CDRL_DDFORM_1423.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

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

Public reporting burden forlhlscolleclion of information iseslima1od lo average 110 hours ?Cf 1csponse, inciudingthe time for revH!Wing imrtruciions, searching existing data souroos, gathering and maint:1init19 the data nrn!<lrn!, and comp1eling and reviev.ing the coHociion of infonna�on. Send comments regarding thus burden estimate or any other ll"Jl"ci of this collection of Information, including sug!){!sllons for redudng this burden, to Department of Defense. Washington HeadqW1rtern Services, Oircciomto for Information Opcra�ons and Reports, 1215 Jefferson Davis Highwlly, Sutte 1204, Arfington, VA 22202-4302, and to the Office of Managomen1 and Budget. Papo,work Reduction Projru:t (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either oftheoo addresses. Sorn! complclod form to Hie Government Issuing Contracting Olfirer forlhe Contra ell PR No. listed In Block E

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

TOP TM OTHER

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

1730-01-166-1127

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

A001 System Safety Hazard Analysis Report

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

DI-SAFT-80101 C SOW para 3.3.1 AFLCMC/ WN-SEV

7. 00250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

DD 2TIME/R 302 DAC b. COPIES

8.APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE '"'" FINAL

SUBMISSION

A N/A BLK 16 "" Ropr

16. REMARKS AFLCMC/WN-

SEV

0 1 0

BLK 8: The Government will have 30 days after receipt of report for approval or disapprovaL The contractor shall have 10 days after receipt of the Government

AFLCMC/WNK 0 1 0 comments to resubmit the report.

BLK9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agendes and their contractors. Other requests for this document shall be referred to AFLCMC/ WN-SEV

BLK 13: Second submission (final) due 360 DAC.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Both hard copies and CD-ROM or DVD shall be submitted to:

Support Equipment & Vehicles Division

ATTN: AFLCMC/ WN-SEV / Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: elisabeta.ingram@us.af.mil

ATTN: AFLCMC/WNK/

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Elisabeta Ingram 01312017 ROZEBOOM.VICTOR.EJR.1026994850

2017.03.01 10:05:42 -05'00'

DD FORM 1423-1, Feb 2001

Previous ed1t10ns are obsolete Page of Pages

17.PRICE

OROUP

IB, ESnlMTEO

TOTAL PRICE

Public reporting burden for1his collection of information is oslima1ed to average 110 hours per response, Including the time for rcv,cwing instructions, searching existing data sources, gathering and main1alning the data needed, and comple1ing and reviewing 1he coITeelion of information. Send comments mgartlir,g thus burden estimate or anyothor aspect of this collection o flnformallon, including suggestJons for reducing lhls burden, to Department of Defons,,, Washington Headquarters Services, Oirecloratefor!nlormaHon Operations and ReJ)Orts, 1215 Jclfornon Davis Highway, Suito 1204, Ar!Jngton, VA 22202-4302, and to the Offioe of Management and Budget Papc/WOfl< Reductior, Project (0704-0188), Washington, DC 20503. Ptcase DO NOT RETURN your form to eilnllrof these addresses. Send complelod form to the Govommonl Issuing Contracting Officer for the CotllrnctlPR No. listed in SlockE.

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

TOP TM OTHER

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

1730-01-166-1127

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

A002 Contractor's Progress, Status, and Management Report Monthly Status Report

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

DI-MGMT-80227 SOW para 3.1.3 AFLCMC/ WN-SEV

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

DD

8.APPCODE C

A

16. REMARKS

Mthly

11.AS OFDATE

EOM

5th of First Month ARO

13. DATE OF SUBSEQUENT

SUBMISSION

s� of the Month

BLK 4: Contractor format acceptable. Shall be submitted by the 5th of the first month after receipt of order for approval. Approval required for first submittal only.

BLK9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/ WN-SEV.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications (Word Document preferred). Documents shall be submitted via e-mail to:

Support Equipment & Vehicles Division

ATTN: AFLCMC/ WN-SEV / Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: elisabeta.inaram@us.af.mil

ATTN: AFLCMC/WNK/

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

Notification of submission shall be provided to the PCO via e-mail.

a. ADDRESSEE

AFLCMC/WN-

SEV

AFLCMC/WNK

15. Total

b. COPIES

ORAFl" FINAL

R"' Repr

0 1 0

0 1 0

G. PREPARED BY H. DATE Rd-f�IW'l:i'M\JICTOR.E.JR.1021 99��:S'tl Elisabeta Ingram 01312017

2017.03.01 10:03:18 -05'00'

DD FORM 1423-1, Feb 2001 . .

Previous editions are obsolete Page of Pages

17 PRICE

CROUP

11. ESTIM/1.TED

Pub tic reporting burden fort his cotlec!ion of information is 651imatrnl to avera!JI! 110 hour,; pcr response, including the time for reviewing instructions, warching existing data ,:ourres, gathering and main1aining the data needed, and completing and revfowing 1he coiecl;on of information. Send commonls regarding thus burden estimate, or any other aspect of this collection of information, including suggestions for reducing this burden, to Departmonl of Defense, Washington Headquarters So Niro,;, Oirectoratefor!nformaUon Opemtions arid Reports, 1215 Jcffemon Davis Highwny, Sutte 1204, Arlington, VA 22202-1302, and to the Oma, of Management and Budget. Papcrworil Reduction Project (0704-0186). Wash;r,gton, DC 20503. Pleaoo 00 NOT RETURN your form to eilhcrol those addresses. Scml completed form to the Government Issuing Contrncilng Officer fer tho ConlractlPR 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

1730-01-166-1127

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

A003 Technical Report-Study Services Technical Review Documentation

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

DI-MISC-80508B SOW para 3.2.2.3 AFLCMC/ WN-SEV

7. 00250 REC 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

DD 3TIME 60 DAC b. COPIES

B.APPCODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE DRAFT FINAL

SUBMISSION

A N/A BLK 16 "" Repr

16. REMARKS AFLCMC/WN-

SEV

0 1 a

BLK 8: The Government will have 30 days after receipt of data package to review and provide comments. The contractor shall have 10 days after receipt of the AFLCMC/WNK 0 1 Government comments to resubmit the data package.

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

BLK 13: Second submission due 302 DAC. Third (final) submission due 316 DAC.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Slides shall be in Microsoft PowerPoint format; hard copies of slides shall be printed single-sided, in color, in landscape format, one slide per page. Both hard copies and CD-ROM or DVD shall be submitted to:

Support Equipment & Vehicles Division ATTN: AFLCMC/ WN-SEV / Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: e!isabeta.ingram@us.af.mil

ATTN: AFLCMC/WNK/

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Elisabeta Ingram 01312017 ROZEBOOM.VICTOR.EJR. 1026994850

2017.03.01 10:04:00 -05'00'

DD FORM 1423-1, Feb 2001 ..

Previous ed1t1ons are obsolete Page of Pages

17.PRICE

GROUP

,g_ ESTIM.O.TEO TOTAtPRl(:E

Public reporting burden for this collection of information is estimated to average 110 hours por response, Including the time for reviewing instructions, searching existing dala sources, gatheririg and maintaining the data needed. and completing arid reviev.ing the collecti on of information. Send comments reyardlng lhL<S burden estimate or anyothor aspect of this colleciion o flnformation, including suggm;tions for reducing lhls burden, lo Oepartmen! of Defense, Washington Hendqwn1ers Services, Directorate for lnformalion Oporotions and Reports, 1215 Jefferson Davis Highway, Su�e 1204, Arlington, VA 22202-4302, arn! lo the Office of Management and Budget Paporworfl Reduction Project (0704-0188), Washiriglon, DC 20503. Please DO NOT RETURN your form to ellherof1hese addresses. Send completed fom, to the Government lssuir,g Contracting Officer fotlhe ContractlPR No. listed In B!ockE

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

TOP TM OTHER

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

1730-01-166-1127

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

B003 Technical Report-Study Services Design Analysis

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

DI-MISC-80508B SOW para 3.6.1 AFLCMC/ WN-SEV

7. DD250REO 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

DD 3TIME 302 DAC b. COPIES

8.APPCODE C 11.AS OFDATE 13. DATE OF SUBSEQUENT a. ADDRESSEE O,AST FINAL

SUBMISSION

A NIA BLK 16 Rog Repr

16. REMARKS AFLCMC/ WN-

SEV

0 1 0

BLK8: The Government will have 30 days after receipt of report for approval or disapproval. The contractor shall have 1 O days after receipt of the Government AFLCMC/WNK 0 1 0 comments to resubmit the report.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFL CM Ci WN-SEV.

BLK 13: Second submission due 316 DAC. Third submission due 360 DAC.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications (Word Document preferred). Both hard copies and CD-ROM or DVD shall be submitted to:

ATIN: AFLCMC/ WN-SEV I Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: elisabeta.lngram@us.af.mil

ATIN: AFLCMC/WNK/

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Elisabeta Ingram 01312017 ROZEBOOM.VlCTOR.EJR. 1026994850

2017.03.01 10:06:50 ·05'00'

DD FORM 1423-1, Feb 2001 . .

Previous ed1t1ons are obsolete Page of Pages

17 PRICE

GROUP

18. ESTIMATED

Public reporting burden for this colleclionof Information is estimated to average 110 houro per response, including the time for reviewing Instructions, :.oorchi r,g oxislir,g dal.ll sources, gathering and malnlainlrig the dalll rn.cded, and wmploting and rl!VH!wi"!J lho coHoction ofinformalion. Send comments regarding thus burden estimate or any other aspoct of this ""11ection of information, including suggestions for reducing this burden, to Department of Defense, Washington Hoadqwrtors Services, Directorate for Information Operations and Repotts, 1215 Jefferson Davls Highw.ly, Su�o 1204, Arlington, VA 22202-4302, and to the Off,ee of Mm111gement and Budgcl Paperwork Roduclion Project (0704-0188), Washington, DC20503. Ptcaoc DO NOT RETURN your form to either ofthnse addresses. Send ix,mplet!ld form to !Im Government Issuing Contracting Olflcl.lr forlhl.l ConlmcilPR No. I isled in Block E

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

TOP TM OTHER

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

1730-01-166-1127

1.0ATAITEMNO. 2. TITLE OF DATA ITEM

C003 Technical Report-Study Services

3. SUBTITLE

Parts List Updates

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRAC T REFERENCE 6. REQUIRING OFFI CE

DI-MISC-80508B SOW para 3.4.1 AFLCMC/ WN-SEV

7. DD 250 REQ 9. 01ST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

DD 3TIME 302 DAG b. COPIES

8. APP CODE C 11.AS OFDATE 13. DATE OF SUBSEQUENT a. ADDRESSEE ORAIT FINAL

SUBMISSION

A N/A BLK 16 '"' Repr

16. REMARKS AFLCMC/WN-

SEV

0 1 0

BLK8: The Government will have 30 days after receipt of report for approval or disapproval. The contractor shall have 10 days after receipt of the Government AFLCMC/WNK 0 1 0 comments to resubmit the report.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFL CM Ct WN-SEV.

BLK 13: Second submission due 316 DAG. Third submission due 360 DAC.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications (Word Document preferred). Both hard copies and CD-ROM or DVD shall be submitted to:

A TIN: AFLCMC/ WN-SEV / Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: e!isabeta.ingram@us.af.mil

ATTN: AFLCMC/WNK/

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Elisabeta Ingram 01312017 ROZEBOOM.VICTOR.EJR.1026994850

2017.03.01 10:08:02 -05'00'

DD FORM 1423-1, Feb 2001

Previous ed1t1ons are obsolete Page of Pages

,1, PRIC�

GRO\/P

11. ESTIMATE(!

TOT"'-t PRICE

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

Public reporting burden for this collecti<>n of Information iscslimated 1o average 110 houro per response, including I he time for reviewing inslruclions, sean:hing e,;isling data sourecs, gatheri"!J and maintaining !hedatll riooded, and completing arnl revfewing lhe conectfon of information. Send comments regarding thus bur.Ion estimate or any other aspod of this colleclion o finfom111Hon, induding suggestion,; forroducing this bun::len, to Department of Dclemre, Washington Hoadqw11ter.,1 Services, Oireciorateforlnfonnalion Operations and Reports, 1215 Jefferson Davis Highway, Su�e 1204, Arfanglon, VA 22202-4302, and to tlm omco of Management arid Budget. Papcrwor!( Roduclion Projeci (0704-0189), Washington, DC 20503. Plea so DO NOT RETURN your form to either of these addresses. Semi comple!ed form !o tfle Govemmen\ I swing Con!raciing Officer fortlm Conlrm:ljPR No. liolcd in BlockE.

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

TOP TM OTHER

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

1730-01-166-1127

1.DATAITEMNO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A004 Test Procedure First Article Test Procedure

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

DI-NDTl-80603A SOW para 3.6.2.1 AFLCMCI WN-SEV

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

DD 1TIME 60 DAC b. COPIES

8.APPCODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

A NIA NIA

16. REMARKS

BLK 8: The Government will have 45 days after receipt of the test procedures for approval or disapproval. The contractor shall have 21 days after receipt of the Government comments to resubmit the procedures.

BLK9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to AFLCMCI WN-SEV .

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications (Word Document preferred). Both hard copies and CD-ROM or DVD shall be submitted to:

Support Equipment & Vehicles Division ATTN: AFLCMCI WN-SEV I Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: elisabeta.inaram@us.af.mil

ATTN: AFLCMCIWNK

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

Notification of submission shall be provided to the PCO via e-mail.

G. PREPARED BY H. DATE I. APPROVED BY

a. ADDRESSEE

AFLCMCIWN-

SEV

AFLCMCIWNK

15. Total

Elisabeta Ingram 01312017 ROZEBOOM.VICTOR.EJR.1026994850

2017.03.01 10:08:33 -05'00'

DD FORM 1423-1, Feb 2001

Prev,ous editions are obsolete Page

DRAFT FINAL

Re, Repr

0 1 0

0 1 0

J. DATE

of Pages

17.PRICE

OROU�

18 ESTtMAT£0

Public reporting burden for this o::olleciion of informa�on is cstimatod to average 110 hourn p(!r rcsponw, Including the time for reviewing lnsHuclions, searching existing data sources, gathering and maintaining thedala needed, and completing and reviewing lhecolleclion of lnforma�on. Send comments regarding thus burden estimate or any other aspect of this collection of information, including suggestions for reducing lhis burtlen, to Der,;,rtment of Defense, Wnshington Hwdquarters Services, Dimctornle for Information Opcrnfons and Reports, 1215 Jefferson Davis Highway. Su�e 1204. Arlington, VA 22202-4302, and lo the Office of Management and Bl.ldg,:,t. Paper,,orl< Reduction Project (0704-0188), Washington, DC 20503. Pleaoo DO NOT RETURN your form to either of these addresses. Send completed form lo tho Government Issuing Contracting Officer for lhe Conlm�[PR No. listed in Block E.

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

TOP TM OTHER

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

1730-01-166-1127

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

A005 Engineering Change Proposal

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

DI-SESS-80639D SOW para 3.10.1 AFLCMC/ WN-SEV

7. 00250REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

SD ASREQ ASREQ b. COPIES

8.APPCODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE DRAFT FINAL

SUBM!SStON

A N/A N/A '"' Rcpr

16. REMARKS AFLCMC/WN-

SEV

0 1 0

BLK9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall AFLCMC/WNK 0 1 be referred to AFLCMC/ WN-SEV

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Both hard copies and CD-ROM or DVD shall be submitted to:

Support Equipment & Vehicles Division ATTN: AFLCMC/ WN-SEV / Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: e!isabeta.ingram@us.af.mil

ATTN: AFLCMC/WNK

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Elisabeta Ingram 01312017 ROZEBOOM.VICTOR.E.JR.1 026994850

2017.03.01 10:09:35 -05'00'

DD FORM 1423-1, Feb 2001 ..PrevIOus editions are obsolete Page of Pages

IT PRICE

GROUP

H. ESTIMATED

Public reporting burden fort his collection of information;,; estimated to average 110 hours per response, including 100 time for reviewing instructions, searching existing data sources, gathering and maintaining tlm data nooded, and compleling and revmwing lhe coTiection of information. Send comments regarding thus burden estimate or 11ny other aspect of thiscorrecllon oflnformaUon, including suggestions for ro<!ucing this burden, to Dcpanment of Defense, Washington Handqllllrters Services, Dirnctorateforlnformation Operations and Ro?')rts, 1215 Jelfernon Davis Highw.!y, Suite 1204, Arti<l!Jlon, VA 22.202-4302, and lo the Office or Maruigomcnt and Budget. Paperwork Roduction Pmject (0704•011.!B), W,ishinglon, DC 20503. Please DO NOT RETURN your form to either of those addresses Send completed form to 100 Gove mm en\ Issuing Contracting OffiCtlr for the Contract!PR No. listed in BkickE.

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

TOP TM OTHER

D.SYSTEMITEM E. CONTRACT/PR NO. F. CONTRACTOR

1730-01-166-1127

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

A006 Request for Variance

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

DI-SESS-80640D SOW para 3.10.4 AFLCMC/ WN-SEV

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

SD ASREQ ASREQ b. COPIES

8.APPCODE C 11 AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE '"" FINAL

SUBMISSION

A N/A N/A ""' Rcpr

16. REMARKS AFLCMC/WN-

SEV

0 1 0

BLK9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall AFLCMC/WNK 0 1 be referred to A FL CM Ct WN-SEV

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Both hard copies and CD-ROM or DVD shall be submitted to:

Support Equipment & Vehicles Division ATTN: AFLCMC/ WN-SEV / Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: elisabeta.ingram@us.af.mil

ATTN: AFLCMC/WNK

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Elisabeta Ingram 01312017 ROZEBOOM.VICTOR.EJR. 1026994850

2017.03.01 10:10:43 -05'00'

DD FORM 1423-1, Feb 2001 . . Previous editions are obsolete Page of Pages

,?.PRICE

GROUP

1&.E$TtMATEO

TOT Al PRICE

Public reporting burden forthiscolledion of informa�on is osUmaled to avera(!C 110 hours per rosp<inse, including the time for reviewing instructions, searching exi"1ing data sources, gatherirlg an<! maint:lining the data needll<I, and aimploting and reviewing thecoIToction of infonnahon Send comments 1egardlng thus burden estimate or any other aspecl of this collection of Information, including suggestions forrndudng this buri:!en, to Department or Defense, Washington Headquarters Services, DlroclorateforlnfonnaHon Oporalions and Reports, 1215 Jellerson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Mao:igomonl and Budget Paperwork Reduclion Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form lo cithcrofthese addresses. Sorn! oomploted form to the Govemmon! Issuing Contra cling Officer for lhe Con!racijPR No. Ii sled in Block E.

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

TDP TM OTHER

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

1730- 01-166-1127

1.0ATAITEMNO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A007 Notice of Revision (NOR)

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

DI-SESS-8 0642D SOW para 3.10.1 AFLCMC/ WN-SEV

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

REQUIRED

SD ASREQ ASREQ b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE '"" FINAL

SUBMISSION

A N/A N/A Rog Repr

16. REMARKS AFLCMC/WN-

SEV

0 1 0

BLK9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall AFLCMC/WNK 0 1 be referred to AFL CM Ct WN-SEV.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications. Both hard copies and CD-ROM or DVD shall be submitted to:

Support Equipment & Vehicles Division ATIN: AFLCMC/ WN-SEV / Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: elisabeta.ingram@us.af.mil

ATIN: AFLCMC/WNK/

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Elisabeta Ingram 01312017 ROZEBOOM.VICTOR.EJR.10269948 0

2017.03.0110:10:10-05'00'

DD FORM 1423-1, Feb 2001

Previous editions are obsolete Page of Pages

17 PfUCE

GROUP

11. E5l™lffED

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

Public reporting burden forthls collodion ofinfrumation is w:limaled to avt!mge 110 hours per response, including the time for reviewing instructions, se:ircliing existing data sourro,;, galhming and maintaining the data needed, and completing and revOCwing the coijcciion of lnfonnation. Send comments regarding thus burden es1imate or any other aspect of this collection of Information, including suggestions for ro<lucing this burden, to DeJ>'lrlmontof Defense, Washington Headqw11ters Smvicas, Direciorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Omro of Management am! Budget. Papeiworl<. Re<:luction Project (0704-0166), Washington. DC 20503. Please DO NOT RETURN your form to either of thero addre�ses. Send completed form tolhe Government ls.suing Contracting Olfiair for the ContmctlPR No. 1;stcd in Block E

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

TOP TM OTHER

D.SYSTEMITEM E. CONTRACT/PR NO. F. CONTRACTOR

1730-01-166-1127

1.0ATAITEMNO. 2. TITLE OF DATA ITEM 3, SUBTITLE

A008 Test/Inspection Report First Article Test Report

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

DI-NDTl-80809B SOW para 3.6.2.4 AFLCMC/ WN-SEV

7. 00250 REO 9. DJST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. D!STRIBUT!ON

REQUIRED

SD 1TIME 360 DAC b. COPIES

8.APPCODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE DRAFT FINAL

SUBMISSION

A N/A N/A R°' Rcpr

AFLCMC/WN-

SEV

0 1 0

AFLCMCIWNK 0 1

16. REMARKS

BLK 8: The Government will have 45 days after receipt of the test report to approve or disapprove. The contractor shall have 21 days after receipt of the Government comments to resubmit the report.

The contractor shall submit a preliminary first article test report within ten days after completion of the first portion of the first article testing, prior to functional verification performance. The contractor shall submit a final first article test report within ten days after completion of the functional verification.

BLK9: DISTRIBUTION STATEMENT C: Distribution authorized to US Government agencies and their contractors. Other requests for this document shall be referred to

AFLCMC/ WN-SEV.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications (Word Document preferred). Both hard copies and CD-ROM or DVD shall be submitted to:

ATTN: AFLCMC/ WN-SEV / Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: elisabeta.ingram@us.af.mi!

ATTN: AFLCMC/WNK

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

01312017 ROZEBOOM.VICTOR.EJR.1026994850

2017.03.0110:09:05 -05'00'

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17.PRIC�

GROU�

SI.ESTIM/1.TEO

TOTAL �RICE

Public reporting burden for this collection of information is estimated to average 110 hours per response, including tho time for reviewing instructions, searching existing data sources, gathcting and moinlllining tho data needed, and completing and reviewing the coUection of information. Send comments regarding thus burden estimate or any other aspect of this collection o flnformation, lnduding suggestions forrodudng this bun:!en, to Cklpartmontof Defense. Washington HClldquarters Services. Directorate for Information Oporations artd Reports, 1215 Jefferson Davis Highway, Su�o 1204. Arlington, \/A 22202-4302, and to tho Office of Management at>d Bu<lgcl. Pape.work Reduction Project {0704-0188), Washington, DC 20503. ?lease DO NOT RETURN )'Our form to cithm of those addresses Smld eomplctod form to the Government lssui"!I Contracii"9 Olftc0r for the ContmctlPR No. listod in Block E.

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

TDP TM OTHER

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

1730-01-166-1127

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

A009 Conference Agenda

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

DI-ADMN-81249B SOW para 3.2.2.3, 3.2.5 AFLCMC/ WN-SEV

7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

LT ASREQ BLK 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE '"'" FINAL

SUBMJSS!ON

N/A BLK 16 Rog Repr

16. REMARKS AFLCMC/WN-

SEV

0 1 0

BLK4: Contractor format acceptable.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to US

AFLCMC/WNK 0 1 0

Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/ WN-SEV.

BLK 10, 12, & 13: Agenda shall be provided within 5 working days prior to the meeting.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications (Word Document preferred). Documents shall be submitted via e-mail to:

A TIN: AFLCMC/ WN-SEV / Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: elisabeta.inaram@us.af.mi!

ATIN: AFLCMC/WNK/

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

15. Total 3

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

Elisabeta Ingram 01312017 ROZEBOOM.VICTOR.EJR.1026994850

2017.03.01 10:04:34-05'00'

DD FORM 1423-1, Feb 2001 . .

Prev10us editions are obsolete Page of Pages

,7.PRICE

GftOUP

11. ESTIMATED

Public reporting burden for this collection of inforrnnLion is c,:timnled to nvemgn 110 hourn per n.,$ponse, including the Lime for reviewing illSlrucLions, searching exi!IUng dala rourncs, gathering and ma;n1a;ning tho data noedBd, arid completirig and rcvfewing the conoction of Information. Send oommenls regarding thus burden estlmale ornnyother aspect ofthfo cotfectlon of information, including suggestions for reducing this burden. to Department of Oefonse, Washington Headquartorn Services, [);mctoratefor Information OpernLions and Reports, 1215 Jnffomon Davis Highway, Sune 1204, Arfir,gton, VA 22202·4302, arn! to the Office of Management nnd Budget. Paperwork Reduction Project (0704-0188), Washington, DC2050J. Please DO NOT RETURN your form to eilhoroflhose addresses. Send rompleted form to the Government lssuirig Contmciing Officer for the ControctjPR No. I isled in Block E

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

TOP TM OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM 3. SUBTITLE

D. SYSTEM ITEM

1730-01-166-1127

1. DATA ITEM NO.

A010 Conference Minutes

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

DI-ADMN-81250B SOW para 3.2.2.3, 3.2.6 AFLCMC/ WN-SEV

7. 00250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

LT ASREQ BLK 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE DRAFT FINAL

SUBMISSION

N/A BLK 16 "' Rcpr

16. REMARKS AFLCMC/ WN-

SEV

0 1 0

BLK4: Contractor format acceptable.

BLK9: DISTRIBUTION STATEMENT C: Distribution authorized to US

AFLCMC/WNK 0 1 0

Government agencies and their contractors. Other requests for this document shall be referred to AFLCMC/ WN-SEV .

BLK 10, 12, & 13: Minutes shall be provided no later than 10 days after the meeting. Minutes shall include presentation material.

BLK 14: Documents shall be provided via electronic media utilizing standard Microsoft Office applications (Word Document preferred). Both hard copies and CD-ROM or DVD shall be submitted to:

Support Equipment & Vehicles Division

ATTN: AFLCMC/WN-SEV/ Elisabeta Ingram 235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail: e!isabeta.ingram@us.af.mil

ATTN: AFLCMC/WNK/

235 Byron Street, Suite 19A Robins AFB GA 31098-1813 e-mail:

Notification of submission shall be provided to the PCO via e-mail.

15. Total 2

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

Elisabeta Ingram 01312017 ROZEBOOM.VICTOR.EJR.1026994850

2017.03.01 10:05:07 -05'00'

DD FORM 1423-1, Feb 2001

Prev,ous editions are obsolete Page ot Pages

17.PRICE

OROUP

1�. ESTiMA.TEO

TOTA.LPROCE