Attch_4_-_Draft_DD_Form_1423.pdf

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approval 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.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Laser Advancements for Next-generation Compact Environments (LANCE)

E. CONTRACT/PR NO.: FA9451-17-S-0008

F. CONTRACTOR.........: TBD

1. DATA ITEM NO..................... : A001

2. TITLE OF DATA ITEM.........: System Engineering Management Plan (SEMP)

3. SUBTITLE................................:

4. AUTHORITY...........................: DI-SESS-81785 A (http://quicksearch.dla.mil/)

5. CONTRACT REFERENCE....: See Statement of Work (SOW)

6. REQUIRING OFFICE............. : AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED......: D

10. FREQUENCY......................................: See Blk 16

11. AS OF DATE........................................: See Blk 16

12. DATE OF FIRST SUBMISSION: See Blk 16

13. DATE OF SUBSEQUENT SUB : See Blk 16

14. DISTRIBUTION

A. ADDRESSEES

B. COPIES

DRAFT FINAL

AFRL/RDLA (PM) 1 1

AFRL/RDLB 0 Ltr AFRL DET 8/RVKDL (PCO) Ltr Ltr

ACO 1 1

15. TOTAL: 2 2

16. REMARKS

Blk 8: Approval of contractor format is required on initial submittal. All subsequent submittals shall be non-approval items. Re-submittals may be required if the contractor submits a delivery item that is unsatisfactory.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled; [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue SE, Kirtland AFB NM 87117- 5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE DOCUMENT)

“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, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO

THE BOTTOM OF EVERY PAGE OF THE DOCUMENT)

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

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked I.A.W. DFARS 252.227-7013.

Blks 10-13: Initial submission shall occur 60 calendar days after contract award. Updates to the SEMP shall occur as needed. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unencrypted or unsecure e-mail is not permitted.

Blk 14: The contractor shall distribute the System Engineering Management Plan (SEMP) in accordance with Blk 14. When the addressee’s copy is identified by “Ltr”, send only a copy of the transmittal letter to that addressee.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE:

G. PREPARED BY: Megan Burton I. APPROVED BY: LEAH RANSOM

H. DATE: 07 October 2016 J. DATE: 9 DEC 16 DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 19 Pages

FA9451-17-S-0008

Attachment 4

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.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Laser Advancements for Next-generation Compact Environments (LANCE)

E. CONTRACT/PR NO.: FA9451-17-S-0008

F. CONTRACTOR.........: TBD

1. DATA ITEM NO..................... : A002

2. TITLE OF DATA ITEM.........: Contract Work Breakdown Structure (CWBS)

3. SUBTITLE................................:

4. AUTHORITY...........................: DI-MGMT-81334D (http://quicksearch.dla.mil/)

5. CONTRACT REFERENCE....: See SOW

6. REQUIRING OFFICE.............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED......: D

10. FREQUENCY......................................: See Blk 16

11. AS OF DATE........................................: See Blk 16

13. DATE OF SUBSEQUENT SUBM: See Blk 16

AFRL/RDLB 0 Ltr

Blk 8: Approval of contractor format is required on initial submittal. All subsequent submittals shall be non-approval items. Re-submittals may be required if the contractor submits a delivery item that is unsatisfactory.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled; [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue SE, Kirtland AFB NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE DOCUMENT)

“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, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO

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

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked I.A.W. DFARS 252.227-7013.

Blks 10-13: Initial submission shall occur 30 calendar days after contract award. Updates to the CWBS shall occur as needed. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unencrypted or unsecure e-mail is not permitted.

Blk 14: The contractor shall distribute the Contract Work Breakdown Structure (CWBS) in accordance with Blk 14. When the addressee’s copy is identified by “Ltr”, send only a copy of the transmittal letter to that addressee.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE:

H. DATE: 07 October 2016 J. DATE: 9 DEC 2016

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 2 of 19 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 the Contract/PR No listed in Block E

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Laser Advancements for Next-generation Compact Environments (LANCE)

E. CONTRACT/PR NO.: FA9451-17-S-0008

F. CONTRACTOR.........: TBD

1. DATA ITEM NO..................... : A003

2. TITLE OF DATA ITEM..........: Status Report

3. SUBTITLE..................................: Technical and Cost Status Report

4. AUTHORITY...........................: DI-MGMT-80368A (http://quicksearch.dla.mil/)

5. CONTRACT REFERENCE...: See SOW

6. REQUIRING OFFICE...........: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................:

9. DIST. STATEMENT REQUIRED...: D

10. FREQUENCY..............................: See Blk 16

11. AS OF DATE................................: See Blk 16

12. DATE OF FIRST SUBMISSION……: See Blk 16

13. DATE OF SUBSEQUENT SUBM…...: See Blk 16

AFRL/RDLA (PM) 0 1

AFRL/RDLB 0 Ltr AFRL DET 8/RVKDL (PCO) 0 Ltr

ACO 0 1

15. TOTAL: 0 2

Blk 4: Tailoring of DID Requirements. The contractor shall report all activities at the WBS Level III (work package level). All of the DID requirements are required except Para. 3.2.3, Itemized man-hours and costs. Technical and cost status information shall be included in this report. The contractor shall submit all Cost and Schedule related reporting under Data Item A005, Integrated Program Management Report (IPMR) from the first full accounting month under contract through delivery and acceptance of hardware under CLIN 0003. Thereafter, the contractor shall include in this A003 status report the total contractual expenditures and funds remaining as of the reporting date. Status reports prior to Critical Design Review (CDR) require an itemized listing of items that exceed $10K or total material purchases exceeding $100K during any reporting period. The list should indicate one of three categories for the purchase: 1) Low-Risk: Design was done in prior related work and scaling does not affect material selection (or item was used in prior program); 2) Low-Risk: A trade was completed; 3) Low-Risk: Delay poses greater risk to schedule or program cost.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled; [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue SE, Kirtland AFB NM 87117-5776.” (ADD THIS

ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT)

“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, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO THE BOTTOM OF EVERY PAGE OF THE

REPORT)

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

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked I.A.W. DFARS 252.227-7013.

Blks 10 - 13: The contractor shall deliver the first Status Report within 15 calendar days after completion of the first full contractor accounting month. The subsequent status reports and the line item reports (see Blk 4 above) shall be delivered within 15 calendar days after the end of each subsequent accounting month (monthly) thereafter through technical completion. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unencrypted or unsecure e-mail is not permitted.

Blk 14: The contractor shall distribute the Status Report in accordance with Blk 14. When the addressee’s copy is identified by “Ltr”, send only a copy of the transmittal letter to that addressee.

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 3 of 19 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 the Contract/PR No listed in Block E

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Laser Advancements for Next-generation Compact Environments (LANCE)

E. CONTRACT/PR NO.: FA9451-17-S-0008

F. CONTRACTOR.........: TBD

1. DATA ITEM NO..................... : A004

2. TITLE OF DATA ITEM..........: Presentation Material

3. SUBTITLE..................................:

4. AUTHORITY...........................: DI-ADMN-81373 (http://quicksearch.dla.mil/)

5. CONTRACT REFERENCE....: See SOW

6. REQUIRING OFFICE...........: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................:

9. DIST. STATEMENT REQUIRED....: D

10. FREQUENCY....................................: See Blk 16

11. AS OF DATE......................................: See Blk 16

AFRL/ RDLB 0 Ltr

ACO 0 Ltr

15. TOTAL: 0 1

Blk 4: Tailoring of DID Requirements. Contractor format is acceptable, with the exception that the Government must approve the use of any contractor insignia, trade names or symbols.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled; [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue SE, Kirtland AFB NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE PRESENTATION

MATERIAL.)

“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, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO

THE BOTTOM OF EVERY PAGE OF THE PRESENTATION MATERIAL.)

“DESTRUCTION NOTICE—For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked I.A.W. DFARS 252.227-7013.

Blks 10 - 13: The contractor will submit formal briefing presentation materials 5 working days after request from Government Program Manager (PM). No data item is required for informal briefings. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unencrypted or unsecure e-mail is not permitted.

Blk 14: The contractor shall distribute the formal briefing presentation materials in accordance with Blk 14. When the addressee’s copy is identified by “Ltr”, send only a copy of the transmittal letter to that addressee.

H. DATE: 07 October 2016 J. DATE: 9 DEC 2016

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 4 of 19 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 the Contract/PR No listed in Block E

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Laser Advancements for Next-generation Compact Environments (LANCE)

E. CONTRACT/PR NO.: FA9451-17-S-0008

F. CONTRACTOR.........: TBD

1. DATA ITEM NO..................... : A005

2. TITLE OF DATA ITEM..........: Integrated Program Management Report (IPMR)

3. SUBTITLE..................................:

4. AUTHORITY...........................: DI-MGMT-81861 (http://quicksearch.dla.mil/)

5. CONTRACT REFERENCE....: See SOW

6. REQUIRING OFFICE...........: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................:

9. DIST. STATEMENT REQUIRED......: D

10. FREQUENCY..................................... : See Blk 16

11. AS OF DATE........................................: See Blk 16

AFRL/RDLB 0 Ltr

Blk 4: Tailoring of DID Requirements. Formats 1, 5, 6, and 7 are mandatory.

- Format 6 (IMS) shall be created using a network capable Commercially Off the Shelf (COTS) scheduling software application. Unless otherwise provided in the CDRL, the IMS shall be delivered electronically in the native digital format (i.e. an electronic file produced by the contractor’s scheduling). At the discretion of the Government Program Manager (PM) the CDRL may be tailored, upon agreement between the contractor and the Government representative, to allow the American National Standards Institute (ANSI) X12 standard (806 transaction set), the United Nations Electronic Data Interchange for Administration, Commerce and Transport (UN/EDIFACT) standard (PROTAP message), or the EML equivalent to be used to submit data electronically to the procuring activity with on-line access to the data.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled; [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue SE, Kirtland AFB NM 87117-5776.” (ADD THIS

ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT)

“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, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO THE BOTTOM OF EVERY PAGE OF THE

REPORT)

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

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked I.A.W. DFARS 252.227-7013.

Blks 10 - 13: First report submitted within 15 calendar days after completion of the first full contractor accounting month. The subsequent status reports and the line item reports (see Blk 4 above) shall be delivered within 15 calendar days after the end of each subsequent accounting month (monthly) thereafter through technical completion. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unencrypted or unsecure e-mail is not permitted.

Blk 14: The contractor shall distribute the Integrated Program Management Report (IPMR) in accordance with Blk 14. When the addressee’s copy is identified by “Ltr”, send only a copy of the transmittal letter to that addressee.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

G. PREPARED BY: Megan Burton I. APPROVED BY: LEAH RANSOM

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 5 of 19 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 the Contract/PR No listed in Block E

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Laser Advancements for Next-generation Compact Environments (LANCE)

E. CONTRACT/PR NO.: FA9451-17-S-0008

F. CONTRACTOR.........: TBD

1. DATA ITEM NO..................... : A006

2. TITLE OF DATA ITEM..........: Design Review Information Package (DRIP)

3. SUBTITLE.................................:

4. AUTHORITY...........................: DI-SESS-81757A (http://quicksearch.dla.mil/)

5. CONTRACT REFERENCE....: See SOW

6. REQUIRING OFFICE.............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED....: D

10. FREQUENCY...................................: See Blk 16

11. AS OF DATE....................................: See Blk 16

AFRL/RDLB 0 Ltr

15. TOTAL: 1 1

Blk 4: Tailoring of DID Requirements. Contractor format is acceptable. A DRIP shall be submitted for each of the following reviews. Follow instructions in the IEEE Std

15288.2 – IEEE Standard for Technical Reviews and Audits on Defense Programs (as tailored by mutual agreement) for the applicable reviews. Reference to items in IEEE Std

15288.2 not called out in the SOW does not imply a requirement for that item, e.g. IMP. For the Pre-Integration Review follow the instructions in the SOW.

Systems Requirements Review (SRR) / Concept Design Review (CoDR) – Section 2

Hardware/Software Preliminary Design Review (PDR) – Sections 5 & 6

Hardware/Software Critical Design Review (CDR) – Sections 8 & 9

Test Readiness Review – Section 10

Functional & Physical Configuration Audit (FPCA) – Sections 11 & 12

Pre-Integration Review (PIR)

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled; [contractor fill in date of report (dd mmm yy)].

Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue SE, Kirtland AFB NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION

STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT)

“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, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO THE BOTTOM OF EVERY PAGE OF THE REPORT)

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

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked I.A.W. DFARS 252 227-7013.

Blks 8, 10 - 13: The contractor will submit the applicable section of the draft DRIP 5 working days before the applicable review. The contractor will submit the final DRIP 5 business days after the appropriate review. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unencrypted or unsecure e-mail is not permitted.

Blk 14: The contractor shall distribute the Design Review Information Package (DRIP) in accordance with Blk 14. When the addressee’s copy is identified by “Ltr,” send only a copy of the transmittal letter to that addressee.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 6 of 19 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 the Contract/PR No listed in Block E

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Laser Advancements for Next-generation Compact Environments (LANCE)

E. CONTRACT/PR NO.: FA9451-17-S-0008

F. CONTRACTOR.........: TBD

1. DATA ITEM NO..................... : A007

2. TITLE OF DATA ITEM..........: Test Plan

3. SUBTITLE..................................:

4. AUTHORITY...........................: DI-NDTI-80566A (http://quicksearch.dla.mil/)

5. CONTRACT REFERENCE....: See SOW

6. REQUIRING OFFICE............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED......: D

10. FREQUENCY...................................: See Blk 16

11. AS OF DATE.....................................: See Blk 16

AFRL/RDLB 0 Ltr

Blk 4: Tailoring of DID Requirements. Contractor shall follow AFRL/RDL test plan template (to be provided).

Blk 8: Approval of the draft will occur through the AFRL test plan approval process.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled; [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue SE, Kirtland AFB NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE PLAN)

“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, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO

THE BOTTOM OF EVERY PAGE OF THE PLAN)

“DESTRUCTION NOTICE—For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked I.A.W. DFARS 252.227-7013.

Blks 10 - 13: The contractor shall deliver the acceptance test plan, in draft, within 15 calendar days of LANCE Laser System PDR meeting conclusion. At subsequent major reviews or at the Government Program Manager’s discretion, the test plan will be reviewed and modified for additional tests or test concept refinements. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unencrypted or unsecure e-mail is not permitted.

Blk 14: The contractor shall distribute the Test Plan in accordance with Blk 14. When the addressee’s copy is identified by “Ltr”, send only a copy of the transmittal letter to that addressee.

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 7 of 19 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 the Contract/PR No listed in Block E

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Laser Advancements for Next-generation Compact Environments (LANCE)

E. CONTRACT/PR NO.: FA9451-17-S-0008

F. CONTRACTOR.........: TBD

1. DATA ITEM NO..................... : A008

2. TITLE OF DATA ITEM..........: Scientific and Technical Report and Checklist

3. SUBTITLE.................................: Final Report

4. AUTHORITY...........................: DI-MISC-80711A (http://quicksearch.dla.mil/)

5. CONTRACT REFERENCE…: See SOW

6. REQUIRING OFFICE...........: AFRL/RDLA

7. DD250 REQ................................: DD

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED......: D

10. FREQUENCY...................................: See Blk 16

11. AS OF DATE.....................................: See Blk 16

FINAL CRC

AFRL/RDLB Ltr Ltr

ACO Ltr Ltr

THE REPORT WILL BE PUBLISHED WITH THE DEFENSE TECHNICAL INFORMATION CENTER (DTIC) BY AFRL STINFO OFFICE. Under no circumstances shall the contractor submit any version of the scientific and technical report to DTIC.

Blk 4: GUIDANCE FOR PREPARATION OF THE REPORT: The Scientific and Technical Report shall be prepared I.A.W. the most current AFRL ANSI/NISO Standard Z39.18-2005, or other most current report preparation guidance. The contractor shall complete the most current SF 298 Report Documentation Page, and submit it with the report. The contractor shall complete the following blocks of the SF 298: Blocks 2-5a, 6, 7, 8 and 13 (if applicable), and 14-16c. The contractor shall complete and sign the most current AFRL Form 25, AFRL Quality Final Technical Report Checklist, and submit it with the report as part of the report deliverable IAW CLIN 0002. If the completed and signed AFRL Form 25 does not accompany the report, the deliverable is considered incomplete. Incomplete reports will be immediately returned to the contractor. Following AFRL technical and STINFO reviews, any revisions required will be returned to the contractor. NOTE: The report preparation guidance, SF 298, and AFRL Form 25 are available at: http://www.afrlnewmexico.com/stinfo-1.

The contractor shall deliver two editable electronic copies of the report. The electronic copies shall be an editable .pdf file and the most current version of Microsoft Word. A CD-ROM (CD-R) is the acceptable media for submittal (CD-RWs are not acceptable). Electronic media shall be marked I.A.W. the AFRL ANSI/NISO Standard Z39.18-2005 guidelines, or other most current report preparation guidance. Submission via unencrypted or unsecure email is not permitted.

Blk 7: UPON NOTIFICATION OF ACCEPTANCE OF THE SCIENTIFIC AND TECHNICAL REPORT FROM THE PROGRAM OFFICE, the contractor shall submit the final Receiving Report (DD Form 250) in WAWF. In preparing the final DD Form 250, code the shipment number with a “Z.” Do not upload the Scientific and Technical Report into WAWF or DTIC. NOTE: SUBMITTAL OF THE DD FORM 250Z PRIOR TO ACCEPTANCE NOTIFICATION WILL RESULT IN REJECTION OF THE DD

FORM 250Z FINAL RECEIVING REPORT.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled; [contractor fill in date of report (dd mmm yy)].

Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue SE, Kirtland AFB NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION

STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE REPORT EXCEPT THE SF 298)

“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, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO THE BOTTOM OF EVERY PAGE OF THE REPORT EXCEPT

THE SF 298)

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

Blks 10 - 13: The contractor shall deliver the Scientific and Technical Report, in final format, no later than the date specified in the Schedule, CLIN 0002. The USAF will review and, if necessary, return the report with comments no later than the date specified in the Schedule, CLIN 0002. If the report is returned to the contractor with comments, the contractor shall deliver the camera-ready copy of the report no later than the date specified in the Schedule, CLIN 0002.

Blk 14: The contractor shall distribute the Scientific and Technical Report (final/CRC version(s)) in accordance with Blk 14. When the addressee’s copy is identified by “Ltr”, send only a copy of the transmittal letter to that addressee.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

G. PREPARED BY: Megan Burton I. APPROVED BY: LEAH RANSOM

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 8 of 19 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 the Contract/PR No listed in Block E

A. CONTRACT LINE ITEM NO.: 0002

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Laser Advancements for Next-generation Compact Environments (LANCE)

E. CONTRACT/PR NO.: FA9451-17-S-0008

F. CONTRACTOR.........: TBD

1. DATA ITEM NO..................... : A009

2. TITLE OF DATA ITEM..........: Developmental Design Drawings/Models and Associated Lists (DDD/M&AL)

3. SUBTITLE.................................:

4. AUTHORITY...........................: DI-SESS-81002F (http://quicksearch.dla.mil/)

5. CONTRACT REFERENCE....: See SOW

6. REQUIRING OFFICE............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED......: D

10. FREQUENCY..................................... : See Blk 16

11. AS OF DATE........................................: See Blk 16

AFRL/RDLB Ltr Ltr

Blk 4: See the Technical Design Package (TDP) Option Selection Worksheet, DD Form 2554-3, for tailoring.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled; [contractor fill in date of report (dd mm yy)]. Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue SE, Kirtland AFB NM 87117- 5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE DOCUMENT)

“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, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO

THE BOTTOM OF EVERY PAGE OF THE DOCUMENT)

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

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked I.A.W. DFARS 252.227-7013.

Blks 8, 10 - 13: The contractor shall deliver the developmental design drawing/models and associated lists (DDD/M&AL), in draft, within 30 calendar days after completion of the technical effort. The USAF will review, edit and return the draft no later than 30 calendar days after receipt of the draft DDD/M&AL. Upon receipt of the reviewed and edited draft, the contractor shall take no more than 30 calendar days to incorporate all required changes and deliver the final version. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unencrypted or unsecure e-mail is not permitted.

Blk 14: The contractor shall distribute the Developmental Design Drawings/Models and Associated Lists (DDD/M&AL) in accordance with Blk 14.

When the addressee’s copy is identified by “Ltr”, send only a copy of the transmittal letter to that addressee.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

G. PREPARED BY: Megan Burton I. APPROVED BY: LEAH RANSOM H. DATE: 07 October 2016 J. DATE: 9 DEFC 2016

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 9 of 19 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 the Contract/PR No listed in Block E

A. CONTRACT LINE ITEM NO.: 0004

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Laser Advancements for Next-generation Compact Environments (LANCE)

E. CONTRACT/PR NO.: FA9451-17-S-0008

F. CONTRACTOR.........: TBD

1. DATA ITEM NO..................... : A010

2. TITLE OF DATA ITEM..........: Computer Software Product End Items

3. SUBTITLE..................................:

4. AUTHORITY...........................: DI-MCCR-80700 (http://quicksearch.dla.mil/)

5. CONTRACT REFERENCE…: See SOW

6. REQUIRING OFFICE...........: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................: A

9. DIST. STATEMENT REQUIRED.....: D

10. FREQUENCY..................................... : See Blk 16

11. AS OF DATE........................................: See Blk 16

AFRL/RDLB Ltr Ltr

Blk 4: Tailoring of DID Requirements. Contractor format is acceptable. The contractor shall deliver the LANCE laser subsystem executable software embedded in the delivered hardware. With respect to the source code for the LANCE laser subsystem executable software, any of this source code that was developed at Government expense will be delivered under CDRL A010. Commercial off the Shelf (COTS) software licenses will be transferred to the Government. Software and associated documentation will be delivered in accordance with CDRL A010 and A011.

Documentation must be compatible with Microsoft Office 2010 or later version. Contractor shall submit to the Government Program Manager on DVD(s).

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled; [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue SE, Kirtland AFB NM 87117-5776.” (ADD THIS ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE DOCUMENT)

“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, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO

THE BOTTOM OF EVERY PAGE OF THE DOCUMENT)

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

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked I.A.W. DFARS 252.227-7013.

Blks 8, 10 - 13: The contractor shall submit the draft source code, executables, and associated documentation 30 calendar days after completion of the technical period of performance. The Government will provide comments within 30 calendar days of receipt. The contractor shall provide the final version 30 calendar days after Government review and comment. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unencrypted or unsecure e-mail is not permitted.

Blk 14: The contractor shall distribute the Computer Software Product End Items in accordance with Blk 14. When the addressee’s copy is identified as “Ltr”, send only a copy of the transmittal letter to that addressee.

H. DATE: 07 October 2016 J DATE: 9 DEC 2016

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 11 of 19 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 the Contract/PR No listed in Block E

A. CONTRACT LINE ITEM NO.: 0004

B. EXHIBIT....................................: A

C. CATEGORY..............................: OTHER

D. SYSTEM/ITEM........: Laser Advancements for Next-generation Compact Environments (LANCE)

E. CONTRACT/PR NO.: FA9451-17-S-0008

F. CONTRACTOR.........: TBD

1. DATA ITEM NO..................... : A011

2. TITLE OF DATA ITEM..........: Software User Manual (SUM)

3. SUBTITLE................................:

4. AUTHORITY...........................: DI-IPSC-81443A (http://quicksearch.dla.mil/)

5. CONTRACT REFERENCE....: See SOW

6. REQUIRING OFFICE............: AFRL/RDLA

7. DD250 REQ................................: LT

8. APP CODE.................................:

9. DIST. STATEMENT REQUIRED......: D

10. FREQUENCY..................................... : See Blk 16

11. AS OF DATE........................................: See Blk 16

AFRL/RDLB 0 Ltr

Blk 4: Tailoring of DID Requirements. For each piece of software developed. Format must be MS Office 2010 compatible. Contractor shall submit to the Government Program Manager (PM) on a DVD.

Blk 9: All technical data (including electronic media/CD-R) shall be marked I.A.W. DoDI 5230.24 with Distribution Statement D, and other required markings, shown indented below:

“Distribution authorized to Department of Defense and U.S. DoD contractors only; Critical Technology, Export Controlled; [contractor fill in date of report (dd mmm yy)]. Other requests for this document shall be referred to AFRL/RDLA, 3550 Aberdeen Avenue SE, Kirtland AFB NM 87117-5776.” (ADD THIS

ENTIRE DISTRIBUTION STATEMENT TO THE BOTTOM OF EVERY PAGE OF THE DOCUMENT)

“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, as amended. Title 50 U.S.C. App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I.A.W. the provisions of the DoD Directive 5230.25.” (ADD “WARNING: EXPORT CONTROLLED” TO THE BOTTOM OF EVERY PAGE OF THE

DOCUMENT)

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

DATA RIGHTS MARKINGS: If you are asserting technical data rights, all technical data shall be marked I.A.W. DFARS 252.227-7013.

Blks 10 - 13: Contractor shall deliver in conjunction with CDRL A010, Computer Software Product End Items. Electronic versions must be submitted in a manner consistent with protecting export control and limited information. Submission via unencrypted or unsecure e-mail is not permitted.

Blk 14: The contractor shall distribute the Software User Manual (SUM) in accordance with Blk 14. When the addressee’s copy is identified by “Ltr”, send only a copy of the transmittal letter to that addressee.

17. PRICE GROUP: 18. ESTIMATED TOTAL PRICE :

G. PREPARED BY: Megan Burton I. APPROVED BY: LEAH RANSOM H. DATE: 07 October 2016 J. DATE: 9 DEC 2016

DD Form 1423-1, SEP 97 (EG) (Computer Generated) PREVIOUS EDITIONS ARE OBSOLETE Page 12 of 19 Pages

Public reporting burden for this collection of information…