Engineering_Change_Proposal_-_1423-1_(A009).pdf

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CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) OMB No. 0704-0188

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 TM OTHER

E. CONTRACT/PR NO. F. CONTRACTORD. SYSTEM ITEM

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

GROUP

Conference Agenda

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

TOTAL PRICE

DI-ADMN-81249 SOW para 3.2. AFLCMC/WNZE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ASREQ BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A BLK 16 Reg Repr o

16. REMARKS AFLCMC/

WNZE 0 2 0

BLK 4: Contractor format acceptable.

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

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. Documents shall be submitted via e-mail to:

Support Equipment & Vehicles Division

ATTN: AFLCMC/WNZE

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

Support Equipment & Vehicles Division

ATTN: AFLCMC/WNKAC TIM G. HUDSON

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

AFLCMC/

WNKAC 0 1 0

15. Total 3

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

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

ROZEBOOM.VICTOR.E.JR.1026994850

2017.02.02 07:09:13 -05'00'

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

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) OMB No. 0704-0188

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 TM OTHER

E. CONTRACT/PR NO. F. CONTRACTORD. SYSTEM ITEM

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

GROUP

Conference Minutes

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

TOTAL PRICE

DI-ADMN-81250 SOW para 3.2. AFLCMC/WNZE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT ASREQ BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A BLK 16 Reg Repr o

16. REMARKS AFLCMC/

WNZE 0 2 0

BLK 4: Contractor format acceptable.

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. Both hard copies and CD-ROM or DVD shall be submitted to:

Support Equipment & Vehicles Division

ATTN: AFLCMC/WNZE

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

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

2017.02.02 07:10:01 -05'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 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

System Safety Hazard Analysis Report

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

TOTAL PRICE

DI-SAFT-80101C SOW para 3.3.1.1 AFLCMC/WNZE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. 14. DISTRIBUTION

DD

DATE OF FIRST SUBMISSION

b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A Reg Repr o

16. REMARKS AFLCMC/

WNZE 0 2 0

BLK 8: The Government will have 30 days after receipt of report for approval or disapproval. The contractor shall have 1 days after receipt of the Government 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 AFLCMC/WNZE

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/WNZE

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

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

2017.02.02 07:10:37 -05'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 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

Te

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

TOTAL PRICE

AFLCMC/WNZE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

D b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A Reg Repr o

16. REMARKS AFLCMC/

WNZE 0 0

Support Equipment & Vehicles Division

ATTN: AFLCMC/

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

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

2017.02.02 07:11:18 -05'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 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

Test Procedure First Production Test Procedure

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

TOTAL PRICE

DI-NDTI-80603A SOW para 3.5. .1 AFLCMC/WNZE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD 1TIME b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNZE 0 2 0

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.

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

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/

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

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

2017.02.02 07:11:52 -05'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 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

Test/Inspection Report First Production Test Report

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

TOTAL PRICE

DI-NDTI-80809B SOW para 3.5. AFLCMC/WNZE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD 1TIME b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNZE 0 2 0

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.

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

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/

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

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

2017.02.02 07:12:22 -05'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 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

Notice of Revision (NOR)

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

TOTAL PRICE

DI-SESS-80642D SOW para 3.6.2 AFLCMC/

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ASREQ ASREQ b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A Reg Repr o

16. REMARKS AFLCMC/ 0 2 0

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

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/

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

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

2017.02.02 07:13:05 -05'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 TM OTHER

E. CONTRACT/PR NO. F. CONTRACTORD. SYSTEM ITEM

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

GROUP

Contractor’s Progress, Status, and Management Report Monthly Status Report

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

TOTAL PRICE

DI-MGMT-80227 SOW para 3.1.3 AFLCMC/WNZE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Mthly 5th of First Month ARO b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A 5th of the Month Reg Repr o

16. REMARKS AFLCMC/

WNZE

0 2 0

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.

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

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

Support Equipment & Vehicles Division

ATTN: AFLCMC/WNZE

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

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

2017.02.02 07:14:00 -05'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 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

Engineering Change Proposal

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

TOTAL PRICE

DI-SESS-80639D SOW para 3.6.2 AFLCMC/

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ASREQ ASREQ b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/ 0 2 0

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

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/

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

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

2017.02.02 07:14:39 -05'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 TM OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

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

GROUP

Request for Variance

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

TOTAL PRICE

DI-SESS-80640D SOW para 3.6.3 AFLCMC/

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ASREQ ASREQ b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/ 0 2 0

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

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/

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

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

2017.02.02 07:15:18 -05'00'

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 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

Product Base Line Index Configuration Management and Control

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

TOTAL PRICE

DI-CMAN-81218 SOW para 3.6.1. AFLCMC/

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

SD ASREQ BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A BLK 16 Reg Repr o

16. REMARKS AFLCMC/ 0 2 0

BLK 8: The Government will have 30 days after receipt of the data for approval or disapproval. The contractor shall have 10 days after receipt of the Government comments to resubmit the data.

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

BLK 10, 12, & 13: Product base line index shall be submitted within 30 days after the acceptance of the test report. Any subsequent changes shall be submitted within 30 days after change approval.

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 via to:

Support Equipment & Vehicles Division

ATTN: AFLCMC/

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

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

2017.02.02 07:16:10 -05'00'

D. SYSTEM ITEM

(1 Data Item) OMB No. 0704-0188

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 thus burden estimate or any other aspect of this collection o f information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. 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 TM OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

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

GROUP

System Safety Program Plan

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

TOTAL PRICE

DI-SAFT-81626 SOW para 3.3.1.1 AFLCMC/WNZE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

A N/A N/A Reg Repr o

16. REMARKS AFLCMC/

WNZE 0 2 0

BLK 8: The Government will have 30 days after receipt of plan for approval or disapproval. The contractor shall have 10 days after receipt of the Government comments to resubmit the plan.

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

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/WNZE

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

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

2017.02.02 07:17:04 -05'00'

File details come from the government source that posted it. Updated .