Contract_Data_Requirements_List.pdf

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

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington 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 I c. CATEGORY

0004 0104 0204 0304 0404 A MGMT

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

AV-8B F402 TBD

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

A001 Quality Managment Plan

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

AQAP-2105 ED.2 (See Block 16) PMA-257

7. DD 250 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REO REQUIRED ASREQ SUBMISSION

b. COPIES

LT 15 DARP

a. ADDRESSEE Final S.APPCODE E (See Block 11.ASOFDATE 13. DATE OF SUBSEQUENT

N/A N/A SUBMISSION

Draft Reg. Repro

16) ASREQ

16.REMARKS

PMA-257B4 BLOCK 4: Contractor format is acceptable I electronic transmission preferred. PMA-257H1

BLOCK 9: Distribution Statement E., Distribution authorized to U.S.

AIR-4.4.1

Government to protect operational and proprietary information, 7 PMA-2571T _(Italy) Jun 93. Other requests shall be forwarded to NAVAIRSYSCOM.

This report has been determined to be releasable to the Government of Italy.

Block 14a: Email addressees are listed in Section J:

15. TOTAL

G. PREPARED BY H. DATE ,7J:;aa J. DATE

~~ckhout~ 1/16/2014 1/16/2014

( '/d - --·

DD FORM 1,423-'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. 0104-0188

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 IC. CATEGORY

0004 0104 0204 0304 0404 MISC

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

AV-8B F402 TBD

1. DATA ITEM NO.

A002 1

2. TITLE OF DATA ITEM

Repairable Item INSPECTION REPORT

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

DI-ILSS-80386 NOT 1 (see Blk 16) SOW 2.7

7. DD 250 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

REO REQUIRED (See Block 16) SUBMISSION

LT See Block 16 8.APPCODE C (See Block 11. AS OF DATE 13. DATE OF SUBSEQUENT

A N/A SUBMISSION

16) ASREQ

16. REMARKS

BLOCK 4: Contractor format is acceptable/electronic transmission preferred.

BLOCK 9: Distribution Statement E., Distribution authorized to U.S.

Government to protect operational and proprietary information, 7 Jun 93. Other requests shall be forwarded to NAVAIRSYSCOM.

This report has been determined to be releasable to the Government of Italy

BLOCK 10, 11, 12: Report will be submitted per occurance as described in SOW.

BLOCK 14a: Email addresses are listed in Section J:

G. PREPARED BY H. DATE

uuckhout -/ ~ 1/16/2014

( ooeo•~~ ;;::~~v~"'" -

F. CONTRACTOR

3. SUBTITLE

Blendable Borescope Repair Report

6. REQUIRING OFFICE

PMA-257

14. DISTRIBUTI;;;:O;..:.N ____ _

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

PMA-257B4

COR

(See Block 16)

15.TOTAL _L

J. DATE

1/16/2014

17. PRICE GROUP

CONTRACT DATA REQUIREMENTS LIST Form A~fcroved (1 Data Item) 0MB No. 04-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlinton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT I c. CATEGORY

0004 0104 0204 0304 0104 A FNCL

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

AV-8B F402 TBD

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

A003 Funds U_pdate Report

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

DI-FNCL-80428 _(See Block 16) PMA-257

7. DO 250 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REO REQUIRED QTRLY SUBMISSION

b. COPIES LT See Block 16

a. ADDRESSEE Final S.APPCODE E (See Block 11.ASOFDATE 13. DATE OF SUBSEQUENT

N/A N/A SUBMISSION

Draft Reg. Repro

16) See Block 16

16. REMARKS

PMA-257B4 BLOCK 4: Contractor format is acceptable I electronic transmission preferred. PMA-257H1

BLOCK 9: Distribution Statement E., Distribution authorized to U.S.

(See Block 16)

Government to protect operational and proprietary information, 7 Jun 93. Other requests shall be forwarded to NAVAIRSYSCOM.

This report has been determined to be releasable to the Government of Italy.

Block .12: Initial submission required within ninety(90) days after the first accounting period in which contract is awarded.

Block 13: Subsequent submissions required Quarterly.

Block 14a: Email addressees are listed in Section J:

15. TOTAL

G. PREPARED BY H. DATE

{j}tflJfl

J. DATE

rnuckhout f / 1116/2014 1/16/2014

( /c?l.A:/~ - DO FORMj1i23-1, FEB 2001 PREVIOUS EDITI6f:i"MAY BE USED. \-·v~'~

17. PRICE GROUP

16. ESTIMATED

CONTRACT DATA REQUIREMENTS LIST Form A~?croved (1 Data Item} OMB No. 04-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington 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 I~· CATEGORY

0004 0104 0204 0304 0104 A MISC

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

AV-8B F402 TBD

1. DATA ITEM NO. _12. TITLE OF DATA ITEM 3. SUBTITLE

A004 Personnel Report

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

DI-MISC-81419 JSee Block 16} 1.2 PMA-257

7. DO 250 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14. DISTRIBUTION

REO REQUIRED ANNL Y (See Block SUBMISSION

b. COPIES

LT 16) XXDAC 16

a. ADDRESSEE Final

S.APPCODE E (See Block 11.ASOFDATE 13. DATE OF SUBSEQUENT

N/A See Block 16 SUBMISSION Draft Reg. Repro

16) See Block 16

16. REMARKS

PMA-257B4 BLOCK 4: Contractor format is acceptable I electronic transmission preferred. PMA-257H1

BLOCK 9: Distribution Statement E., Distribution authorized to U.S.

(See Block 16)

Government to protect operational and proprietary information, 7 Jun 93. Other requests shall be forwarded to NAVAIRSYSCOM.

This report has been determined to be releasable to the Government of Italy.

Block 11: Initial submission required within { 180) days after contract is awarded.

Block 13: Subsequent submissions required Annually.

Block 14a: Email addressees are listed in Section J:

15. TOTAL /"'\

G. PREPARED BY H. DATE

'~"~f/;p&

J. DATE

1!7~ 1/16/2014 Mary Don an 1/16/2014

·- ('M£ . ~

C, 'O"" •'~~'>•· "' '"" "'~'0'" '"'''" ~'" "'"

(J

17. PRICE GROUP