SLEP_CDRLs_Exhibit_A_17Feb16.pdf

PREFACE TO CONTRACT DATA REQUIREMENTS LIST (CDRL) (DD FORM 1423)

1. The contractor shall develop and deliver only that data agreed to by the Government in the Exhibit(s) and data items deliverable under any contract clause. The contractor may suggest changes to deliverable data listed in the Exhibit(s) but all changes shall include an explanation. If the contractor elects to suggest changes, the contractor shall use Data Item Descriptions (DIDs) listed at http://www.dodssp.daps.mil, in ASSIST to convey format and content preparation instructions. The use of DIDs by the Contractor is required by the Government to comply with Public Law 104.13, the Paperwork Reduction Act of 1995 as amended. Additional information on the use of DIDs is contained in paragraph 3.0 below. Any additional data proposed by the contractor shall be presented in the format illustrated by CDRLs identified in the Exhibit(s).

2. Delivery media for data shall be digital whenever possible, however no data identified with distribution statement "B" through "F" shall be transmitted over the commercial Internet or equivalent unless password/ID protected and encrypted by a government approved program. Information may also be provided via onsite reviews, technical interchange meetings, telecommunications conferencing, or other means in lieu of formal submissions considered adequate by the contractor and agreed to by the Government.

3. If the contractor proposes the use of a commercial or contractor unique process as part of the Single Process Initiative (SPI), the contractor unique process documentation shall be provided in the response to the solicitation unless previously approved under the SPI. If the proposed process results in the delivery of data in a specific format and/or content and no DID listed in ASSIST is suitable, the contractor shall develop a One Time (OT) DID for each type of data and submit an electronic version with the corresponding CDRL Sequence Number. MIL-STD- 963B may be used as a preparation guide. If the OTIME DID is determined to be acceptable, the contractor shall electronically transmit the DID to the CO using Microsoft Word. If the DID is approved by HQ AFMC, the OTIME DID and the contractor unique process shall become part of the contract as an attachment to the applicable CDRL. In selecting a DID from ASSIST, the contractor should consider that each DID represents the maximum allowable information to be delivered for any one type of data. Information in the DID has been approved as written by the Office of Management and Budget and cannot be expanded upon, only reduced

4. As part of the response to the solicitation, the offeror shall provide an estimated cost and supporting rational for each item of data listed on the CDRL (CDRL items are identified individually by the sequence number appearing in Block 1 of each CDRL). Price Group definitions are contained on the last page of this CDRL package (Form 1423 Reverse JUN 90).

a. The offeror shall complete Blocks 17 and 18 of the DD Form 1423 and include the estimated number of pages plus estimate the number of man-hours (broken down by skill category) attributable to the preparation and delivery of the data.

NOTE: These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required.

b. The offeror is encouraged to submit recommendations, suggested changes, or alternate proposals with the response (right hand margin of the CDRL or a separate sheet may be used).

5. The following comments are provided as clarification to the CDRL:

Block 1: Data Item Number: An identification number assigned to each individual item of data.

Block 2: Title: The exact title taken from the Data Item Description (DID) (DD Form 1664).

Block 3: Subtitle: Used to further identify the title or as a continuation line for a long title. Also used to differentiate the same data item description used more than one time on the same contract.

Block 4: Authority: The identification number assigned to the Data Item Description (DID) (DD Form 1664) number, military specification number or military standard number listed in ASSIST or one-time DID number that defines data content and format requirements.

a. A letter immediately following the number indicates a revision to the DID.

b. A DID may be tailored. Tailoring is the process of focusing on obtaining only minimum essential technical data and data rights for each acquisition. Tailoring instructions e.g., instructions that specify those portions of the DID or other acquisition document that are not applicable to the acquisition, will be specified in BLK 16 of the CDRL.

c. More than one data item may be used to construct a specific data requirement. Each data item will be separately listed on the CDRL and CDRL BLK 16 will be used to show the relationship (for example, “Combine with contract data item DI-X-XXX for submission”, or “Data prepared in accordance with DI-X-XXX”).

Block 5: Contract Reference: A cross-reference to the associated contract tasking document (Statement of Work, Appendix “A” and/or “B”, procurement specification, etc.) which causes the data to be generated. Appropriate document identifiers and paragraph numbers will be used.

Block 6: Requiring Office: the office responsible for advising on the technical adequacy of the data.

http://www.dodssp.daps.mil/

Block 7: DD Form 250 Required: Designation of the location for government inspection and acceptance of the data. One of the following codes will be used, depending on how the data is to be delivered:

CODE INSPECTION ACCEPTANCE

SS *Source (DD Form 250) *Source (DD Form 250)

DD Destination (DD Form 250) Destination (DD Form 250)

SD *Source (DD Form 250) Destination (DD Form 250)

DS Destination (DD Form 250) * Source (DD Form 250)

LT Letter of Transmittal only

N/A No inspection or acceptance required.

XX Inspection and acceptance requirement specified elsewhere in the contract.

*Source indicates contractor’s facility.

a. Unless noted otherwise in CDRL BLK 16, the activity to perform destination acceptance will be the first addressee in CDRL BLK 14.

b. When DD Form 250 is required, it shall be submitted for final deliveries only. All submissions prior to final delivery, i.e., outlines, drafts, preliminary, or review copies, etc., shall be submitted by letter of transmittal.

Block 8: Approval Code: All data are subject to Government approval however, selected data will require advance approval of a preliminary, draft, outline or review prior to being distributed as final copies to the addressees listed in Block 14 of the DD Form 1423. The letter “A” appearing in Block 8 of the DD Form 1423 will designate such data.

Block 9. Distribution Statement Required: If a Distribution Statement is required, enter appropriate Distribution Code in this block. The distribution of technical data containing US technology with military or space application must be controlled. All data including software that is regulated by Title 22 CFR (Code of Federal Regulations) Parts 120-130, known as the International Traffic in Arms Regulation, and contractor proprietary data shall be safeguarded from export and unauthorized dissemination IAW Title 22 U.S.C (United States Code) 2571 et. seq., or Executive Order 12470, Air Force Instructions (AFI) 61-204 and when transmitted electronically, AFI 33-129. No data identified with distribution statement "B" through "F" shall be transmitted over the commercial Internet or equivalent unless password/ID protected and encrypted by a Government approved program. The following Distribution Statements when identified as a requirement on the CDRL shall be affixed to deliverable data in a conspicuous position. Enter in BLK 16, the information required for the contractor to complete the distribution statement (fill in reason), (date of determination) and (DoD controlling Office). When the contracting agency cannot determine the correct statement, the contractor may be tasked to recommend one of the statements listed in Attachment 2 to this Preface.

Distribution Code Statement

A Approved for public release; distribution is unlimited

B Distribution authorized to U.S. Government agencies (fill in reason) (date of determination). Other requests for this document shall be referred to (insert controlling DoD office).

C Distribution authorized to U.S. Government agencies and their contractors (fill in reason) (date of determination).

Other requests for this document shall be referred to (insert controlling DoD office).

D Distribution authorized to Department of Defense and U.S. DoD contractors only (reason) (date of determination). Other requests for this document shall be referred to (insert controlling DoD office).

E Distribution authorized to DoD Components only (fill in reason) (date of determination). Other requests shall be referred to

(insert controlling DOD office)

F Further dissemination only as directed by (insert controlling DoD office) (date of determination) or higher DoD authority.

All printed and electronic, including digital, technical documents that are determined to contain export-controlled technical data shall be marked as shown below:

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.)

or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Unclassified documents marked with Distribution Statements B, C, D, E, or F shall be marked with the destruction notice shown below:

“DESTRUCTION NOTICE - For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.”

Classified documents marked with Distribution Statements B, C, D, E, or F shall be marked with the destruction notice shown below:

“DESTRUCTION NOTICE - Follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM), section 5-705, or DoD 5200.1-R, Information Security Program, Chapter VI.

Block 10: Frequency: The frequency for submitting the data will be indicated by use of one of the following codes:

DAILY - Daily ANNLY - Annually WEKLY - Weekly SEMIA - Each 6 months BI-WE - Each 2 weeks OTIME - One time MTHLY - Monthly ONR/R - One time & revisions BI-MO - Each 2 months R/ASR - As required QRTLY - Quarterly *ASREQ- As required 2TIME - Two separate submittals DFDEL -Deferred delivery ONE/P One-time preliminary draft

* When ASREQ is used in Block 10, 12, or 13, an explanation of the requirement will be entered in Block 16.

Block 11: As of Date: If the data will be submitted only once, the entry in this field will be the cut-off-date as follows: year/month/day. If the data will be input on a recurring basis, which has been set by item 10, the entry will show the number of days between the cut-off date and the end of the input period. As an example, if the data are to be submitted 15 days before the end of the input period, the entry will be 15. If the data are to be submitted at the end of the input period, the entry will be 0. If necessary, BLK 16 will be used to explain further.

Block 12. Date of First Submission. The entry will be Year/month/day. If delivery of the data depends on the initiation of a specific event or milestone, the event or milestone will be identified. If the contract start date is unknown, the entry will be the number of days the data is due after contract start e.g. 3RD (Days after Contract). If this date is not known or needs more clarification, BLK 16 will be used to explain further. If the data are subject of deferred deliver “DFDEL” will be used. In all cases when an acronym is created to identify an event or milestone, the acronym will be further defined in BLK 16 if not elsewhere in the contract.

Block 13: Date of Subsequent Submission: If the data will be required to be submitted more than once the dates will be entered. If a draft is required, the date the final document is to be submitted will be entered. (If this event would cause the data list to become classified, the field will be left blank. ‘for example Not later than 15 days before start of production, 45 days before launch e., If an acronym is used to identify an event or milestone, the acronym will be further defined in BLK 16 if not elsewhere in the contract.

Block 14a Addressees: Each addressee will be identified by office symbol, contractor initials or DOD Handbook H-4 code numbers and command initials; in this case a list explaining the codes will be attached. If the data are not to be delivered to the government or to associate contractors, appropriate instructions will be entered either in BLK 14a or BLK 16.

Block 14b. Copies: The number and type of copies (regular and reproducible to be received by each addressee will be entered in these fields). If reproducibles are required, the type of reproduction request will be specified e.g. offset, mat, vellum, negative, floppy disk, magnetic tape, aperture card etc. either in these fields or defined further in BLK 16.

Block 15 Total: This entry will be the total number of copies (regular and/or reproducible) for one delivery. If distribution fluctuates, the use of Not To Exceed (NTE) will be used.

Block 16 Remarks: This block will be used to explain:

a. Tailored features of the DID.

b. Items 1 through 15 when required.

c. Any resubmittal schedule or special conditions involved in updating data submitted for government approval.

d. The BLK 9 distribution statement when deemed appropriate by the contracting agency.

6. The following Organizational Cross Reference List shall be used in conjunction with the CDRLs to determine actual addressees for distribution of data. The ORG number will be entered in lieu of an address on the CDRL and will be a part of the CDRL package.

Changes to the list will be identified by an asterisk next to the ORG number and a revision date to the list.

ORG1= AFNWC/NDW

8601 Frost Avenue (Bldg 20203) Kirtland AFB, NM 87117 Attention: WS3 SLEP PM E-Mail Address: afnwc.ws3workflow@kirtland.af.mil and Briana.Lee.2@us.af.mil

ORG2 =AFNWC/PZNK

8500 Gibson Blvd. SE, Bldg. 20202 Kirtland AFB, NM 87117 Attention: WS3 SLEP Contracting Officer E-Mail Address: jayne.faris.1@us.af.mil and honey.smalls.1@us.af.mil

ORG3 =AFNWC/FM

1551 Wyoming Blvd. SE Kirtland AFB, NM 87117 Attention: WS3 SLEP FM rep E-Mail Address: afnwc.fmworkflow@kirtland.af.mil

ORG4 =USAFE/A10NM

E-Mail Address: usafe.a10nmmaintenancebranch@ramstein.af.mil

ORG5 = OLRAM

E-mail Address: olram.workflow@us.af.mil

ORG6 = AFNWC/NDET

Attention: Benjamin Salinas 2000 Wyoming Blvd. SE Kirtland AFB, NM 87117-5617 E-mail: benjamin.salinas@us.af.mil

ORG7 = TBD (WS3 SLEP Testing Agency)

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 Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

0001, 0002, 0004, 0005, 0007,0009, 0010, 0011, 0012, 0015

A

TDP_________TM__________OTHER _ X_______

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

WS3 Service Life Extension Program

(SLEP)

TBD TBD

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

A001

STATUS REPORT

Monthly Status Reports

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

TOTAL PRICE

DI-MGMT-80368A SEE BLK 16 AFNWC/NDW

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

DD MTHLY SEE BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE

Draft Final

A SEE BLK 16 SEE BLK 16

Reg

Repro

16. REMARKS:

BLOCK 5:

SOW paragraphs 2.1.1.8.1, 3.1.1, 3.1.4, 3.1.4.3, 3,2,1,2 and 9.1.1

BLOCK 8:

Government will be allowed 5 working days after receipt from contractor to review for approval/disapproval/comments. Contractor shall resubmit corrected Status Report incorporating Government comments, if applicable, NLT 5 working days after receipt from Government.

BLOCK 9:

Distribution Statement D: (see page 2 & 3 for distribution statement, warning, and destruction notices)

BLOCKS 11 and 12:

The first submission is due 20 working days after the first full accounting period following authorization to proceed.

BLOCK 13:

Subsequent submissions will be 20 working days after the close of the Contractor’s accounting month end.

BLOCK 14:

Electronic submittal in Microsoft Office product or compatible software approved by Government; PDF is not acceptable.

ORG 1

ORG 2

ORG 3

ORG 4

15. TOTAL 1 4

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

John Hedenberg SLEP Systems Engineer

AFNWC/NDWA

9 Nov 2015

Robert Buchanan SLEP Program Manager

AFNWC/NDWA

9 Nov 15

DD Form 1423-1, FEB 2001 Page___1__of___1__Pages

LM 11-30

(1 Data Item)

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 RETURNS your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

0001, 0002, 0015 A TDP_________TM__________OTHER _ X_______

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

TBD

A002

CONFERENCE AGENDA

Meeting Agenda (Program, Technical Reviews, and audits) to include

Presentation Slides

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

DI-ADMN-81249A SEE BLK 16 AFNWC/NDW

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

DD ASREQ ASREQ b. COPIES

a. ADDRESSEE

Draft Final

N/A N/A SEE BLK 16

BLOCK 5:

SOW paragraphs 3.1.4.1, 9.1.1, 9.1.2, 9.2.4.1, 9.2.6.1, 9.2.7.1, 9.2.8.1, 9.2.10.1.1, 9.2.11.1, and 9.2.12.1

BLOCK 9:

Distribution Statement D: (see page 2 & 3 for distribution statement, warning, and destruction notices)

BLOCKS 10, 12 &13:

Contractor shall submit Meeting Agenda and Presentation Slides NLT 5 business days prior to the formal meetings and reviews listed in the Statement of Work. Government will be allowed 2 business days after receipt from contractor to review for comments. Contractor shall submit revised Agenda and/or Presentation Slides incorporating Government comments, if applicable, NLT 2 business days after receipt from Government.

BLOCK 14:

Electronic submittal in Microsoft Office product or compatible software approved by Government; PDF is not acceptable.

15. TOTAL 2 3

John Hedenberg

SLEP Program Manager

AFNWC/NDWA

DD Form 1423-1, FEB 2001 Page___1__of___1__Pages

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 Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

ALL A TDP_________TM__________OTHER _ X_______

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

A003

REPORT, RECORD OF MEETING/MINUTES

Minutes from program reviews and audits to include updated Presentation Slides

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

DI-ADMN-81505 SEE BLK 16 AFNWC/NDW

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

DD ASREQ SEE BLK 16 b. COPIES

a. ADDRESSEE

Draft Final

A N/A SEE BLK 16

BLOCK 5:

SOW paragraphs 3.1.1, 3.1.4, 3.1.4.1, 9.1.1, 9.1.3, 9.2.4.1, 9.2.6.1, 9.2.7.1, 9.2.8.1, 9.2.10.1.1, 9.2.11.1, and 9.2.12.1

BLOCK 9:

Distribution Statement D: (see page 2 & 3 for distribution statement, warning, and destruction notices)

Contractor shall submit Meeting Minutes NLT 10 business days after the formal meetings and reviews listed in the Statement of Work. Submittal shall include an action item list and any updates to the presentation charts based on discussions during the meeting as directed by the Government. The Government will be allowed 5 business days after receipt from contractor to review for approval/disapproval/comments. Contractor shall submit revised Minutes incorporating Government comments, if applicable, NLT 5 business days after receipt from Government.

BLOCK 14:

15. TOTAL 1 3

John Hedenberg

SLEP Program Manager

AFNWC/NDWA

DD Form 1423-1, FEB 2001 Page___1__of___1__Pages

(1 Data Item)

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 Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

0001, 0002,0005, 0010, A

TDP_________TM__________OTHER _ X_______

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

A004

TEST PLANS/TEST PROCEDURES

Test Plans and Procedures for various tests

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

DI-SESS-81704 SEE BLK 16 AFNWC/NDW

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

DD SEE BLK 16 SEE BLK 16 b. COPIES

a. ADDRESSEE

Draft Final

A (SEE

BLK 16)

N/A SEE BLK 16

BLOCK 5:

SOW paragraphs 2.1.1.1, 2.1.2.11, 2.1.2.13, 2.1.3.5, 2.1.4.7, 2.2.1.1.2, 2.2.1.5.3, 3.1.4.5, and 9.2.4.1

BLOCK 8

SLEP testing shall not commence until the test procedures are approved by the Government

BLOCK 9:

Distribution Statement D: (see page 2 & 3 for distribution statement, warning, and destruction notices)

Contractor shall submit draft test procedures NLT 30 business days prior to test start. Government will be allowed 10 business days after receipt from contractor to review for approval/disapproval/comments.

Contractor shall submit revised Test procedures incorporating Government comments, if applicable, NLT 5 business days after receipt from Government.

BLOCK 14:

Electronic submittal in Microsoft Office product or compatible software approved by Government; PDF is not acceptable.

ORG 7

John Hedenberg

SLEP Program Manager

AFNWC/NDWA

9 Nov 15

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

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 Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

0001, 0002, 0005, 0010, A

TDP_________TM__________OTHER _ X_______

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

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

A005

TEST/INSPECTION REPORT

Test reports used to validated government requirements

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

DI-NDTI-80809B SEE BLK 16 AFNWC/NDW

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

DD ASREQ SEE BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

BLOCK 5:

SOW paragraphs 2.1.2.8, 2.1.2.11, 2.1.2.14, 2.1.3.1, 2.1.4.7, 2.2.1.2, 2.4, 2.5, and 3.1.4.5

BLOCK 9:

Contractor shall submit Test/Inspection Report NLT 15 business days after completion of any Contractor Test or Site Survey. Government will be allowed 10 business days after receipt from contractor to review for approval/disapproval/comments. Contractor shall submit revised Test/Inspection Report incorporating Government comments, if applicable, NLT 10 business days after receipt from Government.

The contractor shall submit a preliminary Inspection Report NLT 15 business days after the Site Surveys. The contractor shall submit a final Inspection Report NLT 15 business days after the Dig Permits are approved at each site.

Contractor shall notify the following Government Representatives (ORG1 and ORG7) by e-mail, 15 business days prior to testing, giving the Government the option to attend the testing.

BLOCK 14:

ORG 7

John Hedenberg

SLEP Program Manager

AFNWC/NDWA

DD Form 1423-1, FEB 2001 Page___1__of__1_ Page

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 Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. Exhibit C. CATEGORY:

0001, 0002, 0005, 0010, A

TDP_________TM__________OTHER ____X____

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

A006

ENGINEERING CHANGE PROPOSAL

Documentation of changes to a system

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

TOTAL PRICE

DI-SESS-80639D SOW para 2.1.4.5 AFNWC/NDW

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

DD AS REQ AS REQ b. COPIES

a. ADDRESSEE

Draft Final

BLOCK 9: Distribution Statement D: (see page 2 & 3 for distribution statement,

1. Reference documents. The applicable issue of any documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.

2. Format and content: The ECP shall be prepared using DD Form 1692 from the following website: http://www.dtic.mil/whs/directives/forms/eforms/dd1692.pdf. The following references may be useful in defining content: Configuration Management Handbook MIL-STD-HDBK-61A (SE) and Configuration Management Guidance

ANSI/EIA 649-1998.

3. Draft and final ECPs shall be submitted electronically, as required. Government will be allowed 30 business days after receipt from contractor to review for approval/disapproval.

BLOCK 14:

15. TOTAL 1 2

John Hedenberg

SLEP Program Manager

DD Form 1423-1, FEB 2001 Page___1__of___1__Pages

(1 Data Item)

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 Contract/PR No. listed in Block E.

ALL A TDP_________TM__________OTHER ____X____

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

A007

INTEGRATED MASTER SCHEDULE (IMS)

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

DI-MGMT-81650 SEE BLK 16 AFNWC/NDW

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

DD MONTHLY SEE BLK 16 b. COPIES

a. ADDRESSEE

Draft Final

BLOCK 5:

SOW paragraphs 2.2.1.5.1, 3.1.1, 3.1.4, 3.1.4.4, and 10.0

Block 4: Modify the DID to only include the following tailored paragraphs:

2.1 Contract Milestones and Definitions. Key programmatic events, which define progress and completion for each CWBS element, along with the definition for successful completion of the milestone.

2.2 Summary Master Schedule. A top-level schedule of key tasks/activities and milestones at the summary level of the CWBS and IMP (if applicable). It shall be an integrated roll up of the intermediate and detailed schedules.

2.3 Intermediate Schedules. Mid-level contract schedules that include key tasks/activities and milestones and all associated accomplishments in the summary master schedule, traceable to the CWBS element or IMP event as necessary to display work effort at the intermediate level of summarization. There may be several intermediate schedules that depict varying levels of detail. They shall be integrated roll ups of the detailed schedules.

The contractor shall show the level of detail in the IMS equivalent of level 4 of the WBS shown in the SEP Appendix 1.

BLOCK 9: Distribution Statement D: (see page 2 & 3 for distribution statement, Block 12: 50% IMS deliverable at Contract Kickoff Meeting/System Requirements Review (SRR), with 100% deliverable NLT 30 days after SRR.

Block 13: Submit updates in conjunction with Monthly Status Report (CDRL A001)

Block 14: Electronic submittal in Microsoft Project or other Government approved software; PDF is not acceptable.

ORG 3

15. TOTAL 1 3

John Hedenberg

9 Nov 2015 Robert Buchanan

AFNWC/NDWA

DD Form 1423-1, FEB 2001 Page___1__of___1__Pages

(1 Data Item)

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 Contract/PR No. listed in Block E.

0001, 0002, 0012, 0015 A TDP__X_______TM__________OTHER ________

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

A008

PRODUCT DRAWINGS/MODELS AND

ASSOCIATED LISTS

Details on Engineering Drawings

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

TOTAL PRICE

DI-SESS-81000E SEE BLK 16 AFNWC/NDW

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

DD ASREQ BLK 16 b. COPIES

8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF SUBSEQUENT

a. ADDRESSEE

Draft Final

A BLK 16 BLK 16

BLOCK 4: Modify the DID, tailoring the paragraphs listed on pages 2-4 of this CDRL.

BLOCK 5:

SOW paragraphs 2.1.2.5, 2.1.2.8.1, 2.1.3.4, 2.1.4.5, and 2.2.1.7

BLOCK 9:

Distribution Statement D: (see page 2 & 3 for distribution statement, warning, and destruction notices)

BLOCKS 12 &13:

See #8 below.

BLOCK 14:

John Hedenberg

4 May 2015

SLEP Program Manager

AFNWC/NDWA

DD Form 1423-1, FEB 2001 Page___1__of___4__Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

0001, 0002, 0012, 0015 A TDP X TM OTHER _____ ____

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

16. REMARKS (Continued): CDRL A008 Continued.

1. Reference documents. The applicable issue of any documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract. This CDRL is applicable to both software and hardware drawings.

2. Distribution Statement. Distribution statement, export control statement (if applicable), and Destruction Notice shall be IAW DoDD 5230.24. The following Distribution Statement shall be used for all data.

Distribution Statement D: Distribution authorized to DoD and U.S. DoD contractors only for administrative and operational use, determined (date of determination)*. Other requests for this document shall be referred to

AFNWC/NDW.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50 U.S.C., App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Dissemination of this document is controlled under DoD Directive 5230.25.

DESTRUCTION: For classified documents, follow the procedures in DoD 5200.22-M, Industrial Security Manual, Section 11-19 or DoD 5200.1R, Information Security Program Regulation, Chapter IX.

For unclassified, limited documents, destroys by any method that will prevent disclosure of the document.

*NOTE: Date of determination is the date the distribution statement is added to the document.

3. Drawing Baseline. Contractor shall maintain drawing baseline configuration for hardware (current through completion of contract). Existing Drawings and Associated Lists that are updated by this effort shall also be updated to include the applicable Distribution Statement, Export Control Statement (if applicable) and Destruction Notice.

4. Control Drawings. Contractor shall prepare control drawings for commercial or vendor items IAW ASME Y14.24M.

5. New drawings. For newly created Drawings and Associated Lists, DI-SESS-81000D/T and Technical Data Package Option Selection Worksheet (defined in MIL-STD-31000) are applicable. Tailoring to DID shall be per TDP Option Selection Worksheet (Atch 1).

All newly created Drawings and Associated Lists shall be IAW the following tailored documents: ASME Y14.100-2000 (including Appendices B, C, D, E), AMSE Y14.3M, ASME Y14.5M, and ASME Y14.25M.

Tailoring to these documents as indicated on this DD form 1423. The following documents are used in whole:

ASME Y14.1, ASME Y14.2M, ASME Y14.24, ASME Y14.34M, ASME Y14.38 and ASME Y14.38a-2002

ADDENDA.

6. Tailoring to ASME documents:

ASME Y14.100-2000

(1) (Application Data) para 4.6 – Application Data is required on first sheet of Drawing and Associated List.

General use or multi-use notations is allowed.

(2) (Drawing Notes) para 4.26 – Drawing Notes shall be on first sheet of drawing.

DD Form 1423-1, FEB 2001 Page___2__of___4__Page

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

ASME Y14.35M

(1) (Redrawn Drawings) – shall be IAW para 4.3, sub-para 4.3.2

(2) (Revision Column) – shall be IAW para 6, sub-para 6.1.2, 6.1.3(d), 6.1.7(c).

Contractor shall maintain revision history in its entirety.

(3) (Revision Letters) – Shall be IAW para 7.2, sub-para 7.2.1(a), (b), (c).

(4) (Revision History Block) – shall be IAW para 7.2.2(a), (b).

(5) (Revision Status of Sheets Block) – shall be IAW para 7.4, sub-para 7.4.2(a), (b), (c).

(6) (Adding Sheets) – shall be IAW para 7.5, sub-para 7.5.1(a)

(7) (Deleting Sheets) – shall be IAW para 7.5, sub-para 7.5.2(b)

ASME Y14.5M

(Dimensioning and Tolerancing) – shall be IAW para 1.6.2 and shall be decimal inch.

ASME Y14.3M

(Angle of Projection) – shall be IAW para 1.6.1 (Third Angle Projection)

ASME Y14.100-2004 INVOKED APPENDICES

Appendix B – Noncommercial Drawing Practices Appendix B – for para B5 see TDP Option Selection Worksheet Appendix C – Drawing Titles Appendix D – Numbering, Coding, and Identification Appendix E – Makings on Engineering Drawings Appendix E – for para E7 see DD1423 Block 16

7. Metadata Requirements

A metadata file shall accompany each Drawing and Associated List submittal. Not all fields in the Metadata are filled in or used. Only the fields that are required to have inputs have been filled in. The other fields shall be left blank. Columns may be hidden, but no columns shall be deleted from the database nor shall extra columns be added. AFNWC/NDW will provide column-by-column instructions for completion of the metadata (Atch 3).

Metadata input must be in ALL CAPS with the exception of the file extension (File Ext) field. The File Extension listed in this field must match the file extension of the image file (upper/lower case).

AFNWC/NDW will provide a sample metadata file as an attachment to this CDRL package (Atch 2). The attached sample metadata file and database is in Excel. Contractor shall submit a metadata sample in Excel on CD ROM to AFNWC/NDW 90 working days after contract award The Government requires 20 working days for inspection and acceptance of sample files.

8. Drawing deliveries:

Draft/preliminary drawings shall be delivered 10 business days prior the Preliminary Design Review (PDR).

Updated drawings shall be delivered 20 business days prior to the Critical Design Review and Physical Configuration Audit in AutoCAD and PDF format on CD ROM. The Government shall provide comments to the drawings 10 business days prior to each review/audit (excluding the PDR). Agreed to comments shall be incorporated into the drawing prior to the next review/audit.

J-size drawings (if applicable) shall be split into frames and submitted as E-size sheets.

DD Form 1423-1, FEB 2001 Page___3__of___4__Page

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

Final Delivery: Delivery of the final drawing package and final metadata file shall be made 30 working days after closeout of the Physical Configuration Audit. Final delivery media for Drawings and Associated Lists shall be in AutoCAD and PDF format on CD ROM. Drawings can be submitted as a single file for each drawing (multiple sheets per file) or as a single file for each sheet. Associated lists (specs, PLs, AL, WLs, etc.) may be submitted as A-size sheets provided all information and boarders for each sheet of the document are formatted to print within an 8 ½ X 11 sheet of paper. If any sheet of the document runs over to another page the file will not be accepted. Associated Lists shall be submitted as one file for the complete document.

Final delivery media for metadata shall be in Excel on CD ROM. CD ROM labels shall be marked with the following information: date, contract #, company name, company CAGE, nomenclature(s) of top assembly being submitted.

9. Shipping List – A shipping list shall be provided with each shipment of engineering data delivery. Shipping list shall identify each document being furnished in the TDP in alphanumeric order. Media shall be in paper copy to AFNWC/NDW

3 Attachments

1. TDP Selection Worksheet

2. Metadata file

3. Metadata column-by-column instructions

DD Form 1423-1, FEB 2001 Page___4__of___4__Page

MIL-STD-31000

TDP OPTION SELECTION WORKSHEET

P R O D U C T D R A W I N G S / M O D E L S A N D A S S O C I A T E D L I S T S

A. CONTRACT NO.

B. EXHIBIT/ATTACHMENT NO.

C. CLIN

D. CDRL DATA ITEM NO.

1. DELIVERABLE PRODUCT (X and complete as applicable.)

X

a. ORIGINALS (Specify current design activity's full size reproducible drawing or digital data file(s) on which is kept the revision record recognized as official) (Identify specification, type, grade and class, etc.)

b. REPRODUCTIONS (Identify specifications, type, grade and class, etc., and quantity of each)

X

c. DIGITAL DATA (Identify specification, exchange media, etc. and specify original (master) or copy) Drawings and Associated Lists shall be delivered in PDF format on CD ROM. Metadata shall be delivered in EXCEL on CD ROM.

2. CAGE CODE AND DOCUMENT NUMBERS (X one)

X a. CONTRACTOR

b. GOVERNMENT Complete (1) and (2) or (3)

(1) Use CAGE Code

(2) Use Document Numbers

(3) To Be Assigned By:

3. DRAWING FORMATS AND DRAWING FORMS (X one and complete as applicable)

X a. CONTRACTOR FORMATS. Forms to be supplied by contractor. See DD1423 Blk 16

b. GOVERNMENT FORMATS. Forms to be supplied by contractor.

Samples supplied by (Specify)

c. GOVERNMENT FORMATS. Forms to be supplied as Government Furnished Material by (Specify)

4. TYPES OF DRAWINGS SELECTION (X one)

X a. CONTRACTOR SELECTS b. GOVERNMENT SELECTS (Specify in Item 9)

5. ASSOCIATED LISTS (X and complete as applicable) X a. PARTS LISTS (X one) X (1) Integral (2) Separate X b. DATA LISTS (X one) (1) Not Required X (2) Required (Specify levels of assembly) ALL ASSY LEVELS

c. INDEX LISTS (X one) (1) Not Required (2) Required (Specify levels of assembly)

d. WIRING LISTS (X one) (1) Not Required X (2) Required (Specify levels of assembly)

e. INDENTURED DATA LISTS (X one) (1) Not Required X (2) Required (Specify levels of assembly)

X f. APPLICATION LISTS (X one) (1) Not Required X (2) Required (Specify levels of assembly) SEE BLK 9

6. DETAILS (X one)

X a. MULTIDETAIL DRAWINGS PERMITTED b. MONODETAIL DRAWINGS MANDATORY

7. VENDOR SUBSTANTIATION DATA (X one)

X a. NOT REQUIRED b. REQUIRED

8. APPLICABILITY OF STANDARDS. The following Standards apply: (X as applicable)

X

a. ASME Y14.100-2000, ENGINEERING

DRAWING PRACTICES

(COMMERCIAL)

B. X b. ASME Y14.100, WITH APPENDICES

B, C, D, E

B, C, D, and E

X

c. ASME Y14.34M, ASSOCIATED LISTS

d. EXISTING STANDARDS

DO NOT APPLY

C. X

D. X

E. X

9. OTHER TAILORING (Attach additional sheets as necessary) 5 (F) Application List shall be on the first sheet of each Drawing and Associated List

Atch 1 Atch 1

Worksheet – Product Drawings and Associated List

Attachment 2 Metadata Spreadsheet

Column # Row Format Document # Cage Doc Type Doc Size Doc Rev Doc Rev Date Doc Title Sheet # # of

Sheets Sheet Rev

Frame

# of Frames

File Type

File Type Format

File Type Src Fla

File Type Dest

File Type Content

File Type Version

Site Code

File Name

File Ext

File Path

1 IMAGE 23035107 7927

C L CABLE ASSY

SPECIAL

PRUPOSE

ELEC, W3

0001 0001 L 1 1 752 DOC PDF V1.7 5M6

23035 107_L pdf 00

2 IMAGE 23035219 7927

E AH CHASSIS ASSY

CONSOLE

POWER

0001 0001 AH 1 1 752 DOC PDF V1.7 5M6

23035 219_A H pdf 00

Continued…

Column # Field 24 Field 25 Field 26 Security Level Rights Foreign Security Nuclear Subsafe AirType APL CADInfo Control Mode HSC NSN UIC System Nomenclature ShipClass ShipTypeHullNum MasterLoc PhysicalLoc Field 45

1 N U N N N ME

2 N U N N N ME

Continued…

Column # Field 46 Part Number SubSheet Succeeding Dist Stmt Acc Doc Kind Acc Doc # Field 53 Acc Doc Rev Field 55 Field 56 Weapon Sys Code Source Site RevOrder AccRevOrder AcqStatus TDAC Comment Export Control Record End

1 D KAFB

Y

2 D KAFB

Y

Attachment 3 METADATA spreadsheet column-by-column description

NOTE: DO NOT ADD OR REMOVE COLUMNS

Column Header name Required

Field Max # char’

Description

A Row Format Yes 10 Value is “IMAGE”.

B Document # Yes 20 This is the primary document number as it appears in the title block. If the document number in the title block includes the dash number, include it in this column as well. Do not include the Doc Type designator in this column, i.e. PL or WL. For ECOs this is the number of the primary drawing the accompanying document is applicable to.

C CAGE Yes 5 5 character CAGE code listed in the title block of document being submitted.

D Doc Type Yes 2 Type of document being submitted. For drawings and accompanying documents (ECOs, etc.) leave blank.

Parts List = PL Wire List = WL Wire Diagram = WD Data Lists = DL Specifications = SP Test Procedure = TP Application Lists = AL

E Doc Size Yes 2 The size of the document being submitted. A, B, C, D, E or J.

F Doc Rev Yes 2 Revision (normally the revision level of sheet 1) of the document. Max

2 characters. Leave blank if a new release G Doc Rev Date No 50 Leave Blank. Not used H Doc Title Yes 40 Title of document being submitted. Spaces and dashes are allowed. Do not use slashes, dots or commas. Limited to 250 characters I Sheet # Yes 4 Drawing sheet number shown in this image.

J # of sheets Yes 4 Total number of sheets in the drawing.

K Sheet Rev Yes 2 Sheet revision letter. Leave blank if a new release L Frame # Default 4 List the frame number of the file. Always 0001 with one exception: J size sheets, which are split into multiple frames, with each frame in its own file.

M # of Frames Default 4 List the total frames for the sheet. Always 0001 with one exception: J size sheets, which are split into multiple frames, with each frame in its own file.

N File Type No 3 752 for PDF files.

746 for Word documents.

748 for Excel spreadsheets.

1 for all other approved formats.

O File Type Format No 20 DOC for Word and PDF documents.

SPRD for Excel spreadsheets.

C4 for all other approved formats.

P File Type Src Fla No 30 PDF for PDF files.

WORD for Word documents.

EXCEL for Excel spreadsheets.

RSTR for all other approved formats.

Q File Type Dest No 30 V1.7 for PDF files V2007 for Word and Excel files C4 for all other approved formats.

R File Type Content No 30 Leave blank, Not Used S File Type Version No 30 Leave blank, Not Used T Site Code No 6 Value is 5M640 U File Name No 14 Name of file described by this row of the spreadsheet without the extension. Case sensitive. Spaces, pipes and the following characters are NOT allowed: . , / \ %| Limited to 14 characters

Column Header name Required Field

Max # char’

Description

V File extension No 10 Extension of file described by this row of the spreadsheet, without dot (.). For PDF, Word, Excel and C4 files this is the actual extension of the file (case sensitive). For all other approved formats (dwg, dxf, tif) enter C4

W File Path No 242 Default Value is 00 (zero, zero) X Field 24 No Leave Blank Y Field 25 No Leave Blank A Field 26 No Leave Blank AA Security Level Default 10 Default value is N AB Rights Default 5 Default value is U (Proprietary data default value is L) AC Foreign Security Default 10 Default value is N AD Nuclear Default 5 Default value is N AE Subsafe Default 6 Default value is N AF AirType No Leave Blank AG APL No Leave Blank AH CADInfo No Leave Blank AI Control Mode No 5 Value is ME AJ HSC No Leave Blank AK NSN No Leave Blank AL UIC No Leave Blank AM System No Leave Blank AN Nomenclature No Leave Blank AO ShipClass No Leave Blank AP ShipTypeHullNum No Leave Blank AQ MasterLoc No Leave Blank AR PhysicalLoc No Leave Blank AS Field 45 No Leave Blank AT Field 46 No Leave Blank AU Part Number No Leave Blank AV SubSheet No Add sheet revision of drawing if file is an EO.

AW Succeeding No Leave Blank AX Dist statement Yes 5 List the applicable distribution statement. Normally D AY Acc Doc Kind Yes 20 Leave blank unless this data is an accompanying document. Enter

Change Notice (ECO) = NT.

Addendum = AD Amendment = AM Appendix = AP

AZ Acc Doc # Yes 10 Number assigned to accompanying document. Notice 10 character limit.

BA Field 53 No Leave Blank BB Acc Doc Rev Yes 2 Leave blank BC Field 55 No 50 Leave Blank, Not used BD Field 56 No 50 Leave Blank, Not used BE WSC No 15 N/A BF Source Site Yes 5 Always KAFB BG RevOrder No 6 Leave Blank BH AccRevOrder No 6 Leave Blank BI qaStatus No 1 Leave Blank BJ TDAC No 1 Leave Blank BK Comment No 40 Leave Blank BL Export Control Yes 1 Enter “Y” or “N” BM Record End No 5 Leave Blank

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.