Exhibit_AM_FMS-OP3_Part_A_CDRLs.docx

DOCX document 293 KB Posted

Attached to
P-8A Airframe and Engine Depot Maintenance Competition Federal contract opportunity
Solicitation number
N00019-15-R-2004
Issued by
Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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EXHIBIT AM

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Text version

Data Requirements List (DD 1423’s) for

Airframe Depot Maintenance of United States Navy P-8A Poseidon Aircraft

Foreign Military Sales Exhibit AM

Contract Data Requirements List (DD 1423’s) 18 May 2016

EXHIBIT B – IDIQ CDRLs (RAAF)

DIN TITLE SUBTITLE

AM01RESERVED
AM02RESERVED
AM03RESERVED
AM04RESERVED
AM05RESERVED
AM06RESERVED
AM07RESERVED
AM08RESERVED
AM09Scientific and Technical ReportsFMS Structural Alteration Report
AM0ATechnical Data PackageFMS Depot Engineering Support Data
AM0BRESERVED
AM0CRESERVED
AM0DScientific and Technical ReportsFMS Depot/In-field Completion Report
AM0ERESERVED
AM0FEngineering Services Memorandum (ESM)FMS Aircraft Field Assessment Report
AM0GRESERVED
AM0HRESERVED
AM0JScientific and Technical ReportsFMS Impact Assessment Report
AM0KRESERVED
AM0LScientific and Technical ReportsFMS Initial Assessment Report
AM0MRESERVED
AM0NRESERVED
AM0PRESERVED
AM0QRESERVED
AM0RSustainment Functional Cost-Hour ReportFMS Contractor Cost Data Reporting
AM0SCost Data Summary ReportContractor Cost Data Reporting (CCDR)
AM0TRESERVED

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:

TDP

TM

OTHER

X XXXX

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM01

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:
D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

AM02

4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM03

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM04

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM05

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM06

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM07

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM08

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:
3046
AM
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

AM09
Scientific and Technical Report
FMS 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, 4.1.4.6, 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 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:
3046
AM
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

AM0A
Technical Data Package
FMS 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:
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM0B

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM0C

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:
3046
AM
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

AM0D
Scientific and Technical Reports
FMS 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, 4.1.5.1, 4.1.5.3, 4.2.2, 4.3,4.4, 5.3.4.1, 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:

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM0E

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:
3046
AM
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

AM0F
Engineering Services Memorandum (ESM)
FMS 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:

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM0G

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:

TDP

TM

OTHER

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM0H

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:
3046
AM
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

AM0J
Scientific and Technical Report
FMS Delay Notification 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 an initial 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:
3046
AM
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)

(AM0J)

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 Impacted Assessment , based upon Estimate at Complete (EAC), 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 B00Q, Over and Above (O&A) Status Report. TAT extensions shall be granted based upon the total number of O&A Hours negotiated. The final impact assessment will also include a summary of all duration based delays.

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.

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:

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM0K

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr
16. REMARKS
See Block 16

RESERVED

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:
3046
AM
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

AM0L
Scientific and Technical Report
FMS Initial Assessment Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MISC-80711A (See Block 16)
SOW 3.3, 4.1.2,
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
ASREQ
Reg
Repr
16. REMARKS
See Block 16

BLOCK 4: Contractor format acceptable The Contractor shall deliver the following information for each aircraft: contract number, delivery order number, bureau number, contractual induction date, actual induction date, O&A hours expended to date, O&A hours estimated at completion, contractual delivery date, estimated delivery date, schedule impacts (with a narrative to explain reason for impacts), proposed material cost, number of DRs negotiated, number of DRs to be negotiated, total DRs, list of major discrepancies, and list of minor discrepancies.

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 12: The Contractor shall deliver the report no later than 10 days after the completion of AEPD look phase.

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:

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM0M

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:
D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM0N

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:
3046
B
TDP

TM

OTHER

X

D. SYSTEM|ITEM

E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM0P

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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:
3046
B
TDP

TM

OTHER

X

D. SYSTEM|ITEM

E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM0Q

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

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL
Reg
Repr

16. REMARKS

RESERVED

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 of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget. Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
3046
AM
TDP

TM

OTHER

FNCL

X

D. SYSTEM|ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
P-8A Poseidon Depot Maintenance-Airframe
TBD
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE

17. PRICE GROUP

AM0R
Sustainment Functional Cost-Hour Report (DD1921-5)
FMS Contractor Cost Data Reporting (CCDR)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-FNCL-81992 (See Block 16)
SOW 7.13.2
NAVAIR 4.2
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

See Block 16
See Block 16

b. COPIES

8. APP CODE
See Block 16
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
a. ADDRESSEE
DRAFT
FINAL

N/A

See Block 16
See Block 16
Reg
Repr
16. REMARKS
See Block 16

Blocks 10 - 13: Prepare the Sustainment Functional Cost Hour Report (SFCHR) in accordance with DI-FNCL-81992 (or the most recently approved version) and the OSD Deputy Director, Cost Assessment (DDCA)-approved contract CSDR Plan.

The DID, DI-FNCL-81992, is available from the Defense Cost and Resource Center (DCARC) website at http://cade.osd.mil/csdr/FormsReporting.aspx#DIDs. The CSDR Plan is included as a contract attachment 18.

Contractors shall be required to submit the Contractor Cost Data Reports (CCDRs) at frequencies specified in the OSD DDCA-approved CSDR plan and in the contract.

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