Exhibit_Y_NAVY-OY3_Part_B_CDRLs.docx

Data Requirements List (DD 1423’s) for

P-8A Poseidon Engine Maintenance and Repair Depot United States Navy

EXHIBIT Y

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

EXHIBIT Y – OY3 CDRLs

DIN TITLE SUBTITLE

Y003 Teardown Deficiency Report Engine MOR/Field Final Repair Report

Y004 Warranty Performance Reports Product Quality Deficiency Report

Y005 Status Report Over and Above Status Report

Y006 RESERVED

Y007 Quality Deficiency Report Deficiency Management

Y008 Parts Management Plan Supply Report

Y009 Conference/Meeting Administration Work Scope Planning/Meeting Minutes

Y00A Mishap Data Reporting Management MDR Management

Y00B Inventory/Utilization Data Report

Y00C Teardown Deficiency Report Part Condition Assessment

Y00D Internal Contractor Technical Data Report Test Cell Correlation Summary Report

Y00G Internal Contractor Technical Data Report Engine Part Repair Approval/FAA DER Approved Substantiation Package

Y00J Sustainment Functional Cost-Hour Report Contractor Cost Data Reporting (CCDR)

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

MISC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

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

· Aircraft BUNO

· 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

Sharmella Riggs P-8A Propulsion & Power IPTL

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

MISC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

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

· Date of submittal

· Engine Assessment Date

· Engine/Module Serial Number

· Engine Stand Serial Number

· Shipping Activity (Squadron / Location)

· Equipment/Component inventory shortages

· 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 7 working days after engine is received at the MRO facility, unless significant damage requires additionally negotiated time via the COR.

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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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

ALSS

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 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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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

· 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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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: The Contractor shall provide Over and Above Monthly Status Report submittals per DID DI-MGMT-80368A with the following exceptions; paragraphs 3.2.1, 3.2.2 and 3.2.3 are not applicable.

BLOCK 12: First submission due NLT 15 days following receipt of the first engine received.

BLOCK 13 Monthly:

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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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. 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 Engine Maintenance and Repair Depot

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

QCIC

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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

SDMP

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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

ADMN

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

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

BLOCK 12 and 13: Due NLT 5 days after completion of CDRL A002 (Engine MRO Assessment Report) and Meeting Minutes due NLT 5 days after the Work Scope 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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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

SAFT

X

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

LT

b. COPIES

8. APP CODE

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

The Investigation Report shall contain the following, at a minimum:

1. Identify and report the nature of mishap

2. Provide information necessary to complete mishap data report as specified in OPNAV instruction 3750.6 series.

3. Estimated material cost to repair damage

4. Estimated labors hours and other direct cost to repair the engine/equipment

5. Estimated date engine will return to service

BLOCK 12: Verbal notification due within 6 hours of incident. To the COR/TPOC Written report due NLT 24 hours after incident.

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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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 (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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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

ALSS

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):

Part measurements documented in provided MS Excel spreadsheet Part Condition Assessment (PCA) template: See Attachment 3.

In addition, the condition of the following list of items is to be observed closely and documented during the shop visit:

1) Detailed evaluation of HPT blades

a) Under platform corrosion

b) Airfoil - deposits / build-up / trailing edge burning

c) Cooling passages (corrosion) /

2) HPTN – Visual for TE burning, erosion, deposits / build-up

3) HPT Shroud Hangers – Visual for cooling hole clogging

4) HPT Shrouds – Visual for signs of overtemp

5) HPC Blades – Visual for airfoil erosion, airfoil FOD, deposits / build-up

6) Fan Blade Platforms

7) Oil Coking

a) Specifically feed to #4 bearing.

8) LPT blade - corrosion

9) Evaluate all LLP hardware for cracking indications and corrosion

10) Detailed inspection of fan case (corrosion)

11) External surface of AGB (corrosion)

12) Combustor liner surface (look for excessive spalling or burn through)

a) Include visual review of fuel nozzles

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 each engine.

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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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

· Process / procedure used to correlate the Production test cell to the Baseline / Reference Test Cell IAW ARP 741

· Process used to a trend test cell results and determine when a new audit or test cell correlation re-baseline effort is required

· Description/Schematic of each Production Test Cell and Baseline/Reference Test Cell Instrumentation List Description of any test cell configuration change that affects measurement uncertainty or measured pass-off or acceptance parameters

· Method by which primary performance parameters are measured & calculated, e.g., Thrust, Fuel Flow, Turbine Temperature, Engine Inlet Pressure and Temperature, Exhaust Plane Pressure, Air Flow, etc.

· Method used to determine Fuel properties, i.e., Lower Heating Value, Specific Gravity, Viscosity

· Method to calculate acceptance parameters, e.g., thrust margin, SFC margin, EGT margin, etc.

· Measurement Uncertainty assessment for sell parameters

· Plots of full operating line Thrust, Fuel Flow, SFC, EGT comparing Production Test Cell(s) to the Baseline/Reference Test Cell

· Definition of and justification for any correction factors required to match Baseline/Reference Test Cell

· Findings and Conclusions required to match baseline performance BLOCK 8: Government comments will be provided to the contractor NLT 30 days after receipt of contractor submittal. Revised contractor submittal shall be provided within 30 days after receipt of Government comments.

BLOCK 12: 30 Days after contract award.

BLOCK 13: Due NLT 15 days following each test cell status change that requires test cell correlation.

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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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 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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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

MNTY

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.

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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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 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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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 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

Sharmella Riggs, P-8A Propulsion & Power IPTL

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. 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

DI-FNCL-81992

(See Block 16)

LT

b. COPIES

8. APP CODE

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…