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
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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
| AN01 | Engineering Services Memorandum (ESM) | FMS Engine Field Assessment Report |
| AN02 | RESERVED |
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
| AN0F | Logbooks and Records, Aircraft and | FMS Engine and Component Logbooks |
| Aeronautical Equipment |
| AN0G | Internal Contractor Technical Data Report | FMS Engine Part Repair Approval/FAA |
| DER Approved Substantiation Package |
| AN0H | Internal Contractor Technical Data Report | FMS 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)
| AN0K | RESERVED | ||
| AN0L | Cost Data Summary Reporting | Contractor Cost Data Reporting (CCDR) | |
| AN0M | Contract 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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