The file's text, extracted by GovTribe without its formatting.
FA8818-12-R-0025
Exhibit A Rocket Systems Launch Program (RSLP) Peacekeeper (PK) and Minuteman (MM II) Rocket Motors Aging Surveillance (AS) and Motor Disposal Contract Data Requirements List (CDRL)
| CDRL# |
| TITLE: SUB-TITLE |
| DID |
| A001 |
| TEST/INSPECTION REPORT: INDIVIDUAL TEST REPORT |
| DI-NDTI-80809B |
| A002 |
| TEST/INSPECTION REPORT: ANNUAL SUMMARY REPORT |
| DI-NDTI-80809B |
| A003 |
| TEST PLAN |
| DI-NDTI-80566A |
| A004 |
| TECHNICAL REPORT-STUDY/SERVICES: SPECIAL STUDIES |
| DI-MISC-80508B |
| A005 |
| HAZARDOUS WASTE (HW) REPORT: MOTOR DISPOSAL CERTIFICATE |
| DI-NDTI-80899 |
| A006 |
| REPORT, RECORD OF MEETING/MINUTES |
| DI-ADMN-81505 |
| A007 |
| INTEGRATED MASTER SCHEDULE (IMS) |
| DI-MGMT-81650 |
| A008 |
| CONTRACT FUNDS STATUS REPORT (CFSR) |
| DI-MGMT-81468 |
| A009 |
| MANAGEMENT PLAN: INTEGRATED MANAGEMENT PLAN (IMP) |
| DI-MISC-80004A |
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved OMB 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 the above organization. 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: |
| TBD |
| A |
| TDP |
| (X) |
| TM |
| ( ) |
| OTHER |
| ( ) |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| RSLP AGING SURVEILLANCE(AS) & DISPOSAL |
| FA8818-12-R-0025 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A001 |
| TEST/INSPECTION REPORT |
| INDIVIDUAL TEST REPORT |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-NDTI-80809B |
| See Block 16 |
| SMC/SDLL |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
| DISTRIBUTION |
LT
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| b. COPIES |
N/A
16. REMARKS
SMC/SDLL
Block 4. Delete paragraphs 10.2.6.5.a, 10.2.6.5.d, and 10.2.6.6.c,
| Block 5. PWS paragraphs 3.2.1.1, 3.2.1.2, 3.2.2.1, 3.2.2.2, 3.2.3.1, 3.2.3.2, |
| 15. TOTAL |
3.2.3.3, 3.2.3.4, 3.2.4.1, 3.2.4.2, 3.2.5.1, 3.2.5.2, 3.4, 3.5, 3.6.3, and 3.7.3
Blocks 14 & 15.
Electronic submittal is required.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
ADAM B. BROWN, 1LT, USAF
KURT REISDORF, GG-14, DAF
| DD FORM 1423-1, FEB 2001 |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| (1) |
| of |
| (1) |
| Pages |
Form Approved OMB 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 the above organization. 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: |
| TBD |
| A |
| TDP |
| (X) |
| TM |
| ( ) |
| OTHER |
| ( ) |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| RSLP AGING SURVEILLANCE(AS) & DISPOSAL |
| FA8818-12-R-0025 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A002 |
| TEST/INSPECTION REPORT |
| ANNUAL SUMMARY REPORT |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-NDTI-80809B |
| SEE BLOCK 16 |
| SMC/SDLL |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
| DISTRIBUTION |
LT
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| b. COPIES |
A
16. REMARKS
SMC/SDLL
Block 4. Delete paragraphs 10.2.6.1, 10.2.6.2, 10.2.6.3, 10.2.6.5.a,
| 10.2.6.5.d, 10.2.6.6.c, and 10.2,7 |
| SMC/PKT (SEE 16) |
| Block 5. PWS paragraphs 3.2.1.1, 3.2.1.2, 3.2.2.1, 3.2.2.2, 3.2.3.1, 3.2.3.2, |
| 15. TOTAL |
3.2.3.3, 3.2.3.4, 3.2.4.1, 3.2.4.2, 3.2.5.1, 3.2.5.2, 3.4, 3.5, 3.7.1, and 3.7.3
Block 8. Submit draft report for approval 60D prior to annual PoP completion.
Gov will have 30 days for review and comments. Gov approval is PM.
Blocks 14 & 15.
Electronic submittal is required.
** For SD/PKT: Letter of Transmittal only.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
ADAM B. BROWN, 1LT, USAF
KURT REISDORF, GG-14, DAF
| DD FORM 1423-1, FEB 2001 |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| (1) |
| of |
| (1) |
| Pages |
Form Approved OMB 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 the above organization. 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: |
| TBD |
| A |
| TDP |
| (X) |
| TM |
| ( ) |
| OTHER |
| ( ) |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| RSLP AGING SURVEILLANCE(AS) & DISPOSAL |
| FA8818-12-R-0025 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-NDTI-80566A |
| See Block 16 |
| SMC/SDLL |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
| DISTRIBUTION |
LT
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| b. COPIES |
A
16. REMARKS
SMC/SDLL
Block 4.
Requirement 2: delete the words “when fielded”
| Block 5. PWS paragraphs 3.2.1.1, 3.2.1.2, 3.2.2.1, 3.2.2.2, 3.2.3.1, 3.2.3.2, |
| 15. TOTAL |
3.2.3.3, 3.2.3.4, 3.2.4.1, 3.2.4.2, 3.2.5.1, 3.2.5.2, 3.4, 3.5, and 3.7.3
Block 8. Submit draft for approval 30D prior to test. Gov will have 15 days for review and comments.
Gov approval is PM.
Block 12.
Test Plan must be approved by Gov prior to start of test.
Blocks 14 & 15.
Electronic submittal is required.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
ADAM B. BROWN, 1LT, USAF
KURT REISDORF, GG-14, DAF
| DD FORM 1423-1, FEB 2001 |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| (1) |
| of |
| (1) |
| Pages |
Form Approved OMB 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 the above organization. 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: |
| TBD |
| A |
| TDP |
| (X) |
| TM |
| ( ) |
| OTHER |
| ( ) |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| RSLP AGING SURVEILLANCE(AS) & DISPOSAL |
| FA8818-12-R-0025 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A004 |
| TECHNCIAL REPORT – STUDY/SERVICES |
| SPECIAL STUDIES |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MISC-80508B |
| PWS paragraph 3.4 and 3.5 |
| SMC/SDLL |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
| DISTRIBUTION |
LT
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| b. COPIES |
A
16. REMARKS
SMC/SDLL
Block 4.
| Contractor format is acceptable. |
| SMC/PKT (SEE 16) |
| Block 8. Submit draft for approval 15D after study completion. Gov will have |
| 15. TOTAL |
15 days for review and comments. Gov approval is PM.
Blocks 14 & 15.
Electronic submittal is required.
** For SD/PKT: Letter of Transmittal only.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
ADAM B. BROWN, 1LT, USAF
KURT REISDORF, GG-14, DAF
| DD FORM 1423-1, FEB 2001 |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| (1) |
| of |
| (1) |
| Pages |
Form Approved OMB 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 the above organization. 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: |
| TBD |
| A |
| TDP |
| (X) |
| TM |
| ( ) |
| OTHER |
| ( ) |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| RSLP AGING SURVEILLANCE(AS) & DISPOSAL |
| FA8818-12-R-0025 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A005 |
| HAZARDOUS WASTE REPORT |
| MOTOR DISPOSAL CERTIFICATE |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MGMT-80899 |
| PWS paragraph 3.3.2 |
| SMC/SDLL |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
| DISTRIBUTION |
LT
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| b. COPIES |
N/A
| See Block 16 |
| See Block 16 |
(Block 4, 10.2.c)
16. REMARKS
SMC/SDLL
Block 4.
Delete paragraph 10.1-10.2. Replace with:
10.1 Format. The contractor’s format is acceptable.
10.2 Content. The report shall contain the data listed below:
b. Contract Number
c. Certification of Destruction: This is to certify that the following RSLP Missile Motor was destroyed by (contractor) at (facility) on (date of actual disposal action) using (method of destruction IAW DoD policy, guidelines and directives as required.
d. Model Number of motor destroyed
e. Serial Number of motor destroyed
f. Cage Code (if available)
g. Signature, date signed, printed name, functional title, address, and phone number of responsible contractor representative.
Block 14.
Electronic submittal is required.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
ADAM B. BROWN, 1LT, USAF
KURT REISDORF, GG-14, DAF
| DD FORM 1423-1, FEB 2001 |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| (1) |
| of |
| (1) |
| Pages |
Form Approved OMB 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 the above organization. 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: |
| TBD |
| A |
| TDP |
| (X) |
| TM |
| ( ) |
| OTHER |
| ( ) |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| RSLP AGING SURVEILLANCE(AS) & DISPOSAL |
| FA8818-12-R-0025 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A006 |
| REPORT, RECORD OF MEETING/MINUTES |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-ADMN-81505 |
| PWS paragraph 3.7.2 |
| SMC/SDLL |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
| DISTRIBUTION |
LT
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| b. COPIES |
N/A
16. REMARKS
SMC/SDLL
Block 4.
Contractor format is acceptable.
15. TOTAL
Blocks 14 &15.
Electronic submittal is required.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
ADAM B. BROWN, 1LT, USAF
KURT REISDORF, GG-14, DAF
| DD FORM 1423-1, FEB 2001 |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| (1) |
| of |
| (1) |
| Pages |
Form Approved OMB 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 the above organization. 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: |
| TBD |
| A |
| TDP |
| (X) |
| TM |
| ( ) |
| OTHER |
| ( ) |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| RSLP AGING SURVEILLANCE(AS) & DISPOSAL |
| FA8818-12-R-0025 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A007 |
| INTEGRATED MASTER SCHEDULE (IMS) |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MISC-81650 |
| PWS paragraph 3.7.1 |
| SMC/SDLL |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
| DISTRIBUTION |
LT
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| b. COPIES |
N/A
16. REMARKS
SMC/SDLL
Block 4.
10.2 - Delete second sentence
10.5 Delete second, third and forth sentences
10.5.1 Delete entire section
15. TOTAL
Blocks 12 & 13. The first submittal shall be included in the contractor’s proposal. Subsequent submissions shall be EOM10D beginning the first full month after contract award.
Block 14 &15.
Electronic submittal is required.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
ADAM B. BROWN, 1LT, USAF
KURT REISDORF, GG-14, DAF
| DD FORM 1423-1, FEB 2001 |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| (1) |
| of |
| (1) |
| Pages |
Form Approved OMB 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 the above organization. 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: |
| TBD |
| A |
| TDP |
| (X) |
| TM |
| ( ) |
| OTHER |
| ( ) |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| RSLP AGING SURVEILLANCE(AS) & DISPOSAL |
| FA8818-12-R-0025 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A008 |
| CONTRACTFUNDS STATUS REPORT (CFSR) |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MGMT-81468 |
| PWS paragraph 3.7.1 |
| SMC/SDLL |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
| DISTRIBUTION |
LT
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| b. COPIES |
N/A
16. REMARKS
SMC/SDLL
Block 4.
| Change paragraph 10.2.12.1 to read – Columns 2-7 will be headed to indicate six one-month periods. Columns 8-10 (add one column to sample at Page 7) |
| SMC/PKT (SEE 16) |
to indicate 3 quarterly periods. Last column (column 11) will indicate funding
AT COMPLETION.
15. TOTAL
Blocks 12 & 13. Submissions shall be 10 days after end of Fiscal Quarter (FQ) beginning the first partial quarter after contract award. FQs end in December, March, June and September.
Block 14 &15.
Electronic submittal is required.
** For SD/PKT: Letter of Transmittal only.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
ADAM B. BROWN, 1LT, USAF
KURT REISDORF, GG-14, DAF
| DD FORM 1423-1, FEB 2001 |
| PREVIOUS EDITION MAY BE USED. |
| Page |
| (1) |
| of |
| (1) |
| Pages |
Form Approved OMB 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 the above organization. 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: |
| TBD |
| A |
| TDP |
| (X) |
| TM |
| ( ) |
| OTHER |
| ( ) |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| RSLP AGING SURVEILLANCE(AS) & DISPOSAL |
| FA8818-12-R-0025 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| A009 |
| MANAGEMENT PLAN |
| INTEGRATED MANAGEMENT PLAN |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| DI-MGMT-80004A |
| NONE |
| SMC/SDLL |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. |
| DISTRIBUTION |
LT
| See Block 16 |
| See Block 16 |
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| b. COPIES |
A
| Add paragraph 3.6.c.: The plan shall include the personnel staffing of the |
| SMC/PKT |
Information Assurance (IA) effort and include all information per paragraph
3.6.a. The plan shall also describe the staffing required for proper
| accomplishment of each contractual IA task by skill type, skill level, number of |
| 15. TOTAL |
personnel, and security clearance.
Add to end of paragraph 3.7.a: Contractor-owned unclassified systems used in direct support of the government system(s) operation or use may require IA C&A where there is no agreement between the DSS and DOD DAA specifying otherwise.
Change paragraph 3.7.b. to read: Provide a comprehensive system security accreditation plan to demonstrate how the requirements stipulated in the DoD 8500.02, as applicable, (specifically paragraph5.12 and Enclosure 4) have been accounted for in information systems; and, how satisfaction of each requirement will be explicitly demonstrated in the test program. This plan shall also identify any specific support equipment, tools, and software to be provided for demonstration of design compliance and/or system compliance with the planned system security and protection requirements.
Block 8.
Government approving official for the Security IMP (DID paragraphs 3.6.c – 3.7.c) is the SMC/SD Information Assurance Manager. The Basic Program IMP (DID paragraphs 1 – 3.6.b) Government approval will be provided by the RSLP PM. The Basic Program IMP does not require Government approval. The Security IMP shall require Government approval for all submissions, including the Timeline.
Block 10, 12 & 13. The IMP will have separate submittals for the basic program and for security. First submittal of both IMPs shall be included in the contractor’s proposal and is accepted by the Government by contract award.
Subsequent submissions of the Basic Program IMP are required whenever changes occur in any month and shall be delivered EOM10D beginning the first full month after contract award.
The first submittal of the Security IMP shall be a timeline for submitting all other security documentation required by this CDRL. The Security IMP timeline shall be updated and provided annually. All other security IMP submittals shall be per the approved Timeline. The Timeline and all other Security IMP submittals will include a Draft Submittal, Government approval (30 days after draft submittal) and Contractor final submittal (30 days or less after Government approval).
Block 14 &15.
Electronic submittal is required. * For documentation too large to submit electronically, a CD sent to the IAO via mail at the appropriate security level is acceptable. ** For SD/PKS: Letter of transmittal only.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
ADAM B. BROWN, 1LT, USAF
KURT REISDORF, GG-14, DAF
| DD FORM 1423-1, FEB 2001 |
| PREVIOUS EDITION MAY BE USED. |
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