CDRLs Oct 4 2011 - 31 pages.pdf

Index of CDRLs

Data Item No. Title of Data Item:

AOOl Conference Agenda A002 Conference Minutes A003 Status Re port

AOO4 Contract Funds Status Report

AOOS Source Diita For Forecasting Dlmihlsning Manufacturing

AOO6 WIS Archival Data AO07 Quality Assurance Program Plan AOO8 Teardown Deficiency Report AOO9 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 Materia IStatus Report AOOK( No Defect Report AOOL Aircraft Time/Cycle componentTracking 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 Level Repair Instructions

CONTRACT DATA REQUIREMENTS LIST

(1 oata Itenll

Form ADDroved OMB No. 01()4..0188

It. IXlImWrrLINE ITI!M NO. B. EXHIBIT Ie. CATEGORY

0)(23 A AOMN

D. SYSTEt.U!lEM E. CONTRAClTIPR NO.

c;9 CLS NOOO19-10-R..0039

1. DATA ITBotNO. 12. TlllEOF DATA ITEM AOO1 1Conference

4. AIJTHClRIlV co-AaquIIIIon DooumIIII 1\10.) 5. CONTRAClTREI'ERI5NOE DI-ADMN..a1249A· PWS oara 3.2.2 TJf121JO

NO

&.mcooe NlA C (See'BIock

16)

10. I'I'I&QUEHCY 12. MTE OF F1RST

~REQ (See Block s:B:ck 16

11.ASOFDAlE NlA

F. CONl'IWlTOR e.RB:\UIRINB OFFICE

. PMA-207

te. REMIIRKS .BIock 9: DiStribution authorized to U.S. Government ~ and I,,:P..!lMA2:::;;:~07:...:1!:!A_.......,.-+...--+---+-_1 their contractors. Other requests for this document shall be referred'I..!.PCO~~___-+_+---+-_1 to NAVAIR PMA 207. 1..\(See~w=BI~ock~1~En'.l...-_!--+--+_1 Block 10 and 12: U.S. Govemmentwll notify contractor 30 days prtor to each meetlnglconfefence .

. BloCk 14: Distribution will be via Web-basad Information System

(WIS) .

G. PllEPAREOSY Patricia Metril

H.DllTI!

71612011

I. APPROVED BY

EdlaVaughn reD l---I--~C, . J.MlE

Iftl.D ~)~I/ DO FCRM 1423-1. FEB 2001 PRE\'IOOS EDmON MAY lIE USED.

CONTRACT DATA REQUIREMENTS LIST Form ~-2roved (1 Data Item) OMB No. 04-0188

Pubic !'fJf)OItIng blI'den for this coIIedIDn of Information 18 eetlniatad 10 ::.= '10 hoIQ per~.~ the time for revIewInCi 1n8trUatIons. searching exI8IIng.d8Ia 1OIReI. ~ mal ng thedala needeii and ~ and I8VIewIng Ihe colleCtIon of Infouuation. send eomtnenlS ~Ing esIIrnate or anychI'.....Ofthla eoIItiiction:otlnfoll..allon, =::::Bon~ for reducing ilia burden to ~ of DefenIe. W81h1nglon ~SeMcea. DIn!IctoIaII! for I~ ~andRep0it8.1215~ ~Sulte1204.~~ 222C)2.4302·andtotheOlllceOf ~and Budget. ~work ReducIIon ~ ) W8sh~, • PIeaIIe DO NOT RETURN r=:m to aIthI!Ir of theae 1ICId18S8el. SInd COIY'CIIetec:t fotm the GowHnn'Ieit II8lJIn(j contracti1g 0IIIcer for the COlibactFR No. In BIOekE.

A c:oNTIW)TUNEITEM NO. 8.EXHIIIT I~CATEOORV0)(23 A ADMN

D. SYSTIMIITEM E. CON'IFIACTIPR NO.

C-9CLS N00019-1D-R..()(J39

1. DATA IlIiM NO. I~' TITI..E OF DATA IlIiMAOO2 COnference Minutes

4. AUTHORITY (DlIa I\aquIIIIon IlOcIUrnentNo..) 5. CONlRACTREf'i!I'IeNcI! • OlwADMN-8125OA PWS Dar&3.2.2

7. DDlIIIO

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1fl.REMAAKS 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 and 12: Minutes are due within 1'0 days of each meeting.

BIoc:k 14: DIstrIbution will be via Web-besed Information System

(WIS)

PMA2071A

PeO . (See BIoc:k 16)

10. TarAL

Go Pl'lEPARED BY Ii. DATE I.N'PRO\IeD8Y J.DATE Patricia Men1U 71612011

16~'Z-t!1111i;/;~ -...DO FORM 1423,1, FEB 2001 PfIE\IlOUS EDITION MAY BE USED. {/

I

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

Public reporting burden for this coUecIIon ~ information Is estimated to == 110 hours per rasponse. Including the time for I

Block E. .

A CONI'RACT LINE ITEM NO. B. EXHIBIT IC. CATEGORY

OX23 A IlSS D. SYSTI!INITEM Eo CONTRACTIPR NO•.

C-9CLS NOO019-1O-R-0039

1. DATA ITEM NO. I~' 1TTlE OF DftTA ITEM AOO3 Status ReDert

4. AUTHORIlY (DIII8 AcquiIIIon Documont No.) S. CONTRACT REFERENCE DlooMGMT-80368/~;-(See Block 16) PWS oars 3.3.1' 5.3.3.13 reviewing instructions, searching existing data sources. gathering and mai'Ita Ing the data needed and completing and reviewing the collection of Information. S8nd CXlITIIIIents I'8gfIrdiIg this burden eatinate or any other aspect of this coIIeCIIOn of InIonnaIIon.1:::WOO~redudng this burden. to ~of Defense. W~~uarters ServIoes. DirecIoI'ate for I and Reports, 1215 Jefferson ~~ SUite 1204. Ai1i~. V. 22202402 and to the 0IIIce of Management and Budget, Pap8rwork Reduction =(07 1). Washing\9n. 20503. Please DO NOT RETURN ~form 10 either of1he8e addni8aes. Send compIeled form the GovefMIfInt issuing contracting 0ftIcer for the ContractIPR No. in

7. D02!lO

REQ

NO

8.N'f'CODE N/A

Ie. REMARKS

9. !lIST STAlEMENT 10. FREQUENCY 12. DATE Of FIRST REQUIRED SI.IIMS8IONDAlLY

1 DACS (See Block 16)

11. AS OF DATE . 13. DATE OF SUBSEQUENTc~see BlOck S\J8P.ISSION016 NlA

Block 4: Tailor DID as follows: delete~ragraphS 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

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: ·Submlssion starts one day after transition period.ends.

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

(WIS)

F. CONTRACTOR

3. SUBTITlE

Aircraft Dally Status ReDOrt

e. REClUlRItoG OFFICE

17. PRICE GROUPPMA-207 ,

18. ESTIMATED

TOTAL PRICE•• ADDRESSEE ~-~

[hft Reo~~

C-9APML

C-9APMSE

CNAFR

CFLSW

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IS. TOTAL

G. PREPAREOsv H.DATE I. Ai'PR0IIE0 BY J.DATE .Patricia Menill 71612011 EdIa Vaughn ~ .

:£J /(~/I/~/, DO FORM 1423-1. FEB 2001 PREIIIOOS EDITION MAY BE USED. (..,/ //

http:5.3.3.13

CONTRACT DATA REQUIREMENTS LIST Form Ag.rcrOVed·

PttbIIc I8PQI1Ing buIden for this coIectIon of Inbmation Is eetImatad to.:=.110 hOur8 perreeponse.1I'IcIId1g the time for reviewing InstrucIiCInS, ~ existing data 1IOUn:es. gathering and Ig the data needed and CXimp/etIrig and AMawIng the caIIeCIIon of 1nformaIIon. send comments ~ this ~ estimate or =-aspect of1hls coIeCIlOO of 1ntIrIraCIOn.

~~reduclng1hls butden, to ~ofDefentIe. Wa8hI ~ ServIceI. DiIecIOnIIa for I . and RepOfta, 1216 JefI'enlon ~ Suite 1204, Nfi~. V. 22202-4302 and to the 0IlIce of ~ and Budget. ~ Reduction =(O! 1), Wast'llnQt!m. 20603. Please DO NOT RETURN ~bm to elti8r of1he8e ac:tdni88e8. 8end compIBted form the Government IISt*Ig ContractIng 0IIIcer for lie contractIPR No. In BIockE.

A.. CONTRACT UNE ITEM NO. B.EXHIIItr Ic, CATEGORY

0X23 A MGMT

D. 8VSl£MIl'IBo1 E. CO"'TlWmPR NO. F. CONTRACTOR

C-SCLS N00019-1CJ.R-0039

1. DATA lTEM NO. I~1I1'I.EOF DATA ITEM Stata.is 3. $UB11TI.E AOO4 Contract Funds Reoort <4. AU1HORITY (DIIa AaatiIIIoD DocuMnt Mo.) 6. CONtftACTREfl!lllENCE 8. REQUIRING CII'I'ICE Ol-MGMT -81468 PWS Dare 3.3.2 PMA-207.

7.00210 ~1BENT to. FREQ\.IENCY ~FJA8T «. DISTRIIUl'lOII AEQ MTHLY b.CCIPIESNO 45 OACS (See .. ADDRESSEE AliiBlock 16) aAPPCODE C~SeeBIock 11. AS OF DATE M-'=~8UfISEQUENT DIIiII NlA 16 0 See Block 16

16. fII!MARI(S PMA2071ABlock 9: Distribution authorized to U.S. Govemment Agencies and .

their contractors. Other requests for this document shall be referred ACO to NAVAIR PMA 207. PCO

Block 12: First submission Is 45 days after tran:= encIs. CNRFCN43 Block 13: SUbsequent submissions shall be del on the 15th of (See Block 16) each month.

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

(WIS)

16. TOTAL

G.PREPAReDBY H.DATE I. APf'ttOIIED BY J.DA'Te Patricia MerrIll 71612011

Ella Vaughn '~ .?-~~.' . Io/~II.

!Xl FORM 1421-1, FEB 2001 PREVIOUS EDITION MAYBE USED. L/ . v

17. PRICE GROUP

18.Ii8l1t*.TED

TOTALPRICS

CONTRACT DA1f\ REI~IREMENTS LIST Form ~~roved 1 Datal . f OMS No. 04-0188

Pubic reporting bI.I'den for this collection of Information hi esIImatedto::::= 110 hoIn per..aponae, ~ the lime for· reviewing 11'II1IUotIOn8. sean:h!.n9 existing data aouroes. ~.maIn nIng the data needed and completltig and raviewIng the colleCtIon of Infonnatlon. send comments AIgIIIIdIng this estimate or ~ aspect ofthll ooIIEiction Of Inrorrnatlor..

~~ for reducing this btrden, to~ of Defense. Wash H~ Servloee. DIrectorate for ~ and RepOi1s, 1215 JeffeI1lOl'l . -ilohwl,j Suite 1204, Ai1~, V. 22202-4302 and to the OffIce of

Ma~t and Budget. ~ Reduction ~ (0 1).WashlI'l{It9n. 20503. Please DO NOT RETURN ~rorm to either of these add_. SencI com~ form the Government IIt1Uin9 ConttactIng 0fIIcer for the ContractIPR No. In StockE.

A CONTFIACTUNE I1BI NO. S. EXHIBIT ICo CAlCGORY

0)(23 . A ILSS

F. CON1'RAC1ORD. SY8lBM'I'EM . E. OON'1'RAC1'JPR NO.

N00019-1()"R'()039c.9CLS

1.DATAIT2MNO. • 3.stmrn.EI:TInE OF MTA ITEM .AOOS SOURCE DATA FOR FORECASTING

DIMINISHING MANUFACTURING

4. AUTHORITY (DaIa AcqIMcII DoeIImInt No.) 5. CONTRAC'f REFERENCE DI-Sess..81656 ~S [NIna 3.4.2 7.002:50 10. FR!QUENCY 12. DATEOF FIRST~TaENTREO .~QTRLYNO 16 8.N>PCODE 11.ASOFDATE ~8UBSEQUENTC~SeeBlockNlA NJA16 See block 16

Material Obsotescence Report

0. REQUlR/NGOFFICE

PMA-207

14. DISTRIBI.mON

~ .. ADDRESSEE

0IIIIt RIIg.FJnIIl""!'"'

17. PRICE GROUP

1e. REMARKS

Block 9: Distribution authorized to U.S. Government ~ and their contractor. Other requests for this document $hal be referred to NAVA'R PMA207. .

Block 12: First submission shall be detlvefed15 calendar days after completion of first complete quarter of full performace.

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

Block 14: DistrIbution Will be via Web-based Infonnatlon System

(WIS)

c.9APML c.9APM8E C-g ENG DAPML

CNAFR

(See Block 16)

I

I fli.TOTAL

O.PREPAREDSY H.DATE f.1\PPROVI!D BY J.DATE Patricia Merrill 7/612011 li~/IM-!J@ DO FORM 1G3-1. FEB 2001 PREVIOUS EDmON MAY BE USED. (/' http:sean:h!.n9

CONTRACT DATA REQUIREMENTS LIST Form~roved OMB No. 04-0188

Public raportIng burden for this ooIlecIIon of Information is eethnat8d to ~0 IwnI per response, inclUdIng tile time for ~ InstrUcIione, aearchl~ exI8tIng data 8OlI'C88,.~me the·daIa needed and COII1f)IeIirig a1d revIeWIng 1he 4lOI1eClIon of Information. Scind commenI8l8g11R1ln9 this bu estimate or any oller aapect of this ooIIecIion Of information,=:::Ln~forNlCludng 1hiI tuden to ~ of Derense, Washington H~ Services. Directorate 101'

(1 Data Item)

. and Repoi18. 1216 ~ ~~ Suite 1204, Nt~ V. 22202-4302 and to the 0IIIce of M8~ and BIJcIget. P~ Reduclion = 1,. Waahlnut!Jn, 20503. Please DO NOT RETURN ~foIm I=::r. of1hele addntl8eS. send completed form the GcMImment ItI1It!In9 ContnIcIIng 0fIIcer for the contractIPR No. ;tn

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

0)(23 A MGMT

Eo CON1'AACTIPR NO.o. SVSTIfoNITEttiI

NOOO19-1()..R..()()39C-9CLS

1. DATA rrEM NO. 12. TlTlJ: OF DATA ITEM

O.1lI8T S1'ATI!MI!N1' 1o.1'REC1UENCY REQUIRED A~NLY (See Block

C~SeeBIock 11. AS OFOATE

N/A16

AOO6 WIS An::hiYal Data

4. AU'T1iORIlY co.~DIII:umIIIlNo.) Ii. COtf1'fW:I' REFaUiiNCE OT·11-20016 (See Block 16\· PWS oars 3J5.S

1.002110 i~FIASTREQ , NO 400DAC

13. o;.TE OF SUBSEQUENT

ISUBMSSION

8.""cooe N/A NlA

18. REMARKS

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

Block 9: Distribution auUlortzed to U.S. Government~ and theIr contractors. other requests fOr this document be referred to NAVAIR PMA207.

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

F. CONTRACTOR

l.SUB'I1TlE was &. RI!QUtRING OI'I'ICE

PMA-207

1 ... DISTRIBUTION

.. AIlDREiSSEE . ·FhII

1lI'III~.~~

PMA2071A

PCO

' 'See Block 16\ i

17. PRICE GROUP

18.Ii!8TIWITI!O

TOTAL PRICE

Block 14: The data flies and reports contained within the WlS will be downloaded to COs to be delivered to the Program Offices at the end of eacI;I contract year.

16. TOTAL

G.PREFMEDav H.o;.TE I. APPROVeD BY J.DATE Patricia Uenill 71612011 EdlaVaughn

7«20!~~ /01;£,/ DO FORN 1423-1. FEB 2001 PRS/IOUS EDITION MAY ee USED. t:./

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

Ptil!ic MpOI1Ing buRIen for Ihi8 coIIecIIon cI ilformatIon 18 estimated to ==110 hOurs per 1'8IIjXInII8. Including the 1Ime for I reviewing 1ntItrUotiona, eeerehing exlSIIng data sources. =ng aJd ma. Ing the data needed and completing and reviewing ihe coIIectton of information. &ind comments fe9li!1dIrig Is burden 8Stimate or any other aspect d thIa coIIeCIIOn of 1I'IformIIIon, I~~reducing tIis bufden to ~ofDerenae.w=~ 8erYIcee. Dhc:IDrateforIn and RepOfts. 1215 ~ ~ SuIte 1204, •Yo 22202-4302 and to the 0IIk:e of Management.and Budget, Paperwork Reduction p~ (07 1 I, WashIngtcn. 20603. Please 00 NOT RETURN ~form to eith(Ir of these acIdI'e88e8. Send completed ft:Irm the Government InUfng ConiacIIng 0fi'Icer for the ConIractIPRNo.· i1

BIoCkE.·

A 00tlI'RACT UN! I'fEM NO.

B. ElIHIfIIT 0)(23 A

'Iooc

o. S'fS'TEMIITI!M . E. CONTRACTIPR N::I. ,IF. CON1RACTOR C.9CLS NOOO19-1o-R-0039

1. DATAIlEM NO. I~' 1'I1U! OF DATA ITIM lau.Assurance PlanAOO7 QualItY Assurance Proaram Plan

4. AlJ'I'HOAIlY (OIbI AI:quI6n Document No.) G. CONTRACTREFI!A!HCE 6. REQUIRING OFFICE DI.QCIQ..81794 PWS oars 3.6.1 PMA-207 1.oo2liO II. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 1.e, DIS1RIBIJTIClN RI!Q RIQIJIRS) ONEIR SUBMISSION b..OOPESLT See Block 16

a. f4PP CODe C~SeeBIock 11. AS OF DAlE 1:1. DATE OF SU8Sl!QUI!NT

A NlA SUIlIoIS6ION DnIft /hpfD 16 See Block 16

R.g.

17. PRICE GROUP

.. ADDRES8EiE

18. REMI\RK8

Block 9: DIstribution authorlzed 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 recetpt of comments to .submlt the fil'!8l deliverable.

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

(WIS) .'

PMA2071A

C-9APMSE

I (See Block 16}

18. TOTAl.

G. PREPAReD BY . H.DATE I. APPROIIED FN J.DA1'E Pabicia Merrill 7/612011 hliJl1 '/~;;dl

-A ......... "X'\..O l..-'

CO~TRACT DA1~o~~IREMENTS LIST. Form Agnroved OMB No. ()4..()188

Public IePQfting buRien for1hls tOIection of .lfoImation 18 estlmated to~O hours per responae.lnCludlngthe lime for

=~~~~ex:=~r~eatnataor ~=~~~~ ~~for~th18 buRien to ~ofOefenae.W8ehl; ~SeMceB, OIrectoraI8for I and RepoRs, 1215 JeitWsOO . ~Suite 1204. Ai1I&r"~ 22202-4302 and toile Office of Management and Budget. Paperwork ReductIon p~ ( 1.W~. • Please DO NOT RETURN n:.,fonn to eIIher of1he8e addI S1888. Send co~ form Ih8 Government IIIIIuIng ContnICting 0I'IIcer for the Contrac:tIPR No. in BIOCkE. .

A. CONl'RACT UNe ITEM NO. B.EXHIBIT Ie. CATeGORY I

0X23 A SESS

D. SY6'TEMIITEJII E. CONI'RACTIPR NO. • F. cotn'1Wl'I'OR o.9CLS . N00019-1o-R..Q039 .'. MTA ITSII NO. 12. TITLE! OF Q,\TA ITEM , Raoort AOO8 Teardown Deficiencv .... AU1'HORf1'Y (!lila I\I:quIIIIon Oacument No.) 5. ()ON'f'IW;T REfI!AIHC8 DI-ALSS-81534 PWS DarB 3.6.3 17. !'RICE GROUP

7.00250 ~nft1EMENi 10. FRSQUiNCV ~MFIRSTREa ASREQ !>.COPIES NO See Block 16 FlAIl 8,APPOODE 11. AS OF DATeC (See'BIock 13. DAT!! OF SUBSEQ\JEN1' NlA NlA SIJBMISSIOH DrIll Ala. Roopo

16) NlA

18. REMARKS

Block 9: Distribution authorized to U.S. Government ~ and their contractors. Other requests for ttUs doCument sha , be referred

1D 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) .

3. st.IIimll.£

8. REQlIIRING OI'FICE

PMA-207

«. DI6'1RIBIJTIClN

.. ADDRESSEI!:

C-9APML

C-9APMSE

0.9 ENG DAPML

(See Block 161

16. TOTAl.

G.PREPAReDBY H.DAT!! J,Q,\TeI. APPRO\IED BY Patricia Merrill 71612011

/ojlz·uAiii;a{] DO FORM 1e-1. FES2G01 PREVIOUS EDITION MAY BE USED.· t?/ v

CONTRACT DA1A REQ~IREMENTS LIST Form ~~roved , 1 Data Item ·1 OMB No. 04-0188

PubIc reP9f1Ing Iuden fbi: this collectIOn ofInformation III estimated to=== 110 hoIn per 11IIJI)Ofl8e. InCfucIr.1g the time for revIIMIng 1n8trUctIons. eearchlng IJldstIng data 1IOlI'tlGS. ~ nIng the data needed and compIe.1Ing and f8YIewIng, the coIleCIIon of InformatiOn. Bend comtnenI:8 ~Ing this bu estimate or any other aspect dthls conec:tIon or Information.

I~~forreduclng this burden. to ~rtment ofDefenae. Washinfjton ~ Setvice8. 0hICt0I'at.e for and Repcit8. 1215 Jefferaon ~~ SUite 1204, ~~ 222()2..4S()2 and to the 0Iftce of ~nt and BIJdget. PapeI'Mll'k Reduction p~ (01 1). ~. 3. Pteaee DO NOT RETURN n: fcnn to aItI'Ier of theae ac:tcIr8aIIe8. Send completed rorm the GoverMl8nt Issuin{j ContracIIng OIIcer for the ContractIPR No. ated In BIockE.

A CONTRACT t.M Jl'aI NO.

B.EXHI8IT IC. CATEGORY

A MGMT .0X23 ,,'

F. CON'T'RAClORD. SYSTEMIITE!M Eo COHTRACl'IPRNO.

NOOO19-1O-R"()()39c.9'CI..S

3. stJII1I11..E1. OATAITEM NO. 12. TITU! OF MTA ITEM AOO9 Coat Reduction Proaram Plan

5. CONTRACT REFERENCE •• RECII.IIRING 0FfIICI!4. AUTHClRI1Y(OIIIIo AcquiIIIIon I.'Io<:umIIIt No.1 OT-11-20028 (See Block 16>' PWS Dar8 3.7.2 PMA-207

7.OO2S0 10. FREQUENCY 12. DATE OF FIRST

FIEQ

~lEMEHT SUBIISSIOH u_~ANNLYIT 30DAC .. AOtII'ESSEE 8.N'f'CODE 13. DATE OF SU8SEQUENT11. A8 OF DATEC (See Block SUIIMlSSION tlrIII ReG.FINII~ NlA N/A16) NA t8.REMMKS PeeBlock 4: One Tine DID. Contractor fonnat acceptable.

PMA207A1

Block 9: DIstribution authorized to U.S. Government ~cies and ACOtheir conlractol'l. Other requests for this document aha be referred

(See Block 16)to NAVAIR PMA 207.

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

(WIS)

n. PRICE GROUP

18. ESTIMATED

TOTAl.. PRICE

I

15. TOTAl..

G. PREPAI'II!D BY H.DATE I. APPROVED BY J.I».TE

Patricia Merrill 612112011

I~tl/~nlJo DO FORM t423-1, FEB 2001 I'N!.VlOUs EDIT10N MAY BE USED. L..7 R http:InCfucIr.1g

CONTRACT DA1~.REQ~IREMENTS LIST

. 1 Data Item

Form Agfcroved .

OUB No. 04-0188

PublIc iaportIng bUrden for this collection oIlnfonnatIon Is estimated to == 110 hoUrs per response. IncludJI:Ig 1he time for ~ 1nstrUcIIons. searching exiIIIng data 8OlI'088, ~ ma' in9 tile data needed and COl'I'II)IeIIri and RNIewIng tile colleCtIon d Information. SI!ind comrnenIa l'eg@rdlng this estimate orany oIheI'..,at ofthi8 coIIection.Of Informatloll, ~~forredUClngthls burden, to ~tof08fen8e. Waatl~~SeMcea, DiraclDl'atefor I~ and Reports. 1215 Jeft'enJon ~ SUIte 1204.~;V 22202-4302 ancUo tile 0IIIce d Management 8nd B~ P..,erwotk ReductIon p~ (0 1).Waatl~, 20503. Please DO NOT RETURN r::m to eIIher of these addI8I8IL Send cornpIelad form . the Government I_ng ContraetIng 0fIIcer for thEt ConttactIPR No. In BIockE.

A. CONTRACTUNEI1'EMNO. 8. EXHIBIT IC. CA'IEGORY

0X23 A MGMT '

o. SYSTEM/ITEM E. CONTRAOTIPR NO. F. CClN'IRACIOR C-eCLS NOOO1g..'()''R-0039

1. DATA ITEM NO. I~1TT1.EOFo;~ Proal ReDOIt a, SUI!I'ITI1.E

AOOA Cost Red on ram ".AUlHORI1Y(DID~~No.) 5. CONTRACT REFEAENCe e. REQUItING OFFICIE OT-11-20029 Block 16)' 3.7.2 PMA-207 17. PRICI! GROUP

't.DD 2110 II. DIST STAlEMENT 10. FAEQUENCV ~i=~FNT ~---~ REO REQUIIIIEI) . QTRLY NO 900AC .. AIlDIIE8SE!

t:nft _ F1nIA~e.N'f'CODe C (See Block 11. AS OF DATE 13. DATE OF SU8SEQUI9IT NlA NJA SU8t.tsSIOH

16) See Block 16

16. REMAAt<S PCOBlock 4: One Time DID. Contractor format is ,cceptable.

PMA2071A

Block 9: Distribution authorized to U.S. Govemment Agencies and ACOtheir Contractors. Other requests for this document shill be referred

I(See Block 16) to NAVAIR PMA207~

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

Block 14: Distribution will be via Wel>based InfOrmation System

16. TOTAl.

G. PREPARED BY H.DATE LAI"PROVED BY J.DA'I'I!

Patricia Merrill 71612011

~/L!lll/J /~JDli DO FORM 1423-1, FEB 200t PREVIOUS EDITION W\Y BE USED. k/' C/~

CONTRACT DA1.A REQY,IREMENTS LIST

FarrO ~~roved 1 Data Item OMS No. 04-0188

Public f1!P()I1Ing burden for thle coIIecIIon of information'III estimated to == 110 hours per responee. Inctudlng the lime for reviewing 1nstri.IctIons. sea"Ch1ng exIStIng data sources, ~mai1l8 Ing!he daI8 needei:I and compIaUng and reviewing the 00IIeCtI0n oflnformallon. Bend commenIs leg@rdlng this eatIr'nIIt8 or any other ..peel of this collection of Information, ~~for rec:II.IciIg this burden. 10 ~nt of Derenae. WashIngtOn t:e1uarten18erV1ce8. DInIctorate far t and RepOits. 1215 Je«enIon ~ Suite 1204.~. V. 22202-4302 and to 1he omce of ~and Budget. Pa~rk ReduCtIon p~ (01 1). ~. 20S03. Please DO NOT RETURN ~fonn to eItMr of these addreases. Send completed tOrm the GoveIMl8l1t I88uiIg ContracIIng 0fIIcer for the ConIractJPR No. In Block£.

A. OONTRACT LINE ITEM NO. B.EXHlB/T' /l'CATEGORY

0><23 A MGMT

D,8VSTEMIITEM E. CON'I'ftACT/PR NO, F.CON1RACTOR C-9CLS NOOO19-1o:.R..0039

1. OATAITEM NO. t111lEOFOATAITEM 3. Sl8l'IlU!

AOOB StatuS of Government Fumlshed Equipment Stock Inventory Report

R&DOrt

4. AUTHORfTY (DID AcqIMIticn 00cunInt No.) 8, CON'I'ftACT REFERENCE e. REQUIRING OFFICE DI-MGMT..a0269 ~S tNir.a3.8.2 PMA-207

7. DDS ~AlEMENT 10. FREQUENCY 12. OATE OF FlAST 14. CISlRIBU'I'ION REQ A~NLY (See Block

SlAIMISSION ' b.COPIES

NO 16 See Block 16 .. ADDRESSEE RIal . 8, AI'\> COIlE'

C~SeeBlock 11. AS OF OATE ~~SUBSEQUiHTNlA N/A DIIIII RIle· RIIpro 16 See Black 16

.Il.REMARKS C-9APMLBlock 9: Distribution authorized to U.S. Government Agencies and their contractors. Other requests for this document shall be referred C-9APMSE to NAVAIR PMA 207. , CNAFR

Blacks 10, 12 and 13: Resultt of the Invento~ shall be reported 30 C-9 ENG DAPML days after end of each ~nce period. inal inventory shall be VR..a1 part of the Tr.ansitiOn P Out. , VMR-1 Block 14: DIstribution will be via Web-based Information System (See Block 16) ~S). Contractor Shall submit a hard copy of report to applicable alntanance Office at each site. .

15. TOTAl.

G. PREPMIlDBY It. DATE I, APPRCM!D BY J.DATE Patricia Merrill 71612011 h-:1~fJtC2a /~).t(

18, ES1lMATEO

TOTAL~ICE

0DO FORM 1423-1. FEB 2001 PR!VIOUS EDITION MAY BE uaeo. ~

CONTRACT DA1!' REQ~IREMENTS LIST

1 Data Item

Form ~-Pcroved OMB No. ()4..0188

Public reparIIng IluIden for this coIecIIon of InbmatIon Is estimated to ~ 110 hours per reaponse. including the time for revIeWIng 1netI'UIlIIons. search~ exllIIng data sources, ~ malnlaining the data needEid and co~ and revIeWIng the coIIeCIIon of Information. send c:omrI1erdlI R!IgI,!rdlng Ills bu estimate or any oIIW aspect of thiS collection Of information, rnctudIrm:Ion~for~ thiS burden. to ~ofDef8n8e. w~~uarter8 SanIIces, DIrecIDraIe for Info and RepOIts.1215Jeffen1on =-~ SuIte 1204.~. V. 22202-4302lndtotheOfliceof ~8nd Bt.Idget. ~Reducllon =(0 1).Washlngl!;ln, 20503. Pktase DO NOT RETURN r:.c:.form to eIttilr of these addresses. Send completed fOmI the Government ISlUlng CorItI'dlg OffIcerfor the ConlraCtIPR No.' in BIockE. .

A. CXlN1'RACT LINE ITEM NO. B.EXHIIIIT If CATEGORY0)(23 A MiSe D. SYS1'EMIfTEM E. CONTRACTIPR NO. F. COI\I1'MCTOR

C-9CLS NOOO19-10-R-0039

1. DATA ITEM NO. I~ T1'TI..E OF DATA ITEM 8. (UI'I1'Il.E

AOOC . AnaMicaI CondttIon Insoectlon ReDOtt Over and Above OI8c

4. ALI1'tIOfUTY (DItI,\QqUIIItIoII ~No.) 6. CONTftACT RefeRENCE It. REQUIRING OFFICE DI-MISC-81391 (See Block 16) ~~ 3.9.3 PMA-207

7.00250 O. !lIST STATEMENT '0. FREQUENCY 12. DATE OF FIRST 14. DISTRI8UTIOH REO REQUIRED ASREQ SUBt.IISSION

NO See BIocfc 16

L ADDReSSEE 8.APPCOOE C (See Block 11. AS OF DATE ~8UBSEQUI!NT NlA 16) N/A NlA DnlII RIg. ~

1a.R!MAAKS C-9APMLBlock 4: Tailor DID to remove para 10.2.1, Part A, item j, k and e.

CNAFR

Block 9: Distribution atAhorized to U.S. Governmentmcies and CFLSWtheir contractors. Other requests for this document Ibe referred .

VMR-1to NAVAIR PMA 207.

Block 12: Submit wllhln 3 calendar days after completion of

" VR-61

. (See Bfock is)inspection.

i

Block 14: DIstribution will be via Web-based Information System , (WIS)

'I

15. TOTAL

Q. PREPAFlED !IV H.IlATE I. APPROVEDB'f J.IlATE Patricia Merrill 71812011

EdIa Vaughn ?tt( lohZIJ//!?~ lO

00 FORM 1423-1, FEB 2001 PREVIOUS IDITlON MAY IE~. t/-' 1....1'-'

17. PRICE GRetIP .

18. ESTIMATED

TOTAL PRICE

. CONTRACT DATA REQUIREMENTS LIST , Forni ~fcroved (1 Data Item) OMS No. 04-0188

Public reporting bm:Jen for this collection of information Is esIImatecI to.:= 110 tIouIa per nseponse. Including Ihe time fOr .

nMewing IIlSb'uCltons,I88l'ChIng exiellng data sources, ~and nlng the data needed and oompIeIirig and I'8VII!JwIng the ooIleCtIon of Infonnatlon. send comments I'eg@I'dIng this bu nesllmate or ~ other ~ ofthis collection Of Information.

~~lorreduclngthls burden, to ~rtmentOfDefen8e, Washington ~SenIIoeI. onctorate 101' I and Reports. ;1215 Jefferaon ~ SUIte 1204,~. V. 22202-4302 and to the 0IIIce Of ~ and Budget. Paperworlc Reduction Pro~ (07 1). washingf9n, 20503. Please DO NOT RETURN n:formto either of these adc:Ini8ses. send compIetBd form the Government issuing ContracIlng omcer for the ContractIPR No. steel In BIockE. .

A. CONTRACT LIIE ITEM NO. B.1!XtEIT IC. CA'IEGOftY

0X23 A SAFT

o. SYSTEMIITEM E. OONTRACTI1"R NO. F. CONTRACTOR

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

1.OATAITEMNO. r- TIllE OF DATA ITEM 3.SU8T11lE AOOD AccIdent I Incident Report Mishap I Incident Investigation

RePOr1

4. AlITHORITY COIla I\cqUIIIIIIIIII DocImIIII No.) O. CONTRACT REFEAENCE 6. REQUIRING OI'JIIOE DI..sAFT-81563 PWS oara 3.10 . PMA-207

7.002110 II. OIST STATEIIENT 10. f'REQUENCY 12. DATE OF FIRST 14. DISTRIIIlITIOH REa REQUIRED ASREQ :SUBMISSION b.OOPIES NO SeeBfock 16 .. ADDRESSEE AMoI e.APPCODE .

C~SeeSlock 11. AS OF DATE ~SIJBSEQUENT NJA 16 NlA Draa Rag. Repo

See Block 16 16.RBWtI(S

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

Blocks 12 & 13: First report due 24 hours aftar incident occurs. C-9 ENG DAPML Subsequent and final reports due at PeO direction. CNAFR

Block 14: Dlatribution will be via Wab-basad Information Systafn PeO ~IS). Contractor shall submit a hard copy of report to applicable (Sea Block 16) aintanailee omce at the aircraft site.

• 16. TOTAL

G. PftEPARED BY H.DATE I. APPROVED BY J.OATE Patricia Marrill 71612011 k7/JdO Irt/ztr11

17. PRICE GROlF

18. ESTIMATED

lOTALPRICE v-OOFOftM 1423-01. Fl!82001 PREVIOUS EDITJONMAY BE USED. [../'

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

PUblic ~ !)urden for this collection of InfoImaUon Ia aetImat8d to ~ 110 hot.nper 1flII)OnSe.1nc:IudIng the tine for revIeWIng InetrilcIiona.II8a'CIl!!'1g exISting daIB souroes, ~nd maintaining lie data needed and compIelIrig and MVIewIng the colleCtIon ofinformallan. send comments ~thIs estImate« any(l(her espectofthls coleollon d 1nfofmaIIon, ~~fornld!JClng this tuden 10 ~tofDefense. Washington ~ 8eNIces. DileCtoratefor and Repoi18..1215 ~ ~ Suite 1204.~. V. 22202-4302 and to the 0III0e of Ma~ and 8tJdget. Pap8Iwork ReductIon =(1). W8&h1~n. 20503. Please 00 NOT RETURN r=:m to eIlher oflhe8e addnisIe&. 8end completed fonn the GcMrnm8nt Issuing ContradIng OftIcerfor the CcIntr1IcWR No. in BIockE. .

A. CON'IRACT LINE Il'I!N NO. 8.EXHI8IT

0X23 A JMGMT

D. SV81EMIIlEM E.~NO. F. CON1'RACTOR C-9ClS NOOO19-1O-R..()()39

1. DATAITl!!.MNO. 3.SUEmTl.EI~TmE OF DATAn. Phase In Inventory Report

GFE Reoort AOOE Stat~r of Government Fumished Equipment

4.AIJl':HORl1Y (DiIIa~ 00cunInt No.1 I. CONTRACT REFERENCe . e. REOOIRlNG OFFICE

PMA-207

14. DISTRIBIJTION

.. ADDRESSEE

PMA2071A

PCO

CNAFR

(see Block 16)

DI-MGMT..f30269 ~_par.a 5.1.1

7.002.110 10. FREQUENCY 12. DATE OF FIRST~TI!MI!NT stJIMISS!QNREO 1TIMEIRLT See Block 16 ILAPPCODE 11.AlHlFoATE 13. DATE OF SUB8EQueNrC ~SeeBlock SU8MlS8lONA N/A16 See Block 16

16. REMARI(8

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

to NAVAIR PMA 207.

Blocks 12 and 13: The Inventory report Is due 50 calendar days after contract award. U.S. Govemment has 5 calendar days to review and submit any comments back to Contractor. Contractor has 5 calendar days to submit final deliverable.

Block 14: Distribution Will be via Web-b8sed Information System

(WIS) .

11. PRICE GROUP

15. TOTAL

G. PI'IEJ>AAEI) BY Ii. DATE LAPPROIIEO BY J.DATE Patricia Merrill 7/612011 p;;~j)1!2cJ II;JlrI OJ) !'CAM 1G3-1.FEB 2001 PRIMOU$ EDmON MAY BE USED, {./...... C-/'

BlockS.

ACOHTRAOTUNE ITEM NO. B. EXHIIIIT 1C. CA'IEGORY

A MOW0X23

D. SVS'JEMII1'EM I!. CONTRAC11PR NO.

NOOO19-1()"R..()039c.9CLS

1. DATA ITEMNO. 12. '!mE OF DATA ITEM AOOF Phase Out Transition Plan

4. AIIT'HORITY (Dale AoquiIIIon DocunenI Mo.) 6. ct,lN'TRACT RI!FER£HCE .

OT-11·20017 (See Block 16)' PWS oara 5.2.2 7.002:50

AEQ

LT

9. Dl8TSTATI!MENT

REQURED

10. FflI!QUEHCY

ONEIR

12. DATe OF FlFIST

SUIIMISSION

See Block 16

8.APPCODE

A C (See Block 16)

11.ASOFDATE

NlA ::~~SUII8I!Q!JENT

See Block 16

111.REMMKS

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 refen'ed to NAVAIR PMA 207.

Block$12 and 13: ThaPlan Is due 15 calendar days from PCO/ACO notification. U.S. Govemment has 15 calendar days to review and submit anJ. comments back to Cont,racttor. Contractor has 15 calendar ays to submit final deliverable. .

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

(WIS) .

CONTRACT DATA REQUIREMENTS LIST Form ~-Rroved (1 Data Item) I ' OMS No. 04-0188

Pubic repoI1lng burden for this coIIecIIon of information Is edmated to ::=110 houri per~. Including the time for ~ 11'I8IrUctIons. search!!'IIJ existing data 80~. galherIng and malnta ng the data needei:l and cornpktt/rig and miewing the colleCtion of Information. send comli1entlill'8(l!!l'dlng this burden estimate or any other aspect of this coIlaCIton Of Information.

~~for reducing this burden to ~ of Derenae. W8lh~H~mn ServIces, DIt8ctoratefor

8 and Reports, 1215 ~ avisilo~ SuIte 1204. ~,V 22202-4302 and to the Otfice of ManIIgement and Budget. Paper.vork Reduction ProJec:t (0 1). W8Sh~. 0 20503. Plelee DO NOT RETURN ~form to either of Ihese adcIrestes. Send completed form to 1he GovemmernlSlUlng ContractIng Officer for the COnbactIPR No.' In

. i

F. CON'TRACTOR

3. SU81TTl.E

6. REOUIAINGOFFICe

PMA-207

14. DIS1'JiII8UTIOH b.COPIES

•• ADDRESSEE

DnII ~ .

PMA2071A

PeO

CNAFR

(See Block 1&l

17. PRICE GROUP

. 16. TOTAL

G. PRl!PARI!D BY H.DATe J.DATe Patricia Merrill 71612011

I~ Zdl/ikJot2n DO FORM 1423-1, FEB 2001 PREVIOUS EDITION *'1 Be USED. V

CONTRACT DATA REQ~IREMENTS LIST Form ~~roved (1 Data Item OMB No. 04-0188

Public I8pOItIng bI.I'den for this collection of InIOnnation Is estimated to~o houI8 per~, Includlillll'l8 time for .

rliWIewing IrISttUctions. eea~ existing data sources, ~ thedala neede(t and ~ and nMewIng the coIIettIon of InforrllatiOn. send comn18JlI$ rem!J'dIng 11'11& e8UmaIe or. !iUIY aIher ..,aoIlhis collectiOn oIlnt1rm1lC1On, ~~tor~thIsbu~~ofoer.nse.Waahlngtop ~ SeMces. Dll8CIoratefor f and Reports, 1215 ~ SUiIe 1204, Ai1i~~ 22202-4302 and to the 0fIic:e of M~ and Budget, Paperwork ReductIon ~ (07 ), W8sh1~,. . Please DO NOT RETURN r=:m to elltier of theSe adc:Iraeees. Send completed form the Government ISllUlng ConIraCIIng OffIcer for the Contract/PR No. In

BIockE.

A COHrRACT UN! ITEM NO.

8. ElCHIBIT IF CATEGOftY0X23 A ILSS

F. CONTRACTORD. SYS1'!MIITEM E. CONI"RAC'TIPA NO.

C-9CLS NOOO19-10-Ro.OO39 a SUB'I'ITLE1. DATA ITEM NO. tt=r:TAITEM

.AOOG

4. AlITHORI1Y (PIIIII AcquIIIIIan DocumIntND.) 6.REO.UIfIING OFFICEs. CONmACT REFERENCE OT-11·20011 See Block 16 PMA-207PWS Data 5.3.3.4

,4. DI81RII!IUTlON .10. PfIEQIJENCY 12. DATE OF FIRST .7.00280 II. ClSTrcWtTaIENTREQUI .REO SUIIMJS8I(INMTHLYNO See Block 16 .. ADDRESSEE

8. APf' CODE 11.A8OFDATE ~SUBSEQUENT .C~SeeBlockN1A 0 DrIll Rta. ~18 See Block 16 ~

16. .I'II:MMKS

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 conlractors. Other requests for this document 'shall be referred eN FR to NAVAIR PMA 207. A '.

. . IcSee Block 16l Block 12: Fnt submission shall be delivered 45 calendar days after start of full performance.

Block 13: Subsequent submissions shaD be delivered on the 15th of.

each month.

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

(WJS)

15."IOTAL

G. PAl!PARED BY H.DATE I. API'ROVEO BY J.DA1t Patricia Merrill 71612011 EdIa vaughn 0

IY~~/cdJ2 ~O DO FORM 1.m-1. flEB 1001 PREVIOUS EDITJOt.l MAY BE UEO. 6/ 0 iT. PRICE GROUP

18. ES11MATED

'"IOTA!. PRICE

CONTRACT DA11' REQ,,=!IREMENTS LIST

l1 Data lteml

A. CONTRACT UNE ITEM NO.

0X23

D. SYSTEMIITEM

C-9CLS

1. DATA ITEM NO.

a,EXHIBIT A E. CONmACTIPR NO.

NOOO19--1 ()''R-0039

I

e. CATEGORY

ILSS

:2. TIT\.! OF DATA ITEM

Consumable Parts Bondroomllnventory and Parts Usaae Reoort

AOOH

4. AUTHORIiY (DIIIa AcquIIIIIan Pac:umentHo.)

DI-ILS5-80834 See Block 16

6. CON'I'RACT REFERENCE

PWS oars 5.3.3.8

7.002tlO REa

NO

B.N'POODE

NlA

18.REMAAKS

t. DIST STA'T!MI!N1'

REQUIRED

C (See Block 16)

10. FREQUIi!NCY

MTHLY

11. AS Of' DATEo .

12. Ott.TE OF FIRST

SUBMISSION

See Block 16

111. DATEOf' SUBSEQUENT

SUBMISSION

See Block 16

Block 4: Contractor format Is acceptable. Tailor DID to change quarterly to monthly. Report shall contain repairable Items and consumable Items. .

Form Approved OMB No. 0104-0188

6. REQUIRING OFFICE

PMA-207

c-9APML e.g ENG DAPML

CNAFR

Block 9: Distribution authorized to U.S. Govemment Agencies and I~_-+_+---+---'-I their contra~rs. Other requests for this document sh811 be refened to NAVAIR PMA 207. .

Block 12: First submission shall be delivered 45 days after the start ·�--....:.-----+--1---+--� of full performance. .

Block 13: Subsequent submissions snail be delivered on the 15th of l----~---+-+-_+--I each month. . .

Block 14: Distribution will be via Web-basecllnfonnatlon System

(WIS) . ;

G. PREPARED f!I'f H. DAte Patricia Merrill 71612011

15. TOTAl..

I. APPROVED BY J. DAlE

IEd~~n II /J /"")r2'2PfLJ.,ll(~ (~ It)/~{{

17. PRICE GROUP

18. ESTlMATI!O TotAL PRICE

DO FORM 1423-1. FE821101 PREVIOUS EDITION MAY BE USED.

CONTRAct DATA REQUIREMENTS LIST (1 Data Item) .

Form Aooroved OMB No.0104-0188

Public ~ burden for this coIlaCIIon of infOrmaIIon Is ea1Imatad to average 110 hoUrs per respc1I'I8Et, InCludlf.'lg the lime for reviewing 1nsIIiiction8, 88fI'd1!ng existing data sources, gathering and maintaining the data needed and COl'I'IPleting and r8YIevting fhe coIIeCIIon of infonnatlon. Stild comments regarding this buri:len estimate or Ill)' other aspect of this coII8CIIon cllnfan'niItlon,1::1",suggaations for reducing this burden, to DeaaI1ment of Defenee, Weshln(jlon Headauarters SeMces. Dlnd:Irate for '

In QPeraUons and Reports. 1215 Jeffer80n DavIs HIghway. Suite 1204. Ai1inaloo. VA 22202-4302 and to the 0IIce of Management 8nd Budget. PaperworI( ReductIon ProJect (0704-0188). Wasf'II.--. DC 2D603. PIeaae DO NOT RETURN your fOmI to ellher of these ackIfea8s. Send completed form t> the Govemrnent IIIlIUIng ConttacIIng 0fIk:er for the ContractIPR No. Usted In BIockE.

A. OONTRACTLlNE mlM NO. B. EXHIBIT Ie. CATEOORY

0)(23 A IILSS

D. SYSTEMIfI£M

C-9CLS

E. CONnWmPRNO.

N00019-10-R..Q039

1. DATA ITEM NO.

AOOJ

12. 'I'ITI.E OF DATA IT!M

.1 OUtfitting.MaterIal Statue ReDOlt

4. AUTtIORITY (DIa I\cqUIIIIon DIIoumIrIt No.)

DI-ILSS-80948 See Block 16

5. OONTRACTRI!FEREMC£

PWS 15.3.3.9

7.002110 REa

NO

8,M'Pcooe NlA

18. REMAfIK8

9.1lIBT STATEM!HT

REQUIRED

C (See Block 16)

10. FREQUENCY

MTHLY

11. AS OF &».Te o

Btock 4: Contractor format Is acceptable.

12. DAlE OF FIRST

SUBMISSION

See Block 16

Block 9: Dlstrfbution authorized to U.S. Government Agencies and their contractor. Other reques18 for ttis document shaffbe referred to NAVAIR PMA 207.

Btock 12: First submission shall be de1iverec140 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: Oi&tributlon will be via Web-based Information System (WIS). Contractor shan submit a hard copy of report to applicable Maintenance Office at each site.

.' a. SUBTITU!:

Awaiting Parts Statui Recort tl.I'IEQ\JIRING OFFICE

PMA-207

C-9APMl

C-9APMSE

C-9 ENG DAPML

CFLSW

VMR-1

VR-61

. .(See Block 16)

is. TOTAl.

G. PREPARED BY IUIATe

~ao J.DATe

Patricia Merril 716f2011

DO FOIW 1C23-1 FEB 2001 PREVIOUS EDITION w.y BE USED. (..../'

. 17. PRICE GROIN'

18. ES'I1MATEO

TOTAl. PRICE

CONTRACT DATA REQUIREMENTS LIST I

. (1 Data Item) .

Form AoDroved OMB No.0104-0188

Public JVPQrting burden for this collection of Information Is estimated to average 110 hOUrs per ~,1ncIudIng the time for reviewing mtrUctIons, aea'Ch1ng exIIIIng data aourcea. ~ng and maintaining !he data needed and completing and reviewing 1h& colleCtIon of Infotmalion. send comments ~ this burden estimate or any other aspect of 1hIB co/I8CIIon Of 1nfonnaIIon, ~~~suggestions for redycIng this burden, to DeI>aI1ment of Defense, W88h11J11On HeadQU8I1er8 8erviOeB. Directorate for , In ~ and RepOrts. 1215 Jeft'erson DavIs Highway. SuIte 1204. Mnaton. VA 22202-4302 and to the 0flI0e of ~p~imd Budget, ~ Reduction Proje(:t (0704-0188). Washington, DC 20503. Plea8ttDO NOT RETURN your foIm ~these EIdc:In!Isses. Send completed form to the Government '1II1$lg ContJacIIng OffIcer for 1h& ContraotIPR No. listed In

A CONTRACT UNE I1llM NO. II. !XHBIT 1C.' CATEGORY .

0X23 . A III..SS

D. SYSTEMIITEM E. CON1RACTIPR NO, .

c-9 CLS NOOO19-1o..R"()()39

1. DATA ITEM NO. 12. TITlE OF DATA ITEM AOOK INo Defect ReDort

Wf

NO

8, NIP CODE C (See Block N/A 16)

10. FAEQUENCY

MTHLY

11.AS OF DATE

o

12. DATE OF FIRST

SUBMISSION

See Block 16

13. DATE OF SUSSEQUEHT

SUIWISSION

See Block 16

8. REQUIRING OFFICE

PMA-207

Bi~One Time DID. Contractor fonnat laacceptable. e.g APML e.9 ENG DAPML

Block 9: Distribution authorized to U.S. Government Agencies and c-9 APMSE their contractors. Other requests for this document sh811 be referred I"':C=-F=-LS'-'W:""::":'='='---+---i--+-to NAVAIR PMA 207.

.~. VMR-1

Block 12: First submission shall be delivered 45 days after the VR-61 completion of the phase in transttton period. '

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

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

G. PREPARED BY H. DATE I, APPFICIYED BY

(See Block 18)

15.TOTI\I.

Patricia Merrill 71612011

~c1t7

I

J.DATE

17.1>RlCE GROUP

00 FORM '423-1,FE1I2001 PRIMOUS EDIT10N MAV BE USEIl

CONTRACT DATA REQUIREMENTS LIST Form ~~rOVed OMS No. 04-0188

Public repoI'IIng burden for this c::oIlecIion of InfonnaIIon Is eslImeIed to == 110 hours per f8SPOI'I8t'. InclUdIng the time for (1 Data 'terril revIewInIii inStrilctIon8, lI8a'Chlng exIlI1Ing da&II 8OlII"C8S. ga1heri~me Ing the data needed and COIrIPIf*tg and I'8YIewIng the coIIeCIIDn of Information. send COIMlCtflt& ~ Ills estimate or a'1Y oller aepect rI thl& coII8cIIon Of 1nb'matIon, ~~for ntduclng this burden, to ~rtmentofDefense, W88I'IIngton ~uartn Service&, Dlrectcrate for and Repoi18, 1216 Je«eraon ~ SUite 1204.~, Yo 22202-4302 a'Id to the OfI'Ic&of Mantlgementand Budget. PaP.efWOl'k Reduction Project 1), ~. 20503. PIea8e DO NOT RETURN ~fonn to eIIher of1helIe addr8lIlIes. Send compIateCI form to the GowlmrnEint I8sI.iIn9 ContractIng Oflk:er for 1he ConIr8ctIPR No. In BIockE.

A. ClONlfWrrUHE ITEM NO. B. ElCHI8IT 0X23 lIi.ssy

A D. IYSi'EMIITEM e. CONTRAC'I'IPR NO.

C-9CLS N00019-10-R-0039

1. DATA ITEM t«). IlTITlE OFDATA I11!MAOOL . Aircraft TImeICycIe Component Tracking

Rem 4.AUTHORI1Y{DIIa~~No.) 5. CONmACTI'IEI"EAENCE OT-11-20019 (See Block 18Y PWS para 5.3.3.12

10. FREQUENCYIll. DlSTSTATEMI!HT 12. DAleOI' FIRST".00250 REa REQUIR!D . SIJBMISSIONMTHLYNO See Block 18

8. I4"P CODE 11. AS OF DATE ~StJ8SE<lIJeNTC ~SeeBIockN/A 016 See Block 18

F. CONTRACtOR

3. 8lJEITITI.e Aircraft TlmeICYcJe Component Trackina ReDOit

e. RIiCIUIfiINB OFFICE

PMA-207

14. Dl81'RIBUTION

.. AIlDRESSI!E

DnIII_~~

1.,. PRICE GROUP

,8. E811MAlE)

TOT..... PRICE

1'.RaWIKS Block 4: Contractor format Is acceptable. Report data only described inPWS. .

Block 9: Olsb'fbution authorized to U.S. Government ~ncles and their contractors. Other requests for this document eh I be referred to NAVAIR PMA 207.

C-9APML

C-9APMSE·

C-9 ENG DAPML

CNAFR

VMR-1.

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

Block 13: SUbsequent submissions shall be submitted by the 15th of each month; . i

Block 14: Distribution will be via Web-baled Infom1at1on System

(WJS)

,5. TOTAl

G. PREPllRED8Y H. DATE I. APPROII!O BY J.DATE Patricia MerriJl 71612011

(~~II~d()...,.

00 !'ClAM 1423-1. FEB 20M PREIIIOlI8 EDITION MAY BE USED. t/ http:5.3.3.12

CONTRACT DATA REQUIREMENTS LIST I Form ~fcroved

PWlIc reporting bUrden for1hls coIec:IIan of 1nfotmaIion.l8estJmated.to ~O hoIn per ~ iIck.Iding the time for reviewing irI8IriicUons, aearching exI8IIng data aoun:es. gaIherI~ main 1he data neer:Ied andcomplellrig and nMIwIng the c:oIIecIIon of information. S8nd carnments reg@l'Cing 1hIs b ..umate or !IflY otheraspect of1hIs coIectIon Of irIfonnatIon;

I~~for~th18 burden to~ofDefen8e, WashlnQIOh ~ SeNIceI, ~for I and RepOi1s, 1215 ~ ~ SuIte 1204, M~, V. 22202-4302 and 10 the Offtce of ~and Budget. ~ Redudion =(1),W88hl~, 20503. Please DO NOT RETURN ~fomI to eIttitr of these addreem. Send completed form the GovemmEint Issuing COntIacting Ofticer for lie ContnlctIPR No. ~ BIockE.

A. COHTftIICl' LINE ITEM NO. 8. EXHIBIT lIL.ss0X23 A D.8Y8'I1.WIIlEM E. COHTRACTIPR NO. F. COHTRACTOR C-9CLS NOOO19-1O-R..oo39

1. DATA ITEM NO. If' TI1U! OF DATA ITEM 3.SU8TI1U!

AOOM Engine Health MonitorIng Reoort

4. AU'THORITV {o.~ Document Nct.) 6. CONTRACT RI!f'ERENCE II. REWRING OFFICE OT-11-20013 (See Block 16) PWS Dare 5.3.4.1' 5.3.4.2 PMA-207 17. PRICE GROUP

7.002$0 9. tlIST STATEMENT 1o.I'REQUEN(lY t2. DAlE OF FIRST 14. DIS1'AIB\If1ON REQ RECUIReO See Block 16 st.a.tISSICIN

I-l::r~ NO . See Block 16

8.APPCODE

e, ADllRESSEE

C~SeeBlock 11.ASOFMlE 13. DAle OF SU8SEQUEHT

NlA 0 staUSION 16 . See Block 16

18. REMARKS

C-9 ENG DAPMLBlock 4: One-Time DID. Contractor fomIat acceptable.

Block 9: Distribution authorized to U.S. Govemment ~ and OFlSW . their contractprs.other requests for this document sha I be referred C-9APMLto NAVAIR PMA 207. . .

Block 12: First submission shall be delivered 40 days after the (See Block 16) comptetion of the phase in transition period.

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

Block 14: DIstribUtion will be via Web-based Information S~ (WIS) & a digital ~ will be ~rovided to NAVAIR and OF LW directly from Pratt =& =shall be separated by branch ofservice (I.e., Na~ e shill I be combined) .

11i.TOTI\/..

G. PRl!PAREO BY H.DA'IE I. APPftOVED IJY J.DATE Patricia Merrill 71612011

'mLZh I~~(UJII co FORM 14D-1. FEB:2OO1 ~ EOmCiltMAY BE USED.

CONTRACT DATA REQUIREMENTS LIST Form~=edOMBNo. 188 Public reporting bun:len for 1h1s coIeetion d Information Is estimated to ~ 110 hoIn per~, including the time for AMewlng inlltrUc:tlona. 8elrCh1ng exI8tIng data 1OUr0e8, ga~maintaining the data needed and compIetkig and MVIewing the colleCtIon of information. send comli'lent8 ~ this estimate or any oIher aspect of1hIa collectiOn Of information, ~~ for reducing 1h1s bI.rden, to ~ of Defense, W88I11ngtDn ~rtBrs 8erkes, Dlrecloratefor

(1 Data Item\

~ and RepoI18, 1216 JeII'et8on .~ SuIte 1204. ~~ 22202-4302 and to the Office d MaflllllElment and BudgaI, Paptrwort Reducllon ~ ( 1), W88I1ingt!:Jn. . Pfea8e 00 NOT RETURN ~fDnn to either of these addnIsses. 8end compIeIBd fDmI the Govemment issuing CorItI"aGting OtIcerfor the ContractIPR No. In BIodtE.

B. E»IIBI1'A. CON1RACT'1.Nl11'&M NO. Ie, CATEGORY

0)(23 A ILSS

F. CQIII'\'RAClORD.~ It CONlRACTIPI't NO.

' NOOO19-10-R..0039C-9CLS

lI.1MITIT\.EI.DATAfTBINO. I:1'ITLI! OF DATA IT1!MAOON Government Fumlshed Equipment Repair PSE Calibration and Maintenance Status R8DOI1 . Reoort

4. AIJTHORnY (DeIa AcquiIIIan IJocIIIIInt Na.) &. CON'I'RACT REFERENCE DI·ILS&80620See Block 18 ~ CNlr.a5.3;5

7.00250 II. DIST STAlBENT ID. FRl!QUENCY 12. DAlE OF FNT

REQ REQUIAEO MTHLY St.I8MISSION b.COPIESNO See Block 18 .. ADIlRESSEE fIIIII 8.APPCODe

C ~see Block 11.A8OfDAre Ill. DAteOf' SUBSEQUSNT ' N/A 0 SIJBMIS8ION RIpro

18 See Block 16 DNIt "'" 16.1UlMAAKS .

PMA2071ABlock 4: Contractor format acceptable. Report data only described In

~. '. . C-9APML

Block 9: Distribution authorized to U.S. Govemment ~ and

C-9 ENG CAPUL

their contractors. Other requests for this document sha I be referred iSee Block 16) to NAVAIR PMA 207. I

8. REQUIRING OFFICE

PMA-207

14. DIS'I'RI8UTION

17. PRICE GROUP

, 18. ES1'IMA.TED

TOTAL PRICE

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

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

Block 14: Distribution wiN be via Web-.baseMi Information System

(WIS)

II!. TOTAL

I. APPROVf!I) BY J.DATEG. PAE1'>ARED BY H.DAlE Patricia Menill 7/612011 MoAn Vd/~q'

DO FORM 1423-1, Fe82G01 PRI!VIOUS EDITION MAY BE! USED. ~

CONTRACT DA1A REQ~IREMENTS LIST Form ~~roved 1 Data Item OMS No. 04-0188I

Public reporting burden for this colleCtIon of information i8 e8llmated to ==110 hou.. per reeponse, inCluding the time for reviewing 1nIItructIons, searching exIIIing data 8OUI'Ce8. gatheI1ng a1d maint8 Ing the data needed and ~ng and revieWIng the colleCtIon oflnfomlation. Bend comments ..!ding IhIa burden estimate or any other ~ or this coII8ction Of idormation, ~~for reducing this burden, to ~otDefense,W~~uartera S8rv1ces, DlleCtoraI8for and ,1215Je1fenlon' H ,SuIle1204. V. 22202-4302andtotheOfliceof~and BtJdget. Pa~ Reduc:tIon =(07~).W8ll~, ~d03. PleaSe DO NOT RETURN r:..form to either of these addrisseB. Send completed form the GoYemment 188UIng ContractIng OIIIcerfor the contractIPR No. In Block E. .

B.EXHlBrrA. CONTRACT LINE ITSol NO, 0)(23 A I~

F, CONll'IACTORD, SYST!MIITEM E. CONTRACmPR NO.

NOOO19-1()"R..oo39C-9CLS

3. SU8Tl11..E1. DATA IT'EM NO. 12. TlT1..E OF DATA ITEM AOOP Technical Data Packaoe

4. AIJ1'HClftITY (D8lIIAcquIIIIlan Doc:uIned No.) e. R£QiJIRtNG llI'FICE6. CONTRACT REl'ER!HOE

PWS oars 5.3.6.4 PMA-207·'''one See Block 16

7.00250 10.FREQU&NCY 12. !l4'TEOF FIRST 14. DISTl'lIBlITIONG. DIST STATEMENT

R!QUIREI)REQ SUIIMI88ION b.OOPII!SASREQ (See BlockLT ~REQ (See Block FInII16) 16

fa. DAlE OF 8118SeQ1 fSNTe.H'PCODE 11. foB OF DAlE

0nIftC~SeeBlock Rag.~SIJIlMISSIONA N/A16 N/A

18. FIIDIW'II<8

Block 4: Contractor format acceptable.

11. PRIC! GROUP

.. A!lORESSEE

C-9APMSE

C-9APMl

Block 9: Distribution authoriZed to U.S. Government AgenCies and. C-9 ENG DAPMltheir contractors. Other mquestsfor this document shan be referred (See Block 16) to NAVAJR PMA 207.

Block 10 & 12: Report to be delivered In accordance with deflvery orders

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

(WIS~ The Contractor shalf provide an original available fOr reproduction to the NAVAIR C-9 APML.

EE

is. TOTAL

O. PA!f>ARED BY H.DATE 1. APf'R0VI!D BY J. DA'TE Patricia Merrill 71612011 EdIaV~

~ ~~(.. /~~I/

DO F(IRM 1423-1. FEB 2001 PR£MOU8ED1T1ON MAY BE USED

CONTRACT DATA REQUIREMENTS LIST Form Ag.rcroved (1 Data Item\ OMB No. 04-0188

Public repor1ing buRIen for this coIectIon of InformalIon 18 eatimaIed II) == 110 hourS per 188f)OIl8e, IndudIng IhfI time b revieIIWIng 1rI8IriiclIons. ~ existing data eouroeB, g8IherI~nd mal nlng the data needed and comple&lQ and I8ViewIng

I the coIIeCIion of 1nrormatIon. send comments ~ng IhI8 estimate or any OCher aspect of1hl8 coIIectIDn of 1nfonnatIon.

lncIudI~~ reducing IhI8 bI.uden to ~ofOefense,Wash~ H~8elviCll8. DhctoIate b Information . and Repoi1a, 1215 ~ ~"1Yi Slile 1204. ~~ 22202-4302 and iOthe 0fIIce of M~ and ~ Paperwork ReductIon =(07 1).Washington. Please DO NOT RETURN ~ to either of these addreeaes. Send completed bin . the Governtn8nt ISSUing Contracting 0IIIcer bthe contractIPR No. In BIockE.

A. CONTRACT UNE ITEM NO. B·IOOISIT liCAlEGORY

0X23 A ILSS

D. SYSTEUIITI!M E. CONJRACTIPR NO.

C-9CLS N00019-1o-R-0039

1. DATA ITEM NO.

_IiTI1I.E OF DATA ITEMAOOQ _Airframe Maintenance History Summary Reoort

... AI1I'HORITY (DIal AcIjuIIIIian DocumenI No.1 S. CONTRACT REFERENCE OT-11-201 109 isee Block is)' PWS5.S.3 T.002llO

REQ

NO

t.!lIST STATEMENT

REQUIRED '

10. FREQUENCY

ASGEN

12. DATE OF FIRST

SUBMISSION

See Block 16

8.N"PCOOE

NlA C~SeeBlock

11. AS OF DATE

N/A

18. DATE OF SI.IBIJeQUIWr SUIM$SlON

NlA 16.RaMKS

Block 4: One TIme DID. Contractor format acceptable.

Block 9: Distribution authorized to U.S. GovemmentAgencies and their contractors. Other requests for this document shaH be referred to NAVAIR PMA2D7.

Block 10: As report becomes available.

Block 12: Submission of r:r:rt due no later than 30 days after Government acceptance the airaaft.

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

(WIS). '

F. 00N1'RACT0R

' 3.SUBmI.E

II. REQUIRING aoFlCE

PMA-207

14. DISTRIBIJTICIN

a.ADDR&8SEE

[hi ,.,~~~

C-9APMSE

C-9APML

C-9 ENG OAPML

CNAFR

(See Block i6) I

I

IT. PftICl GROUP

16.TOTAl.

G.PREPAREDBY H.DATE LAPPROVED BY J.DATE

Patricia Menlll 7/612011

IMa20 V¥~Q' DD FORM 1423-1. Fm 2IXJ1 PFUMOUS EDITION MAY Br! USED. L../

CONTRACT DA1!' REQY,IREMENTS UST Form ~~roved . 1 Data Item 1 OMS No. 04-0188

Public reporting burden for thI$ coIleCtlon of InIbnnatlon Is estimated to ave: 110 hours per response. Inclllding the time for reviewing Instructions. sean:h!ng exISIIng data 1IOUI'll8S. ~ makIta Ing the data needed and ~ng and nwJewing lie colleCtIon of 1nformaUon. Sfind c:omtnents ~rdilg ti1II estimate 01' any other aspect of ttQ collection of Information.

Ind=:=Sfor reducing this burden. to ~ of Derense. Washington ~uarters SeMces, 0iIecl0rate for Infoltton and Reports. 1215 Jefferson ~ Suite 1204, Ai1I~. V. 22202-4302 and ttl the 0fIice of ~ and Budget.·PapetWOrk Reduction p~ (0 1), W8sh1~. 20503. Please DO NOT RETURN r:::"' to either of Ihe8e addt8sses. Send completed form the Government issuing ConbacIIng 0ftIcer for 1he Con1r8ctIPR No. In 8IockE.

II.EXHIBITA. CONTRACT LINE IT9I NO. 11~1EOORY0X23 A MGMT

D. SY'S1'I!MIITEM E. CONTRACrJPR NO.

NOOO19-1()..R..Q039C-9CLS

t. OI.TA ITEM NO. IfmtEOFOI.TAIT9IAOOR Engine DePOt Status ReDO.rt

6. CONTRAc'r REFERENCE"'.AUTHORITY (OIIaAcqUllllflon ~No.) .

OT-11-20021(See Block 16)' PWS para 5.6.1.4' 5.7.1 7.00260 R\ilQ

NO

II.OISTSTATENENT

REQUIRED

10.1'l'CEQlENCV

WEEKLY

12.