PR_16_94408_CDRL_Final_16_.pdf

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:

A TDP TM OTHER

MISC

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

Engineering Spt for TH-1H Avionics Suite FD2060-16-94408

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

GROUP

A001 Technical Report - Study/Services

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

TOTAL PRICE

DI-MISC-80508B See Block 16 AFLCMC/WIUBC

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

LT See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRA

FT

FINAL

A See Block 16 See Block 16 Reg Repr o

16. REMARKS Evelyn ryberg@ 1 1

Block 5: See PWS paragraphs 4.3.1, 4.3.2, 4.3.3, 4.3.5, 4.3.6, 4.4, 4.5.3, 4.6, 4.7, 4.12.4

Block 7: Final will be submitted with a DD FORM 250 to DODAAC FA8552, via iRAPT (formally WAWF) attention Evelyn.Ryberg@us.af.mil, Joshua.Lee.30@us.af.mil, and James.Sawinski@us.af.mil to collectively account for data previously submitted by Letter of Transmittals.

GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 30 BUSINESS

DAYS OF RECEIPT.

Blocks 8, 10-13: The contractor shall submit a draft technical report by the specified due date. The report shall contain no more than five (5) typographical errors or technical inaccuracies. The Government will have five (5) business days to approve/disapprove the draft. Contractor shall have five (5) business days to incorporate comments and resubmit.

Block 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (29 June 2016). Other request for this document shall be referred to (AFLCMC/WIUBC).

Block 14: Submit a digital copy in Microsoft® Office® or Adobe® Portable Document Format (PDF).

us.af.mil

Joshua.lee.30@ 1 1 us.af.mil

James.sawinski@ 1 1 us.af.mil

15. Total 3 3

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

Joshua Lee 1 Jul 2016 16 Aug 2016

DD FORM 1423-1, Feb 2001 Previous edition may be used. Page 1 of 1 Pages

WITTER.GARY.L.106290

Digitally signed by WITTER.GARY.L.1062900020 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=WITTER.GARY.L.1062900020 Date: 2016.08.16 13:36:53 -04'00'

1298746758C Typewritten Text

0004AA

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:

A TDP TM OTHER

MGMT

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

Engineering Spt for TH-1H Avionics Suite FD2060-16-94408

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

GROUP

A002 Status Report

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

TOTAL PRICE

DI-MGMT-80368A See Block 16 AFLCMC/WIUBC

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

LT See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRA

FT

FINAL

A See Block 16 See Block 16 Reg Repr o

16. REMARKS Evelyn ryberg@ 1 1

Block 5: See PWS paragraphs 4.3.5, 4.3.6, 4.4, 4.5.3, 4.12.2

Block 7: Final will be submitted with a DD Form 250 to DODAAC FA8552, via iRAPT (formally WAWF) attention Evelyn.Ryberg@us.af.mil, Joshua.Lee.30@us.af.mil, and William.Grun@us.af.mil to collectively account for data previously submitted by Letter of Transmittals.

GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 30 BUSINESS

DAYS OF RECEIPT.

Blocks 8, 10-13: A draft report shall be on the 15th of every month. If the 15th falls on a holiday/weekend, the report is due the next business day.

The initial report is due the 15th of the month after contract award. The Government will review and approve or disapprove within five business days. Contractor shall have five business days to incorporate comments and resubmit final monthly report.

Block 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (25 February 2016). Other request for this document shall be referred to AFLCMC/WIUBC.

Block 14: Submit digital copy in a Microsoft® Office® compatible format for all reports.

us.af.mil

Joshua.lee.30@ 1 1 us.af.mil

James.sawinski@ 1 1 us.af.mil

Anthony.parsek@ 1 1 us.af.mil

Allen.craven@ 1 1 us.af.mil

William.grun@ 1 1 us.af.mil

15. Total 6 6

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

Joshua Lee 1 Jul 2016 16 Aug 2016

DD FORM 1423-1, Feb 2001 Previous edition may be used. Page 1 of 1 Pages

WITTER.GARY.L.10629

00020

Digitally signed by WITTER.GARY.L.1062900020 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=WITTER.GARY.L.1062900020 Date: 2016.08.16 13:37:26 -04'00'

1298746758C

0004AB

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:

A TDP TM OTHER

FNCL

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

Engineering Spt for TH-1H Avionics Suite FD2060-16-94408

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

GROUP

A003 Funds and Man-Hours Expenditure Report

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

TOTAL PRICE

DI-FNCL-80331A PWS Para 4.12.2 AFLCMC/WIUBC

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

LT See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRA

FT

FINAL

A See Block 16 See Block 16 Reg Repr o

16. REMARKS Evelyn ryberg@ 1 1

Block 7: Final will be submitted with a DD Form 250 to DODAAC FA8552, via iRAPT (formally WAWF) attention Evelyn.Ryberg@us.af.mil, Joshua.Lee.30@us.af.mil, and James.swanski@us.af.mil to collectively account for data previously submitted by Letter of Transmittals.

GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 30 BUSINESS

DAYS OF RECEIPT.

Blocks 8, 10-13: A draft report shall be submitted on the 15th of every month in conjunction with monthly status reports. If the 15th falls on a holiday/weekend, the report is due the next business day. The initial report is due within thirty (30) calendar days after contract award. The Government will have five (5) business days to approve/disapprove the draft. The contractor shall have five (5) business days to resubmit the final if changes were deemed necessary by the Government.

Block 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (25 June 2016). Other request for this document shall be referred to AFLCMC/WIUBC.

Block 14: Submit a digital copy in Microsoft® Office® or Adobe® Portable Document Format (PDF).

us.af.mil

Joshua.lee.30@ 1 1 us.af.mil

James.sawinski@ 1 1 us.af.mil

William.grun@ 1 1 us.af.mil

15. Total 4 4

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

Joshua Lee 1 Jul 2016 16 Aug 2016

DD FORM 1423-1, Feb 2001 Previous edition may be used. Page 1 of 1 Pages

WITTER.GARY.L.10629

00020

Digitally signed by WITTER.GARY.L.1062900020 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=WITTER.GARY.L.1062900020 Date: 2016.08.16 13:37:50 -04'00'

1298746758C

0004AC

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:

A TDP TM OTHER

MGMT

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

Engineering Spt for TH-1H Avionics Suite FD2060-16-94408

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

GROUP

A004 Conference Agenda

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

TOTAL PRICE

DI-MGMT-81249B See Block 16 AFLCMC/WIUBC

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

LT See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRA

FT

FINAL

A See Block 16 See Block 16 Reg Repr o

16. REMARKS Evelyn ryberg@ 1 1

Block 5: See PWS paragraphs 4.5.1, 4.5.2. 4.12.3, 4.13, 4.13.1, 4.13.2, 4.13.3.

Block 7: Final will be submitted with a DD Form 250 to DODAAC FA8552, via iRAPT (formally WAWF) attention Evelyn.Ryberg@us.af.mil, Joshua.Lee.30@us.af.mil, and James.swanski@us.af.mil to collectively account for data previously submitted by Letter of Transmittals.

GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 30 BUSINESS

DAYS OF RECEIPT.

Blocks 8, 10-13: A draft agenda shall be submitted 10 business days prior to meeting/conference. The Government will review and approve or disapprove within five (5) business days. Contractor shall have three (3) business days to incorporate comments and resubmit.

Block 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (28 June 2016). Other request for this document shall be referred to AFLCMC/WIUBC.

Block 14: Submit a digital copy in Microsoft® Office® or Adobe® Portable Document Format (PDF).

us.af.mil

Joshua.lee.30@ 1 1 us.af.mil

James.sawinski@ 1 1 us.af.mil

William.grun@ 1 1 us.af.mil

15. Total 4 4

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

Joshua Lee 1 Jul 2016 16 Aug 2016

DD FORM 1423-1, Feb 2001 Previous edition may be used. Page 1 of 1 Pages

WITTER.GARY.L.106290

Digitally signed by WITTER.GARY.L.1062900020 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=WITTER.GARY.L.1062900020 Date: 2016.08.16 13:38:18 -04'00'

1298746758C

0004AD

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:

A TDP TM OTHER

MGMT

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

Engineering Spt for TH-1H Avionics Suite FD2060-16-94408

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

GROUP

A005 Conference Minutes

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

TOTAL PRICE

DI-MGMT-81250B See Block 16 AFLCMC/WIUBC

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

LT See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRA

FT

FINAL

A See Block 16 See Block 16 Reg Repr o

16. REMARKS Evelyn ryberg@ 1 1

Block 5: See PWS paragraphs 4.5.1, 4.5.2. 4.12.3, 4.13, 4.13.1, 4.13.2, 4.13.3.

Block 7: Final will be submitted with a DD Form 250 to DODAAC FA8552, via iRAPT (formally WAWF) attention Evelyn.Ryberg@us.af.mil, Joshua.Lee.30@us.af.mil, and James.swanski@us.af.mil to collectively account for data previously submitted by Letter of Transmittals.

GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 30 BUSINESS

DAYS OF RECEIPT.

Blocks 8, 10-13: Draft minutes shall be submitted five (5) days after meeting/conference. The Government will review and approve or disapprove. Contractor shall have five (5) business days to incorporate comments and resubmit after notification of disapproval by Government.

Block 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (25 June 2016). Other request for this document shall be referred to AFLCMC/WIUBC.

Block 14: Submit a digital copy in Microsoft® Office® or Adobe® Portable Document Format (PDF).

us.af.mil

Joshua.lee.30@ 1 1 us.af.mil

James.sawinski@ 1 1 us.af.mil

William.grun@ 1 1 us.af.mil

15. Total 4 4

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

Joshua Lee 1 Jul 2016 16 Aug 2016

DD FORM 1423-1, Feb 2001 Previous edition may be used. Page 1 of 1 Pages

WITTER.GARY.L.10629

00020

Digitally signed by WITTER.GARY.L.1062900020 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=WITTER.GARY.L.1062900020 Date: 2016.08.16 13:38:43 -04'00'

1298746758C

0004AE

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:

A TDP TM OTHER

MGMT

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

Engineering Spt for TH-1H Avionics Suite FD2060-16-94408

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

GROUP

A006 Presentation Material

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

TOTAL PRICE

DI-MGMT-81373 See Block 16 AFLCMC/WIUBC

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

LT See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRA

FT

FINAL

A See Block 16 See Block 16 Reg Repr o

16. REMARKS Evelyn ryberg@ 1 1

Block 5: See PWS paragraphs 4.5.1, 4.5.2. 4.12.3, 4.13, 4.13.1, 4.13.2, 4.13.3.

Block 7: Final will be submitted with a DD Form 250 to DODAAC FA8552, via iRAPT (formally WAWF) attention Evelyn.Ryberg@us.af.mil, Joshua.Lee.30@us.af.mil, and James.swanski@us.af.mil to collectively account for data previously submitted by Letter of Transmittals.

GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 30 BUSINESS

DAYS OF RECEIPT.

Blocks 8, 10-13: Draft presentation material shall be submitted five (5) business days before the meeting/conference. The document shall contain no more than five (5) typographical errors or one (1) technical inaccuracies.

The Government will review and approve or disapprove within one (1) business day. Contractor shall have one (1) business day to incorporate comments and resubmit.

Block 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (28 June 2016). Other request for this document shall be referred to AFLCMC/WIUBC.

Block 14: Submit digital copy in a Microsoft® Office® compatible format for all reports.

us.af.mil

Joshua.lee.30@ 1 1 us.af.mil

James.sawinski@ 1 1 us.af.mil

William.grun@ 1 1 us.af.mil

15. Total 4 4

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

Joshua Lee 1 Jul 2016 16 Aug 2016

DD FORM 1423-1, Feb 2001 Previous edition may be used. Page 1 of 1 Pages

WITTER.GARY.L.10629

00020

Digitally signed by WITTER.GARY.L.1062900020 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=WITTER.GARY.L.1062900020 Date: 2016.08.16 13:39:12 -04'00'

1298746758C

0004AF

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:

A TDP XXXX TM OTHER

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

FD2060-16-94408

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

A007 PRODUCT DRAWINGS/MODELS AND ASSOCIATED LISTS

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

DI-SESS-81000E/T PWS 4.3.5, 4.5, 4.5.3, 4.6, 4.7, 4.12.2 AFLCMC/LZPEM

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

DD 250 QRTLY SEE BLK 16 b. COPIES

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

SUBSEQUENT

SUBMISSION

a. ADDRESSEE FINAL

A SEE

BLOCK 16

SEE BLK 16 Draft Reg Repro

16. REMARKS AFLCMC/LZPEM

285 Cochran Street

1. Air Force drawings 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 2014-107 on all correspondence related to this effort.

PAPER COPY 1

SEE CONTINUATION SHEETS DIGITAL DATA 1

(CLASSIFIED)

DIGITAL 1

15. TOTAL 1 0 2

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

Cyle Capelle 31 October 2014 16 Aug 2016

DD Form 1423-1, Feb 2001 STRAWMAN Revision 8 Oct 2014 PAGE ___1__ _ OF ___7___ PAGES EDATS 2014-107

WITTER.GARY.L.1062900020

Digitally signed by WITTER.GARY.L.1062900020 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=WITTER.GARY.L.1062900020 Date: 2016.08.16 13:40:02 -04'00'

1298746758C Typewritten Text

0004AG

1298746758C

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:

A TDP TM OTHER

MISC

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

Engineering Spt for TH-1H Avionics Suite FD2060-16-94408

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

GROUP

A008 Counterfeit Prevention Plan

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

TOTAL PRICE

DI-MISC-81832 PWS Para 4.17 AFLCMC/WIUBC

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

LT See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRA

FT

FINAL

A See Block 16 See Block 16 Reg Repr o

16. REMARKS Evelyn ryberg@ 1 1

Block 7: Final will be submitted with a DD Form 250 to DODAAC FA8552, via iRAPT (formally WAWF) attention Evelyn.Ryberg@us.af.mil, and Joshua.Lee.30@us.af.mil to collectively account for data previously submitted by Letter of Transmittals. GOVERNMENT WILL

APPROVE/DISAPPROVE WITHIN 30 BUSINESS DAYS OF RECEIPT.

Blocks 8, 10-13: Contractor shall submit a Counterfeit Prevention Plan within 20 working days after contract award. Written Government approval/comments/disapproval will be within 10 working days after receipt of data. Contractor final submission shall be submitted within 10 working days of receiving Government comments. Approval by the Government is required prior to formal distribution.

Block 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (25 June 2016). Other request for this document shall be referred to AFLCMC/WIUBC.

Block 14: Submit digital copy in a Microsoft® Office® compatible format for all reports. Deliver to: Evelyn.Ryberg@us.af.mil, Joshua.Lee.30@us.af.mil, and James.Sawinski@us.af.mil.

us.af.mil

Joshua.lee.30@ 1 1 us.af.mil

James.sawinski@ 1 1 us.af.mil

15. Total 3 3

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

Tyrone D. Hendrix 29 Jun 2016 16 Aug 2016

DD FORM 1423-1, Feb 2001 Previous edition may be used. Page 1 of 1 Pages

WITTER.GARY.L.10629

00020

Digitally signed by WITTER.GARY.L.1062900020 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=WITTER.GARY.L.1062900020 Date: 2016.08.16 13:40:45 -04'00'

1298746758C Typewritten Text

0004AH

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:

A TDP TM OTHER

MISC

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

Engineering Spt for TH-1H Avionics Suite FD2060-16-94408

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

GROUP

A009 Software/Firmware Change Request

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

TOTAL PRICE

DI-MISC-81807 PWS Para 4.4 AFLCMC/WIUBC

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

LT ASREQ See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRA

FT

FINAL

A See Block 16 See Block 16 Reg Repr o

16. REMARKS Evelyn ryberg@ 1 1

Block 7: Final will be submitted with a DD Form 250 to DODAAC FA8552, via iRAPT (formally WAWF) attention Evelyn.Ryberg@us.af.mil, Joshua.Lee.30@us.af.mil, and James.swanski@us.af.mil to collectively account for data previously submitted by Letter of Transmittals.

GOVERNMENT WILL APPROVE/DISAPPROVE WITHIN 30 BUSINESS

DAYS OF RECEIPT.

Blocks 8, 11-13: The contractor shall submit a draft Software/Firmware Change Request as required. The request shall contain no more than five

(5) typographical errors or technical inaccuracies. The Government will have five (5) business days to approve/disapprove the draft. Contractor shall have five (5) business days to incorporate comments and resubmit.

Block 9: Distribution authorized to U.S. Government agencies and their contractors (Administrative or Operational use) (29 June 2016). Other request for this document shall be referred to AFLCMC/WIUBC.

Block 14: Submit a digital copy in Microsoft® Office® or Adobe® Portable Document Format (PDF).

us.af.mil

Joshua.lee.30@ 1 1 us.af.mil

James.sawinski@ 1 1 us.af.mil

15. Total 3 3

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

Joshua Lee 7 Jul 2016 16 Aug 2016

DD FORM 1423-1, Feb 2001 Previous edition may be used. Page 1 of 1 Pages

WITTER.GARY.L.106290

Digitally signed by WITTER.GARY.L.1062900020 DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USAF, cn=WITTER.GARY.L.1062900020 Date: 2016.08.16 13:41:30 -04'00'

1298746758C Typewritten Text

0004AJ