T-56_CDRLS_signed.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved QMB 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 either of these addresses. 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 X TM OTHER

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

4920-01-590-2905RN FD2060-16-67204

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

A001 PRODUCT DRAWINGS/MODELS AND ASSOCIATED LISTS Engineering Data

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

DI-SESS-81000E/T PWS PARAGRAPH 4.2.2.3

AFLCMC/LZPEM

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD QRTLY SEE BLK 16 b. COPIES

8. APP CODE SEE BLOCK 16 11. AS OF DATE 13. DATE OF

SUBSEQUENT

SUBMISSION

a. ADDRESSEE

FINAL

A SEE BLOCK

SEE BLK 16 Draft Reg Repro

16. REMARKS AFLCMC/LZPEM

285 Cochran Street

1. Air Force drawings 9626025 rev G, 9579776 rev M and 9579777 rev B (CAGE 98752) are a part of this CDRL ROBINS AFB, GA.

A copy of the drawings may be requested through the Procurement Contracting officer. 31098-1669

2. METADATA SHALL BE IN ACCORDANCE WITH 9579776 PARAGRAPH 10 OPTION

ONE

3. Please reference EDATS control number 2016-48 on all correspondence related to this effort.

PAPER COPY 2

SEE CONTINUATION SHEETS DIGITAL DATA 1

(CLASSIFIED)

Vendor Item Control Drawings shall be used to specify the requirements for purchased items when such items have been approved for use in the design and are used without alteration, selection or source qualification (testing of an item prior to procurement action to ensure that it satisfies the specified requirements). Reference paragraph 7.1 of DI-SESS-81000E.

DIGITAL 1

15. TOTAL 2 0 2

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

Brian Nelms 04/25/2016

Form Approved QMB 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 either of these addresses. 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 X TM OTHER

A002 CONFERENCE AGENDA Engineering Data Guidance Conference, IPR of the TDP

DI-ADMN-81249A PWS PARAGRAPH 4.2.2.4, 4.2.2.5

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD ASREQ SEE BLK 16 b. COPIES

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

SUBSEQUENT

A N/A SEE BLK 16 Draft Reg Repro

16. REMARKS AFLCMC/LZPEM

285 Cochran Street

Media shall be submitted as one copy on paper and one in electronic format. ROBINS AFB, GA.

AFLCMC/LZPEM is the approving authority. 31098-1669

Blocks 12 and 13: Report shall be turned in IAW PWS requirements. Contractor Response Times also defined in PWS.

Approval/disapproval shall be provided within 10 days after receipt of Conference Agenda by the Approving Authority.

PAPER COPY 1

DIGITAL DATA 1

DIGITAL

15. TOTAL 2

Brian Nelms 05/16/2016

Form Approved

QMB 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 either of these addresses. 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 X TM OTHER

A003 CONFERENCE MINUTES Engineering Data Guidance Conference, IPR of the TDP

DI-ADMN-81250A PWS PARAGRAPH 4.2.2.4, 4.2.2.5

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD ASREQ SEE BLK 16 b. COPIES

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

SUBSEQUENT

A N/A SEE BLK 16 Draft Reg Repro

16. REMARKS AFLCMC/LZPEM

285 Cochran Street

Media shall be submitted as one copy on paper and one in electronic format. ROBINS AFB, GA.

AFLCMC/LZPEM is the approving authority. 31098-1669

Blocks 12 and 13: Report shall be turned in IAW PWS requirements. Contractor Response Times also defined in PWS.

Approval/disapproval shall be provided within 10 days after receipt of Conference Agenda by the Approving Authority.

PAPER COPY 1

DIGITAL DATA 1

DIGITAL

15. TOTAL 2

Brian Nelms 05/16/2016

(2 Data Items)

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. 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

A TDP X TM OTHER

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

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

A004 TEST PROCEDURE TESTING

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

TOTAL PRICE

DI-NDTI-80603A PWS PARAGRAPH 4.2.6 AFLCMC/WNZEC

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

14. DISTRIBUTION

DD REQUIRED 1 TIME 60DAC

C a. ADDRESSEE

b. COPIES

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

Draft Final

A N/A

SUBMISSION

N/A Reg Repro

16. REMARKS AFLCMC/WNZEC 1 1 0

Media shall be submitted as one copy on paper and one in electronic format.

AFLCMC/WNZEC is the approving authority.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/WNZE Contractor Response Time is 60 days after contract award.

Approval/Disapproval within 10 days after receipt of Test Procedure by the Approving Authority.

Contractor Response Time in the event of comments/disapproval by the Approving Authority is within 10 days after receipt of comments/disapproval.

235 Byron St Ste 19A Robins AFB, GA 31098-1813

15. TOTAL 1 1 0

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

A005 TEST/INSPECTION REPORT

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

TOTAL PRICE

DI-NDTI-80809B PWS paragraph 4.2.7 WR-ALC / GRVEC

SD REQUIRED 1 TIME 30DATC

b. COPIES

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

Draft Final

A N/A

SUBMISSION

N/A Reg Repro

16. REMARKS AFLCMC/WNZEC 1 1 0

Media shall be submitted as one copy on paper and one in electronic format.

AFLCMC/WNZEC is the approving authority.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/WNZE

Contractor Response Time is 30 days after completion of test.

Approval/Disapproval within 10 days after receipt of Test/Inspection Report by the Approving Authority.

Contractor Response Time in the event of comments/disapproval by the Approving Authority is within 10 days after receipt of comments/disapproval.

235 Byron St Ste 19A

Michael Randel 05/16/2016

DD FORM 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED

Designed Using Microsoft Word 97 SR-1

(2 Data Items)

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

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

A006 STATUS REPORT MONTHLY STATUS REPORTS

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

TOTAL PRICE

DI-MGMT-80227/T PWS paragraph 4.2.8 AFLCMC/WNZEC

DD REQUIRED MONTHLY SEE BLOCK 16

b. COPIES

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

Draft Final

A EOM

SUBMISSION

SEE BLOCK 16 Reg Repro

16. REMARKS AFLCMC/WNZEC 1 1 0

Block 7: The contractor shall submit the media as electronic mail to WR-ALC/GRVCB and WR-ALC/GRVEC.

Monthly status reports are to cover all taskings identified in the PWS.

AFLCMC/WNZEC is the approving authority.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/WNZE 15 days shall be required to approve/disapprove data submitted.

Blocks 12 and 13: Reports are due on the 5th day of every month.

Block 4: Tailored DID: Within section 3.2.1, delete sections (b), (d), (e), and (h). Delete section 3.3

235 Byron St Ste 19A

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 3 Page(s)

Designed Using Microsoft Word 97 SR-1

(2 Data Items)

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

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

A007 ENGINEERING CHANGE PROPOSAL (ECP) ENGINEERING CHANGES

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

TOTAL PRICE

DI-SESS-80639D PWS paragraph 4.2.9 AFLCMC/WNZEC

SD REQUIRED ASREQ ASREQ

b. COPIES

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

Draft Final

A N/A

SUBMISSION

N/A Reg Repro

16. REMARKS AFLCMC/WNZEC 1 1 0

Block 7: The contractor shall submit the media as paper copies and electronically in Microsoft Word.

Blocks 10-13: The Contractor shall submit ECPs for Government approval prior to altering, revising, or otherwise changing any feature or component of the Hush Houses involved within the scope of this contract.

Approval of ECPs must be granted by the cognizant Hush House program engineer at WR-ALC/GRVEC. The Government will approve/disapprove no later than 30 days after receipt of ECP.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/WNZE AFLCMC/WNZEC is the approving authority.

235 Byron St Ste 19A

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

A008 NOTICE OF REVISION (NOR)

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

TOTAL PRICE

DI-SESS-80642D PWS paragraph 4.2.10 WR-ALC / GRVEC

SD REQUIRED ASREQ ASREQ

b. COPIES

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

Draft Final

A N/A

SUBMISSION

N/A Reg Repro

16. REMARKS AFLCMC/WNZEC 1 1 0

Block 7: The contractor shall submit the media as paper copies and electronically in Microsoft Word.

Blocks 10-13: The Contractor shall submit NORs for Government approval prior to altering, revising, or otherwise changing any feature or component of the Hush Houses involved within the scope of this contract.

Approval of NORs must be granted by the cognizant Hush House program engineer at WR-ALC/GRVEC. The Government will approve/disapprove no later than 30 days after receipt of NOR.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/WNZE AFLCMC/WNZEC is the approving authority.

235 Byron St Ste 19A

DD FORM 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 2 of 3 Page(s)

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) 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 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 NDTI

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

Fast Characterization Tool (FaCT) FD2060‐16‐67204

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

A011 Accident/Incident Report Mishap Notification and Reporting

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

DI-SAFT-81563 PWS para 5.5.2 AFLCMC/SE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ASREQ ASREQ b. COPIES

Final

8. APP CODE

N/A B

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ

Draft

Reg

Repro

16. REMARKS AFLCMC/SE 0 2 0

CHANGES TO OFFICE SYMBOLS, WHEN NECESSARY, SHALL BE MADE BY 1801 10th Street LETTER THROUGH THE CO/ACO WITHOUT REVISION TO THIS CDRL Wright Patterson AFB

Ohio 45433-7624 BLOCK 4: Reporting requirements for government property damage/loss and injuries have changed. Disregard the dollar amount listed in DID. Report ALL mishaps, damage to DoD Erica Carter, PCO 0 1 0 property, and employee injury, to the Installation Safety Office telephonically within four WNKABA

(4) hours after initial notification. Written report required within three (3) calendar days of 235 Byron St. Ste 19A mishap. Electronic submissions are accepted. Information that is not available at the time of Bldg. 300 the initial notification shall be provided within 20 calendar days after the mishap. Robins AFB GA 31098

BLOCK 9: Submit to U.S. Government ONLY Brandi Lane, COR 0 1 0

WNZCA

235 Byron Street Suite 19A Robins AFB, Ga 31098

ACO TBD 0 1 0

DCMA POC

15. TOTAL 0 5 0

G. PREPARED BY

Mick Randel

H. DATE I. APPROVED BY

19May16

J. DATE

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

NDTI

TDP TM OTHER

D. SYSTEM/ITEM

Fast Characterization Tool (FaCT)

E. CONTRACT/PR NO.

FD2060‐16‐67204

F. CONTRACTOR

16. REMARKS (Continued)

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package;

TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15.

Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

FOR THE CONTRACTOR

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - 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 such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - 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.

c. Group III. Definition - 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 submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. 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 Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

A009 – TMCR (4.2.11) provided by Dwight McGhee A010 – CAV-AF (4.5) provided by PMS buyer

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