Exhibit_J_NAVY-OY4_Part_A_CDRLs.docx

Data Requirements List (DD 1423’s) for

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

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

EXHIBIT J – OY4 CDRLs

DIN TITLE SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

Form Approved

(1 Data Item)

OMB No. 0704-0188

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

TM

OTHER

ADMN

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: Deliver in a Microsoft Office format (2010 or later); such as, Excel or Access.

BLOCK 8: Government comments will be provided to the contractor within 5 working days after receipt of contractor submittal. Revised contractor submittal shall be provided NLT 3 working days after receipt of Government comments.

BLOCKS 12 and 13: The Contractor shall deliver the agenda for a PMR/TIM/Post Award Conference no less than 14 days prior to the commencement of the meeting.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT Lead

Donnie LaRocco P-8A Aircraft Systems IPTL

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.

TM

OTHER

ADMN

X

LT

b. COPIES

8. APP CODE

BLOCK 4: Deliver in a Microsoft Office format (2010 or later); such as, Excel or Access.

BLOCKS 12 and 13: The Contractor shall deliver the minutes including any action items from PMR/TIM/IRR/Post Award Conferences no more than 14 calendar days following the conclusion of the meeting.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

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OTHER

MGMT

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: The Contractor shall deliver the report to include milestones and all significant tasks, events and activities required to effectively manage progress and technical performance. The Contractor’s report shall identify technical, cost and schedule risks, as well as mitigation and recovery of said risks.

BLOCK 12: First report will be delivered 30 days after induction of the aircraft.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

QCIC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 8: Government comments will be provided to the contractor NLT 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided within 30 days after receipt of Government comments.

BLOCK 13: Subsequent submission within 30 days of any revisions

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

SESS

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 8: Government comments will be provided to the contractor within 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided NLT 15 days after receipt of Government comments

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

MGMT

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: Plan shall be in MS Word 2010 (or later).

BLOCK 8: BLOCK 8: Government comments will be provided to the contractor within 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided NLT 15 days after receipt of Government comments

BLOCK 9: The words, "FOR OFFICIAL USE ONLY" shall be conspicuously marked at the bottom of the outside cover (if any), on the bottom of each page, and on the bottom of the outside back cover (if any). The front cover (if any) or the first page of the document shall also be conspicuously marked with the following statement:

"This document contains information EXEMPT FROM MANDATORY PUBLIC DISCLOSURE under the Freedom of Information Act Exemption (2) applies."

These markings shall also be applied in an appropriate manner to any data provided in electronic media or transmission Electronic transmission of such data must be via Federal Information Processing Standard (FIPS) 140-1 compliant means.

EXEMPTIONS (2): shall be used on documents which concern internal working processes or procedures (e.g.' OPSEC Plans or Program Protection Implementation Plans).

BLOCK 13: 45 days after Government approval (AIR-7.4.4) of draft. Revisions are required after approval of plan only to comply with Government Data Protection Policy document revisions.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

MISC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: The Contractor shall report technical manual or drawing deficiencies per CNAFINST 4790.2 series with supporting documentation.

BLOCK 12 & 13: Due 15 days after discrepancy is identified.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

MGMT

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: Report must include current inventory including part number, National Item Identification Number (NIIN), nomenclature, quantity, and condition. Also, report monthly shipments into and out of the facility including part number, nomenclature and quantity shipped and to what destination and any pertinent information.

BLOCK 12: Due 30 days after beginning of new Fiscal Year.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

MISC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: Items to be included in the report are as follows (if applicable):

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

· List of nomenclature/part number(s)/material used in the repair

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

· Applicable weight and balance information

· Certificates of compliance or completion

· Other applicable items or remarks of note

· FAA Form 337 / FAA Form 8130-3 (as required)

· Aircraft Inventory Record (AIR) OPNAV 4790/111 (MRO)

· Acceptance Test results (as required)

BLOCK 8: Government comments will be provided to the contractor NLT 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided within 30 days after receipt of Government comments.

BLOCKS 12 & 13: Due NLT 15 days following Government acceptance of aircraft.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail..

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TDP

TM

OTHER

X

P-8A Poseidon Depot Maintenance-Airframe

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

b. COPIES

8. APP CODE

16. REMARKS

15. Total

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.

TM

OTHER

MISC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: Report shall include the following:

· Identify and report nature of mishap

· Provide information necessary to complete mishap data report specified in OPNAV Instruction 3750.6 series (worksheet)

· Estimated material cost to repair damage

· Estimated labor hours and other direct costs to repair the aircraft

· Estimated date to make aircraft serviceable

BLOCK 12: Due 6 hours after aircraft mishap and the Contractor shall report by phone any accident or incident to COR/TPOC.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

MISC

X

17. PRICE GROUP

Corrosion Inspection Report

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: The Contractor shall deliver the report in accordance with Section 6-4 of attachment 5. The Contractor shall report any cannibalization actions that occurred during the performance of the AEPD

BLOCKS 12 and 13: The Contractor shall deliver report no later than 90 days subsequent to Government acceptance for each aircraft that has undergone IMPDS.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

MISC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: Contractor format is acceptable. Report shall contain:

1. Complete list of all maintenance performed on the aircraft while at Depot facility or In-field.

2. FAA Form 337 / FAA Form 8130-3 (as required)

3. All warranty documentation, if applicable.

4. Government/Commercial log book, entries.

5. Weight and Balance Documentation, IAW NA 01-1B-50 as required.

6. All over & above completed.

7. Noted but Not Corrected (NBNC)

8. Parts Required Report (PRR)

BLOCKS 12 & 13: Report due at the time of government acceptance of aircraft.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

MISC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: Contractor shall immediately inform the Government and NAVAIR Engineering of any discovered failure and/or abnormal condition in accordance with CNAFINST 4790.2 series.

BLOCKS 12 & 13: The contractor shall deliver report no later than 5 days after discovery of failure or condition.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

MISC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: Deliver in a Microsoft Office format (2010 or later); such as, Excel or Access.

Report shall include:

· Date of submittal

· Aircraft Assessment Date

· Component Serial Number

· Aircraft BUNO

· Shipping Activity (FRC/MALS)

· Primary failure item nomenclature

· Primary failure item part number

· Primary failure item failure mode

· Major Structural Repairs

· All temporary structural repairs

· Need for proposed work

· Description of findings/comments (including major discrepancies/work to be performed and resulting benefits)

· Estimated cost/BOE for engineering, materials and equipment and/or services with FAR required proposal supporting documentation and information

· GFE required

· Estimated turn-around time (TAT) and completion date

· Signature/Title

BLOCKS 12 & 13: Due within 4 working days after assessment personnel arrival at the aircraft site, unless significant damage requires further negotiation.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

MGMT

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

8. APP CODE

15. Total

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.

TM

OTHER

QCIC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: Deliver in a Microsoft Office format (2010 or later); such as, Word, Excel or Access.

The investigation Report should include, at a minimum, the following data:

· Identify and report deficiency of item

· Identify and report the cause of deficiency for that item

· Recommendations to the Government to alleviate future failures of item

· Manufacture’s recommendations for the correction of deficiency

· Information from the following reports submitted against defective items manufactured, repaired, or overhauled by the Contractor or a Sub-Contractor including vendor parts issued through the On-Site Storeroom:

a. Product Quality Deficiency Report (PQDR)

b. Engineering Investigation (EI)

c. Material Deficiency Report (MDR)

d. Acceptance Inspection Deficiency Report (AIDR)

e. Aircraft Deficiency Report (ADR)

f. Hazardous Material Report (HMR)

g. Technical Publication Deficiency Report (TPDR)

BLOCK 12: Due 30 days after investigation request

BLOCK 13: Due monthly to arrive at PMA-290 NLT the last day of the month, until investigation completion.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT 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 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.

TM

OTHER

MISC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

BLOCK 4: The Contractor shall deliver an initial Impact Assessment Report detailing estimated TAT following completion of the initial inspection/assessment.

The Contractor shall utilize the established Delay Notification Process. This process uses the DNF to document delays during modification or maintenance activity. The DNF details changes in the delivery schedule (TAT) associated with excusable delays as outlined in FAR 52.249-14, including contractor caused delays, duration-based delays, and hours-based delays as calculated per Attachment 7.

The Delay Notification hall include: the relevant contractor Notification Form (DNF) and a technical narrative describing the causes of the impact with relevant backup documentation as follows:

-Funding Related Delays: Contract Letter submitted in accordance with FAR 52.249-14 to request additional funding and any subsequent letters related to work delays or stoppages.

-Parts and GFM Related Delays: Based upon scheduled start date from associated work ticket.

-Warranty Claims - Contract Letter submitted to document warranty claims on GFE/GFM

Continued next page

15. Total

Don Griffin P-8A Airframe Commercial Depot IPT Lead

Donnie LaRocco

A. CONTRACT LINE ITEM NO.

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OTHER

MISC

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16. REMARKS (Continued) (J00J)

Late Contract Changes - Contract Letters and Contract Modifications to document changes or late award of additional scope.

-Contractor Caused Delays -Contractor will provide relevant documentation to explain the reason for delay. No TAT relief will be granted for these delays.

BLOCK 12: First submission will be at within 10 days of discovering delays to the original established TAT as determined by the Initial Impact Assessment, of the aircraft. Extensions may be requested pending completion of the AEPD Inspections.

BLOCK 13: Subsequent submissions will be as required, but not to exceed monthly, with a Final Impact Assessment submitted within 30 Days of DD250 of the aircraft. The final impact assessment shall include Over and Above related delays. The contractor will provide all over and above completed documented in CDRL A00Q, the Over and Above Status report. TAT extensions shall be granted based upon the total number of O&A s negotiated. The final impact assessment will also include a summary of all duration based delays.

BLOCK 14: All deliverables shall be delivered via the AMRDEC website along with 1 CD ROM to the MPRA Library. If the AMRDEC is not available, the Contractor shall ensure the delivery of electronic media via CD ROM to the PMA-290 Data Manager sent via overnight mail.

Don Griffin P-8A Airframe Commercial Depot IPT Lead

Donnie LaRocco

Form Approved

(1 Data Item)

OMB No. 0704-0188

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