Exhibit_A_CDRL_Draft.pdf
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- Revised Proposal Due Date Federal contract opportunity
- Solicitation number
- N00019-15-R-0106
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Exhibit A - Draft CDRLs
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DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MGMT
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Material Utilization and Forecasting Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81947 (See Block 16)
5. CONTRACT REFERENCE
PWS PARA 4.3 & 5.11
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
(See Block 16)
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
31 December 2016
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 10 & 12: Semi-annual event. If CLIN 0001 is exercised, the Contractor shall submit the deliverable within 30 days after the materials inventory audit. If CLIN 0001 is not exercised, the Contractor shall submit the deliverable on 30 June 2016.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
PMA2071C
AIR 4.1.1.3
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
11/24/2014
I. APPROVED BY
David A. Adams
J. DATE
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
OTHER
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
General Operations Manual
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
OT-15-20006 (See Block 16)
5. CONTRACT REFERENCE
PWS PARA 4.7
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
1TIME/R
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
A D (See Block 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: One Time DID.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Block 12. Government comments on the General Operations Manual that was submitted with the proposal will be provided within 10 calendar days of contract award. The final General Operations Manual shall be submitted to the Government within 30 calendar days after receipt of Government comments. Revisions as required.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
PMA2071C
TPOC
AIR 4.1.1.3
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
11/25/2014
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MISC
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM
Technical Report - Study/Services
3. SUBTITLE
Monthly Mission Capability Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B(T) See Block 16
5. CONTRACT REFERENCE
PWS PARA 5.1
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
MTHLY
12. DATE OF FIRST
SUBMISSION
See Block16
8. APP CODE
A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable. Analytic effort is computation of monthly Mission Capability (MC) rate for each aircraft with substantiation.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall submit the first deliverable on the 15th of the following month after the first full month of execution.
Subsequent deliverables shall be submit on the 15th of each month.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
PMA2071C
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
11/24/2014
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
SESS
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-14-R-1029
F. CONTRACTOR
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM
Configuration Status Accounting Information
3. SUBTITLE
Configuration Status Accounting Report
4. AUTHORITY (Data Acquisition Document No.)
DI-CMAN-81253A (See Block 16)
5. CONTRACT REFERENCE
PWS para 5.20 & 5.20.1
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
MTHLY
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable. Tailor DID as follows.
Delete 2a, 2b, 2j, and 2i. Use and deliver in MS Excel.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall submit the first deliverable on the 15th of the following month after the first full month of execution.
Subsequent deliverables shall be submitted on the 15th of each month.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
AIR 4.1.1.3
PMA207CM
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
11/24/2014
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MGMT
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM
Technical Directive Compliance Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80224B (See Block 16)
5. CONTRACT REFERENCE
PWS PARA 5.20.2
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall submit the first and subsequent deliverables within 15 days of incorporation or depot event completion.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
AIR 4.1.1.3
PMA207CM
(See Block 16)
AIR 6.6.1.1
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
11/24/2014
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MGMT
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM
Briefing Material
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81605 (See Block 16)
5. CONTRACT REFERENCE
PWS PARA 5.22.1.2
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to DoD and their contractors for Administrative and Operational Use determined on 10 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: Deliverables shall be submitted 10 days prior to every Program Management Review.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
(See Block 16)
AIR 6.6.1.1
AIR 4.1.1.3
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
11/25/2014
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MISC
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM
Technical Report�Study/Services
3. SUBTITLE
Time Before Overhaul Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B(T) See Block 16
5. CONTRACT REFERENCE
PWS PARA 5.24
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
QTRLY
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable. Summary section shall contain the following:
Detailed data base that provides:
-Aircraft Model, Aircraft Tail Number, Engine Model and Serial Number.
-Aircraft Total Time -For Engine Overhaul section: Aircraft hours at install, time before overhaul, estimate overhaul date, and position.
-For Engine Hot Section Inspection: Time since HSI, time before HSI, estimated HSI date, position.
-For Landing Gear: Position, item part number, aircraft cycles at install, aircraft cycles before overhaul.
-List of all repairable items requiring change during the next 90 day period.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall submit the first deliverable 10 days after the completion of the first quarter. Subsequent deliverables shall be submitted 10 days after the completion of each quarter.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL
PMA2071C
AIR 4.1.1.3
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
11/24/2014
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MISC
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM
Technical Report - Study/Services
3. SUBTITLE
Teardown Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B (See Block 16)
5. CONTRACT REFERENCE
PWS para 12.4, 13.3, 14.0, & 15.0
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: Reports are due 10 days after each teardown event.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
AIR 4.1.1.3
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
11/24/2014
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MGMT
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AA01
2. TITLE OF DATA ITEM
Material Utilization and Forecasting Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81947 (See Block 16)
5. CONTRACT REFERENCE
PWS PARA 5.11
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
(See Block 16)
12. DATE OF FIRST
SUBMISSION
30 June 2017
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
31 December 2017
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Block 10: Semi-annual event.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
PMA2071C
AIR 4.1.1.3
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MISC
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AA03
2. TITLE OF DATA ITEM
Technical Report - Study/Services
3. SUBTITLE
Monthly Mission Capability Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B(T) See Block 16
5. CONTRACT REFERENCE
PWS PARA 5.1
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
MTHLY
12. DATE OF FIRST
SUBMISSION
See Block16
8. APP CODE
A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable. Analytic effort is computation of monthly Mission Capability (MC) rate for each aircraft with substantiation.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall continue to submit the deliverable on the 15th of each month.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
PMA2071C
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
SESS
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AA04
2. TITLE OF DATA ITEM
Configuration Status Accounting Information
3. SUBTITLE
Configuration Status Accounting Report
4. AUTHORITY (Data Acquisition Document No.)
DI-CMAN-81253A (See Block 16)
5. CONTRACT REFERENCE
PWS para 5.20 & 5.20.1
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
MTHLY
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable. Tailor DID as follows.
Delete 2a, 2b, 2j, and 2i. Use and deliver in MS Excel.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall continue to submit deliverables on the 15th of each month.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
AIR 4.1.1.3
PMA207CM
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MGMT
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AA05
2. TITLE OF DATA ITEM
Technical Directive Compliance Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80224B (See Block 16)
5. CONTRACT REFERENCE
PWS PARA 5.20.2
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall submit the first and subsequent deliverables within 15 days of incorporation or depot event completion.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
AIR 4.1.1.3
PMA207CM
(See Block 16)
AIR 6.6.1.1
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MGMT
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AA06
2. TITLE OF DATA ITEM
Briefing Material
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81605 (See Block 16)
5. CONTRACT REFERENCE
PWS PARA 5.22.1.2
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to DoD and their contractors for Administrative and Operational Use determined on 10 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: Deliverables shall be submitted 10 days prior to every Program Management Review.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
(See Block 16)
AIR 6.6.1.1
AIR 4.1.1.3
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MISC
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AA07
2. TITLE OF DATA ITEM
Technical Repor Study/Services
3. SUBTITLE
Time Before Overhaul Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B(T) See Block 16
5. CONTRACT REFERENCE
PWS PARA 5.24
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
QTRLY
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable. Summary section shall contain the following:
Detailed data base that provides:
-Aircraft Model, Aircraft Tail Number, Engine Model and Serial Number.
-Aircraft Total Time -For Engine Overhaul section: Aircraft hours at install, time before overhaul, estimate overhaul date, and position.
-For Engine Hot Section Inspection: Time since HSI, time before HSI, estimated HSI date, position.
-For Landing Gear: Position, item part number, aircraft cycles at install, aircraft cycles before overhaul.
-List of all repairable items requiring change during the next 90 day period.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall submit the first deliverable 10 days after the completion of the first quarter. Subsequent deliverables shall be submitted 10 days after the completion of each quarter.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL
PMA2071C
AIR 4.1.1.3
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MISC
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AA08
2. TITLE OF DATA ITEM
Technical Report - Study/Services
3. SUBTITLE
Teardown Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B (See Block 16)
5. CONTRACT REFERENCE
PWS para 12.4, 13.3, 14.0, & 15.0
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: Reports are due 10 days after each teardown event.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
AIR 4.1.1.3
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MGMT
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AB01
2. TITLE OF DATA ITEM
Material Utilization and Forecasting Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81947 (See Block 16)
5. CONTRACT REFERENCE
PWS PARA 5.11
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
(See Block 16)
12. DATE OF FIRST
SUBMISSION
30 June 2018
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 10 & 13: Semi-annual event. If CLIN 0248 is exercised, the Contractor shall submit the deliverable within 30 days after the materials inventory audit. If CLIN 0001 is not exercised, the Contractor shall submit the deliverable on 31 December 2018.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
PMA2071C
AIR 4.1.1.3
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MISC
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AB03
2. TITLE OF DATA ITEM
Technical Report - Study/Services
3. SUBTITLE
Monthly Mission Capability Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B(T) See Block 16
5. CONTRACT REFERENCE
PWS PARA 5.1
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
MTHLY
12. DATE OF FIRST
SUBMISSION
See Block16
8. APP CODE
A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable. Analytic effort is computation of monthly Mission Capability (MC) rate for each aircraft with substantiation.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall submit the first deliverable on the 15th of the following month after the first full month of execution.
Subsequent deliverables shall be submit on the 15th of each month.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
PMA2071C
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
SESS
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AB04
2. TITLE OF DATA ITEM
Configuration Status Accounting Information
3. SUBTITLE
Configuration Status Accounting Report
4. AUTHORITY (Data Acquisition Document No.)
DI-CMAN-81253A (See Block 16)
5. CONTRACT REFERENCE
PWS para 5.20 & 5.20.1
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
MTHLY
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable. Tailor DID as follows.
Delete 2a, 2b, 2j, and 2i. Use and deliver in MS Excel.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall continue to submit deliverables on the 15th of each month.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
AIR 4.1.1.3
PMA207CM
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MGMT
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AB05
2. TITLE OF DATA ITEM
Technical Directive Compliance Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-80224B (See Block 16)
5. CONTRACT REFERENCE
PWS PARA 5.20.2
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall submit the first and subsequent deliverables within 15 days of incorporation or depot event completion.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
AIR 4.1.1.3
PMA207CM
(See Block 16)
AIR 6.6.1.1
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MGMT
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AB06
2. TITLE OF DATA ITEM
Briefing Material
3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
DI-MGMT-81605 (See Block 16)
5. CONTRACT REFERENCE
PWS PARA 5.22.1.2
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to DoD and their contractors for Administrative and Operational Use determined on 10 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: Deliverables shall be submitted 10 days prior to every Program Management Review.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL.
(See Block 16)
AIR 6.6.1.1
AIR 4.1.1.3
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MISC
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AB07
2. TITLE OF DATA ITEM
Technical Report Study/Services
3. SUBTITLE
Time Before Overhaul Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B(T) See Block 16
5. CONTRACT REFERENCE
PWS PARA 5.24
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
QTRLY
12. DATE OF FIRST
SUBMISSION
See Block 16
8. APP CODE
N/A D (See Block 16)
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
See Block 16
14. DISTRIBUTION
b. COPIES
a. ADDRESSEE Final
Draft Reg. Repro
16. REMARKS
Block 4: Contractor format is acceptable. Summary section shall contain the following:
Detailed data base that provides:
-Aircraft Model, Aircraft Tail Number, Engine Model and Serial Number.
-Aircraft Total Time -For Engine Overhaul section: Aircraft hours at install, time before overhaul, estimate overhaul date, and position.
-For Engine Hot Section Inspection: Time since HSI, time before HSI, estimated HSI date, position.
-For Landing Gear: Position, item part number, aircraft cycles at install, aircraft cycles before overhaul.
-List of all repairable items requiring change during the next 90 day period.
Block 9: Distribution authorized to DOD and their contractors for Administrative and Operational Use determined on 17 December 2014. Other requests for this document shall be referred to PMA- 207.
Blocks 12 & 13: The Contractor shall submit the first deliverable 10 days after the completion of the first quarter. Subsequent deliverables shall be submitted 10 days after the completion of each quarter.
Block 14: Place on Web-base Information System (WIS) and send an e-mail notification to the EL IPTL
PMA2071C
AIR 4.1.1.3
AIR 6.6.1.1
(See Block 16)
15. TOTAL
G. PREPARED BY
Scott VanHorn
H. DATE
2/2/2015
I. APPROVED BY
18. ESTIMATED
TOTAL PRICE
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
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, 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
A
C. CATEGORY
MISC
D. SYSTEM/ITEM
UC-35C/D
E. CONTRACT/PR NO.
N00019-15-R-0106
F. CONTRACTOR
1. DATA ITEM NO.
AB08
2. TITLE OF DATA ITEM
Technical Report - Study/Services
3. SUBTITLE
Teardown Report
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80508B (See Block 16)
5. CONTRACT REFERENCE
PWS para 12.4, 13.3, 14.0, & 15.0
6. REQUIRING OFFICE
PMA-207
7. DD 250
REQ
NO
9. DIST STATEMENT
REQUIRED
10.…
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