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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

A001

B. EXHIBIT

A

C. CATEGORY:

TDP X__ TM _ _ OTHER ____

D. SYSTEM/ITEM

HMEE-IV SLEP

E. CONTRACT/PR NO

W56HZV-22-R-0106

F. CONTRACTOR

JCB, Inc. 0JKF0

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Scientific and Technical Reports

3. SUBTITLE

HMEE Inspection Report (HIR) and AWE Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711

5. CONTRACT REFERENCE

C.1.3.1, C.1.3.2, C.1.4, C.1.5 and H.1.3

6. REQUIRING OFFICE

SFAE-CSS-FP-E

7. DD 250 REQ

NO

9. DIST

STATEMENT

D

10. FREQUENCY

See BLK 16

12. DATE OF 1ST SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

First Delivery Order

13. DATE OF SUBSEQUENT

SUBMISSION See BLK 16 Draft

Final Reg Repro

16. REMARKS

BLK 4: Contractor format is acceptable.BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and U.S. DoD contractors only (Administrative or Operational Use) ((Date of determination is date of document creation)..Other requests shall be referred to (insert controlling DoD office).

BLK 12 & 13: The HIR and Initial AWE Report shall be furnished to the Government ten days after vehicle arrival to the contractor’s facility. The Final AWE report shall be furnished 20 days after submission of the Initial AWE Report.

a. The Government will review the HIR and Initial AWE report and provide comments back to the Contractor in ten days of receipt

b. The Government will review and provide approval for the Final AWE Report ten days after receipt.

BLK 14 – BLK 14 - See Attachment 0005 HMEE-IV SLEP Point of Contact (POC) List for Distribution Names and contact information.

Repro = Electronic Delivery

COR 1

APM 1

Contract Spc 1 Procurement Spc 1 Sys Engineer 1

15. TOTAL --------- 5

G. PREPARED BY

APM

H. DATE

5/10/2022

I. APPROVED BY

Assistant Product Manager (APM)

J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page __ of __ Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

A002

B. EXHIBIT

A

C. CATEGORY:

TDP _X_ TM _ _ OTHER ____

D. SYSTEM/ITEM

HMEE-IV SLEP

E. CONTRACT/PR NO.

W56HZV-22-R-0106

F. CONTRACTOR

A002

Priced BOM (Remove if Using CPFF for AWE)

3. SUBTITLE

Priced Bill of Materials

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81994A(T)

5. CONTRACT REFERENCE

C.1.4.3

6. REQUIRING OFFICE

SFAE-CSS-FP-E

7. DD 250 REQ

NO

ANNLY

12. DATE OF 1ST SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

First Delivery Order

13. DATE OF SUBSEQUENT

SUBMISSION See BLK 16 Draft

Final Reg Repro

16. REMARKS

BLK 4 – The BOM shall be prepared IAW DI-MGMT-81994A as specified except for requirement 3.12. The requirement 3.12 is not applicable.

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only(Administrative or Operational Use) ((Date of determination is date of document creation). Other requests shall be referred to Project Manager Force Projection (PM FP) Security Manager at: Program Executive Office Combat Support & Combat Service Support (PEO CS&CSS), ATTN: SFAE-CSS-FP, 6501 East 11 Mile Road, Warren, MI 48397-5000.

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. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

BLK 12 – For the Additional Work Effort (AWE), the contractor shall submit a completed Bill of Materials for the production HMEE-IV configuration with prices to be negotiated on an annual basis.

BLK 13 – The priced BOM shall be submitted every contract year.

BLK 14 - See Attachment 0005 HMEE-IV SLEP Point of Contact (POC) List for Distribution Names and contact information.

Contract Spc 1 Procurement Spc 1

15. TOTAL --------- 4 4

APM

H. DATE

5/10/2022

I. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

A003

B. EXHIBIT

A

C. CATEGORY:

TDP __ TM _ _ OTHER __X __

D. SYSTEM/ITEM

HMEE-IV SLEP

E. CONTRACT/PR NO.

W56HZV-22-R-0106

F. CONTRACTOR

A003

Contractor Progress, Status, and Management Report

3. SUBTITLE

Status Reports

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81928(T)

5. CONTRACT REFERENCE

C.1.5.6

6. REQUIRING OFFICE

SFAE-CSS-FP-E

7. DD 250 REQ

NO

MTHLY

12. DATE OF 1ST SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

First Delivery Order

13. DATE OF SUBSEQUENT

SUBMISSION See BLK 16 Draft

Final Reg Repro

16. REMARKS

BLK 4: The contractor shall submit the report in their own format, The report shall be prepared IAW DI-MGMT-81928(T)as specified. Sections 2.4 through 2.9 are not required.

BLK 9: The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only (Administrative or Operational Use).(Date of determination is date of document creation).

Other requests shall be referred to Project Manager Force Projection (PM FP) Security Manager at: Program Executive Office Combat Support & Combat Service Support (PEO CS&CSS), ATTN: SFAE-CSS-FP, 6501 East 11 Mile Road, Warren, MI 48397-5000.

BLK 12 & 13: Contractor shall submit the report monthly. Government will review and provide comments within 15 days.

BLK 14 - See Attachment 0005 HMEE-IV SLEP Point of Contact (POC) List for Distribution

Contract Spc 1 Procurement Spc 1

IS 1

QAR 1

15. TOTAL --------- 4

APM

H. DATE

5/10/2022

I. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

A004

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

HMEE-IV SLEP

E. CONTRACT/PR NO.

W56HZV-22-R-0106

F. CONTRACTOR

A004

Technical Report Study/Service

3. SUBTITLE

Warranty Performance Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508(T)

5. CONTRACT REFERENCE

C.1.5.7.1

6. REQUIRING OFFICE

SFAE-CSS-FP-E

7. DD 250 REQ

LT

A

MTHLY

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16 Draft

Final Reg Repro

16. REMARKS

BLK 4 - TAILORING: Para 1(a) - Delete 'and shall be duplicated using non fading ink.' Para 1(b) - Delete entire para. Para 1(c) - Delete 'and folded to conform to the size of paper used in the report.'

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT A: Approved for public release; distribution is unlimited.

BLK12 - The Contractor shall submit Warranty Performance Report within ten business days of the first warranty claim. The Government will review and provide comments within ten business days.

BLK 13 - The contractor shall re-submit the Warranty Performance Report within ten business days of Government comments. Updated reports shall be submitted monthly.

BLK 14 - See Attachment 0005 HMEE-IV SLEP Point of Contact (POC) List for Distribution

APM 1 1

IPSM 1 1

MFT MGR 1 1

QA Specialist 1 1

MSM 1 1

15. TOTAL --------- 5 5

Quality Assurance Specialist

H. DATE

5/10/2022

I. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

A005

B. EXHIBIT

A

C. CATEGORY:

TDP __ TM _ _ OTHER __X __

D. SYSTEM/ITEM

HMEE-IV SLEP

E. CONTRACT/PR NO.

W56HZV-22-R-0106

F. CONTRACTOR

A005

Item Unique Identification (IUID) Marking Plan

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81803A

5. CONTRACT REFERENCE

C.2.3

6. REQUIRING OFFICE

SFAE-CSS-FP-E

7. DD 250 REQ

LT

ASREQ

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16 Draft

Final Reg Repro

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only (Administrative or Operational Use).(Date of determination is date of document creation).

Other requests shall be referred to Project Manager Force Projection (PM FP) Security Manager at: Program Executive Office Combat Support & Combat Service Support (PEO CS&CSS), ATTN: SFAE-CSS-FP, 6501 East 11 Mile Road, Warren, MI 48397-5000.

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. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Block 10,12, 13: The IUID Marking Plan shall be submitted 30 days after the Start of Work Meeting. The Government will review and provide comments within 15 days.

The Final Marking Plan shall be submitted 15 days after receipt of Government comments.

BLK 14 - See Attachment 0005 HMEE-IV SLEP Point of Contact (POC) List for Distribution

IUID Mailbox 1 1

15. TOTAL --------- 3 3

Integrated Product Support

Manager (IPSM)

H. DATE

5/12/2022

I. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

A006

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __ X__

D. SYSTEM/ITEM

HMEE-IV SLEP

E. CONTRACT/PR NO.

W56HZV-22-R-0106

F. CONTRACTOR

A006

Conference Agenda

3. SUBTITLE

Agenda and Read-Ahead Package

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMIN-81249C

5. CONTRACT REFERENCE

C.3.1

6. REQUIRING OFFICE

SFAE-CSS-FP-E

7. DD 250 REQ

NO

SEE BLK16

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final Reg Repro

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only;

(Administrative or Operational Use) (Date of determination is date of document creation) Other requests shall be referred to Project Manager Force Projection (PM FP) Security Manager at: Program Executive Office Combat Support & Combat Service Support (PEO CS&CSS), ATTN: SFAE-CSS-FP, 6501 East 11 Mile Road, Warren, MI 48397-5000.

BLK 12 & 13 - The contractor shall provide an agenda ten days prior to all meetings and provide read-ahead package for all meetings five days prior to all meetings.

Block 14: Deliver documents in Microsoft Office compatible format. See Attachment 0005 HMEE-IV SLEP Point of Contact (POC) List for Distribution Names and contact information.

PCO 1 1

APM

H. DATE

5/10/2022

I. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

A007

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

HMEE-IV SLEP

E. CONTRACT/PR NO.

W56HZV-22-R-0106

F. CONTRACTOR

A007

Meeting Minutes

3. SUBTITLE

Meeting Minutes

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMIN-81505

5. CONTRACT REFERENCE

C.3.1.1

6. REQUIRING OFFICE

SFAE-CSS-FP-E

7. DD 250 REQ

*NO

SEE BLK 16

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16 Draft

Final Reg Repro

16. REMARKS

BLK 4 - Deliver documents in Microsoft Office compatible format.

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only(Administrative or Operational Use) ( Date of determination is date of document creation) Other requests shall be referred to Project Manager Force Projection (PM FP) Security Manager at: Program Executive Office Combat Support & Combat Service Support (PEO CS&CSS), ATTN: SFAE-CSS-FP, 6501 East 11 Mile Road, Warren, MI 48397-5000.

BLK 12 - The contractor shall provide minutes for each scheduled meeting, beginning with the Start of Work Meeting, no later than 5 business days after the meeting has occurred.

The Government will review and provide feedback within ten business days of receipt of the Contractor’s Meeting Minutes. The contractor shall address the revisions and submit to the Government within five business days of receipt of Government feedback. The Meeting Minutes are determined to be final upon Government acceptance, provided to the Contractor via email.

BLK 14 - See Attachment 0005 HMEE-IV SLEP Point of Contact (POC) List for Distribution

PCO 1 1 1

COR 1 1 1

APM 1 1 1

IPSM 1 1 1

Sys Engineer 1 1 1

15. TOTAL --------- 5 5 5

H. DATE

5/10/2022

I. APPROVED BY

Assistant Product Manager (APM)

J. DATE

M/D/2022

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

A008

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X __

D. SYSTEM/ITEM

HMEE-IV SLEP

E. CONTRACT/PR NO.

W56HZV-22-R-0106

F. CONTRACTOR

A008

Integrated Program Management Report (IPMR)

3. SUBTITLE

Integrated Master Schedule (IMS)

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81861C(T)

5. CONTRACT REFERENCE

C.4

6. REQUIRING OFFICE

SFAE-CSS-FP-E

7. DD 250 REQ

NO

MTHLY

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION SEE BLK 16 Draft

Final Reg Repro

16. REMARKS

BLK 4 - The IMS shall be prepared IAW DI-MGMT-81861C as specified except for the following tailored paragraphs.

References to planning packages are not applicable. The contractor shall not utilize planning packages in the creation or update of the IMS. A formal Integrated Master Plan (IMP) is not required. References to the IMP are not applicable.

The IMS shall be delivered electronically in an electronic file produced by the contractor's scheduling tool that is compatible with Microsoft Project version 2016. Submission shall also be provided in Adobe pdf format.

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to the DoD and U.S. DoD contractors only(Administrative or Operational Use) ( Date of determination is date of document creation ). Other requests shall be referred to Project Manager Force Projection (PM FP) Security Manager at: Program Executive Office Combat Support & Combat Service Support (PEO CS&CSS), ATTN: SFAE-CSS-FP, 6501 East 11 Mile Road, Warren, MI 48397-5000.

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. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

BLK 12 - First submission shall be an initial IMS presented during the Start of Work meeting.

BLK 13 – Subsequent submission shall be provided monthly.

BLK 14 - See Attachment 0005 HMEE-IV SLEP Point of Contact (POC) List for Distribution

Sys Eng

1 1

COR 1 1

15. TOTAL ---------

H. DATE

5/10/2022

I. APPROVED BY

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

A009

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X __

D. SYSTEM/ITEM

HMEE-IV SLEP

E. CONTRACT/PR NO.

W56HZV-22-R-0106

F. CONTRACTOR

A009

Hazardous Materials Management Program Report (HMMR)

3. SUBTITLE

HMMR

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B(T) – SEE BLK 16

5. CONTRACT REFERENCE

C.8

6. REQUIRING OFFICE

SFAE-CSS-FP-E

7. DD 250 REQ

NO

See BLK 16

See BLK 16

12. DATE OF 1ST SUBMISSION

120 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

See BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION See BLK 16 Draft

Final Reg Repro

16. REMARKS

BLK 4:

Delete “format and” from the second paragraph of the Use/Relationship section.

Delete Requirements Section 2 and Section 3b through 3d.

BLK 8: Should the Government require the data item to be corrected after its delivery, the Government will provide comments within 25 business days after delivery of the data item, and the Contractor shall resubmit an update within 25 business days after receipt of Government comments.

BLK 9: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors (Vulnerability Information) (6 June 2013). Other requests for this document shall be referred to U.S. Army TACOM Life Cycle Management Command.

BLK 10, 11, and 12: The HMMR shall be submitted no later than 120 business days after contract award.

BLK 13: In the event material/process changes occur during the life of the contract, the contractor must provide an update to the initial report to capture the material/process changes within 30 days of the change occurrence. The Government will have 30 days to review and provide comments to the Contractor. The Contractor shall address and incorporate all Government comments and provide a revised report for approval within 30 business days after receipt of Government comments.

BLK14: The HMMR shall be submitted electronically via email to the following distribution:

See Attachment 0005 HMEE-IV SLEP Point of Contact (POC) List for Distribution Names and contact information.

Repro = Electronic Delivery

The submission shall be prepared and delivered in an editable and Microsoft Office 2007 software suite file format (MS Word, MS Excel, MS PowerPoint, MS Visio). Exception:

The SDSs may be provided in pdf format.

Env Engineer 1 1 Sys Eng

1 1

Environmental Engineer

H. DATE

5/10/2022

I. APPROVED BY

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

A010

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

HMEE-IV SLEP

E. CONTRACT/PR NO.

W56HZV-22-R-0106

F. CONTRACTOR

A010

Manufacturing Plan

3. SUBTITLE

Manufacturing Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81889B

5. CONTRACT REFERENCE

E.1.3

6. REQUIRING OFFICE

SFAE-CSS-FP-E

7. DD 250 REQ

*NO

ASREQ

12. DATE OF 1ST SUBMISSION

See BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

See BLK 16 Draft

Final Reg Repro

16. REMARKS

BLK 8: Contractor shall submit updates within 15 calendar days of any changes.

Government has 10 calendar days to review and provide comments or approval.

Contractor has 10 calendar days to respond to comments. The Government has 10 calendar days for approval.

BLK 9: The following information shall be included on the deliverable.

The contractor shall apply the following Controlled Unclassified Information (CUI) block to the front page, lower area of each document:

Controlled by: DOA Controlled by: Name of company Category(ies): OPSEC Limited Distribution Control: FEDCON POC: Name and number of document originator

DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors only (Administrative or Operational Use and Critical Technology). (Date of determination is date of document creation Other requests for this document shall be referred to: PEO CS&CSS, SFAE-CSS/Security, 6501 E. 11 Mile Road, MS 332, Detroit Arsenal, MI 48397-5000, COM (586) 282-8448, DSN 786-8448.

BLOCK 10, 12, 13 – The contractor shall submit a Draft Manufacturing Plan seven calendar days prior to the Start of Work Meeting (SOWM). The Government will provide comments 15 calendar days after the Start of Work meeting.

Final Manufacturing Plan shall be submitted 30 calendar days after SOWM.

Any changes and/or updates resulting from lessons learned or implemented process improvements must be incorporated and submitted to the Government in a revision to the Final Manufacturing Plan 20 calendar days of prior to implementation.

BLK 14 - See Attachment 0005 HMEE-IV SLEP Point of Contact (POC) List for Distribution

SYS Engineer 1 1

Q/A 1 1

ACO 1 1

15. TOTAL --------- 4 4

Quality Assurance Specialist

H. DATE

5/10/2022

I. APPROVED BY

Assistant Product Manager (APM)

J. DATE

M/D/2022

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page __ of __ Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

A011

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

HMEE-IV SLEP

E. CONTRACT/PR NO.

W56HZV-22-R-0106

F. CONTRACTOR

A011

Preparation of Final Inspection Record (FIR)

3. SUBTITLE

End Item FIR

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81068A

5. CONTRACT REFERENCE

E.1.6.1

6. REQUIRING OFFICE

SFAE-CSS-FP-E

7. DD 250 REQ

*NO

ASREQ

12. DATE OF 1ST SUBMISSION

ASREQ

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

ASREQ Draft

Final Reg Repro

16. REMARKS

BLK 8: The Government will have ten business days to review and approve or reject with comments for contractor corrections. The contractor shall have seven calendar days from receipt of Government comments to submit a final revision that addresses all Government comments.

BLK 9: The following information shall be included on the deliverable.

The contractor shall apply the following Controlled Unclassified Information (CUI) block to the front page, lower area of each document:

Controlled by: DOA Controlled by: Name of company Category(ies): CTI, OPSEC Limited Distribution Control: FEDCON POC: Name and number of document originator

DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors only (Administrative or Operational Use and Critical Technology). (Date of determination is date of document creation.

Other requests for this document shall be referred to: PEO CS&CSS, SFAE-CSS/Security, 6501 E. 11 Mile Road, MS 332, Detroit Arsenal, MI 48397-5000, COM (586) 282-8448, DSN 786-8448.

BLKs 12, 13 – The contractor shall submit a draft FIR 30 days before final inspection by the Government of the first completed HMEE - IV SLEP for review and approval. The completed FIR shall be submitted two calendar days after the successful Quality Conformance Inspection and Government acceptance of each item.

BLK 14 - See Attachment 0005 HMEE-IV SLEP Point of Contact (POC) List for Distribution

PCO 1 1

SYS Engineer 1 1

APM 1 1

Q/A 1 1

ACO 1 1

15. TOTAL --------- 5 5

Quality Assurance Specialist

H. DATE

5/10/2022

I. APPROVED BY

Assistant Product Manager (APM)

J. DATE

M/D/2022

File details come from the government source that posted it. Updated .