Sec_J _Attachment_25_-_2794-Contract_Prime_LRIP_19_Jul.pdf

FA8629-12-R-2400

Section J, Attachment 25

19 July 2012

a. NAME:

Pre-A B C-FRP X

A X 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

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

7. PLAN TYPE

CONTRACT (PRIME)

CONTRACT (SUB)

TBD

ii. DIVISION

Aircraft SystemCRH System

5. LAST APPROVED PLAN DATE

(YYYYMMDD)

N/A20120409

INITIAL

CHANGE

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)

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

937-255-3721

6c. FAX NUMBER (Include Area Code)

937-255-6817

AF-12-E-C1

10. APPROVED PLAN NUMBER

c. DD 1921-1

(FCHR)

e. DD 1921-4

(CSR)

DD 1921-3 (CBDR):

8. PREPARING

ORGANIZATION

Rotary Wing Branch, SOF Program Office

b. DD 1921

(CDSR)

9c. APPROPRIATION

6b. TELEPHONE NUMBER (Include Area Code)

9b. CONTRACT NUMBER9a. CONTRACTOR NAME/ADDRESS

i. PERFORMING ORGANIZATION

6d. E-MAIL ADDRESS

1.1.3 1.1.3.6.6

1.1.3 1.1.3.6.4

TBD

b. CONTRACT/

SUBCONTRACT

12.

WBS REPORTING ELEMENTS

11. WBS ELEMENT CODE

13. REPORTS REQUIRED

(X if applicable)

a. PROGRAM/

CONTRACT/

SUBCONTRACT

1.1.3 1.1.3.11

X

1.01.0

1.1.3 1.1.3.10

1.1.3 1.1.3.8

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

X

Drive Group X X

1.1.3.9 Landing Gear X X

XCombat Rescue Helicopter System X

Fuel Subsystem X

Rotor Group X

1.1.3 1.1.3.7 Environmental Control Subsystem X X

1.1.3

Display/Control Interfaces X

1.1.3 1.1.3.6.5 Crew and Passenger/Troop Compartment X

Search and Rescue Equipment X

1.1.3 1.1.3.6.3 Crash Protection Devices X

1.1.3 1.1.3.6.2 Escape Systems X

1.1.3 1.1.3.6.1 Life Support Systems X

1.1.3 1.1.3.6 Crew Station Subsystem X X

1.1.3 1.1.3.5 Electrical Subsystem X X

1.1.3 1.1.3.4 Hydraulic Subsystem X X

1.1.3 1.1.3.3 Auxiliary Power Subsystem X X

1.1.3 1.1.3.2 Flight Control Subsystem X X

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

1.1.3 1.1.3 Vehicle Subsystems X X

1.1.2 1.1.2.2 Other Propulsion X X

1.1.2 1.1.2.1 Engine X X

1.1.2 1.1.2 Propulsion X X

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

1.1.1 1.1.1.5 Nacelle X

1.1.1 1.1.1.4 Empennage X

1.1.1 1.1.1.3 Wing X

1.1.1 1.1.1.2 Fuselage X

1.1.1 1.1.1.1 Airframe Integration, Assembly, Test and Checkout X

1.1.1 1.1.1 Airframe X X

1.1 1.1 Air Vehicle X X

1.1.4 1.1.4 Avionics X X

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

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

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)

1.1.4 1.1.4.2 Communication/Identification X X

1.1.6 1.1.6.3 Crash Position Indicator X

1.1.6 1.1.6.2 Flight Data Recorder X

1.1.6 1.1.6.1 Cockpit Voice Recorder X

1.1.6 1.1.6 Auxiliary Equipment X X

1.1.5 1.1.5 Armament/Weapons Delivery X X

1.1.4 1.1.4.12 Avionics Software Release 1...n X X

1.1.4 1.1.4.11 Stores Management X X

1.1.4 1.1.4.10 Health Monitoring System X X

1.1.4 1.1.4.9 Automatic Flight Control X X

1.1.4 1.1.4.8 Reconnaissance X X

1.1.4 1.1.4.7.4 Expendable Countermeasure X

1.1.4 1.1.4.7.3 Infrared Survivability Subsystem X

1.1.4 1.1.4.7.2 Radio Frequency Survivability Subsystem X

1.1.4 1.1.4.7.1 Laser Warning X

1.1.4 1.1.4.7 Survivability X X

1.1.4 1.1.4.6.3 Crewstation Display X

1.1.4 1.1.4.6.2 Control Display Unit X

1.1.4 1.1.4.6.1 Multi-function Displays X

1.1.4 1.1.4.6 Data Display and Controls X X

1.1.4 1.1.4.5 Fire Control X X

1.1.4 1.1.4.4.2 Data Transfer System X

1.1.4 1.1.4.4.1 Mission Computer X

1.1.4 1.1.4.4 Mission Computer/Processing X X

1.1.4 1.1.4.3.12 VOR/ILS X

1.1.4 1.1.4.3.11 Traffic Alert and Collision Avoidance System X

1.1.4 1.1.4.3.10 Forward Looking Infrared X

1.1.4 1.1.4.3.9 Weather Radar X

1.1.4 1.1.4.3.8 Automatic Direction Finder X

1.1.4 1.1.4.3.7 Multi-mode Radar X

1.1.4 1.1.4.3.6 Embedded GPS/INS X

1.1.4 1.1.4.3.5 Distance Measuring Equipment X

1.1.4 1.1.4.3.4 Tactical Air Navigation X

1.1.4 1.1.4.3.3 Altitude Heading Reference System X

1.1.4 1.1.4.3.2 Radar Altimeter X

1.1.4 1.1.4.3.1 Digital Air Data Computer X

1.1.4 1.1.4.3 Navigation/Guidance X X

1.1.4 1.1.4.2.11 Intercommunications System X

1.1.4 1.1.4.2.10 Situational Awareness Data Link X

1.1.4 1.1.4.2.9 Blue Force Tracker X

1.1.4 1.1.4.2.8 Identification Friend or Foe X

1.1.4 1.1.4.2.7 Communications/Crypto Systems X

1.1.4 1.1.4.2.6 Improved Data Model X

1.1.4 1.1.4.2.5 Link-16 X

1.1.4 1.1.4.2.4 Backup VHF/UHF Radio X

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

1.1.4 1.1.4.2.2 Personnel Locator System X

1.1.4 1.1.4.2.1 Integrated Broadcast Receiver X

1.1.7 1.1.7 Furnishings and Equipment X X

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

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

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)

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

1.10.3 1.10.3 Maintenance (Industrial Facilities) X

1.10.2 1.10.2 Equipment Acquisition or Modernization X

1.10.1 1.10.1 Construction/Conversion/Expansion X

1.10 1.10 Industrial Facilities X X

1.9.5 1.9.5.2 Interim Supply Support X X

1.9.5 1.9.5.1 Interim Contractor Support X X

1.9.5 1.9.5 Sustainment/Interim Contractor Support X X

1.9.4 1.9.4 Site/Ship/Vehicle Conversion X

1.9.3 1.9.3 Site Construction X

1.9.2 1.9.2 Contractor Technical Support X

1.9.1 1.9.1 System Assembly, Installation and Checkout on Site X

1.9 1.9 Operational/Site Activation X X

1.8.2 1.8.2 Support and Handling Equipment X

1.8.1 1.8.1 Test and Measurement Equipment X

1.8 1.8 Common Support Equipment X X

1.7.2 1.7.2 Support and Handling Equipment X

1.7.1 1.7.1 Test and Measurement Equipment X

1.7 1.7 Peculiar Support Equipment X X

1.6.5 1.6.5 Data Depository X

1.6.4 1.6.4 Support Data X

1.6.3 1.6.3 Management Data X

1.6.2 1.6.2 Engineering Data X

1.6.1 1.6.1 Technical Publications X

1.6 1.6 Data X X

1.5.3 1.5.3 Facilities X X

1.5.2 1.5.2 Services X X

1.5.1 1.5.1.5 Avionics Desktop Training Device X X

1.5.1 1.5.1.4 Maintenance Part Task Training Devices X X

1.5.1 1.5.1.3 Airframe Training System X X

1.5.1 1.5.1.2 Operational Flight Trainer X X

1.5.1 1.5.1.1 Weapons System Trainer X X

1.5.1 1.5.1 Equipment X X

1.5 1.5 Training X X

1.4 1.4 System Test and Evaluation X X

1.3 1.3 Program Management X X

1.2 1.2 System Engineering X X

1.11 1.11 Initial Spares and Repair Parts X X

1.11.1 1.11.1 Initial Spares X

1.11.2 1.11.2 Readiness Spares Packages X

19 July 2012

X

a. CWBS

DICTIONARY

d. DD 1921-2

(PCR)

f. SRDR

FORMATS

DD FORM 2794, MAY 2011 PREVIOUS EDITION IS OBSOLETE

X

11. WBS ELEMENT CODE

12.

WBS REPORTING ELEMENTS

Subtotal Cost

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)

Total Price X

Total Cost X

Reporting Contractor G&A X

Reporting Contractor Undistributed Budget X

Reporting Contractor Profit/Loss or Fee X

Reporting Contractor Management Reserve X

Reporting Contractor FCCM X

19 July 2012

d. AS OF DATE e. DUE DATE

(YYYYMMDD) (YYYYMMDD)

1 CWBS Dictionary CWBS Index and Dictionary 20161231 20170301

2 1921, 1921-1, 2630-2 LRIP 1 Initial 20161231 20161231

3 1921, 1921-1, 2630-3 LRIP 1 Final 20181231 20190301

4 1921, 1921-1, 2630-2 LRIP 2 Initial 20171231 20180301

5 1921, 1921-1, 2630-3 LRIP 2 Final 20191231 20200229

6 1921, 1921-1

Final Cumulative Report, upon completion of vehicle deliveries to buying command (DD250) and 95% of contract costs incurred 20191231 20200229

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

TBD

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)