CDRLs_A001-A010.pdf

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of14 9

FD20601400401 Rockwell Collins-ESA Vision Systems, LLCJoint Helmet Mounted Cueing System

A001

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 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 X

D. System/Item: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

(50/50) Requirements Report Requirements Reports

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-MGMT-81749A PWS Paragraph 4.1.3.2 407 SCMS/GULB

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A B

11. As of Date: 13. Date of Subsequent Submission:

Blk 16

Blk 16

ANNLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro N/A

G. Prepared By: H. Date I. Approved By: J. Date:

Lorie Burton

407 SCMS/GULB

Robins AFB GA 31098

0 1 1

15. Total: 0 1 1

16. Remarks:

NAME: Burton, Lorie A DATE: 16 SEP 2014

Block 4: Data item tailored as per the following:

Remove 3.2.1 Remove 3.2.2 Remove 3.2.4 Remove 3.2.5.1.1 Remove 3.2.5.2 Remove 3.3.1.1 Remove 3.3.1.2 Remove 3.3.1.3 Remove 3.3.1.3 Remove 3.3.1.9 Remove 3.3.1.10 Remove 3.3.2.1 Remove 3.3.2.2 Remove 3.3.2.4

Block 9: Distribution authorized to U.S. Government agencies only. Other requests for this document shall be referred to 407 SCMS/GULB.

Block 12, 13: To be reported annually, due no later than 20 September for the current fiscal year.

Block 14: Forward one electronic copy in PDF format to the following recipient:

Program Manager: Lorie Burton (E-mail: Lorie.Burton@us.af.mil)

Ritchie, Kimberly D

407 SCMS / GULB

478-926-9586

30 SEP 2014 //DIGITALLY SIGNED//

COORDINATORS:

407 SCMS / GULBC

SILLENCE.NICOLLE.M.1228987545

478-926-7824 / 468-7824

30 SEP 2014

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of24 9

A002

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 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 X

D. System/Item: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Item Unique Identification (IUID) Marking Plan Marking Plan

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-MGMT-81803 PWS Paragraph 4.6.1 407 SCMS/GULB

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A B

11. As of Date: 13. Date of Subsequent Submission:

BLK 16

N/A

1 XTIME

a. Addressee:

b. Copies:

Final

Draft Reg Repro N/A

G. Prepared By: H. Date I. Approved By: J. Date:

Gary Plaisted

407 SCMS/GUEA

Robins AFB GA 31098

Lorie Burton

407 SCMS/GULB

Robins AFB GA 31098

15. Total: 0 2 2

16. Remarks:

NAME: Burton, Lorie A DATE: 16 SEP 2014

Block 9: Distribution authorized to U.S. Government agencies only. Other requests for this document shall be referred to 407 SCMS/GULB.

Block 12: 30 Days after contract award

Block 14: Forward one electronic copy in PDF format to the following recipients:

Program Manager: Lorie Burton (E-mail: Lorie.Burton@us.af.mil) Engineer: Gary Plaisted (E-mail: Gary.Plaisted@us.af.mil)

Ritchie, Kimberly D

407 SCMS / GULB

478-926-9586

30 SEP 2014 //DIGITALLY SIGNED//

COORDINATORS:

407 SCMS / GULBC

SILLENCE.NICOLLE.M.1228987545

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of34 9

A003

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 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 X

D. System/Item: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Item Unique Identification (IUID) Marking Activity and Verification Report

N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-MGMT-81804A PWS Paragraph 4.6.2 407 SCMS/GULB

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A B

11. As of Date: 13. Date of Subsequent Submission:

Blk 16

Blk 16

MTHLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro N/A

G. Prepared By: H. Date I. Approved By: J. Date:

Gary Plaisted

407 SCMS/GUEA

Robins AFB GA 31098

Lorie Burton

407 SCMS/GULB

Robins AFB GA 31098

15. Total: 0 2 2

16. Remarks:

NAME: Burton, Lorie A DATE: 22 SEP 2014

Block 4: IUID Marking Activity and Verification Report can be combined with the monthly status report.

Block 9: Distribution authorized to U.S. Government agencies only. Other requests for this document shall be referred to 407 SCMS/GULB.

Block 12: Due no later than 15 days after the end of the monthly repair period

Block 13: Monthly

Block 14: Block 14: Forward one electronic copy in PDF format to the following recipients:

Program Manager: Lorie Burton (E-mail: Lorie.Burton@us.af.mil) Engineer: Gary Plaisted (E-mail: Gary.Plaisted@us.af.mil)

Ritchie, Kimberly D

407 SCMS / GULB

478-926-9586

30 SEP 2014 //DIGITALLY SIGNED//

COORDINATORS:

407 SCMS / GULBC

SILLENCE.NICOLLE.M.1228987545

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of44 9

A004

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 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 X

D. System/Item: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Counterfeit Prevention Plan N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-MISC-81832 PWS Paragraph 4.9.1 407 SCMS/GULB

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A B

11. As of Date: 13. Date of Subsequent Submission:

Blk 16

Blk 16

ASREQ

a. Addressee:

b. Copies:

Final

Draft Reg Repro N/A

G. Prepared By: H. Date I. Approved By: J. Date:

Gary Plaisted

407 SCMS/GULB

Robins AFB GA 31098

Lorie Burton

407 SCMS/GULB

Robins AFB GA 31098

15. Total: 0 2 2

16. Remarks:

NAME: Burton, Lorie A DATE: 22 SEP 2014

Block 9: Distribution authorized to U.S. Government agencies only. Other requests for this document shall be referred to 407 SCMS/GULB.

Block 10: Revisions as required in accordance with the DID

Block 12: Due no later than 90 days after contract award

Block 13: Subsequent submissions based on revisions as stated in block 10 and 11

Block 14: Block 14: Forward one electronic copy in PDF format to the following recipients:

Program Manager: Lorie Burton (E-mail: Lorie.Burton@us.af.mil) Engineer: Gary Plaisted (E-mail: Gary.Plaisted@us.af.mil)

Ritchie, Kimberly D

407 SCMS / GULB

478-926-9586

30 SEP 2014 //DIGITALLY SIGNED//

COORDINATORS:

407 SCMS / GULBC

SILLENCE.NICOLLE.M.1228987545

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of54 9

A005

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 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 X

D. System/Item: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Commercial Asset Visibility Air Force (CAV AF) CAVAF

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-MGMT-81634B PWS para 4.10 FA8539

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A A

11. As of Date: 13. Date of Subsequent Submission:

See block 16

See block 16

See Block 16

a. Addressee:

b. Copies:

Final

Draft Reg Repro See block 16

G. Prepared By: H. Date I. Approved By: J. Date:

16. Remarks:

NAME: Sostarich, Jonn W DATE: 23 SEP 2014

1. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF web site or CICA XML IAW the referenced DID IAW and/or CAV AF CFM SOW. This information will be accessed by the program office PMS and by 420 SCMS/GUNAB- Robins in order to ascertain production status.

2. Transactions and data will be submitted by the contractor daily IAW CAV AF User Guide, Version 8.0 or higher. The Contractor shall obtain a valid DoD PKI certificate to log into CAV AF.

Each user shall be required to have an Identity Certificate only; an encryption certificate is not required.

3. Training will be provided by 420 SCMS/GUNAB-Robins, (478) 327-6603 or 6602.

4. This DD Form 1423-1 applies to Contractor Furnished Materiel (CFM) type contracts.

Block 7: Enter the applicable code as listed in DoD 5010.12-M, Chapter 3. (Enter LT for Letter of Transmittal if not separately priced or DD if separately priced.)

Block 10:

a. Contractor reporting requirements to CAV AF shall be accomplished daily and/or within 24 hours of a supply or maintenance action occurrence IAW Contractor Users Guide.

b. The method of communication from the contractor to the funding base will be mechanized using the CAV AF Online web site IAW CAV AF Contractor Users Guide.

Block 11: Data shall be current within 24 hours of last End Item maintenance occurrence.

Block 12: Date of first submission shall be within 24 hours following a supply or maintenance transaction after the contract award date and government training as specified in IAW CAV AF Users Guide.

Block 13: Same as remarks regarding Block 10 above.

Ritchie, Kimberly D

407 SCMS / GULB

478-926-9586

30 SEP 2014 //DIGITALLY SIGNED//

COORDINATORS:

407 SCMS / GULBC

SILLENCE.NICOLLE.M.1228987545

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of64 9

A006

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 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 X

D. System/Item: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Status Report N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-MGMT-80368A PWS Paragraph 4.11 407 SCMS/GULB

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A B

11. As of Date: 13. Date of Subsequent Submission:

Blk 16

Blk 16

MTHLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro N/A

G. Prepared By: H. Date I. Approved By: J. Date:

Kimberly Ritchie

407 SCMS/GULB

Robins AFB GA 31098

Lorie Burton

407 SCMS/GULB

Robins AFB GA 31098

15. Total: 0 2 2

16. Remarks:

NAME: Burton, Lorie A DATE: 22 SEP 2014

Block 9: Distribution authorized to U.S. Government agencies only. Other requests for this document shall be referred to 407 SCMS/GULB.

Block 12: 30 days after contract award

Block 13: Monthly after first submission, prior to the 10th working day of the month submitted

Block 14: Block 14: Forward one electronic copy in PDF format to the following recipients:

Program Manager: Lorie Burton (E-mail: Lorie.Burton@us.af.mil) Production Management Specialist (PMS): Kim Ritchie (E-mail: Kimberly.Ritchie@us.af.mil)

Ritchie, Kimberly D

407 SCMS / GULB

478-926-9586

30 SEP 2014 //DIGITALLY SIGNED//

COORDINATORS:

407 SCMS / GULBC

SILLENCE.NICOLLE.M.1228987545

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of74 9

A007

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 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 X

D. System/Item: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Failure Summary and Analysis Report N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-RELI-80255 PWS Paragraph 4.12 407 SCMS/GULB

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A B

11. As of Date: 13. Date of Subsequent Submission:

Blk 16

Blk 16

MTHLY

a. Addressee:

b. Copies:

Final

Draft Reg Repro N/A

G. Prepared By: H. Date I. Approved By: J. Date:

Gary Plaisted

407 SCMS/GUEA

Robins AFB GA 31098

Lorie Burton

407 SCMS/GULB

Robins AFB GA 31098

15. Total: 0 2 2

16. Remarks:

NAME: Burton, Lorie A DATE: 23 SEP 2014

Block 4: Contractor format is acceptable.

Failure summary and analysis report can be combined with the monthly status report.

Block 9: Distribution authorized to U.S. Government agencies only. Other requests for this document shall be referred to 407 SCMS/GULB.

Block 12: 30 days after contract award

Block 13: Monthly after first submission, prior to the 10th working day of the month submitted

Block 14: Forward one electronic copy in PDF format to the following recipients:

Program Manager: Lorie Burton (E-mail: Lorie.Burton@us.af.mil) Engineer: Gary Plaisted (E-mail: Gary.Plaisted@us.af.mil)

Ritchie, Kimberly D

407 SCMS / GULB

478-926-9586

30 SEP 2014 //DIGITALLY SIGNED//

COORDINATORS:

407 SCMS / GULBC

SILLENCE.NICOLLE.M.1228987545

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of84 9

A008

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 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 X

D. System/Item: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Government Industry Data Exchange Program (GIDEP) Alert/Safe Alert Report

N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-QCIC-80125B PWS Paragraph 4.13.2 407 SCMS/GULB

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A A

11. As of Date: 13. Date of Subsequent Submission:

Blk 16

Blk 16

ASREQ

a. Addressee:

b. Copies:

Final

Draft Reg Repro N/A

G. Prepared By: H. Date I. Approved By: J. Date:

Gary Plaisted

407 SCMS/GUEA

Robins AFB GA 31098

Lorie Burton

407 SCMS/GULB

Robins AFB GA 31098

15. Total: 0 2 2

16. Remarks:

NAME: Burton, Lorie A DATE: 23 SEP 2014

Block 9: Approved for public release; distribution is unlimited

Block 10-13: One submittal for each occurrence

Block 14: Forward one electronic copy in PDF format to the following recipients:

Program Manager: Lorie Burton (E-mail: Lorie.Burton@us.af.mil) Engineer: Gary Plaisted (E-mail: Gary.Plaisted@us.af.mil)

Ritchie, Kimberly D

407 SCMS / GULB

478-926-9586

30 SEP 2014 //DIGITALLY SIGNED//

COORDINATORS:

407 SCMS / GULBC

SILLENCE.NICOLLE.M.1228987545

DD Form 1423-1, JUN 90 (EF) Generated By PRPS Using Oracle Reports Version Page of94 9

A009

CONTRACT DATA REQUIREMENTS LIST Form Approved

OMB NO.0704-D188

(1 Data Item)

Public reporting burden for this collection of information will reflect 110 hours per data item (5 data items would be 550 hours), 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 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 X

D. System/Item: E. Contract/Pr No.: F. Contractor:

1. Data Item No.: 2. Title of Data Item: 3. Subtitle:

Government Industry Data Exchange Program (GIDEP) Alert/Safe Alert Response

N/A

4. Authority(Data Acquisition Document No.): 5. Contract Reference: 6. Requiring Office:

DI-QCIC-80126B PWS Paragraph 4.13.2 407 SCMS/GULB

7. DD250 Req: 9. Dist.Statement Required:

10. Frequency: 12. Date of First Submission:

14. Distribution:

LT

8. APP Code:

N/A A

11. As of Date: 13. Date of Subsequent Submission:

Blk 16

Blk 16

ASREQ

a. Addressee:

b. Copies:

Final

Draft Reg Repro N/A

G. Prepared By: H. Date I. Approved By: J. Date:

Gary Plaisted

407 SCMS/GUEA

Robins AFB GA 31098

Lorie Burton

407 SCMS/GULB

Robins AFB GA 31098

15. Total: 0 2 2

16. Remarks:

NAME: Burton, Lorie A DATE: 23 SEP 2014

Block 9: Approved for public release; distribution is unlimited

Block 10-13: One submittal for each occurrence

Block 14: Forward one electronic copy in PDF format to the following recipients:

Program Manager: Lorie Burton (E-mail: Lorie.Burton@us.af.mil) Engineer: Gary Plaisted (E-mail: Gary.Plaisted@us.af.mil)

Ritchie, Kimberly D

407 SCMS / GULB

478-926-9586

30 SEP 2014 //DIGITALLY SIGNED//

COORDINATORS:

407 SCMS / GULBC

SILLENCE.NICOLLE.M.1228987545