Exhibit_A_NAVY-IDIQ_Part_A_CDRLs.docx
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- Attached to
- P-8A Airframe and Engine Depot Maintenance Competition Federal contract opportunity
- Solicitation number
- N00019-15-R-2004
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EXHIBIT A
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Data Requirements List (DD 1423’s) for
Airframe Depot Maintenance of United States Navy P-8A Poseidon Aircraft
Exhibit A Contract Data Requirements List (DD 1423’s) 18 May 2016
EXHIBIT A – IDIQ CDRLs
DIN TITLE SUBTITLE
| A001 | Conference Agenda | Program Management Review (PMR) / | ||||
| Technical Interchange Meeting (TIM) / | ||||||
| Post Award Conference Agenda | ||||||
| A002 | Conference Minutes | Program Management Review (PMR) / | ||||
| Technical Interchange Meeting (TIM) / | ||||||
| Post Award Conference / Induction | ||||||
| Readiness Review Minutes | ||||||
| A003 | Integrated Program Management Report | Integrated Master Schedule | ||||
| (IPMR) | ||||||
| A004 | Quality Assurance Program Plan | Quality Program Plan | ||||
| A005 | Supplier’s Configuration Management Plan Configuration Management Plan | |||||
| A006 | Operations Security (OPSEC) Plan | |||||
| A007 | Scientific and Technical Reports | Technical Data Discrepancy Report | ||||
| A008 | Report of Receipts, Inventory, | Government Property Management | ||||
| Adjustments and Shipments of | Report | |||||
| Government Property | ||||||
| A009 | Scientific and Technical Reports | Structural Alteration Report | ||||
| A00A | Technical Data Package | Depot Engineering Support Data | ||||
| A00B | Scientific and Technical Reports | Aircraft Mishap Damage Report | ||||
| A00C | Scientific and Technical Reports | Maintenance History Summary and | ||||
| Corrosion Inspection Report | ||||||
| A00D | Scientific and Technical Reports | Depot/In-field Completion Report | ||||
| A00E | Scientific and Technical Reports | Engineering Investigations | ||||
| A00F | Engineering Services Memorandum (ESM) | Aircraft Field Assessment Report | ||||
| A00G | RESERVED | |||||
| A00H | Quality Deficiency Report | Deficiency Reporting | ||||
| A00J | Scientific and Technical Reports | Delay Notification Report | ||||
| A00K | System Safety Hazard Analysis Report | Critical Safety Item | ||||
| (SSHA) / Safety Assessment Report (SAR)) | ||||||
| A00L | Scientific and Technical Reports | Initial Assessment Report | ||||
| A00M | Risk Management Status Plan | Risk Management Plan | ||||
| A00N | Inventory/Utilization Data Report | |||||
| A00P | Internal Contractor Technical Data | Utilization Approval of Used, Rebuilt, | Report | Overhauled Parts | ||
| A00Q | Over and Above Status Report | Status Report | ||||
| A00R | Sustainment Functional Cost-Hour Report | Contractor Cost Data Reporting (CCDR) | ||||
| A00S | Cost Data Summary Report | Contractor Cost Data Reporting (CCDR) | ||||
| A00T | Contractor Work Breakdown Structure | CWBS Dictionary | ||||
| (CWBS) |
CONTRACT DATA REQUIREMENTS LIST
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
ADMN
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| Conference Agenda |
| Program Management Review (PMR)/Technical Interchange Meeting (TIM)/Post Award Conference (PAC) Agenda, Initial Baseline Review (IBR) |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-ADMN-81249A (See Block 16) |
| SOW 7.1, 7.2, 7.4 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| AS REQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Deliver in a Microsoft Office format (2010 or later); such as, Excel or Access.
BLOCK 8: Government comments will be provided to the contractor within 5 working days after receipt of contractor submittal. Revised contractor submittal shall be provided NLT 3 working days after receipt of Government comments.
BLOCKS 12 and 13: The Contractor shall deliver the agenda for a PMR/TIM/Post Award Conference no less than 14 days prior to the commencement of the meeting.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco P-8A Aircraft Systems IPTL
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
ADMN
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
| 17. PRICE GROUP |
| A002 |
| Conference Minutes |
| Program Management Review (PMR) / Technical Interchange Meeting (TIM) / Post Award Conference / Induction Readiness Review (IRR) Minutes |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
| 18. ESTIMATED TOTAL PRICE |
| DI-ADMN-81250A (See Block 16) |
| SOW 7.1, 7.3, 7.4 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| AS REQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Deliver in a Microsoft Office format (2010 or later); such as, Excel or Access.
BLOCKS 12 and 13: The Contractor shall deliver the minutes including any action items from PMR/TIM/IRR/Post Award Conferences no more than 14 calendar days following the conclusion of the meeting.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MGMT
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A003 |
| Integrated Program Management Report (IPMR) |
| Integrated Master Schedule |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-81861 (See Block 16) |
| SOW 7.0 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| MTHLY |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| MTHLY |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: The Contractor shall deliver the report to include milestones and all significant tasks, events and activities required to effectively manage progress and technical performance. The Contractor’s report shall identify technical, cost and schedule risks, as well as mitigation and recovery of said risks.
BLOCK 12: First report will be delivered 30 days after induction of the aircraft.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
QCIC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A004 |
| Quality Assurance Program Plan |
| Quality Program Plan |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-QCIC-81722 |
| SOW 7.1, 8.2 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ONE |
| 30 DAC |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| A |
| D |
| N/A |
| See block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 8: Government comments will be provided to the contractor NLT 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided within 30 days after receipt of Government comments.
BLOCK 13: Subsequent submission within 30 days of any revisions
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
SESS
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A005 |
| Supplier’s Configuration Management Plan |
| Configuration Management Plan |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-SESS-80858C |
| SOW 7.10 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ONE |
| 30 DAC |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 8: Government comments will be provided to the contractor within 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided NLT 15 days after receipt of Government comments
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MGMT
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A006 |
| Operations Security (OPSEC) Plan |
| Operations Security (OPSEC) Plan |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-80934C (See Block 16) |
| SOW 7.12 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| TWO/R |
| 90 DAC |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| A |
| D (See Block 16) |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Plan shall be in MS Word 2010 (or later).
BLOCK 8: BLOCK 8: Government comments will be provided to the contractor within 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided NLT 15 days after receipt of Government comments
BLOCK 9: The words, "FOR OFFICIAL USE ONLY" shall be conspicuously marked at the bottom of the outside cover (if any), on the bottom of each page, and on the bottom of the outside back cover (if any). The front cover (if any) or the first page of the document shall also be conspicuously marked with the following statement:
"This document contains information EXEMPT FROM MANDATORY PUBLIC DISCLOSURE under the Freedom of Information Act Exemption (2) applies."
These markings shall also be applied in an appropriate manner to any data provided in electronic media or transmission Electronic transmission of such data must be via Federal Information Processing Standard (FIPS) 140-1 compliant means.
EXEMPTIONS (2): shall be used on documents which concern internal working processes or procedures (e.g.' OPSEC Plans or Program Protection Implementation Plans).
BLOCK 13: 45 days after Government approval (AIR-7.4.4) of draft. Revisions are required after approval of plan only to comply with Government Data Protection Policy document revisions.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A007 |
| Scientific and Technical Report |
| Technical Data Discrepancy Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 3.0, 3.3 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: The Contractor shall report technical manual or drawing deficiencies per CNAFINST 4790.2 series with supporting documentation.
BLOCK 12 & 13: Due 15 days after discrepancy is identified.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MGMT
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A008 |
| Report of Receipts, Inventory, Adjustments and Shipments of Government Property |
| Government Property Management Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-80442 (See Block 16) |
| SOW 8.9.1. 9.1, 9.4 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ANNLY |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| ANNLY |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Report must include current inventory including part number, National Item Identification Number (NIIN), nomenclature, quantity, and condition. Also, report monthly shipments into and out of the facility including part number, nomenclature and quantity shipped and to what destination and any pertinent information.
BLOCK 12: Due 30 days after beginning of new Fiscal Year.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A009 |
| Scientific and Technical Report |
| Structural Alteration Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 3.6, 3.8, 4.1 6, 4.2.2, 5.3.4.4 6.4.. |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Items to be included in the report are as follows (if applicable):
· Technical description of the completed assessment and repair including Aircraft BUNO, component serial number and location during repair, induction date, repair type, repair work, other. List of nomenclature/part number(s)/material used in the repair
· Contractor labor codes/titles and associated hours as well as days for repair
· Applicable weight and balance information
· Certificates of compliance or completion
· Other applicable items or remarks of note
· FAA Form 337 / FAA Form 8130-3 (as required)
· Aircraft Inventory Record (AIR) OPNAV 4790/111 (MRO)
· Acceptance Test results (as required)
BLOCK 8: Government comments will be provided to the contractor NLT 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided within 30 days after receipt of Government comments.
BLOCKS 12 & 13: Due NLT 15 days following Government acceptance of aircraft.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail..
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
SESS
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A00A |
| Technical Data Package |
| Depot Engineering Support Data |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-SESS-80776A (see Block 16) |
| SOW 8.22 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
A
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Shall include all items specified in DI-SESS-80776A (if applicable).
BLOCK 8: Government comments will be provided to the contractor NLT 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided within 30 days after receipt of Government comments.
BLOCKS 12 & 13: The contractor shall deliver the Technical Data Package no later than 5 days after completion.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| 1 |
| of |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A00B |
| Scientific and Technical Reports |
| Aircraft Mishap Damage Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 8.15 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| ASREQ |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Report shall include the following:
· Identify and report nature of mishap
· Provide information necessary to complete mishap data report specified in OPNAV Instruction 3750.6 series (worksheet)
· Estimated material cost to repair damage
· Estimated labor hours and other direct costs to repair the aircraft
· Estimated date to make aircraft serviceable
BLOCK 12: Due 6 hours after aircraft mishap and the Contractor shall report by phone any accident or incident to COR/TPOC.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A00C |
| Scientific and Technical Reports |
| Maintenance History Summary and |
Corrosion Inspection Report
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 3.6 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: The Contractor shall deliver the report in accordance with Section 6-4 of attachment 5. The Contractor shall report any cannibalization actions that occurred during the performance of the AEPD
BLOCKS 12 and 13: The Contractor shall deliver report no later than 90 days subsequent to Government acceptance for each aircraft that has undergone IMPDS.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A00D |
| Scientific and Technical Reports |
| Depot/In-Field Completion Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 3.6, 4.1.5.3, 4.2.2 ,4.3,4.4 5.3.3.1, 6.4, 8.20 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Contractor format is acceptable. Report shall contain:
1. Complete list of all maintenance performed on the aircraft while at Depot facility or In-field.
2. FAA Form 337 / FAA Form 8130-3 (as required)
3. All warranty documentation, if applicable.
4. Government/Commercial log book, entries.
5. Weight and Balance Documentation, IAW NA 01-1B-50 as required.
6. All over & above completed.
7. Noted but Not Corrected (NBNC)
8. Parts Required Report (PRR)
BLOCKS 12 & 13: Report due at the time of government acceptance of aircraft.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A00E |
| Scientific and Technical Reports |
| Engineering Investigations |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 8.17 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Contractor shall immediately inform the Government and NAVAIR Engineering of any discovered failure and/or abnormal condition in accordance with CNAFINST 4790.2 series.
BLOCKS 12 & 13: The contractor shall deliver report no later than 5 days after discovery of failure or condition.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A00F |
| Engineering Services Memorandum (ESM) |
| Aircraft Field Assessment /Repair Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80748 (See Block 16) |
| SOW 4.2.1, 6.1 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Deliver in a Microsoft Office format (2010 or later); such as, Excel or Access.
Report shall include:
· Date of submittal
· Aircraft Assessment Date
· Component Serial Number
· Aircraft BUNO
· Shipping Activity (FRC/MALS)
· Primary failure item nomenclature
· Primary failure item part number
· Primary failure item failure mode
· Major Structural Repairs
· All temporary structural repairs
· Need for proposed work
· Description of findings/comments (including major discrepancies/work to be performed and resulting benefits)
· Estimated cost/BOE for engineering, materials and equipment and/or services with FAR required proposal supporting documentation and information
· GFE required
· Estimated turn-around time (TAT) and completion date
· Signature/Title
BLOCKS 12 & 13: Due within 4 working days after assessment personnel arrival at the aircraft site, unless significant damage requires further negotiation.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MGMT
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A00G |
| RESERVED |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
QCIC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A00H |
| Quality Deficiency Report |
| Deficiency Reporting |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-QCIC-80736 (See Block 16) |
| SOW 8.14 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| N/A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: Deliver in a Microsoft Office format (2010 or later); such as, Word, Excel or Access.
The investigation Report should include, at a minimum, the following data:
· Identify and report deficiency of item
· Identify and report the cause of deficiency for that item
· Recommendations to the Government to alleviate future failures of item
· Manufacture’s recommendations for the correction of deficiency
· Information from the following reports submitted against defective items manufactured, repaired, or overhauled by the Contractor or a Sub-Contractor including vendor parts issued through the On-Site Storeroom:
a. Product Quality Deficiency Report (PQDR)
b. Engineering Investigation (EI)
c. Material Deficiency Report (MDR)
d. Acceptance Inspection Deficiency Report (AIDR)
e. Aircraft Deficiency Report (ADR)
f. Hazardous Material Report (HMR)
g. Technical Publication Deficiency Report (TPDR)
BLOCK 12: Due 30 days after investigation request
BLOCK 13: Due monthly to arrive at PMA-290 NLT the last day of the month, until investigation completion.
BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
Form Approved
(1 Data Item)
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 thus burden estimate or any other aspect of this collection o f 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: |
| 0022 |
| A |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A00J |
| Scientific and Technical Report |
| Delay Notificationt Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80711A (See Block 16) |
| SOW 3.5 4.1.3 |
| PMA-290 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| ASREQ |
| See Block 16 |
b. COPIES
8. APP CODE
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
| A |
| D |
| N/A |
| See Block 16 |
| Reg |
| Repr |
| 16. REMARKS |
| See Block 16 |
BLOCK 4: The Contractor shall deliver a Delay Notification Report detailing estimated TAT following completion of the initial inspection/assessment.
The Contractor shall utilize the established Delay Notification Process This process uses the DNF to document delays during modification or maintenance activity. The DNF details changes in the delivery schedule (TAT) associated with excusable delays as outlined in FAR 52.249-14, including contractor caused delays, duration-based delays, and hours-based delays as calculated per Attachment 7.
The Delay Notification shall include: the relevant contractor Notification Form (DNF) and a technical narrative describing the causes of the impact with relevant backup documentation as follows:
-Funding Related Delays: Contract Letter submitted in accordance with FAR 52.249-14 to request additional funding and any subsequent letters related to work delays or stoppages.
-Parts and GFM Related Delays: Based upon scheduled start date from associated work ticket.
-Warranty Claims - Contract Letter submitted to document warranty claims on GFE/GFM
Continued next page
15. Total
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Don Griffin P-8A Airframe Commercial Depot IPT Lead
Donnie LaRocco
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 1 |
| Pages |
A. CONTRACT LINE ITEM NO.
| B. EXHIBIT |
| C. CATEGORY: |
| 0022 |
| A |
| TDP |
TM
OTHER
MISC
X
| D. SYSTEM|ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| P-8A Poseidon Depot Maintenance-Airframe |
| TBD |
| TBD |
16. REMARKS (Continued) (A00J)
Late Contract Changes - Contract Letters and Contract Modifications to document changes or late award of additional scope.
-Contractor Caused Delays -Contractor will provide relevant documentation to explain the reason for delay. No TAT relief will be granted for these delays.
BLOCK 12: First submission will be within 10 days of discovering delays to the original established TAT as determined by the Initial Impact Assessment ,, of the aircraft. Extensions may be requested pending completion of the AEPD Inspections.
BLOCK 13: Subsequent submissions will be as required, but not to exceed monthly, with a Final Impact Assessment submitted within 30 Days of DD250 of the aircraft. The final impact assessment shall include Over and Above related delays. The contractor will provide all over and above completed documented in CDRL A00Q, the Over and Above Status report.
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