Exhibit_AN_FMS-OY3_Part_B_CDRLs.docx

DOCX document 203 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 AN

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Data Requirements List (DD 1423’s) for

P-8A Poseidon Engine Maintenance and Repair Depot Foreign Military Sales

EXHIBIT AN

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

EXHIBIT AN – IDIQ CDRLs (FMS)

DIN TITLE SUBTITLE

AN01Engineering Services Memorandum (ESM)FMS Engine Field Assessment Report
AN02RESERVED

AN03 Teardown Deficiency Report FMS Engine MRO/Field Final Repair Report

AN04 Warranty Performance Reports FMS Product Quality Deficiency Report

AN05 RESERVED

AN06 RESERVED

AN07 Quality Deficiency Report FMS Deficiency Management

AN08 Parts Management Plan FMS Supply Report

AN09 RESERVED

AN0A RESERVED

AN0B Inventory/Utilization Data Report FMS Inventory/Utilization Data Report

AN0C RESERVED

AN0D RESERVED

AN0E Internal Contractor Technical Data Report FMS Utilization Approval of Used, Rebuilt, Overhauled Engine Parts

AN0FLogbooks and Records, Aircraft andFMS Engine and Component Logbooks
Aeronautical Equipment
AN0GInternal Contractor Technical Data ReportFMS Engine Part Repair Approval/FAA
DER Approved Substantiation Package
AN0HInternal Contractor Technical Data ReportFMS Utilization Approval of Rebuilt and
Overhauled Engine Parts/FAA DER
Approved Substantiation Package

AN0J Sustainment Functional Cost-Hour Report FMS Contractor Cost Data Reporting (CCDR)

AN0KRESERVED
AN0LCost Data Summary ReportingContractor Cost Data Reporting (CCDR)
AN0MContract Work Breakdown Structure (CWBS)CWBS Dictionary

CONTRACT DATA REQUIREMENTS LIST

Form Approved

(1 Data Item)

OMB No. 0704-0188

Public reporting burden for the 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:
3112
AN
TDP

TM

OTHER

MISC

X

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

17. PRICE GROUP

AN01
Engineering Services Memorandum (ESM)
FMS Engine Field Assessment Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MISC-80748 (See Block 16)
SOW 3.4.1
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 (2007 or later); such as, Excel or Access.

Report shall include:

· Date of submittal

· Engine Assessment Date

· Engine/Module Serial Number

· Squadron / Location

· Primary failure item nomenclature

· Primary failure item part number

· Primary failure item failure mode

· 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.

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

Sharmella Riggs P-8A Propulsion & Power IPTL

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:

TDP

TM

OTHER

MISC

X

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

17. PRICE GROUP

AN02
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

b. COPIES

8. APP CODE

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

16. REMARKS

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:
3112
AN
TDP

TM

OTHER

ALSS

X

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

17. PRICE GROUP

AN03
Teardown Deficiency Report
FMS Engine Field Final Repair Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-ALSS-81534 (See Block 16)
SOW 3.4.3
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: Items to be included in the report are as follows (if applicable):

· Technical description of the completed assessment and repair including Engine serial number and location during repair, induction date, repair type, repair work, other.

· List of nomenclature/part number(s)/material replaced and/or repaired

· Scrap Material Listing

· Contractor labor codes/titles and associated hours as well as days for repair

· Certificates of compliance or completion

· Associated engine logbook entry data

· List of items noted but not corrected

· Engine test results and supporting measurements data to include EGT margin restoration ( not applicable to field repairs)

· Other applicable items or remarks of note

· Submission of FAA Form 8130-3

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 As required.

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

1
1
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

Sharmella Riggs, P-8A Propulsion & Power IPTL

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:
3112
AN
TDP

TM

OTHER

SESS

X

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

17. PRICE GROUP

AN04
Warranty Performance Reports
FMS Product Quality Deficiency Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-SESS-81639 (See Block 16)
SOW 7.1
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 (2007 or later); such as, Excel or Access.

Report shall include:

· QDR Number

· Component Serial Number (if applicable)

· Component Part Number

· Receipt Date

· Shipping Activity

· Discrepancy

· Results of Investigation

· Actions taken to correct or prevent future occurrence of discrepancy

BLOCK 12 and 13: 30 days after identification of a discrepancy

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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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:

TDP

TM

OTHER

X

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

T

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

17. PRICE GROUP

AN05
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

b. COPIES

8. APP CODE

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

16. REMARKS

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 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:

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

AN06
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

b. COPIES

8. APP CODE

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

16. REMARKS

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:
3112
AN
TDP

TM

OTHER

QCIC

X

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

17. PRICE GROUP

AN07
Quality Deficiency Report
FMS Deficiency Management
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-QCIC-80736 (See Block 16)
SOW 7.1
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 (2007 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

· Manufacturer’s recommendations for the correction of deficiency

· Investigate 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. Hazardous Material Report (HMR)

f. 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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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:
3112
AN
TDP

TM

OTHER

SDMP

X

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

17. PRICE GROUP

AN08
Parts Management Plan
FMS Supply Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-SDMP-81748 (See Block 16)
SOW 5.1
PMA-290
7. DD 250 REQ
9. DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION

LT

MTHLY
60 DAC

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: Deliver in a Microsoft Office format (2007 or later); such as, Word, Excel or Access.

The plan shall detail the contractor’s parts management program. It shall include provisions for optimizing part reliability and standardization through all phases of the system, subsystem or equipment life cycle. In addition, it shall include the areas or subjects as identified in MIL-STD-3018, Parts Management, Requirement 5.1 (parts management elements).

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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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:

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

AN09
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

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
2
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

AN0A
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

b. COPIES

8. APP CODE

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

16. REMARKS

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:
3112
AN
TDP

TM

OTHER

MISC

X

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

17. PRICE GROUP

AN0B
Inventory/Utilization Data Report
FMS Inventory/Utilization Data Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MISC-81107 (See Block 16)
SOW 5.1
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
ASREQ
Reg
Repr
16. REMARKS
See Block 16

BLOCK 4: Deliver in a Microsoft Office format (2007 or later); such as, Excel or Access.

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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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:

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

AN0C

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

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

15. Total

1
1
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

AN0D
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

b. COPIES

8. APP CODE

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

16. REMARKS

15. Total

1
1
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:
3112
AN
TDP

TM

OTHER

SESS

X

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

17. PRICE GROUP

AN0E
Internal Contractor Technical Data Report
FMS Utilization Approval of Rebuilt and Overhauled Engine Parts
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-SESS-81309A (See Block 16)
SOW 5.12, 5.2
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
See Block 16
Reg
Repr
16. REMARKS
See Block 16

BLOCK 4: PMA holders requesting to be approved for non-type certified parts used by the government will need to apply for approval per the requirements of Exhibit A of Aviation Source Approval and Management Handbook dated 16 March 2011. Documentation to be submitted includes the following

· Part Source Approval Request Package as per requirements listed in Exhibit A of Aviation Source Approval and Management Handbook dated 16 March 2011

· FAA Form 8110-3 and FAA / FAA DER approved substantiation documentation

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 As Required

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

1
1
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

Sharmella Riggs, P-8A Propulsion & Power IPTL

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:
3112
AN
TDP

TM

OTHER

MNTY

X

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

17. PRICE GROUP

AN0F
Logbooks and Records, Aircraft and Aeronautical Equipment
FMS Engine and Component Logbooks
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-MNTY-81067
SOW 4.0
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 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 as required.

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

1
1
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

Sharmella Riggs, P-8A Propulsion & Power IPTL

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:
3112
AN
TDP

TM

OTHER

SESS

X

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

17. PRICE GROUP

AN0G
Internal Contractor Technical Data Report
FMS Engine Part Repair Approval/FAA DER Approved Substantiation Package
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-SESS-81309A (See Block 16)
SOW 5.1.2, 5.3
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: A repair catalog submitted by the Contractor for approval shall require a separate FAA / FAA DER technical data package for each part regardless of their source, i.e. PMA, OEM, or OEM approved vendor.

Each repair submitted shall have FAA Form 8110-3 and FAA / FAA DER approved substantiation documentation.

All repairs and associated Form 8110-3s (including substantiation data) for the same part number are requested to be submitted in a combined package.

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: As Required

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

1
1
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

Sharmella Riggs, P-8A Propulsion & Power IPTL

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:
3112
AN
TDP

TM

OTHER

SESS

X

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

17. PRICE GROUP

AN0H
Internal Contractor Technical Data Report
FMS Utilization Approval of Rebuilt and Overhauled Engine Parts/FAA DER Approved Substantiation Package
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-SESS-81309A (See Block 16)
SOW 5.4
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):

· Approved FAA Form 8130-3

· Complete set of all maintenance, inspection, and service usage records including accumulated cycles / hours and operators

· Service life remaining for any life-limited part

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: As Required

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

1
1
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

Sharmella Riggs, P-8A Propulsion & Power IPTL

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 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:
3112
AN
TDP

TM

OTHER

FNCL

X

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

17. PRICE GROUP

AN0J
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 3.1
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. The contract CSDR plan uses the event field as the driver for the submission of the reports, not the "as of date." If the event slips, the contractor must notify the Government Program Office that a date change is needed. It is the responsibility of the Government Program Office to submit a request for change in the event-driven date for reporting through the CSDR Submit-Review system for DCARC approval before the date reflected in the OSD DDCA-approved CSDR Plan.

All CCDRs shall be submitted electronically using the CSDR Submit-Review System. The required form and file type for each CCDR is specified in its Data Item Description (DID). Data submitters must register through the DCARC website and possess a DoD-approved ECA digital certificate or DoD-issued CAC to obtain a DCARC Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the DCARC Portal and requesting a CSDR submitter user role. After the registration information has been verified, the DCARC shall authorize the user account and requested roles. All DCARC Portal accounts need to be renewed at least annually.

Subcontractor Reporting: Prime contractors are responsible for flowing down CSDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds specified in the DoDI 5000.02, or as required by the CWIPT. This includes requiring subcontractors to electronically report directly to the DCARC using the CSDR Submit-Review System. The prime contractor shall be required to work with the CWIPT and all appropriate subcontractors to prepare separate subcontract CSDR plans for submission to the DCARC for DDCA approval.

DCARC

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

R L Gage P-8A IPS/O&S Cost Team 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:

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

AN0K
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

b. COPIES

8. APP CODE

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

16. REMARKS

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 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:
3112
AN
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

AN0L
Cost Data Summary Reporting (DD1921)
Contractor Cost Data Reporting (CCDR)
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED TOTAL PRICE

DI-FNCL-81565C (See Block 16)
SOW 3.1
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 Cost Data Summary Report (CDSR) in accordance with DI-FNCL-81565C (or the most recently approved version) and the OSD Deputy Director, Cost Assessment (DDCA)-approved contract CSDR Plan. The DID, DI-FNCL-81565C, 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. The contract CSDR plan uses the event field as the driver for the submission of the reports, not the "as of date." If the event slips, the contractor must notify the Government Program Office that a date change is needed. It is the responsibility of the Government Program Office to submit a request for change in the event-driven date for reporting through the CSDR Submit-Review system for DCARC approval before the date reflected in the OSD DDCA-approved CSDR Plan.

All CCDRs shall be submitted electronically using the CSDR Submit-Review System. The required form and file type for each CCDR is specified in its Data Item Description (DID). Data submitters must register through the DCARC website and possess a DoD-approved ECA digital certificate or DoD-issued CAC to obtain a DCARC Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the DCARC Portal and requesting a CSDR submitter user role. After the registration information has been verified, the DCARC shall authorize the user account and requested roles. All DCARC Portal accounts need to be renewed at least annually.

Subcontractor Reporting: Prime contractors are responsible for flowing down CSDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds specified in the DoDI 5000.02, or as required by the CWIPT. This includes requiring subcontractors to electronically report directly to the DCARC using the CSDR Submit-Review System. The prime contractor shall be required to work with the CWIPT and all appropriate subcontractors to prepare separate subcontract CSDR plans for submission to the DCARC for DDCA approval.

DCARC

15. Total

G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE

R L Gage P-8A IPS/O&S Cost Team Lead

Donnie LaRocco

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.

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