Section J - Exhibit A - JMM BRU TD CDRLs.pdf

JOINT MINIATURE MUNITIONS BOMB RACK UNIT (JMM BRU)

EXHIBIT A – TABLE OF CONTENTS

TECHNOLOGY DEVELOPMENT

SEQUENCE

NUMBER TITLE

A001 Integrated Master Schedule (IMS) A002 Contract Performance Report A003 Contract Funds Status Report (CFSR) A004 Cost Data Summary Report (DD Form 1921) A005 Contract Work Breakdown Structure (CWBS) A006 Data Accession List A007 Engineering Change Proposal A008 Request for Deviation - "Variance" A009 Notice of Revision A010 System Engineering Management Plan (SEMP) A011 System Safety Program Plan A012 Safety Assessment Report (SAR) A013 Reliability Prediction and Documentation of Supporting Data A014 Failure Mode Effects and Criticality Analysis (FMECA) Report A015 Failure Summary and Analysis Report - Failure Reporting and Corrective Action Summary (FRACAS) Report A016 Scientific and Technical Reports - Structural Design Criteria A017 Scientific and Technical Reports - Flight and Ground Loads Analysis A018 Internal Loads and Static Strength Analysis Report - Strength Analysis A019 Scientific and Technical Reports - Materials and Processes A020 Management Plan - Nondestructive Testing & Inspection Plan A021 Hazardous Materials Management Program (HMMP) Report A022 Interface Control Document - JMM BRU UAI PSICD Supplement Vol I & II (Parts 1 and 2) A023 Interface Control Document - JMM BRU UAI PSCP Supplement (Parts 1 and 2) A024 System/Subsystem Specification (SSS) - System Design Specification A025 Environmental Design Criteria and Test Plan - Environmental Design Criteria A026 Operation and Maintenance Instructions for Research and Development (R&D) Equipment A027 Test Plan - System Performance Verification Plan A028 Test Plan - Design Qualification Plan A029 Test Procedure - Design Qualification Procedure A030 Test/Inspection Report - Design Qualification Report A031 Logistics Product Data - Level of Repair Analysis (LORA) Source Data A032 Scientific and Technical Report - IA Control Concurrence and Validation Plan A033 Scientific and Technical Report - IA Control Validation Report and Plan of Action and Milestones (POAM)

A034 RESERVED

A035 RESERVED

A036 RESERVED

A037 RESERVED

A038 RESERVED

A039 RESERVED

A040 RESERVED

A041 RESERVED

A042 RESERVED

A043 RESERVED

A044 RESERVED

A045 RESERVED

A046 RESERVED

A047 RESERVED

A048 RESERVED

A049 RESERVED

A050 RESERVED

A051 RESERVED

A052 RESERVED

A053 RESERVED

A054 RESERVED

A055 RESERVED

A056 RESERVED

A057 RESERVED

FA8672-12-R-0168

Section J, Exhibit A

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 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:

Item 0001 A TDP TM OTHER MGMT

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

JMM BRU

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

A001 Integrated Master Schedule (IMS)

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

DI-MGMT-81650 (See Block 16) SOW Para. 2.3.3, 2.4.4 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT D MTHLY See Block 16 b. COPIES

See Block 16

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

a. ADDRESSEE Final

N/A N/A See Block 16 Draft Reg. Repro

16. REMARKS

Block 4: Modify paragraph 2.4.1.23 to read, “The Contractor shall submit results of all Schedule Risk Assessments (SRA) and be prepared to actively participate in quarterly SRAs to identify and quantify milestone/event and task/activity level schedule risk. The Contractor shall report optimistic, pessimistic, and most likely remaining duration for each Critical Path and Near Critical Path activity/task. The SRA will be performed on the Program Critical Path and the Critical Path and Near Critical Paths to select critical milestones. The rationale used to establish the remaining durations should be documented.

a. Test Program Critical Path – longest path through the entire program

b. Test Critical Path to next major milestone(s)

c. Test Near Critical Path to next major milestone(s)"

Modify paragraph 2.5 with “The first narrative submission is to provide the Basis and Assumptions (B&A) of the IMS. The B&A will outline all major program milestones and/or IMP events and document all associated programmatic schedule assumptions that were utilized in the development of the baseline plan. At a minimum all monthly submissions will include a written schedule analysis to identify, document, and communicate changes of five working days or greater to Program Critical Path and Near Critical Path task/activity actual start and/or actual finish date variances from submission to submission as well as IMP and/or major program milestone impacts or other major schedule risk areas. Work around and/or recovery schedules/plans, and associated impacts due to program changes shall also be provided. The schedule narrative shall address progress to date and discuss any significant schedule changes (i.e. added/deleted tasks and significant logic revisions, and any/all programmatic schedule assumption change, etc.).”

AAC/EBMS 0 1 0

AAE TPO-Indy 0 1 0

DCMA 0 1 0

15. TOTAL 0 3 0

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

David Feran, AAC/EBMS

Dwight Jantzen, AAC/EBMS

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 1 of 2 1077/183

FA8672-12-R-0168

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 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:

A001 Integrated Master Schedule (IMS)

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

DI-MGMT-81650 (See Block 16) SOW Para. 2.3.3, 2.4.4 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

Block 12: The first submission is due within 12 working days after the end of the first full accounting period following contract award. First submission shall include reporting to the Intermediate level schedule, at a minimum.

Block 13: Subsequent submittals are due within 12 working days after the close of the Contractor’s accounting period, all schedule levels.

Block 14: Data will be provided in Contractor’s approved scheduling system in its original format (e.g. Microsoft Project). Capability to access the data in the native format from Government sites will be provided by the Contractor. In addition to the monthly IMS submitted to the DoD program manager and other designated addressees, an additional submission must be made quarterly to the central repository. The first IMS quarterly submission will coincide with the first submission of the Contract Performance Report (CPR) to the central repository.

Major critical non-Firm fixed Price subcontracts with a dollar value greater than $20M will have applied to them the requirements of DI-MGMT- 81650, Integrated Master Schedule. IMS required from subcontractors will be integrated with the prime Contractor’s scheduling system. IMS required from the subcontractor’s approved scheduling system in its original format.

David Feran, AAC/EBMS

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 2 of 2

FA8672-12-R-0168

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 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:

A002 Contract Performance Report

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

DI-MGMT-81466A SOW Para. 2.4.2 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

LT FOUO MTHLY See Block 16 b. COPIES

A (See 16) See Block 16 See Block 16 Draft Reg. Repro

Block 8: Government comments will be provided 30 calendar days after receipt of initial draft submission. The Contractor will have 15 calendar days to incorporate Government comments and resubmit for approval. No approval required on subsequent submittals.

The Contractor shall provide monthly CPRs per DID DI-MGMT-81466A except as modified per the following:

1. Blocks 11 and 12 – Date of First Submission. The first submission is due within 12 working days after the end of the first full accounting period following contract award.

2. Blocks 12 and 13 – Estimated Cost at Completion (EAC) will be updated once each fiscal year. EACs will be updated periodically when significant risk events or major schedule shifts occur.

3. Blocks 11 and 13 – Date of Subsequent Submissions: Subsequent submissions containing all formats (Formats 1 through 5) shall be provided within 12 working days after the close of the Contractor’s monthly accounting period.

4. Block 14 – Distribution and addressee. Distribution to addressee is the responsibility of the JMM BRU CDRL Manager.

Electronic copies shall be provided using the American National Standards Institute (ANSI) X12 Transaction Set 839 4010 specifications or the XML equivalent and shall include all levels of data to the control account level.

5. Block 16 – Remarks:

a. Format 1 Instructions

(1) Contract Work Breakdown Structure (CWBS) elements shall be reported in accordance with the CWBS CDRL, except for the following:

(a) When the budgeted value of a Level three CWBS element budget exceeds 20% if the Contract Budget Baseline (CBB) then such element will be reported at a lower level where none of the lower reporting elements exceed 20% of the CBB.

15. TOTAL 0 1 0

Michelle Ferreira, AAC/EBMS

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 1 of 3

FA8672-12-R-0168

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 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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

(b) When the budgeted value of a Level three CWBS element is less than 1% of the CBB then the element shall be reported at Level two, not subdivided into its Level three components.

b. Format 2 Instructions: Use organizational categories, e.g., Integrated Product Team (IPT) or functional including each major subcontractor that satisfied EVMS flowdown requirements. Format 2 shall follow reporting conventions in paragraph 4.a (1)(a) through 4.a (1)(b) substituting applicable organizational levels for CWBS levels.

c. Format 1 and Format 2 Instructions: Reporting levels will be reviewed periodically, and may be adjusted by contract modification with no change to the contract price.

d. Format 3 Instructions: Significant differences (absolute values exceeding +/-5%) between the Performance Measurement Baseline (PMB) at the beginning and end of each specified period shall be explained in Format 5.

e. Format 4 Instructions:

(1) The Contractor’s estimate-to-complete projections shall be used for time phasing equivalent staff months for each organizational category specified in Format 2 and include staffing or effort performed by each Intercompany Work Organizations.

(2) Significant changes that require explanations in Format 5 are those that change the absolute value of the projected total staff-months at completion of any organizational or functional category by more than +/-5%.

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 2 of 3

FA8672-12-R-0168

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 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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENC 12. DATE OF FIRST

f. Format 5 Instructions:

(1) Problem analyses and narrative explanations shall be required for Format 1 elements and cost/schedule variances fall within the following categories:

• 5 largest current cost variances exceeding +/-$50K or +/-5% where CV%=CV(Cur)/BCWP(Cur)

• 5 largest current schedule variances exceed +/-$50K or +/-5% where SV%=SV(Cur)/BCWS(Cur)

• 5 largest cumulative cost variances exceed +/-$150K and +/-5% where CV%=CV(Cum)/BCWP(Cum)

• 5 largest cumulative schedule variances exceed +/-$150K and +/-5% where SV%=SV(Cum)/BCWS(Cum)

• 5 largest variances at completion exceeding +/-$150K and +/-5%

• Other cost and schedule variances or technical performance issues that are causing or are likely to cause significant schedule delays or cost overruns.

(2) Narrative explanations required and variance thresholds will be reviewed periodically, and may be adjusted by contract modifications with no change in contract price.

(3) Schedule variance narratives shall identify significant missed milestones, impact to major milestones, and expected recovery dates.

(4) If there are no changes to the reportable element problem analysis, expected impacts, or corrective action status then specify “no change since last reported analysis” and reference the CPR date when the narrative was reported.

(5) If the program has implemented an Over Target Baseline, calculate variances since the most OTB vice program inception.

g. CPRs required from subcontractors will be provided electronically using ANSI X12 Transaction Set 839 4010 specifications or the XML equivalent.

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 3 of 3

FA8672-12-R-0168

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 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.

A003 Contract Funds Status Report (CFSR)

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

DI-MGMT-81468 (See Block 16) SOW Para. 2.4.2 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

LT D QTRLY 90 DAC

(See Block 16)

b. COPIES

N/A See Block 16 See Block 16 Draft Reg. Repro

Block 4: SUPPLEMENTAL INSTRUCTIONS FOR COMPLETION OF

DD FORM 1586

1. Item 11, column a. Reporting levels shall be by each Contract Line Item Number (CLIN)

2. Item 11, column b. Enter the appropriations, subhead, and project unit for each line item as specified on the contract appropriation data sheet, e.g. 1791506/41AP/01050.

3. Item 12 rows a, b, and c. Columns 2 through 9 shall include monthly projected amounts, projected amounts for the next 3 months, quarterly until the end of the next quarter’s fiscal year, and by Government fiscal year until the end of the contract.

4. In the Remarks, enter separately (if applicable) the amount of profit/fee, over-/under-run, and the cost sharing ratio.

Blocks 11, 12, and 13: The initial submission is required electronically within 90 calendar days following contract award. Subsequent submissions shall be required electronically 25 calendar days after the end of each subsequent quarter Government fiscal year period.

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL manager. Submittal shall be in digital format using Microsoft Office applications unless otherwise dictated by the nature of the data. All unclassified deliverables shall be submitted via the Program’s IDE. For classifies deliverables, submit 2 hard copies and a CD to the JMM BRU Program Office.

DD Form 1423-1 JUN 90 Previous editions are obsolete.

FA8672-12-R-0168

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 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

Item 0001 A TDP TM OTHER FNCL

A004 Cost Data Summary Report (DD Form 1921)

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

DI-FNCL-81565C SOW Para. 2.4.2 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

LT D See Block 16 See Block 16 b. COPIES

N/A See Block 16 See Block 16 Draft Reg. Repro

Blocks 10, 11, 12, and 13: In accordance with the approved Cost and Software Data Reporting (CSDR) Plan provisions and the CSDR Manual (DoD 5000.04-M-1). The CSDR Plan is included as (SOW Appendix 02).

The CSDR Manual is available from DCARC web site at http://dcarc.pae.osd.mil

Prepare Contractor Cost Data Reporting (CCDR) data in electronic format in accordance with detailed instructions contained in Data Item Description DI-FNCL-81565C. Prime contractors are responsible for all subcontractors who meet reporting thresholds.

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL Manager. Submittal shall be in digital format using Microsoft Office applications unless otherwise dictated by the nature of the data. All unclassified deliveries shall be submitted via the Program’s IDE. For classified deliverables, submit a CD ROM to the JMM BRU Program Office.

Michelle Ferreira, AAC/EBMS Dwight Jantzen, AAC/EBMS

DD Form 1423-1 JUN 90 Previous editions are obsolete.

1077/183

FA8672-12-R-0168

Section J, Exhibit A http://dcarc.pae.osd.mil/

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 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

A005 Contract Work Breakdown Structure (CWBS)

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

DI-MGMT-81334D SOW Para. 2.4.5 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

LT D ONE/R

30 DAC b. COPIES

Blocks 10 and 13: Submit revisions as required NLT 30 calendar days after significant changes occur, these are changes that would have either a favorable or unfavorable impact to the contract equal to 1% of contract value or 1 month of contract schedule.

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL Manager. Submittal shall be in digital format using Microsoft Office applications unless otherwise dictated by the nature of the data. All unclassified deliveries shall be submitted via the Program’s IDE. For

Michelle Ferreira, AAC/EBMS Dwight Jantzen, AAC/EBMS

DD Form 1423-1 JUN 90 Previous editions are obsolete.

1077/183

FA8672-12-R-0168

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 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

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

JMM BRU

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

A006 Data Accession List

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81453A (See Block 16)

SOW Para. 2.3.2, 2.3.4, 2.4.4, 2.5.1, 2.6.7.1, 2.6.7.2.2, 2.6.7.3, 2.6.7.4, 2.6.11, 2.6.13.3, 2.6.14.1, 2.6.15.1.2, 2.6.15.1.3, 2.6.15.1.4, 2.6.15.1.5, 2.6.18, 2.6.20, 2.6.21.1, 2.6.21.3, 2.6.21.4, 2.6.24.3, 2.6.24.4, 2.6.25.3.1, 2.6.25.3.3, 2.9.1, 2.9.2, 2.9.3, 2.10.3, 2.10.4, 2.16

AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

Block 4: Contractor format is acceptable. Includes but is not limited to:

Review agenda and meeting minutes to include PMRs, SETRs, TIMs, and Logistics support meetings, IMP, SRAs, TPM Status, TRA documentation, Decision-analysis, System Safety Assessments, Human Factors Engineering Progress Report, Reliability data and documents, Certificate of conformance documentation, ESOH data, Software Test Plans, software updates, Software Test Reports, Software Version Descriptions, Software Metrics, JMM BRU WSS design documentation, JMM BRU TM technical data, Prototype test procedures, Prototype test reports, Maintenance Plan, PBL opportunities, Detailed Functional Description Documentation Package, JMM BRU to CAATS ICD, MRA results, Bar Code Identification Report, and all documents produced during contract shall be available for Government access.

Blocks 12 and 13: Submit Data Accession List no later than 7 calendar days after the end of each calendar month.

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL Manager. Submittal shall be in digital format using Microsoft Office applications unless otherwise dictated by the nature of the data.

Submit Software Deliverables on CD or DVD-ROM to the JMM BRU Program Office. All un-classified deliveries shall be submitted via the Program’s IDE. For classified deliverables, submit a CD ROM to the JMM BRU Program Office.

AAC/ EBMS 0 1 0

Dale Julio, AAC/EBMS Dwight Jantzen, AAC/EBMS

DD Form 1423-1 JUN 90 Previous editions are obsolete.

1077/183

FA8672-12-R-0168

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 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

Item 0001 A TDP TM OTHER CMAN

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

A007 Engineering Change Proposal

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

DI-CMAN-80639C (See Block 16) SOW Para. 2.5.3.1 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

LT D ASREQ

(See Block 16)

See Block 16 b. COPIES

A (See 16) N/A See Block 16 Draft Reg. Repro

16. REMARKS AAC/EBMS 1 1 0

Block 4: Contractor format is acceptable.

Block 8: Class I ECPs may only be approved by the Government’s Configuration Control Board and authorized with a contract modification.

Class II ECPs require Government concurrence in classification prior to implementation.

Blocks 10, 12, and 13: The Contractor shall submit preliminary copies of proposed changes for Government review. Government will provide classification determination NLT 5 working days after receipt of preliminary copy. Proposed changes classified as Class I must be submitted to the Government via ECP.

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL Manager. Submittal shall be in digital format using Microsoft Office applications unless otherwise dictated by the nature of the data. All unclassified deliveries shall be submitted via the Program’s IDE. For classified deliverables, submit a CD ROM to the JMM BRU Program Office.

AAE TPO-Indy 1 1 0

15. TOTAL 2 3 0

Dale Julio, AAC/EBMS

FA8672-12-R-0168

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 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

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

A008 Request for Deviation “Variance”

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

DI-CMAN-80640C (See Block 16) SOW Para. 2.5.3.2 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST

STATEMENT

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

REQUIRED

LT D ASREQ

(See Block 16)

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE

A (See16) N/A See Block 16 Draft Reg. Repro

16. REMARKS AAC/EBMS 0 1 0

Block 4: Contractor format is acceptable.

Block 8: All RFDs require Government approval prior to implementation.

Blocks 10, 12, and 13: The Contractor shall submit a Request for Deviation “Variance” when there is a proposed departure from (nonconformance with) the contractually specified configuration documentation for a specific number of units or for a specified period of time.

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL Manager. Submittal shall be in digital format using Microsoft Office applications unless otherwise dictated by the nature of the data. All

FA8672-12-R-0168

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 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

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

A009 Notice of Revision

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

DI-CMAN-80642C (See Block 16) SOW Para. 2.5.3.3 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST

STATEMENT

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

REQUIRED

LT D ASREQ

(See Block 16)

Block 4: Contractor format is acceptable.

Block 8: NORs associated with Class I ECPs will be authorized with a contract modification after approval by the Government’s Configuration Control Board.

Blocks 10, 12, and 13: The Contractor shall submit a Notice of Revision (NOR) when there are proposed changes to a technical document being requested by an Engineering Change Proposal (ECP).

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL Manager. Submittal shall be in digital format using Microsoft Office applications unless otherwise dictated by the nature of the data. All

FA8672-12-R-0168

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 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

Item 0001 A TDP TM OTHER SESS

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

A010 System Engineering Management Plan (SEMP)

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

DI-SESS-81785 (See Block 16) SOW Para. 2.5.1, 2.5.3, 2.6.2, 2.6.7.5, 2.6.9, 2.6.10, 2.6.14, 2.6.15.1, 2.6.17, 2.6.19, 2.6.20, 2.6.20.1, 2.6.21.2, 2.6.22, 2.10.7, 2.11.2, 2.12.1, 2.12.3, 2.14.1, 2.15.1

AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

LT D ONE/R

(See Block 16)

90 DAC b. COPIES

Block 4: Contractor shall disregard Requirements 2 & 4. SEMP format shall follow the outline provided on the next 2 pages.

The following plans shall be provided as SEMP appendices: Technology Maturation Plan, Human System Integration Plan, Reliability Program Plan, Corrosion Prevention Control Plan, Modular System Open Architecture Plan, Environment Safety Occupational Health Plan, Hazardous Materials Management Plan, Software Development Plan, Modeling and Simulation Plan, Quality Assurance Plan, Producibility Plan, Supply Chain Management Plan, Obsolescence and Diminishing Manufacturing Sources and Material Shortages Management Plan, Information Assurance Plan, Anti-Tamper Plan.

Block 8: Government will have 30 calendar days for review and comment.

The Contractor shall have 15 calendar days to incorporate Government comment and resubmit for approval.

Blocks 10 and 13: SEMP updates are required 60 calendar days prior to PDR.

Significant changes to the processes and procedures in the Contractor’s systems engineering program shall be documented in revisions to the SEMP and submitted to the Government for review and approval.

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL Manager. Submittal shall be in digital format using Microsoft Office applications. All unclassified deliveries shall be submitted via the Program’s IDE. For classified deliverables, submit a CD ROM to the JMM BRU Program

Dale Julio, AAC/EBMS Dwight Jantzen, AAC/EBMS

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 1 of 3 1077/183

FA8672-12-R-0168

A. CONTRACT LINE ITEM NO.

Item 0001

B. EXHIBIT

A

C. CATEGORY

SESS

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

16. Remarks (Continued)

Block 4 (Continued):

System Engineering Management Plan (SEMP) Outline

1. INTRODUCTION

1.1. Program Description and Applicable Documents

1.2. Program Schedule

1.3. Approach for SEMP Updates

2. PROGRAM REQUIREMENTS

2.1. Capabilities and Key Performance Parameters

2.2. Statutory and Regulatory Requirements

2.3. Specified and Derived Requirements

2.4. Certification Requirements

2.5. Design Considerations

2.6. Functional Analysis

2.7. Synthesis and Design

2.8. System Analysis and Trade Studies

2.9. Interface Management

2.10. Data Management

3. TECHNICAL STAFFING AND ORGANIZATIONAL PLANNING

3.1. Lead/Chief Systems Engineer and Functional Leads

3.2. IPT Organization/Structure

3.3. IPT Staffing / Functional Skills

3.3.1. IPTs

3.4. IPT Coordination

3.5. Integration with Contractor(s) and External Organizations

3.5.1. Working Groups

Universal Armament Interface Super Joint Interface Control Working Group (UAI SJICWG) JMM BRU Miniature Munitions UAI Working Group (JMMUWG) Electromagnetic Environment Effects (E3) Working Group Integrated Test Team Working Group (ITTWG) System Safety Working Group (SSWG) Human Systems Integration Working Group (HSIWG) Requirements Control Working Group (RCWG) Modeling and Simulation Working Group (M&SWG)

4. TECHNICAL BASELINE MANAGEMENT

4.1. Technical Baseline Management Responsibility

4.2. Defining, Approving, and Maintaining the Technical Baseline

4.2.1. Engineering Change Proposals

4.2.2. Request for Variance

4.2.3. Configuration Control Board (CCB)

4.2.3.1. CCB Chair

4.2.3.2. CCB Membership

4.2.3.3. CCB Process

4.2.4. Requirements Change Management

4.2.5. Requirement Control Working Group

4.2.6. Requirement Change Process

4.2.7. Technical Data Management

4.3. Requirements Traceability and Verification and Validation (V&V)

4.4. Specification Tree

4.5. Technical Maturity

4.5.1. Technical Performance Measures (TPMs)

4.5.2. Technology Readiness Assessments (TRAs)

4.6. Manufacturing Maturity

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 2 of 3

FA8672-12-R-0168

A. CONTRACT LINE ITEM NO.

Item 0001

B. EXHIBIT

A

C. CATEGORY

SESS

D. SYSTEM/ITEM

System Engineering Management Plan (SEMP) Outline

5. TECHNICAL REVIEW PLANNING

5.1. Event-Driven Technical Reviews

5.1.1. Technology Development Phase Criteria and SETR Events

5.1.1.1. Integrated Baseline Review (IBR)

5.1.1.2. Systems Requirements Review II (SRR-II)

5.1.1.3. System Functional Review (SFR)

5.1.1.4. Software Specification Review (SSR)

5.1.1.5. Preliminary Design Review (PDR)

5.1.2. Engineering and Manufacturing Development (EMD) Phase Criteria and SETR Events

5.1.2.1. Integrated Baseline Review (IBR)

5.1.2.2. Critical Design Review (CDR) (Includes IRR requirements)

5.1.2.3. Test Readiness Review (TRR)

5.1.2.4. Flight Readiness Review (FRR)

5.1.2.5. Functional Configuration Audit (FCA)

5.1.2.6. System Verification Review (SVR)

5.1.2.7. Production Readiness Review (PRR)

5.1.2.8. Operational Test Readiness Review (OTRR)

5.1.3. Production and Deployment Phase Criteria and SETR Events

5.1.3.1. Integrated Baseline Review (IBR)

5.1.3.2. Physical Configuration Audit (PCA)

5.2. Technical Review Management

5.3. Chairing of Technical Reviews

5.4. Stakeholder Participation in Technical Reviews

5.5. Peer Participation at Technical Reviews

6. INTEGRATION WITH OVERALL PROGRAM MANAGEMENT

6.1. Linkage to Other Program Management Plans

6.2. Program Manager’s Approach to Using Technical Reviews

6.3. Risk Management Integration

6.3.1 Risk Management System

6.4. Test and Evaluation

6.4.1. Test Parameters

6.4.1.1 Measures of Effectiveness and Suitability (MES)

6.4.1.2 Critical Technical Parameters (CTP)

6.4.2. Verification and Validation

6.4.2.1 Test and Evaluation Strategy (TES)

6.5. Sustainment Integration

6.6. Contracting Considerations

6.6.1. Associate Contractor Agreements

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 3 of 3

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 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

Item 0001 A TDP TM OTHER SAFT

A011 System Safety Program Plan

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

DI-SAFT-81626 (See Block 16) SOW Para. 2.6.13.1 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

Block 4: Contractor format is acceptable.

Block 8: Government will have 30 calendar days for review and comment.

The Contractor shall have 15 calendar days to incorporate Government comment and resubmit for approval.

Blocks 10, 12, and 13: Initial submission is due to Government for review no later than 30 calendar days after contract award. Revisions are required when significant changes to the processes and procedures in the Contractor’s System Safety Program Plan occur.

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL Manager. Submittal shall be in digital format using Microsoft Office applications unless otherwise dictated by the nature of the data. All unclassified deliveries shall be submitted via the Program’s IDE. For

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 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

Item 0001 A TDP TM OTHER SAFT

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

A012 Safety Assessment Report (SAR)

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

DI-SAFT-80102B (See Block 16) SOW Para. 2.6.13.3 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

Block 4: Contractor format is acceptable.

Block 8: Government will have 30 calendar days for review and comment.

The Contractor shall have 15 calendar days to incorporate Government comment and resubmit for approval.

Blocks 10, 12, and 13: Submit report no later than 60 calendar days prior to each design review. Revisions required no later than 30 calendar days after significant changes occur.

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL Manager. Submittal shall be in digital format using Microsoft Office applications unless otherwise dictated by the nature of the data. All unclassified deliveries shall be submitted via the Program’s IDE.

For classified deliverables, submit a CD ROM to the JMM BRU Program Office.

AAC/EBMS 0 1 0

FA8672-12-R-0168

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 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

Item 0001 A TDP TM OTHER RELI

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

A013 Reliability Prediction and Documentation of Supporting Data

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

DI-RELI-81497 (See Block 16) SOW Para. 2.6.15.1.3 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT D ONE/R

(See Block 16)

Block 4: Contractor format is acceptable.

The Contractor shall allocate all System Performance Specification (SPS) reliability requirements down to the lowest level (LRU level as a minimum).

Reliability predictions shall be performed and can be based on analytical or field data. The data source and methodologies for each prediction shall be included. Predictions shall be made for continuous operation under the appropriate environment. Reliability block diagrams and mathematical models shall be used as part of the allocation and prediction process. All supporting data shall be included. The Contractor should utilize MIL- HDBK-217F (Notice 2) for guidance in the development of the analytical predictions.

Block 8: Government will have 30 calendar days for review and comment.

The Contractor shall have 15 calendar days to incorporate Government comment and resubmit for approval.

Blocks 10, 12, and 13: Submit initial report no later than 45 calendar days prior to Preliminary Design Review (PDR). Revisions required no later than 30 calendar days after significant changes occur.

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL Manager. Submittal shall be in digital format using Microsoft Office applications unless otherwise dictated by the nature of the data. All unclassified deliveries shall be submitted via the Program’s IDE. For classified deliverables, submit a CD ROM to the JMM BRU Program Office.

AAC/EBMS 0 1 0

Wallace Frazier, AAC/EBMS

FA8672-12-R-0168

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 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

Item 0001 A TDP TM OTHER ILSS

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

JMM BRU

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

A014 Failure Mode Effects and Criticality Analysis (FMECA) Report

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

DI-ILSS-81495 (See Block 16) SOW Para. 2.6.15.1.3 AAC/EBMS TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

LT D ONE/R

(See Block 16)

Block 4: Contractor format is acceptable. The Contractor shall perform and document a FMECA in accordance with industry standard practice. The FMECA shall be performed at the lowest level that will allow satisfaction of the following three objectives:

• Identification of a single point of failure (SPF) which adversely affect safety of personnel and mission success. If SPFs are identified the Contractor shall make every effort to eliminate or reduce the probability of recurrence.

• Maintenance task analysis. The FMECA shall be sufficiently detailed to perform the logistics analysis required.

• Health Monitoring System. The FMECA shall be capable of supporting the maintainability/BIT prediction and test requirements.

Existing FMECA data may be used providing all assumptions employed are consistent with this Program.

Block 8: Government will have 30 calendar days for review and comment.

The Contractor shall have 15 calendar days to incorporate Government comment and resubmit for approval.

Blocks 10, 12, and 13: Preliminary submission is due 45 calendar days prior to the PDR. Updates as required.

Block 14: Distribution to addressee is the responsibility of the JMM BRU CDRL Manager. Submittal shall be in digital format using Microsoft Office applications unless otherwise dictated by the nature of the data. All

Wallace Frazier, AAC/EBMS

FA8672-12-R-0168

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 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

Item 0001 A TDP TM OTHER RELI

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

A015 Failure Summary and Analysis Report Failure Reporting and Corrective Action Summary (FRACAS) Report

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

DI-RELI-80255 (See Block 16) SOW Para. 2.6.15.1.3 AAC/EBMS TOTAL PRICE

7. DD 250 REQ…