Sec_J _Attachment_23_-_2794-Contract_Sub_19_Jul.pdf

FA8629-12-R-2400

Section J, Attachment 23

19 July 2012

a. NAME:

Pre-A X B C-FRP X

A C-LRIP O&S

PROGRAM X

X

X

a. CWBS

DICTIONARY

d. DD 1921-2

(PCR)

f. SRDR

FORMATS

X X X

X X

X X

X X

X X

X X

X X

X X

X

X X

X

X

X X

X X

X X

X X

X X

X X

X X

X

X

X

X

X

X

X X

X X

X X

X X

X X

X X

X X

X

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

1.1.4 1.1.4.1 Avionics Integration, Assembly, Test, and Checkout X

1.1.4 1.1.4 Avionics X X

1.1 1.1 Air Vehicle X X

1.1.1 1.1.1 Airframe X X

1.1.1 1.1.1.1 Airframe Integration, Assembly, Test and Checkout X X

1.1.1 1.1.1.2 Fuselage X X

1.1.1 1.1.1.3 Wing X

1.1.1 1.1.1.4 Empennage X

1.1.1 1.1.1.5 Nacelle X

1.1.1 1.1.1.6 Other Airframe Components 1...n (Specify) X

1.1.2 1.1.2 Propulsion X

1.1.2 1.1.2.1 Engine X

1.1.2 1.1.2.2 Other Propulsion X

1.1.3 1.1.3 Vehicle Subsystems X

1.1.3 1.1.3.1 Vehicle Subsystem Integration, Assembly, Test, and Checkout X

1.1.3 1.1.3.2 Flight Control Subsystem X

1.1.3 1.1.3.3 Auxiliary Power Subsystem X

1.1.3 1.1.3.4 Hydraulic Subsystem X

1.1.3 1.1.3.5 Electrical Subsystem X

1.1.3 1.1.3.6 Crew Station Subsystem X

1.1.3 1.1.3.6.1 Life Support Systems X

1.1.3 1.1.3.6.2 Escape Systems X

1.1.3 1.1.3.6.3 Crash Protection Devices X

1.1.3 1.1.3.6.4 Search and Rescue Equipment X

1.1.3 1.1.3.6.5 Crew and Passenger/Troop Compartment X

1.1.3 1.1.3.6.6 Display/Control Interfaces X

Fuel Subsystem X

1.1.3 1.1.3.7 Environmental Control Subsystem X

1.1.3 1.1.3.9 Landing Gear X

1.1.3 1.1.3.11 Drive Group X

1.1.3 1.1.3.12 Vehicle Subsystem Software Release 1...n X

X

b. DD 1921

(CDSR)

XCombat Rescue Helicopter System

Rotor Group X

1.01.0

1.1.3 1.1.3.10

1.1.3 1.1.3.8

9b. CONTRACT NUMBER

TBD

b. CONTRACT/

SUBCONTRACT

12.

WBS REPORTING ELEMENTS

11. WBS ELEMENT CODE

13. REPORTS REQUIRED

(X if applicable)

a. PROGRAM/

CONTRACT/

SUBCONTRACT

8. PREPARING

ORGANIZATION

Rotary Wing Branch, SOF Program Office

AF-11-F-C1-S1

10. APPROVED PLAN NUMBER

c. DD 1921-1

(FCHR)

e. DD 1921-4

(CSR)

DD 1921-3 (CBDR):

6d. E-MAIL ADDRESS chris.hensley@wpafb.af.mil

TBD

6a. POINT OF CONTACT (POC) NAME AND ADDRESS (Include ZIP Code)

Chris Hensley

AFLCMC/WISF

1895 5th Street, Bldg. 46

Wright Patterson AFB, OH 45433-7200

RDT&E

PROCUREMENT

O&M

9c. APPROPRIATION

6b. TELEPHONE NUMBER (Include Area Code)

7. PLAN TYPE

CONTRACT (PRIME)

CONTRACT (SUB)

TBD

ii. DIVISION

9a. CONTRACTOR NAME/ADDRESS

i. PERFORMING ORGANIZATION

COST AND SOFTWARE DATA REPORTING PLAN

Form Approved

OMB No. 0704-0188

b. PHASE/MILESTONE c. PRIME MISSION PRODUCT

The public reporting burden for this collection of information is estimated to average 8 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.

2. WBS SYSTEM TYPE

1. MAJOR PROGRAM Air Force Combat Rescue Helicopter (CRH)

3. SUBMISSION TYPE 4. CURRENT SUBMISSION

DATE (YYYYMMDD)

937-255-3721

6c. FAX NUMBER (Include Area Code)

937-255-6817

Aircraft SystemCRH System

5. LAST APPROVED PLAN DATE

(YYYYMMDD)

N/A20120409

INITIAL

CHANGE

19 July 2012

X

a. CWBS

DICTIONARY

d. DD 1921-2

(PCR)

f. SRDR

FORMATS

X X

X

X

X

X

X

X

X

X

X

X

X

X X

X

X

X

X

X

X

X

X

X

X

X

X

X X

X

X

X

X X

X

X

X

X X

X

X

X

X

X X

X X

X X

X

X

X X

X X

X

X

X

X X

X

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

1.1.8 1.1.8 Air Vehicle Software Release 1...n X

1.1.7 1.1.7 Furnishings and Equipment X

1.1.4 1.1.4.2.1 Integrated Broadcast Receiver X

1.1.4 1.1.4.2.2 Personnel Locator System X

1.1.4 1.1.4.2.3 VHF/UHF/SATCOM Multi-band Radio X

1.1.4 1.1.4.2.4 Backup VHF/UHF Radio X

1.1.4 1.1.4.2.5 Link-16 X

1.1.4 1.1.4.2.6 Improved Data Model X

1.1.4 1.1.4.2.7 Communications/Crypto Systems X

1.1.4 1.1.4.2.8 Identification Friend or Foe X

1.1.4 1.1.4.2.9 Blue Force Tracker X

1.1.4 1.1.4.2.10 Situational Awareness Data Link X

1.1.4 1.1.4.2.11 Intercommunications System X

1.1.4 1.1.4.3 Navigation/Guidance X

1.1.4 1.1.4.3.1 Digital Air Data Computer X

1.1.4 1.1.4.3.2 Radar Altimeter X

1.1.4 1.1.4.3.3 Altitude Heading Reference System X

1.1.4 1.1.4.3.4 Tactical Air Navigation X

1.1.4 1.1.4.3.5 Distance Measuring Equipment X

1.1.4 1.1.4.3.6 Embedded GPS/INS X

1.1.4 1.1.4.3.7 Multi-mode Radar X

1.1.4 1.1.4.3.8 Automatic Direction Finder X

1.1.4 1.1.4.3.9 Weather Radar X

1.1.4 1.1.4.3.10 Forward Looking Infrared X

1.1.4 1.1.4.3.11 Traffic Alert and Collision Avoidance System X

1.1.4 1.1.4.3.12 VOR/ILS X

1.1.4 1.1.4.4 Mission Computer/Processing X

1.1.4 1.1.4.4.1 Mission Computer X

1.1.4 1.1.4.4.2 Data Transfer System X

1.1.4 1.1.4.5 Fire Control X

1.1.4 1.1.4.6 Data Display and Controls X

1.1.4 1.1.4.6.1 Multi-function Displays X

1.1.4 1.1.4.6.2 Control Display Unit X

1.1.4 1.1.4.6.3 Crewstation Display X

1.1.4 1.1.4.7 Survivability X

1.1.4 1.1.4.7.1 Laser Warning X

1.1.4 1.1.4.7.2 Radio Frequency Survivability Subsystem X

1.1.4 1.1.4.7.3 Infrared Survivability Subsystem X

1.1.4 1.1.4.7.4 Expendable Countermeasure X

1.1.4 1.1.4.8 Reconnaissance X

1.1.4 1.1.4.9 Automatic Flight Control X

1.1.4 1.1.4.10 Health Monitoring System X

1.1.4 1.1.4.11 Stores Management X

1.1.4 1.1.4.12 Avionics Software Release 1...n X

1.1.5 1.1.5 Armament/Weapons Delivery X

1.1.6 1.1.6 Auxiliary Equipment X

1.1.6 1.1.6.1 Cockpit Voice Recorder X

1.1.6 1.1.6.2 Flight Data Recorder X

1.1.6 1.1.6.3 Crash Position Indicator X

1.1.4 1.1.4.2 Communication/Identification X

11. WBS ELEMENT CODE

12.

WBS REPORTING ELEMENTS

13. REPORTS REQUIRED

(X if applicable)

DD 1921-3 (CBDR):

a. PROGRAM/

CONTRACT/

SUBCONTRACT

b. CONTRACT/

SUBCONTRACT

b. DD 1921

(CDSR)

c. DD 1921-1

(FCHR)

e. DD 1921-4

(CSR)

19 July 2012

X

a. CWBS

DICTIONARY

d. DD 1921-2

(PCR)

f. SRDR

FORMATS

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

X

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

1.11.1 1.11.1 Initial Spares X

1.11 1.11 Initial Spares and Repair Parts X

1.2 1.2 System Engineering X

1.3 1.3 Program Management X

1.4 1.4 System Test and Evaluation X

1.4.1 1.4.1 Development Test and Evaluation X

1.4.1 1.4.1.1 Ground Test X

1.4.1 1.4.1.2 Flight Test X

1.4.1 1.4.1.3 Instrumentation and Data Processing X

1.4.2 1.4.2 Operational Test and Evaluation X

1.4.3 1.4.3 Mock-ups / System Integration Labs (SILs) X

1.4.4 1.4.4 Test and Evaluation Support X

1.4.5 1.4.5 Test Facilities X

1.5 1.5 Training X

1.5.1 1.5.1 Equipment X

1.5.1 1.5.1.1 Weapons System Trainer X

1.5.1 1.5.1.2 Operational Flight Trainer X

1.5.1 1.5.1.3 Airframe Training System X

1.5.1 1.5.1.4 Maintenance Part Task Training Devices X

1.5.1 1.5.1.5 Avionics Desktop Training Device X

1.5.2 1.5.2 Services X

1.5.2 1.5.2.1 Type 1 Training X

1.5.2 1.5.2.2 Courseware Development X

1.5.2 1.5.2.3 Training Device ICS X

1.5.3 1.5.3 Facilities X

1.6 1.6 Data X

1.6.1 1.6.1 Technical Publications X

1.6.2 1.6.2 Engineering Data X

1.6.3 1.6.3 Management Data X

1.6.4 1.6.4 Support Data X

1.6.5 1.6.5 Data Depository X

1.7 1.7 Peculiar Support Equipment X

1.7.1 1.7.1 Test and Measurement Equipment X

1.7.2 1.7.2 Support and Handling Equipment X

1.8 1.8 Common Support Equipment X

1.8.1 1.8.1 Test and Measurement Equipment X

1.8.2 1.8.2 Support and Handling Equipment X

1.9 1.9 Operational/Site Activation X

1.9.1 1.9.1 System Assembly, Installation and Checkout on Site X

1.9.2 1.9.2 Contractor Technical Support X

1.9.3 1.9.3 Site Construction X

1.9.4 1.9.4 Site/Ship/Vehicle Conversion X

1.9.5 1.9.5 Sustainment/Interim Contractor Support X

1.9.5 1.9.5.1 Repair Parts Support X

1.9.5 1.9.5.2 Maintenance Support X

1.10 1.10 Industrial Facilities X

1.10.1 1.10.1 Construction/Conversion/Expansion X

1.10.2 1.10.2 Equipment Acquisition or Modernization X

1.10.3 1.10.3 Maintenance (Industrial Facilities) X

1.1.9 1.1.9 Air Vehicle Integration, Assembly, Test, and Checkout X

11. WBS ELEMENT CODE

12.

WBS REPORTING ELEMENTS

13. REPORTS REQUIRED

(X if applicable)

DD 1921-3 (CBDR):

a. PROGRAM/

CONTRACT/

SUBCONTRACT

b. CONTRACT/

SUBCONTRACT

b. DD 1921

(CDSR)

c. DD 1921-1

(FCHR)

19 July 2012

X

a. CWBS

DICTIONARY

d. DD 1921-2

(PCR)

f. SRDR

FORMATS

X

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

Subtotal Cost X

Reporting Contractor G&A X

Reporting Contractor Undistributed Budget X

Reporting Contractor Management Reserve X

Reporting Contractor FCCM X

Total Cost X

Reporting Contractor Profit/Loss or Fee X

Total Price X

1.11.2 1.11.2 Readiness Spares Packages X

11. WBS ELEMENT CODE

12.

WBS REPORTING ELEMENTS

13. REPORTS REQUIRED

(X if applicable)

DD 1921-3 (CBDR):

a. PROGRAM/

CONTRACT/

SUBCONTRACT

b. CONTRACT/

SUBCONTRACT

b. DD 1921

(CDSR)

c. DD 1921-1

(FCHR)

19 July 2012

d. AS OF DATE e. DUE DATE

(YYYYMMDD) (YYYYMMDD)

1 CWBS Dictionary CWBS Index and Dictionary 20140430 20140430

2 1921, 1921-1 First Interim Report 20140430 20140630

3 1921, 1921-1 Second Interim Report 20150430 20150630

5 1921, 1921-1 Final Report, upon completion of vehicle deliveries to buying command 20160330 20160531

Assumes contract award date of 04/30/2013 and EMD end 3/30/2016

Nonrecurring/Recurring Definitions

The contractor will utilize the specific definitions and requirements in the CSDR Manual (DoD 5000.04-M-1) and the definitions in the DIDs for the DD Form 1921 and 1921-1 to segregate recurring and nonrecurring costs. Refinements or expansions to these definitions are TBD pending the pre-contract or post contract award conferences.

Cost Accounting Standards (CAS) Disclosure Statement Differences

TBD

1921-2 Lot or Unit Reporting

DD Form 1921-3

The DD Form 1921-3 is a mandatory requirement for all prime contractors and subcontractors performing work on contracts which contain CSDR requirements.

As such, the contractor must ensure that its FPR business entity submits a completed DD Form 1921-3 within 60 days subsequent to the end of the contractor's fiscal year.

Only one DD Form 1921-3 submission is required per FPR business entity, independent of the number of contracts with CSDR requirements held by the business entity.

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

15. REMARKS

14. CSDR SUBMISSION DATES

c.

EVENT

a.

SUBMISSION

b.

FORM(S)