Exhibits_AB_CDRLs_for_FMU-139DB_-_8_May_14_51214.docx
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- FMU-139D/B
- Solicitation number
- N00019-14-R-0025
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DRAFT CDRLS
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CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved OMB No.
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
0004, 0108, 0208, 0308, 0408
A
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
FMU-139D/B
N00019-14-R-0025
N00019-14-P1-PMA-201-0002
TBD
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
A005 Source Data for Forecasting Diminishing Manufacturing Sources and Material Shortages (DMSMS)
DMSMS PLAN
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-SESS-81656 (See 16)
SOW para 3.1.8.2
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
| LT |
| D |
| ASREQ |
| 150 DAC |
b. COPIES See Block 16
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
| N/A |
| (See 16) |
| N/A |
| ASREQ |
| Draft |
| Reg. |
| Repro |
| 16. REMARKS |
| PMA-201 |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is authorized for the DMSMS Plan however the Bill of Materials (BoM) and forecasting of DMSMS shall be in accordance with the DID.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland.
DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Block 14: *Submit via email in MS Word/ PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe, or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse Rd. Unit IPT Patuxent River Md. 20670-1547
| AIR-4.1.1.6 |
| 0 |
| 1 |
| 0 |
| NAWCWD 685100D |
| 0 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 0 |
| 3 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO |
| F. CONTRACTOR |
N00019-14-R-0025
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
A006 Special Inspection Equipment (SIE) Drawings/Models and Associated Lists
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-SESS-81004E (See 16)
SOW para 3.1.9 and 3.1.10
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
LT
| ASREQ |
| ASREQ |
b. COPIES
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
| A (See 16) |
| (See 16) |
| N/A |
| AS REVISED |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PMA-201 |
| 1 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable.
Block 8: All Contractor acceptance inspection equipment documentation (including acceptance inspection equipment designs, SMI and their operating instructions) for those inspection characteristics classified as Critical, Major or Minor shall be submitted for review and approval as designated in Block 14. Measuring devices, such as Contractor in-process work gages, fixtures, etc., when used for gathering SPC data, and when SPEC is the means of product acceptance, require government approval. All Contractor acceptance inspection equipment documentation (including acceptance equipment designs, SMI and their operating instructions) shall require approval prior to commencement of First Article Test (FAT). Allow 45 days government review.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland.
DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe, or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse Rd. Unit IPT Patuxent River Md. 20670-1547
| AIR-4.1.1.6 |
| 1 |
| 1 |
| 0 |
| NAWCWD 685100D |
| 1 |
| 1 |
| 0 |
| DCMA |
| 1 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 4 |
| 4 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
F. CONTRACTOR
| N00019-14-P1-PMA-201-0002 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
A008
Test/Inspection Report Test Report
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-NDTI-80809B (See 16)
SOW para 3.1.12, 3.1.17, 3.1.19, 3.2.1.1 and 3.2.1.2 (See 16)
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
| LT (See 16) |
| D |
| ASREQ |
| See 16 |
b. COPIES
| 8. APP CODE |
| (See 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
A (See 16)
| N/A |
| See 16 |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PCO |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable.
Block 5: The Test Report shall include all significant test events and must conform to the requirements set forth in Performance Specification PMA201-12-001, Statement of Work and other contract requirements.
Block 7: Email notification is acceptable in lieu of formal letter of transmission.
Block 8: Government will have 30 days for review and comment. The Contractor shall have 15 days to incorporate Government comments and resubmit. Automatic approval of Lot Acceptance Test reports can be assumed 30 days after submission to Government unless otherwise notified.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland.
DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Block 12: Submit 30 days after completion of test.
Block 13: Final report submittal not later than 30 days after receipt of Government comments.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe , or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse Rd. Unit IPT Patuxent River Md. 20670-1547
| PMA-201 |
| 1 |
| 1 |
| 0 |
| AIR-4.1.1.6 |
| 1 |
| 1 |
| 0 |
| NAWCWD 685100D |
| 1 |
| 1 |
| 0 |
| DCMA |
| 0 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 3 |
| 5 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
N00019-14-R-0025
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
A007
Test Plan
Test Plan
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-NDTI-80566A (See 16)
SOW para 3.1.12, 3.1.17, 3.2.1.1 and 3.2.1.2 (See 16)
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
| LT (See 16) |
| D |
| ASREQ |
| See 16 |
b. COPIES
| 8. APP CODE |
| (See 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
A (See 16)
| N/A |
| See 16 |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PCO |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable.
Block 5: The Test Plan shall include all significant test events and conform to the requirements set forth in Performance Specification PMA201-12-001, Statement of Work and other contract requirements.
Block 7: Email notification is acceptable in lieu of formal letter of transmission.
Block 8: Government will have 30 days for review and comment. The Contractor shall have 15 days to incorporate Government comments and resubmit.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Block 12 and 13: Submit draft NLT 90 days prior to the start of test. Final submittal NLT 30 days after receipt of Government comments. Submit revised plan, with changes indicated, as soon as changes are known, but NLT 15 days prior to test commencement. Tests shall not begin until the Contractor has received Government approval of test plan.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe, or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
| PMA-201 |
| 1 |
| 1 |
| 0 |
| AIR-4.1.1.6 |
| 1 |
| 1 |
| 0 |
| NAWCWD 686100D |
| 1 |
| 1 |
| 0 |
| DCMA |
| 0 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 3 |
| 5 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
N00019-14-R-0025
TBD
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
A003
Failure Mode, Effects and Criticality Analysis Report
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-ILSS-81495 (See 16)
SOW para 3.1.6.2
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
| LT (See 16) |
| D |
| ONE/R |
| See 16 |
b. COPIES
| 8. APP CODE |
| (See 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
A
| N/A |
| See 16 |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PCO |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable.
Block 7: Email notification is acceptable in lieu of formal letter of transmission.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Blocks 12 and 13: Submit 30 days prior to CDR.
Block 14: *Submit via email in MS Word/or PDF to CHLK_47JPAWS@navy.mil, submit via Internet (CHLK_47JPAWS@navy.mil) or submit via Internet to https://safe.amrdec.army.mil/safe, or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse Rd. Unit IPT NAS Patuxent River Md. 20670-1547
| PMA-201 |
| 0 |
| 1 |
| 0 |
| AIR-4.1.1.6 |
| 0 |
| 1 |
| 0 |
| NAWCWD 685200C |
| 0 |
| 1 |
| 0 |
| DCMA |
| 0 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 0 |
| 5 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
F. CONTRACTOR
N00019-14-P1-PMA-201-0002
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
A004
Quality Assurance Program Plan (QAPP)
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-QCIC-81794 (See 16)
SOW para 3.1.7
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
| LT (See 16) |
| D |
| ONE/R |
| 90 DAC |
b. COPIES
| 8. APP CODE |
| (See 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
A (See 16)
| N/A |
| See 16 |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PCO |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable.
Block 8: Government will have 30 days for review and comment. The Contractor shall have 30 days to incorporate Government comments and resubmit.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Block 13: Final submittal NLT 30 days after receipt of Government comments.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe, or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
| PMA-201 |
| 1 |
| 1 |
| 0 |
| AIR-4.1.1.6 |
| 1 |
| 1 |
| 0 |
| NAWCWD 686100D |
| 1 |
| 1 |
| 0 |
| DCMA |
| 0 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 3 |
| 5 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
F. CONTRACTOR
| N00019-14-P1-PMA-201-0002 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
A009
Safety Assessment Report (SAR)
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-SAFT-80102B (See 16)
SOW para 3.1.13.1, 3.1.18.2, 3.1.18.4
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
| LT (See 16) |
| D |
| ONE/R (See 16) |
| See 16 |
b. COPIES
| 8. APP CODE |
| (See 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
A (See 16)
| N/A |
| See 16 |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PMA-201 |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable.
Block 8: Automatic approval in accordance with section E of the contract does not apply.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Blocks 10, 12, and 13: Submit report not later than 30 days prior to each design review and not later than 30 days after qualification testing. All Class I ECPs and major/critical deviations shall contain a safety impact assessment, which includes a system, subsystem and operating support hazard analysis.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe , or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse Rd. Unit IPT Patuxent River Md. 20670-1547
| AIR-4.1.1.6 |
| 0 |
| 1 |
| 0 |
| NAWCWD 686100D |
| 0 |
| 1 |
| 0 |
| DCMA |
| 0 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 0 |
| 4 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
0108, 0208, 0308, 0408
G
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
N00019-14-R-0025
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
G002
Engineering Change Proposal (ECP)
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-CMAN-80639C (See 16)
SOW para 3.1.18.2
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
| LT (See 16) |
| D |
| ASREQ |
| See 16 |
b. COPIES
| 8. APP CODE |
| (See 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
A (See 16)
| N/A |
| See 16 |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PCO |
| 0 |
| 1 |
| 0 |
Block 4: Contractor’s format authorized. Changes shall include lot effectivity. DD Form 1692 is the preferred format. All Class I ECPs shall contain a safety impact assessment, which includes a system, subsystem and operating support hazard analysis.
Block 8: Government shall concur in classification for all ECNs and Class II ECPs prior to incorporation. Class I ECPs shall be submitted to the Government for approval. Automatic approval in accordance with section E of the contract does not apply.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Block 12 and 13: Submit Class IIs / ECNs 10 days prior to the Contractor’s CCB for concurrence of classification. Submit Class I preliminary NLT 120 days prior to need. Submit final NLT 60 days prior to need, unless urgency justification provided.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe, or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse Rd. Unit IPT Patuxent River Md. 20670-1547
| PMA-201 |
| 1 |
| 1 |
| 0 |
| AIR-4.1.1.6 |
| 1 |
| 1 |
| 0 |
| NAWCWD 685100D |
| 1 |
| 1 |
| 0 |
| DCMA |
| 0 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 3 |
| 5 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
N00019-14-R-0025
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| G004 |
| Request for Deviation (RFD) |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-CMAN-80640C (See 16)
SOW para 3.1.18.4
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
| LT (See 16) |
| D |
| ASREQ |
| See 16 |
b. COPIES
| 8. APP CODE |
| (See 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
A (See 16)
| N/A |
| See 16 |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PCO |
| 0 |
| 1 |
| 0 |
Block 4: DD Form 1694 is the preferred format. Deviations shall include end item effectivity by lot. All major/critical deviations shall contain a safety impact assessment, which includes a system, subsystem and operating support hazard analysis.
Block 8: Government shall concur in classification for all Minor deviations prior to implementation. Major/Critical deviations shall be submitted to the Government for approval. Automatic approval in accordance with section E of the contract does not apply.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Block 12 and 13: Submit Minor deviations 10 days prior to the Contractor’s CCB for concurrence of classification. Submit Major/Critical deviations preliminary NLT 120 days prior to need. Submit final NLT 60 days prior to need, unless urgency justification provided.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe , or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse Rd. Unit IPT Patuxent River Md. 20670-1547
| PMA-201 |
| 1 |
| 1 |
| 0 |
| AIR-4.1.1.6 |
| 1 |
| 1 |
| 0 |
| NAWCWD 685100D |
| 1 |
| 1 |
| 0 |
| DCMA |
| 0 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 3 |
| 5 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, FEB 2001 | PREVIOUS EDITIONS MAY BE USED |
| CONTRACT DATA REQUIREMENTS LIST |
(1 Data Item) Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
F. CONTRACTOR
| N00019-14-P1-PMA-201-0002 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
A00A
Reliability Prediction Report
Fuze Reliability Prediction
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-RELI-81497 (See 16)
SOW para 3.1.14.1
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
| LT (See 16) |
| D |
| ONE/R |
| See Blk 16 |
b. COPIES
| 8. APP CODE |
| (See 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
D (See Blk 16)
| N/A |
| AS REQ (See Blk 16) |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PMA-201 |
| 1 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable, using MIL HDBK-217 as guidance.
Block 8: Government comments/approval shall pertain to technical content.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Blocks 12 and 13: Initial Submittal NLT 30 days prior to CDR. Final submittal NLT 30 days after receipt of Government comments.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe, or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse Rd. Unit IPT Patuxent River Md. 20670-1547
| AIR-4.1.1.6 |
| 1 |
| 1 |
| 0 |
| NAWCWD 685200C |
| 1 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 3 |
| 3 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
N00019-14-R-0025
TBD
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
A00B
Failure Analysis and Corrective Action Report (FACAR)
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-SESS-81315A (See 16)
SOW para 3.1.15.2
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
| LT (See 16) |
| D |
| ASREQ (See 16) |
| See 16 |
b. COPIES
| 8. APP CODE |
| (See 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
A (See 16)
| N/A |
| See 16 |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PCO |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable.
Block 8: Government approval required. Government approval due 15 days after receipt of final report.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Blocks 10, 12 and 13: Contractor shall notify the Government (PMA-201) via email within 24 hours after occurrence of failure. Quick Look (abbreviated) report due within three working days of failure. Formal submittal shall be NLT 10 business days after the failure. Submit final report NLT 30 days after each engineering investigation is conducted. Government has 30 days for review/comments back to the Contractor. The Contractor has 15 days to incorporate and re-submit to the Government for approval.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe, or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse Rd. Unit IPT Patuxent River Md. 20670-1547
| PMA-201 |
| 1 |
| 1 |
| 0 |
| AIR-4.1.1.6 |
| 1 |
| 1 |
| 0 |
| NAWCWD 685100D |
| 1 |
| 1 |
| 0 |
| DCMA |
| 0 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 3 |
| 5 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
F. CONTRACTOR
| N00019-14-P1-PMA-201-0002 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
G001
Ammunition Data Card
Explosives Control
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
DI-MISC-80043B (See 16)
SOW para 3.1.16
PMA-201
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
| SS (See 16) |
| D |
| ASREQ |
| See 16 |
b. COPIES
| 8. APP CODE |
| (See 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
AD
| N/A |
| See 16 |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PMA-201 |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable.
Block 7: Ammo Data Card(s) shall accompany the DD 250.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Blocks 12 and 13: Submit concurrent with delivery of each production lot.
Block 14: ADCs shall be prepared IAW MIL-STD-1168 and this CDRL by accessing the WORLDWIDE AMMUNITION DATA REPOSITORY PROGRAM (WARP) which is located on the ARMY Electronic Product Support (AEPS) website at https://mhpwarp.redstone.army.mil.
Hard copy ADCs provided with LOT shipments shall be generated from the WARP Program and signed and dated by the GARA.
When Ballistic Tests are required, one hard copy generated from the WARP Program, signed and dated by the GARA shall be sent to the proving ground with sample shipment, plus an additional signed, hard copy provided to the proving ground by mail.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe, or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse Rd. Unit IPT Patuxent River Md. 20670-1547
| AIR-4.1.1.6 |
| 0 |
| 1 |
| 0 |
| NAWCWD 685100D |
| 0 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 0 |
| 3 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
F. CONTRACTOR
| FMU-139D/B Bomb Fuze |
| N00019-14-P1-PMA-201-0002 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| Risk Management Plan |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MGMT-81808 (See 16) |
| SOW para 3.1.6.1 |
| PMA-201 |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
LT
(See 16)
| ONE/R (See Blk 16) |
| 30 DAC |
b. COPIES
| 8. APP CODE |
| See 16 |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
A (See 16)
| N/A |
| ASREQ (See Blk 16) |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PCO |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable. Use NAVAIRINST 5000.21, NAVAIR Risk Management Policy as a guide.
Block 8: Automatic approval in accordance with section E of the contract does not apply.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland.
DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Blocks 10, 12 & 13: Initial Risk Management Plan due 30 days after contract award. Government has 30 days for review and comment. Contractor has 15 days to incorporate comments and resubmit to the Government for approval.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe, or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse Rd. Unit IPT Patuxent River Md. 20670-1547
| PMA-201 |
| 1 |
| 1 |
| 0 |
| NAWCWD 685100D |
| 1 |
| 1 |
| 0 |
| DCMA |
| 0 |
| 1 |
| 0 |
(See Block 16)
| 15. TOTAL |
| 2 |
| 4 |
| 0 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED
CONTRACT DATA REQUIREMENTS LIST
Form Approved
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, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
| TDP |
| TM |
| OTHER X |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
F. CONTRACTOR
| FMU-139D/B Bomb Fuze |
| N00019-14-P1-PMA-201-0002 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A002 |
| Risk Management Status Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
| DI-MGMT-81809 (See 16) |
| SOW para 3.1.6.1 |
| PMA-201 |
TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
REQUIRED
LT
| QTRLY (See Blk 16) |
| 90 DAC |
b. COPIES
| 8. APP CODE |
| See 16 |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
Final
A (See 16)
| N/A |
| (See 16) |
| Draft |
| Reg. |
| Repro |
| 16. Remarks: |
| PCO |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable. Use NAVAIRINST 5000.21, NAVAIR Risk Management Policy as a guide.
Block 9: All documents which contain technical data shall be marked IAW SECNAV M-5510.36 WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 5510.161.
DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Critical Technology; 19 Dec 2013. Other U.S. requests shall be referred to PMA-201, NAS Patuxent River Maryland.
DESTRUCTION NOTICE – Unclassified/Limited Distribution documents shall be handled using the same standard as FOUO information, and shall be destroyed by any method that will prevent disclosure of contents or reconstruction of the document.
Blocks 10, 12 & 13: Status of active risk areas shall be reported at joint Contractor/Government Risk Management Board meetings, as well as other program meetings and reviews.
Block 14: *Submit via email in MS Word/PDF to CHLK_47JPAWS@navy.mil, submit via Internet to https://safe.amrdec.army.mil/safe, or mail a CD in MS Word or PDF to:
COMMANDER
NAVAL AIR WARFARE CENTER
WEAPONS DIVISION
1 ADMINISTRATION CIRCLE, MS 6811
ATTN: CODE 685100D (DATA MANAGER)
CHINA LAKE, CA 93555
PMA-201
47123 Buse…
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