Draft_EXHIBIT_A_-_E-MMPS_CDRLS.docx

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

17. PRICE GROUP

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Contractor’s Progress, Status and Management Report

3. SUBTITLE

SOW para 3.1.1

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 - This report is due within 30 days of contract award.

BLK 14 - Copies shall be delivered electronically in compatible Microsoft Office® or Portable Document format.

MCSC:

PdM-RAR

lucas.kinkade@usmc.mil

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Integrated Master Schedule

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81650

5. CONTRACT REFERENCE

SOW para 3.1.3.1 & 3.3.2

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 - This report is due within 30 days of contract award.

BLK 14 - Copies shall be delivered electronically in compatible Microsoft Office® or Portable Document format.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

DELIVERY STATUS AND TRACKING SPREADSHEET

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

NOT AVAILABLE – REFER TO SOW

5. CONTRACT REFERENCE

SOW para 3.1.3.2

6. REQUIRING OFFICE

MARCORSYSCOM PdM ICE18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

AS REQ

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION AS REQ

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 – Contractor shall comply with requirement in SOW paragraph 3.1.3.2. Government retains right to ask questions and make comments on submissions, requiring contractor to make subsequent changes and re-submit, as necessary.

BLK 14 – Copies shall be delivered electronically in compatible MS Office format or Portable Document Format (PDF).

MCSC:

PdM-ICE steven.b.pope@usmc.mil lucas.kinkade@usmc.mil

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

CONFERENCE AGENDA

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81249B

5. CONTRACT REFERENCE

SOW para 3.3.1 & 3.3.2

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR18. ESTIMATED TOTAL PRICE

7. DD 250 REQ

9. DIST

STATEMENT

A

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

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

BLK 12/13 – Submit 20 calendar days prior to each conference, meeting, audit, or review. The Government requires 5 calendar days to review. The contractor shall submit final 5 calendar days after receipt of Government comments.

calendar days after receipt of Government comments.

BLK 14 – Submit electronically in compatible Microsoft Office format

MCSC:

PdM-RAR

lucas.kinkade@usmc.mil

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

CONFERENCE MINUTES

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81250B

5. CONTRACT REFERENCE

SOW para 3.3.1 & 3.3.2 & 3.3.3

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 – Submit 10 calendar days after each conference, meeting, audit or review. The Government requires 5 calendar days to review. The contractor shall submit final 5 calendar days after receipt of Government comments.

BLK 14 – Submit electronically in compatible Microsoft Office format to distribution list in BLK 14, plus include one copy to each conference attendee

MCSC:

PdM-RAR

lucas.kinkade@usmc.mil

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Provisioning Performace Schedule

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81713

5. CONTRACT REFERENCE

SOW para 3.3.3

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 - This report is due within 10 days after post award conference.

BLK 14 - Copies shall be delivered electronically in compatible Microsoft Office® or Portable Document format.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Work Schedule

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81382

5. CONTRACT REFERENCE

SOW para 3.3.3

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 - This report is due within 10 days after post award conference.

BLK 14 - Copies shall be delivered electronically in compatible Microsoft Office® or Portable Document format.

MCSC:

PdM-RAR

lucas.kinkade@usmc.mil

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Provisioning Parts Lists (PPLs)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81715

5. CONTRACT REFERENCE

SOW para 3.3.4

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 11 – Provide a draft copy at the Provisioning Guidance Conference.

BLK 12/13 - Submit report within 10 calendar days of any revision or upon Government request.

BLK 14 – Copies shall be delivered electronically in MS Office format.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Provisioning Parts List Index (PPLI)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81712

5. CONTRACT REFERENCE

SOW para 3.3.4

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

QRTLY

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 11 - The reporting period is from the first to last business day of each quarter.

BLK 12/13 - Submit report within 10 calendar days of the end of the reporting period (as appicable) or upon Government request.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Engineering Data for Provisioning (EDEP)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81874

5. CONTRACT REFERENCE

SOW para 3.3.4

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12 - Provide a draft copy at the Provisioning Guidance Conference.

BLK 13 - Submit package at the Physical Configuration Audit (PCA).

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

Configuration Audit Plan (Physical)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81646

5. CONTRACT REFERENCE

SOW para 3.4.1.3

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

ONCE

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 - Submit report within at least 30 calendar days prior to the PCA. Government has 10 days to review. Contractor has 5 days submit final report after receipt of Government comments.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

Configuration Audit Summary Report (Physical)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-81022D

5. CONTRACT REFERENCE

SOW para 3.4.1.3

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

ONCE

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 – Draft report shall be submitted 20 calendar days after the PCA. The Government requires 15 calendar days to review. The contractor shall submit final 10 calendar days after receipt of Government comments.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

FAILURE SUMMARY AND ANALYSIS REPORT

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-RELI-80255

5. CONTRACT REFERENCE

SOW para 3.4.2.1

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12 - First submission due 15 calendar days after production of the FAT quantities.

BLK 13 - Subsequent reports are required monthly after submission of initial report.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A014

2. TITLE OF DATA ITEM

Quality Assessment Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81187

5. CONTRACT REFERENCE

SOW para 3.4.3.2.1

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 - Submit Category II response 20 working days after receipt of Government Product Quality Deficiency Report (PQDR). Category I PQDR's still require a response in 10 working days

BLK 14 – Copies shall be delivered in MS Office format or Portable Document Format (PDF)

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A015

2. TITLE OF DATA ITEM

Safety Assessment Report (SAR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-80102C

5. CONTRACT REFERENCE

SOW para 3.5.1.2

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

D

10. FREQUENCY

SEE BLK 16

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION AS REQ

16. REMARKS

BLK 9 - The following information shall be included on the deliverable: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and DoD contractors only; Information on systems; 01 DEC 2016. Other requests for this document shall be referred to MARCORSYSCOM ATTN: Command Safety 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12 - Submit 60 calendar days prior to first item delivery. The Government requires 45 calendar days for review. The contractor shall submit final 30 calendar days after receipt of Government comments.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A016

2. TITLE OF DATA ITEM

Technical Report, Study/Services (Environmental Considerations)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW para 3.5.2

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION AS REQ

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12 - Submit 60 calendar days prior to first item delivery. The Government requires 30 calendar days for review. The contractor shall submit final 30 calendar days after receipt of Government comments.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A017

2. TITLE OF DATA ITEM

Contractor’s Configuration Management Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-80858B

5. CONTRACT REFERENCE

SOW para 3.6

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

ONCE

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION SEE BLK 16

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12/13 - Government requires 15 days for review. Contractor shall submit final 10 calendar days after receipt of Government comments.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A018

2. TITLE OF DATA ITEM

Technical Report – Study/Services (Change Control)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

SOW para 3.7.4.1

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION AS REQ

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12 - The contractor shall submit a Change Notice to the Government 25 calendar days before implementing any Class 2 Engineering Change Proposals (ECP). The Government will have 25 calendar days to review and approve/disapprove the class designation of the ECP. Notifications shall be submitted for all changes which affect Government established baselines. The opportunity to submit notifications shall extend through contract finalization. In addition, notifications shall be submitted at the request of the Government.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A019

2. TITLE OF DATA ITEM

REQUEST FOR VARIANCE

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81883

5. CONTRACT REFERENCE

SOW para 3.7.4.3

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION AS REQ

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12 - Government requires 15 days for review. Contractor shall submit final 10 calendar days after receipt of Government comments.

MCSC:

PdM-RAR

Steven.b.pope@usmc.mil

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A020

2. TITLE OF DATA ITEM

Technical Report – Study/Services (Change Notice)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

SOW para 3.7.5

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION AS REQ

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12 - Government requires 15 days for review. Contractor shall submit final 10 calendar days after receipt of Government comments.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-17-R-1200

F. CONTRACTOR

1. DATA ITEM NO.

A021

2. TITLE OF DATA ITEM

Configuration Status Accounting Information

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-81253C

5. CONTRACT REFERENCE

SOW para 3.7.6

6. REQUIRING OFFICE

MARCORSYSCOM PdM RAR

7. DD 250 REQ

LT

9. DIST

STATEMENT

C

10. FREQUENCY

AS REQ

12. DATE OF 1ST SUBMISSION

14. DISTRIBUTION

8. APP CODE

A/D

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION AS REQ

16. REMARKS

BLK 9 - Include the following distribution statement on each deliverable: DISTRIBUTION STATEMENT C: Distribution authorized to U.S. Government agencies and their contractors; Administrative or Operational Use , 10 MAY 2017. Other U.S. requests for this document shall be referred to Commander, MARCORSYSCOM (PM IWS/RAR), 2200 Lester Street, Quantico, VA 22134-6050.

BLK 12 - The Government requires 20 calendar days to review. The contractor shall submit final 10 calendar days after receipt of Government comments.

BLK 13 - Subsequent submissions shall be due quarterly starting with the first full quarter after the first submission.

MCSC:

PdM-RAR

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

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

B. EXHIBIT

A

C. CATEGORY:

TDP _ _ TM _ _ OTHER __X__

D. SYSTEM/ITEM

E-MMPS

E. CONTRACT/PR NO.

M67854-…