " and 13: First submission will occur no later than thirty (30) calendar days prior to the first performance of the task.

The government will have…