C-9 CLS CDRLs DD Form 1423 02SEP2011.pdf

Index of CDRLs

Data Item No. Title of Data Item:

AOOl Conference Agenda

A002 Conference Minutes

A003 Status Report

A004 Contract Funds Status Report

AOOS Source Data For Forecasting Diminishing Manufacturing

A006 WIS Archival Data

A007 Quality Assurance Program Plan

AOOS Teardown Deficiency Report

A009 Cost Reduction Program Plan

AOOA Cost Reduction Program Report

AOOB Status of Government Furnished Equipment Report

AOOC Analytical Condition Inspection Report

AOOD Accident / Incident Report

AOOE Status of Government Furnished Equipment (GFE) Report

AOOF Phase Out Transition Plan

AOOG loan log

AOOH Consumable Parts Bondroom/lnventory and Parts Usage Report

AOOJ Outfitting Material Status Report

AOOK' No Defect Report

AOOl Aircraft Time/Cycle component Tracking Report

AOOM Engine Health Monitoring Report

AOON. Government Furnished Equipment Repair Status Report

AOOP Technical Data Package

AOOQ Airframe Maintenance History Summary Report

AOOR Engine Depot Status Report

AOOS Engine Records Package Report

AOOT Post Field Team Activity / Unscheduled Maintenance Report AOOU Engineering Investigations

AOOV Engineering Change Proposal (ECP)

AOOW Depot le!vel Repair Instructions

CONTRACT DATA REQUIREMENTS LIST Form A~fcroved (1 Data Item) OMB No. 04-0188

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 Head~arters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204. Minton, V 22202-4302 and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188). Washington. 0 20503. Please DO NOT RETURN ~ur form to either of these addresses. Send completed form to the Govemment Issuing Contracting Officer for the ContractJPR No. isted in BlockE.

A. CONTRACT LINE ITEM NO. B. EXHIBIT lC. CATEGORY

0X23 A ADMN

D.SYSTEMnTEM E. CONTRACTIPR NO. F. CONTRACTOR

C-9 CLS NOO019-10-R-0039

1. DATA ITEM NO. 12. TITLE, OF DATA ITEM 3. SUBTITLE

iA001 Conference Agenda

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

DI-ADMN-81249A PWS para 3.2.2 PMA-207

7. DO 250 '9. DIST STATEMENT , 10. FREOUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REO ,REQUIRED ASREQ (See Block SUBMISSION b.COPIES NO i 16) See Block 16

s. ADDRESSEE Final

6. APP CODE C ~see Block 11. AS OF DATE 13. DATE OF SUBSEQUENT

N/A N/A SUBMISSION Draft Reg. Repro

16 N/A

16. REMARKS

PMA2071ABlock 9: Distribution authorized to U.S. Government AgenCies and their contractors. Other requests for this document shall be referred PCO to NAVAIR PMA 207. (See Block 16)

Block 10 and 12: U.S. Government will notify contractor 30 days prior to each meeting/conference.

Block 14: Distribution will be via Web-based Information System

(WIS)

I

15. TOTAL

G. PREPARED BY H.DATE

!J. DATE

Patricia Merrill 7/6/2011

I?/z/z<Jf( Db I /

17. PRICE GROUP

16. ESTIMATED

TOTAL PRICE

L./'JDO FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

CONTRACT DA1A REQ~IREMENTS LIST

1 Data Item

Form A~fcroved OMB No. 04-0188

Public reporting burden for this collection of information is estimated to avera~ 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and mainta ning the data needed and completlng and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, includinR Su~gestions for reducln!~ this burden, to Department of Defense, Washington Headquarters Services. Directorate for Informat on perations and Reports, 1215 Jefferson Davis Hitway. Suite 1204. Arlln8ton. VA 22202-4302 and to the Office of Management and Budget. Paperwork Reduction Project (070 -0188). Washington. D 20503. Please DO NOT RETURN eur form

•to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContractlPR No. isted in :BlockE.

A. CONTRACT LINE ITEM NO. B.EXHIBIT IC. CATEGORY

OX23 A ADMN

D. SYSTEMIITEM E. CONTRACTIPR NO. F. CONTRACTOR

C-9CLS NOO019-10-R-0039

:1. DATA ITEM NO. 12. nTlE OF DATA ITEM a.SUBTITLE iA002 Conference Minutes

4. AUTHORITY (Om Acquisition Documenl: No.) 5. CONTRACT REFERENCE 6. REQUiRING OFFICE DI-ADMN-81250A PWS para 3.2.2 PMA-207

7. DO 250 19. DiST STATEMENT 110. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REO ,REQUIRED

I ASREQ (See Block SUBMISSION b.COPIES NO 16) See Block 16 a. ADDRESSEE Final

8. APPCODE C (See Block 11. AS OF DATE 13. DATE OF SUBSEQUENT N/A N/A SUBMISSION Dmlt Reg. Repro

16) N/A

IS. REMARKS

PMA2071ABlock 9: Distribution authorized to U.S. Government Agencies and their contractors. Other requests for this document shall be referred PCO to NAVAIR PMA 207. (See Block 16)

Block 10 and 12: Minutes are due within 10 days of each meeting.

Block 14: Distribution will be via Web-based Information System

(WIS)

I

I

15. TOTAL

G. PREPARED BY H.DATE I. APPROVED BY 1J

DATE

Patricia Merrill 7/6/2011 i7io& j9jj.,,, DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

, {/j .~ o~ I I

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17. PRICE GROUP

18. ESTIMATED

TOTAlF'RICE

CONTRACT DA1A REQ~IREMENTS LIST

1 Data Item

Form A~fcroved OMB No. 04-0188

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 su~gestions for reducin!l this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis ~hway, Suite 1204, Arlinton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (07 -0188), Washington, D 20503. Please DO NOT RETURN your form

, to either of these addresses. Serid completed form to the Government Issuing Contracting Officer for the ContractlPR No. Listed in I Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT Ic.CATEGORY

OX23 A ILSS

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

C-9CLS NOOO19-10-R-0039

1. DATA ITEM NO. [2. TITLE OF DATA ITEM a.suBTITLE A003 Status Report Aircraft Daily Status ReQ..ort

4. AUTHORITY (Data AcqulsRlon Document No.) 5, CONTRACT REFERENCE 6. REQUIRING OFFICE DI-MGMT-80368A (See Block 16) PWS para 3.3.1' 5.3.3.13 . PMA-207

7. DD250 9. DIST STATEMENT 10. FREQUENCY 112. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED DAILY SUBMISSION b.COPIES NO 1 DACS (See a. ADDRESSEE Final

Block 16)

8. APP CODE C ~see Block 11. AS OF DATE 13. DATE OF SUBSEQUENT Repro N/A 0 SUBMISSION Draft Reg.

16 N/A lS.REMARKS

C-9APMLBlock 4: Tailor DID as follows: delete ~aragraphS 2.1.b, 2.1.c 2.1.e, 2.2, 3.2.1.d, 3.2.1.e, 3.2.1 "h, 3.2.3, 3 ..4 C-9APMSE

Block 9: Distribution authorized to U.S. Government Agencies and

CNAFR

their contractors. Other requests for this document shall be referred CFLSW to NAVAIR PMA 207. (See Block 16)

Block 12: Submission starts one day after transition period ends.

Block 14: Distribution will be via Web-based Information System

(WIS)

I I

15. TOTAL

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

Patricia Merrill 7/6/2011 fiJl}£;un '/1;;,,,i , ...,, , I

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17. PRICE GROUP

18. ESTIMATED

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. {/ /

CONTRACT DATA REQUIREMENTS LIST 1

(1 Data Item)

Form Approved OMB No. bt04~0188

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 revlewinlll 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, Mington, 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 ito either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract1PR No. Listed in .

·BlockE.

A. CONTRACT LINE ITEM NO. B.EXHIBIT IC. CATEGORY

OX23 A MGMT

D. SYSTEM/ITEM E. CONTRACTIPR NO. F. CONTRACTOR

C~9CLS NOOO19-10-R-0039

1. DATA ITEM NO. I~' TITLE OF DATA ITEM 3. SUBTITLE

A004 Contlract Funds Status Report

4. AUTHORITY (Data Acquisition Documenl No.) 5. CONTRACT REFERENCE . 6. REQUIRING OFFICE DI-MGMT~1468 PWS para 3.3.2 PMA-207

7. DD250 9. DIST STATEMENT 110. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED 'MTHLY SUBMISSION b.COPIES NO 45 DACS (See

8. ADDRESSEE Final Block 16)

8. APP CODE C ~see Block 11. AS OF DATE 13. DATE OF SUBSEQUENT DnIft Repro , N/A 0 SUBMISSION Reg.

16 See Block 16

16. REMARKS

PMA2071ABlock 9: Distribution authorized to U.S. Government Agencies and .

their contractors. Other requests for this document shall be referred ACO to NAVAIR PMA 207. pca Block 12: First submission is 45 days after transition period ends. CNRFCN43 Block 13: Subsequent submissions shall be delivered on the 15th of (See Block 16) each month.

Block 14: Distribution willlbe via Web-based Information System

(WIS)

15. TOTAL

G. PREPARED BY

171612011

I. APPROVED BY J. DATE

Patricia Merrill 7rii£j(()n I 'Iii"I

DO FORM 1423·1, FEB 2001 PREVIOUS EDITION MAY BE USED. L./ o f /

17. PRICE GROUP

I'

OMB No. 04-0188

Public reporting burden for this collection of Information is estimated to avera~e 110 hours per response, including the time for reviewing instructions, searching eXisting data sources. gathering and mainta ning 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 reducinl~ this burden, to Department of Defense, Washington Head~arters Services. Directorate for

Information Operations and Reports. 1215 Jefferson Davis ~hWay, Suite 1204, Arlington. v 22202-4302 and to the OffIce of

Management and Budget. Paperwork. Reduction Project (07 -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

BlockE.

{1 Data Item}

B.EXHIBITA. CONTRACT LINE ITEM NO. Ic.CATEGORY

A ILSS0X23

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACTIPR NO.

NOO019-10-R-0039C-9 CLS

3. SUBTITLE2. TITLE OF DATA ITEM,1. DATA ITEM NO.

Material Obsolescence Report .

DIMINISHING MANUFACTURING

'AOOS SOURCE DATA FOR FORECASTING

17. PRICE GROUP

6. REQUIRING OFFICE4. AUTHORITY (Data Acquisition Oooumenlt No.) 5. CONTRACT REFERENCE

DI-SESS-816S6 PMA-207PWS Dara 3.4.2

14. DISTRIBUTION7.00250 19. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 18. ESTIMATED

REQ REQUIRED SUBMISSION TOTAL PRICEb.COPIESQTRLY See Block 16 NO I

Final8. ADDRESSEE

11. AS OF DATE 13. DATE OF SUBSEQUENT

8. APP CODE 1C ~see Block SUBMISSION ReproReg.OreftN/AN/A 16 See block 16

16. REMARKS

C-9APMLBlock 9: Distribution authorized to U.S. Government ~fencies and their contractor. Other requests for this document shal be referred C-9APMSE to NAVAIR PMA 207.

C-9 ENG DAPML I

Block 12: First submission shall be delivered 15 calendar days after

CNAFR

Icompletion of first complete quarter of full performace. (See Block 16)

Block 13:Deliver 15 calendar days after completion of each quarter.

Block 14: Distribution will be via Web-based Information System 'I

(WIS)

i

II

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I

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I

I 115, TOTAL

IG. PREPARED BY H.DATE I. APPROVED BY IJ. DATE

7/6/2011IPatricia Mertill

AlrWf{)f} :9 hilA" () fDO FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. VI I

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. /)104-0188

Public reporting burden for this ccdlection 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. Papen",ork 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 ContractlPR No. Listed In I Block E.

I 'A. CONTRACT LINE ITEM NO. B. EXHIBIT Ic' CATEGORY

0X23 A MGMT

o. SYSTEM/ITEM E. CONTRACTIPR NO. F. CONTRACTOR

C-9 CLS N00019-10-R-0039

11. DATA ITEM NO. 12. TITLE: OF DATA ITEM

A006 WIS Archival Data

3. SUBTITLE

. WIS

l

4. AUTHORITY (Data AoqulslUon Documenl No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE l OT-XX-XX-XXXX (See Block 16) PWS oara 3.5.5 PMA-207~~~~~~~~~~_~~L-~~~~~~~__________~~~~__________________~

7. DO 250 19. DlST STATEMENT

REO REQUIRED

NO

10. FREOUENCY 12. DATE OF FIRST I

ANNLY (See Block SUBMISSION

16) 400DAC

~~-----------4---------------

14. DISTRIBUT;::IO::,:N______

a. ADDRESSEE Final

8. APP CODE Ie (See Block N/A 16)

11.ASOFDATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A b.COPIES I Draft Reg. Repro:

lS.REMARKS

Block 4: One Time DID. Contractor Format is acceptable.

Block 9: Distribution authorized to U.S. Govemment AgenCies and their contractors. Other requests for this document shall be referred to NAVAIR PMA 207.

Block 10: End of each contract year period of performance.

~P~M~A2~07~1~A~____~~--~--1

PCO

(See Block 16)

Block 14: The data files and reports contained within the WIS will be downloaded to CDs to be delivered to the Program Offices at the • end of each contract year" '-------------1---1----1-

G. PREPARED BY

Patricia Merrill

DO FORM 1423·1, FEB 2001

IH.DATE

.116/2011

I

PREVIOUS EDITION MAY BE USED.

"----+----+----l-----/

1-~4--+---I---)

15. TOTAL

J. DATE

.rjj2D/f 7 I

17.PRICEGROUP !

CONTRACT DATA REQUIREMENTS LIST Form A~-Pcroved

Public reporting burden for this collection of information is estimated to averege 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 blJrden estimate or any other aspect of this collection of Information.

including sUBgestions for reducinil this burden, to Department of Defense. Washington Headquarters Services. Direclorate for Information perations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlinton. VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0166). Washington, 0 20503. Please DO NOT RETURN ~ur form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContractlPR No. Isted In BlockE.

A. CONTRACT LINE ITEM NO. B. EXHIBIT I~' CATEGORY

A QCICIOX23

ID.SYSTEMIlTEM E. CONTRACTIPR NO. F.CONTRACTOR

·C-9 CLS NOO019-10-R-0039

1. DATA ITEM NO. . 3. SUBTITLEI~' TITLE OF DATA ITEM

AOO7 Qualitv Assurance Procram Plan Qualitv Assurance Plan

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

DI-QCIC-81794 PWS para 3.6.1 PMA-207

7.00250 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED ONE/R SUBMISSION b.COPIES LT See Block 16

B. ADDRESSEE Final .8.APPCODE C ~see Block 11. AS OF DATE 13. DATE OF SUBSEQUENT

A N/A SUBMISSION Repro 16 See Block 16

Draft Reg.

i

17. PRICE GROUP

16. ESTIMATED

TOTAL PRICE

lS.REMARKS

Block 9: Distribution authorized to U.S. Government Agencies and their contractors. Other requests for this document shall be referred to NAVAIR PMA 207.

Block 10: Plan will be updated as necessary.

Blocks 12 and 13: Draft shall be delivered to Government 15 days after contract award. The Government has 15 days for review and for commenting. The Contractor has 15 days after receipt of comments to submit the final deliverable.

Block 14: Distribution will be via Web-based Information System

(WIS)

IPMA2071A

C-9APMSE

(See Block 16)

I

I

15. TOTAL

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

Patricia Merrill 7/6/2011

1h~tt~aCJ DO FORM 1423·1. FEB 2001 PREVIOUS EDITION MAY BE USED. 0 /t/ I I

I I CONTRACT DA1A REQ~'REMENTS LIST Form A~fcroved

OMB No. 04-0188 Public reporting burden for this C()llIection of infonnalion is estimated to average 110 hours per response, including the lime 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 infonnation, including su~estions for reducing this burden, to Department of Defense. Washington Head~arters Services, Directorate for

.Informatlon perations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlin!:on, V 22202-4302 and to the Offlce of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D 20503. Please DO NDT RETURN your form to either of these addresses. Send completed fonn to the Govemment Issuing Contracting Offlcer for the ContrectlPR No. Listed in BlockE.

1 Data Item

A. CONTRACT LINE ITEM NO. B.EXHIBIT Ic' CATEGORY

Patricia Merrill 7/6/2011 7iJifJ;{); 'lib If DO FORM 1423·1. FEB 2001 PREVIOUS EDITION MAY BE USED. ~t:/ I I

10. FREQUENCY

ASREQ b.COPIES

Final

11. AS OF DATE

N/A DrnfI: Reg. Repro

0X23 A SESS

E. CONTRACTIPR NO.ID.SYSTEMilTEM

NOOO19-1D-R-0039C-9 CLS

1. DATA ITEM NO. 12. TITLE OF DATA ITEM

AD08 Teardown Deficiency Report

4. AUTHORITY (Data Acquisition Document No.) ~~RACTREFERENCE DI-ALSS-81 534 PWS Dara 3.6.3

7.00250 12. DATE OF FIRST

REQ REQUIRED

t·DISTSTATEMENT

SUBMISSION

NO See Block 16

13. DATE OF SUBSEQUENT8. APP CODE IC (See Block SUBMISSION

N/A 16) N/A

16. REMARKS

Block 9: Distribution authorized to U.S. Government Agencies and their contractors. Other requests for this document shall be referred to NAVAIR PMA 207.

Block 12: Reports will be delivered no later than 5 calendar days after teardown is completE~.

Block 14: Distribution will be via Web-based Information System

(WIS)

G. PREPARED BY H.DATE I. APPROVED BY

F. CONTRACTOR

3. SUBTITLE

6. REQUIRING OFFICE

PMA-207

14. DISTRIBUTION

a. ADDRESSEE

C-9APML

C-9APMSE

C-9 ENG DAPML

(See Block 16)

I

/15. TOTAL

17. PRICE GROUP

18. ESTIMATED

J.DATE

CONTRACT DA1A REQ~}IREMENTS LIST Form A~fcroVed

1 Data Item I OMB No. 04-0188 Public reporting burden for this collection of information is estimated to average 110 hours per response, including the tlma 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 Hitway, Suite 1204, ArIi"8ton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (070 -0188). Washington, D 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContracVPR No. Listed in Block E.

'A CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORYI

A MGMTOX23

F, CONTRACTOR0, SYSTEMIITEM E. CONTRACTIPR NO.

NOO019-10-R-0039C-9 CLS

3, SUBTITLE1. DATA ITEM NO, i2. TITLE OF DATA ITEM

A009 Cost Reduction Proaram Plan

a. REQUIRING OFFICE 4. AUTHORITY (Data Acqulsillon Document No.) 5. CONTRACT REFERENCE

OT-XX-XXXXX'(See Bloc~; 16} PWS para 3.7.2 PMA-207 I

14. DISTRIBUTION

REQ

7,00250 9, DIST STATEMENT 10. FREQUENCY '12, DATE OF FIRST

REQUIRED , SUBMISSION b,CQPIESANNLY LT 30DAC Final a.APPCODE

a. ADDRESSEE 13, DATE OF SUBSEQUENT 11.ASOFDATEC (See Block SUBMISSION ReproDraft Reg.N/AN/A 16) NA

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

is, REMARKS

Block 4: One Time DID. Contractor format acceptable.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors. Other requests for this document shall be referred to NAVAIR PMA 207.

Block 14: Distribution will be via Web-based Information System

(WIS)

PCO

PMA207A1 I

ACO

(See Block 16)

I i

I

I i I

I

I I

I

15. TOTAL

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

Patricia Merrill ,6/21/2011

I 1~21J7(6h 7h!zc,l, DO FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. L./ 'i:::::::/ I f

(1 Data Item) . OMB No. 04-0188

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 sU~gestions for reducil1iJ this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arli't:0n, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, 0 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Govemment Issuing Contracting Officer for the ContractlPR No. Listed in Block E.

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

OX23 A MGMT

D. SYSTEM/ITEM E. CONTRACTIPR NO. F. CONTRACTOR

C-9CLS NOOO19-10-R-0039

1. DATA ITEM NO. 12. TITLE: OF DATA ITEM 3. SUBTITLE

AOOA Cost Reduction PrOQram Report

4. AUTHORITY (Data Acqulslllon Documenl No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

OT-XX-XXXXX(See Block 16) 3.7.2 PMA-207

7.DD2SO 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED QTRLY SUBMISSION

b.COPIES

NO 90DAC

a. ADDRESSEE FinalI8. APP CODE C ~see Block 11. AS OF DATE 13. DATE OF SUBSEQUENT

N/A N/A SUBMISSION Repro 16 See Block 16

Draft Reg.

16. REMARKS

PCOBlock 4: One Time DID. Contractor format is acceptable.

PMA2071A

Block 9: Distribution authmized to U.S. Government Agencies and ACOtheir Contractors. Other requests for this document shall be referred (See Block 16) to NAVAIR PMA207.

Block 13: Deliver 15 calendar days after completion of each quarter, Block 14: Distribution will be via Web-based Information System

(WIS).

I I

15. TOTAL

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

Patricia Merrill 7/6/2011 i;l:O~ '1/z.ju lli

I

I

I i

17. PRICE GROUP

18. ESTIMATED

DO FORM 1423-1, FEB 2001 PREVIOUS EDmON MAY BE USED. ~{/ I I

CONTRACT DATA REQUIREMENTS LIST Form A~?croved I",·

"OMB No. 04-0188(1 Data Itemi 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 sU~gestions for reducinl~ this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis Hltway, Suite 1204, Minton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (070 -0188), Washington, 0 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContractlPR No. Listed In Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORYl

A MGMTOX23

D. SYSTEM/ITEM E. CONTRACTIPR NO.

C-9 CLS NOO019-10-R-0039

1. DATA ITEM NO. 12. TITLE. OF DATA ITEM

AOOB , Status of Government Furnished Equipment ! ReP()rt

4. AUTHORITY (Data Acquisition Oocumenl No.) 5. CONTRACT REFERENCE

DI-MGMT -80269 PWS para 3.8.2

7. DD 250 19. DIST STATEMENT 110. FREQUENCY 112. DATE OF FIRST

REa .REQUIRED •ANNL Y (See Block ! SUBMISSION

NO

16) See Block 16 8.APf'CODE 11.ASOFDATE 13. DATE OF SUBSEQUENTC (See Block SUBMISSIONN/A N/A16) See Block 16 I

16. REMARKS

Block 9: Distribution authorized to U.S. Government Agencies and their contractors. Other requests for this document shall be referred to NAVAIR PMA 207.

Blocks 10, 12 and 13: Re~;ults of the invento~ shall be reported 30 .

days after end of each performance period. inal inventory shall be part of the Transition Phase Out.

Block 14: Distribution will be via Web-based Information System

~IS). Contractor shall submit a hard copy of report to applicable aintenance Office at each site.

F. CONTRACTOR

3. SUBTITLE

Stock Inventory Report

17. PRICE GROUP

6. REQUIRING OFFICE

PMA-207

14. DISTRIBUTION i 18. ESTIMATED

TOTAL PRICE

a. ADDRESSEE

C-9APML

C·9APMSE

CNAFR

C-9 ENG DAPML

VR-61

VMR-1

(See Block 16) b.COPIES

Final

Draft Rag. Repro i

:1

15. TOTAL

G. PREPARED BY J. DATEI~·DATE

Patricia Merrill 7/6/2011

9i~/(~:J1iJff2:-Jl

DD FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. ~(/ {

Public reporting burden for this ccllection of information is estimated to averaQe 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and ccmpleting and reviewing the ccllection of information. Send ccmments regarding this burden estimate or any other aspect of this ccllection of information, including sU~gestions for reducin!~ this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Minton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, 0 20503. Please DO NOT RETURN your form to either of these addresses. Send ccmpleted form to the Government Issuing Contracting Officer for the ContractJPR No. Listed In BlockE.

A. CONTRACT LINE ITEM NO. B.EXHIBIT IC. CATEGORY

OX23 A MISC

ID. SYSTEMilTEM E. CONTRACTIPR NO. F. CONTRACTOR

C-9 CLS NOO019-10-R-0039

1. DATA ITEM NO. 1.2. TITLE OF DATA ITEM 3. SUBTITLE

AOOC Analvtical Condition Inspection Report Over and Above Discrepancies

4. AUTHORITY (Data Acquisition Documen! No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-MISC-81391 (See Block 16) PWS para 3.9.3 PMA-207

7.00250 19. OIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED ASREQ SUBMISSION b.COPIES NO . See Block 16

a. ADDRESSEE Final

8.APPCODE IC ~see Block 11.AS OF DATE 13. DATE OF SUBSEQUENT

N/A 16 N/A SUBMISSION

Draft Reg. Repro N/A

16. REMARKS

C-9APMLBlock 4: Tailor DID to remove para 10.2.1, Part A, item j, k and e.

CNAFR

Block 9: Distribution authorized to U.S. Government Agencies and CFLSWtheir contractors. Other requests for this document shall be referred VMR-1to NAVAIR PMA 207.

VR-61

Block 12: Submit within 3 calendar days after completion of (See Block 16tinspection.

I·Block 14: Distribution will be via Web-based Information System

(WIS)

i

IG~_O~ 15. TOTAL

H.DATE I. APPROVED BY J. DATE

Patricia Merrill 7/6/2011 i;;;iJi2n 1fi/u11 00 FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. {/' Y f i .I I

I

17. PRICE GROUP

CONTRACT DATA REQ~~REMENTS LIST

(1 Data Item

Form A~fcroved

OMB NQ. 04-0188

Public reporting burden for this collection of infonnation 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 Su~geStions for reducin!~ this burden, to Department of Defense, Washington Head~arters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlln8ton, V 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, 0 20503. Please DO NOT RETURN your form to either of these addresses. Send completed fonn to the Govemment Issuing Contracting Officer for the ContractlPR No. Listed In BlockE.

IA. CONTRACT LINE ITEM NO, B.EXHIBIT IC. CATEGORY

OX23 A SAFT

D.SYSTEMIITEM E. CONTRACTIPR NO. F. CONTRACTOR

C-9 CLS NOO019-10-R-0039

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

AOOD Accident 1Incident Report ' Mishap 1Incident InvestigatiQn

Reoort

4. AUTHORITY (Data Acquisition Oocumenll No.) 5, CONTRACT REFERENCE 6. REQUIRING OFFICE DI-SAFT -81563 PWS (lara 3.10 PMA-207

7,00250 9,DISTSTATEMENT 1'0. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REO REQUIRED ASREQ SUBMISSION b.COPIES NO See Block 16 a. ADDRESSEE Final

8. APP COOE C ~see Block I11. AS OF DATE 13, DATE OF SUBSEQUENT N/A N/A SUBMISSION Repro

16 See BIQck 16 Draft Reg.

lS.REMARKS PMA2071ABIQck 9: DistributiQn authorized tQ U.S. GQvernment Agencies and their CQntractQrs. Other requests fQr this document shall be referred C-9APML tQ NAVAIR PMA 207. C-9APMSE

Blocks 12 & 13: First repQrt due 24 hQurs after incident occurs. C-9 ENG DAPML Subsequent and final reports due at PCO directiQn. CNAFR

BIQck 14: DistributiQn will be via Web-based InfQrmatiQn System PCO (WIS). CQntractQr shall submit a hard copy Qf repQrt tQ applicable (See BIQck 16) Maintenance Office at the aircraft site.

I

/,5. TOTAL

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

Patricia Merrill 7/6/2011 e;;;;Zoao rftpOl1

00 FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. -V ~

17. PRICE GROUP i

(1 Data Item) OMB No. 04-0188

Public reporting burden for this collection of information is estimated to avera~e 110 hours per response, Including the time for reviewing instructions, searching existing data sources, gathering and malnta nlng 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 ~hway, Suite 1204, AI1i~ton, VA 22202-4302 and to the OffIce of

,Management and Budget, Paperwork Reduction Project (07 -0188), Washington, D 20503. Please DO NOT RETURN your form Ito either of these addresses. Send completed form to the Govemment Issuing Contracting OffIcer for the ContractlPR No. Listed In Block E.

, A. CONTRACT LINE ITEM NO. B. EXHIBIT IC. CATEGORY

0X23 A MGMT

D. SYSTEMIITEM E. CONTRACTIPR NO. F. CONTRACTOR

C-9CLS NOO019-10-R-0039

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

iAOOE Statlls of Government Furnished Equipment I{GFEtRe~ort

Phase In Inventory Report

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

DI-MGMT -80269 PWS para 5.1.1 PMA-207

7.00250 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED 1TIME/R SUBMISSION

b.COPIES LT See Block 16

a. ADDRESSEE Final 8.APPCODE C ~see Block 11. AS OF DATE 13. DATE OF SUBSEQUENT

A N/A SUBMISSION Repro 16 See Block 16

Draft Rag.

16.REMARKS

PMA2071ABlock 9: Distribution authorized to U.S. Government Agencies and their contractors. Other requests for this document shall be referred PCO to NAVAIR PMA 207. CNAFR

Blocks 12 and 13: The inventory report is due 50 calendar days after (See Block 16) contract award. U.S. Government has 5 calendar days to review and submit any comments back to Contractor. Contractor has 5 calendar days to submit final deliverable.

I

Block 14: Distribution will be via Web-based Information System

(WIS)

I

I I

I

I 15. TOTAL

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

Patricia Merrill 7/6/2011

~i1otkJ rhloll

00 FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. C/' ~ {

I , I I

I

I

I I

!17. PRICE GROUP

TOTAl PRICE

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 su~gestlons for reducing this burden, to Department of Defense. Washington Headquarters Services, Directorate for Information peratlons and Reports, 1215 Jefferson Davis ~hway. Suite 1204. Arli~on. VA 22202-4302 and to the Office of Management and Budget. Paperwork Reduction Project (07 -0188). WaShington. 0 20503. Please 00 NOT RETURN your form

:to either of these addresses. Send completed form to the Govemment Issuing Contracting Officer for the ContracUPR No. Listed in 'Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT IC. CATEGORY

0X23 A MGMT

iD. SYSTEM/ITEM !E. CONTRACT/PR NO. F. CONTRACTOR

C-9CLS IN00019-1 0-R-0039

11. DATA ITEM NO. 12. TITLE OF DATA ITEM 3. SUBTITLE

iAOOF Phase Out Transition Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE OT-XX-XXXXX See Block 16 PWS Dara 5.2.2 PMA-207

7. DD250 9. D1ST STATEMENT 10. FREQUENCY '12. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED ONEIR SUBMISSION b.COPIES LT I See Block 16 a.ADDRESSEE FInal 8.APPCODE C (See Block 11.ASOFDATE 113. DATE OF SUBSEQUENT A N/A SUBMISSION Draft Reg. Repro

16) See Block 16

16. REMARKS

PMA2071ABlock 4: One Time DID. Contractor format is acceptable.

PCO

Block 9: Distribution authorized to U.S. Government Agencies and CNAFR their contractors. Other requests for this document shall be referred'

(See Block 16) to NAVAIR PMA 207.

Blocks 12 and 13: The Plan is due 15 calendar days from PCO/ACO notification. U.S. Government has 15 calendar days to review and submit and: comments back to Contractor. Contractor has 15 calendar ays to submit final deliverable.

Block 14: Distribution will be via Web~based Information System

(WIS)

i I

15. TOTAL

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

Patricia Merrill 7/6/2011

I~;jp(&-:; ~~~II ~r

I I I I

17. PRICE GROUP

16. ESTIMATED

~ 7DO FORM 1423-1. FEB 2001 PREVIOUS EDITION MAYBE USED. {/J

CONTRACT DATA REQUIREMENTS LIST Form Approved 1 Data Item OMB No. b104-0188

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 Govemment Issuing Contracting Officer for the ContractlPR No. Listed in '

'E!Block . I

A. CONTRACT LINE ITEM NO. B.EXHIBIT IC. CATEGORY

0X23 A ILSS

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

C-9 CLS NOO019-10-R-0039

1. DATA ITEM NO. 12. TITLE OF DATA ITEM 3. SUBTITLE

AOOG Loan LOQ

4. AUTHORITY (Data AcqulsHIon Documeni No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

OT-XX-XXXXX See Block 16 PWS para 5.3.3.4 PMA-207

7.00250 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED MTHLY SUBMISSION

b.COPIES NO See Block 16

a. ADDRESSEE Final

6. APP CODE C ~see Block 11. AS OF DATE 13. DATE OF SUBSEQUENT

N/A 0 SUBMISSION Repro 16 See Block 16

Draft Reg.

lS.REMARKS C-9APMLBlock 4: One Time DID. Contractor format is acceptable.

C-9APMSE

Block 9: Distribution authorized to U.S. Government Agencies and C-9 ENG DAPML their contractors. Other requests for this document shall be referred

CNAFRto NAVAIR PMA 207.

Block 12: First submission shall be delivered 45 calendar days after (See Block 16) start of full performance. .

Block 13: Subsequent submissions shall be delivered on the 15th of each month.

Block 14: Distribution will be via Web-based Information System

(WIS)

I

II

I

I

1'15. TOTAL I

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

Patricia Merrill 7/6/2011 Edla Vaughn

7(}cJ I ~dtf ~;/ull,

17. PRICE GROUP

16. ESTIMATED

TOTAL PRICE

V (,/

DO FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED.

CONTRACT DATA REQ~IREMENTS LIST

(1 Data Item

Form A~Pcroved OMB No. 04-0188

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 ~hWay, Suite 1204, Arlin!:on, VA 22202-4302 and to the Office of Management and Budget, PapefW'ork Reduction Project (07 -0188), Washington, D 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContracUPR No. Listed in

.Block E. .

,A. CONTRACT LINE ITEM NO. B. EXHIBIT IC. CATEGORY

OX23 A ILSS

D. SYSTEM/ITEM E. CONTRACTIPR NO. E CONTRACTOR

C-9 CLS NOOO19-10-R-0039

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

AOOH Consumable Parts Bondroom/lnventory and I Parts Usage Report

4. AUTHORITY (Data Acqulslllon Oocum&nt No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-ILSS-80834 See Block 16 PWS para 5.3.3.8 PMA-207

7. DD 250 19. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED MTHLY SUBMISSION

b.COPIES NO See Block 16

a. ADDRESSEE Final

8. APP CODE IC (See Block 11. ASOF DATE 13. DATE OF SUBSEQUENT

! N/A 16) 0 SUBMISSION Draft Reg. Repro

See Block 16

16. REMARKS

C-9APML IBlock 4: Contractor format is acceptable. Tailor DID to change quarterly to monthly. Report shall contain repairable items and C-9 ENG DAPML consumable items. .CNAFR

I rBlock 9: Distribution authorized to U.S. Government Agencies and I CFLSW their contractors. Other rE~quests for this document shall be referred: (See Block 16) to NAVAIR PMA207.

Block 12: First submission shall be delivered 45 days after the start of full performance.

Block 13: Subsequent submissions shall be delivered on the 15th of each month.

Block 14: Distribution will be via Web-based Information System

(WIS)

I

I

I

15. TOTAL

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

Patricia Merrill 7/612011

~~a; iilV// ~ f

I

I i I

I

I

17. PRICE GROUP

18. ESTIMATED

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. C/.J

Form A~fcroved

CONTRACT DATA REQUIREMENTS LIST

JiQata Item) OMB No. 04-0188

Public reporting burden for this C(lilection of information is estimated to avera~e 110 hours per response, including the time for reviewing Instructions, searching existing data sources, gathering and mainta ning 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, includin~ su~estions for reducing this burden. to Degartment of Defense. Washington Headquarters Services. Directorate for Information perations and Reports. 1215 Jefferson avis 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 BlockE.

,A. CONTRACT LINE ITEM NO. B. EXHIBIT IC. CATEGORY

iOX23 A ILSS

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

C-9 CLS NOOO19-10-R-0039

1. DATA ITEM NO. I~' TITLE: OF DATA ITEM 3. SUBTITLE

AOOJ OutfittinQ Material Status Report Awaiting Parts Status Report

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

DI-ILSS-80948 See Block 16 PWS5.3.3.9 PMA-207

7. DO 250 9. DIST STATEMENT 110. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED 'MTHLY SUBMISSION

b.COPIES NO See Block 16 I

8, ADDRESSEE Final 8.APPCODE C (See Block 11,ASOFDATE 13. DATE OF SUBSEQUENT

N/A 0 SUBMISSION

Draft Reg. Repro ,

16) See Block 16

16. REMARKS

C-9APMLBlock 4: Contractor format is acceptable.

C-9APMSE

Block 9: Distribution authorized to U.S. Government Agencies and C-9 ENG DAPML their contractor. Other requests for this document shall be referred

! CFLSWto NAVAIR PMA 207.

I

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

Block 12: First submission shall be delivered 40 days after the completion of the phase in transition period.

Block 13: Subsequent submission shall be delivered on the 15th of each month.

Block 14: Distribution will be via Web-based Information System (WIS). Contractor shall submit a hard copy of report to applicable Maintenance Office at each site.

VMR-1

VR-61

(See Block 16)

I

I

I

15. TOTAL

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

7/6/2011IPatrioa Merrill

:~!J(On rlluli

DO FORM 1423·1. FEB 2001 PREVIOUS EDITION MAY BE USED. 0---- I {?/'

ICONTRACT DATA REQUIREMENTS LIST Form A~fcrovedI

(1 Data Item) OMB No. 04~O188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instruclions, 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 Ihformation, including su~geStions for reducing this burden, to De~rtmeht of Defense, Washington Head~arters Services, Directorate for Informatioh perations and Reports, 1215 Jefferson avis '1Jjhway, Suite 1204, Arlih8ton, V 222024302 and to the Office of Management and Budget. Paperwork Reduction Project (07 ~188), Washington, 0 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Govemment Issuing Contractihg Officer for the ContractlPR No. Listed in BlockE.

A. CONTRACT LINE ITEM NO. B.EXHIBIT IC. CATEGORY

,0X23 A ILSS

E. CONTRACT/PR NO.

C~9 CLS

O. SYSTEMilTEM

NOOO1~10~R~OO39

1. DATA ITEM NO. 12. TITLE OF DATA ITEM

AOOK No Defect Report

4. AUTHORITY (Data Acquisillon Documenl No.) 5. CONTRACT REFERENCE

OT-XX-XXXXX See Block 16 PWS Dara 5.3.3.1 °

10. FREOUENCY 112. DATE OF FIRST7.00250 /9. DIST STATEMENT

REQ REQUIRED SUBMISSIONMTHLY

NO See Block 16

8. APP CODE 11.ASOFDATE 113. DATE OF SUBSEQUENTC (See Block SUBMISSION i N/A 016) See Block 16

16. REMARKS

Block 4: One Time DID. Contractor format is acceptable.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors. Other requests for this document shall be referred to NAVAIR PMA207.

Block 12: First submission shall be delivered 45 days after the completion of the phase in transition period.

Block 13: Subsequent submittals shall be delivered on the 15th of each month.

Block 14: Distribution will be via Web-based Information System

(WIS)

F. CONTRACTOR

3. SUBTITLE

6. REOUIRING OFFICE

117. PRICE GROUPPMA-207

I14. DISTRIBUTION

b.COPIES Final

RaproReg.Dmll

18. ESTIMATED

TOTAl PRICE

I

I

G. PREPARED BY H.DATE I. APPROVED BY

Patricia Merrill 7/6/2011 e;:;;"(J;(}n

DO FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. 'C.:.:...

·~O~V

s. ADDRESSEE

C-9APML

C-9 ENG DAPML

C-9APMSE

CFLSW

VMR-1

VR-61

(See Block 16)

I

I

15. TOTAl

I

J.DATE

i~/f

/ I

(1 Data Item) / OMB No. 04-0188

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 su~gestions for reduclnl~ this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information perations and Reports. 1215 Jefferson Davis HJtoway, Suite 1204, Arlinton. VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (07 188), Washington. D 20503. Please DO NOT RETURN fi:ur form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContractiPR No. isled in !BlockE.

A. CONTRACT LINE ITEM NO. B. EXHIBIT IC. CATEGORY

0X23 A ILSS

D. SYSTEM/ITEM E. CONTRACTIPR NO. F. CONTRACTOR

C-9CLS NOO019-10-R-0039

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

AOOL Aircraft Time/Cycle Component Tracking Aircraft Time/Cycle Component ReDort Trackina ReDort

4. AUTHORITY (Data Acquis"1on Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

OT-XX-XX-XXXX (See Block 16) PWS oara 5.3.3.12 PMA-207

7.00250 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DiSTRiBUTION

REQ REQUIRED MTHLY SUBMISSION

b.COPIES NO See Block 16

B. ADDRESSEE Final

I8.APPCODE C ~see Block 11. AS OF DATE 13. DATE OF SUBSEQUENT

N/A 0 SUBMISSION Repro 16 See Block 16

Draft Reg.

16.REMARKS

C-9APMLBlock 4: Contractor format is acceptable. Report data only described inPWS. . C-9APMSE

Block 9: Distribution authorized to U.S. Government Agencies and

C-9 ENG DAPML

their contractors. Other requests for this document shall be referred CNAFR to NAVAIR PMA 207. . VMR-1

Block 12: First submission shall be delivered 45 days after the /VR-61 completion of the phase in transition period. (See Block 16)

Block 13: Subsequent submissions shall be submitted by the 15th of each month.

Block 14: Distribution will be via Web-based Information System

(WIS)

'I

I

15. TOTAL

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

Patricia Merrill 7/6/2011

1~;i7fif7 I/j;£~ i

I

I[

I

I I

117. PRICE GROUP

18. ESTIMATED

00 FORM 1423-1. FEB 2001 PREVIOUS EDITION MAYBE USED. C-/' -- (J'-'

{1 Data Item) OMB No. 04-0188

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 Head~uarters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis Hltway, Suite 1204, Arlin!:on. V 22202-4302 and to the Office of Management and Budget. Paperwork Reduction Project (070 -0188), Washington, 0 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContractJPR No. Listed in BlockE.

A. CONTRACT LINE ITEM NO. B. EXHIBIT IC. CATEGORY

0X23 A ILSS

D. SYSTEMIITEM E. CONTRACT/PR NO. F. CONTRACTOR

C-9 CLS NOO019-10-R-0039

1. DATA rrEM NO. /2. TITLE OF DATA rrEM 3. SUBTITLE AOOM Engine Health Monitoring Reoort

4. AUTHORITY (Data AcqulslUon Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE OT- XXXX-XX See Block 16 PWS oara 5.3.4.1' 5.3.4.2 PMA-207

7.00250 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED See Block 16 SUBMISSION

b. COPIES NO See Block 16 a.ADDRESSEE Final

8. APP CODE C ~SeeBlock 11.ASOFDATE 13. DATE OF SUBSEQUENT N/A 16 0 SUBMISSION Draft Reg. Repro

See Block 16 lS.REMARKS I

Block 4: One-Time DID. Contractor format acceptable. C-9 ENG DAPML I

CNAFR

Block 9: Distribution authorized to U.S. Government Agencies and CFLSW their contractors. Other requests for this document shall be referred

C-9APMLto NAVAIR PMA 207.

Block 12: First submission shall be delivered 40 days after the completion of the phase in transition period.

(See Block 16)

Block 13: For PWS paragraph 5.3.4.1, subsequent submissions shall be delivered on the 15th of each month. For PWS paragraph 5.3.4.2, SUbmissions shall be submitted within four hours.

Block 14: Distribution will be via Web-based Information System (WIS) & a digital cop~ will be provided to NAVAIR and CFSLW directly from Pratt Witney & Reports shall be separated by branch of service (i.e., Navy/Marine shall be combined)

I

I

I

15. TOTALIG. PREPARED BY H.DATE I. APPROVED BY J.DATE

, Patricia Merrill 7/6/2011

~nor1n ~f~11I

DO FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. -O~~ (

i

I

I

I

I I

117. PRICE GROUP

_( 1 Data Item) OMB No. 04-0188

Public reporting burden for this cc)lIection 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 Su~gestions for reductn!;! this burden, to Department of Defense, Washington Headquarters Services. Directorate for Information peratlons and Reports. 1215 Jefferson Davis Highway. Suite 1204. Arli~on. VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington. 0 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContracUPR No. Listed In BlockE.

A. CONTRACT LINE ITEM NO. B. EXHIBIT IC. CATEGORY

OX23 A ILSS

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

C-9 CLS NOO019-10-R-0039

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

AOON GovE~rnment Furnished Equipment Repair , PSE Calibration and Maintenance

Status Report iReport 4, AUTHORITY (Data Acquisition Document No,) 5, CONTRACT REFERENCE 6, REQUIRING OFFICE DI-ILSS-80620 See Block 16 PWS para 5.3.5 PMA-207

7.00250 9. DIST STATEMENT '10, FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REQ REQUIRED 'MTHLY SUBMISSION b,COPIES NO See Block 16 a, ADDRESSEE Final : 8.APPCODE C ~see Block 11,ASOFDATE 13.