Draft PMA 274 Seaport CDRLs 100729.doc

NAVAIRINST 5200.39

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this 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.

VH Helicopters

(See Block 16)

b. COPIES

8. APP CODE

Final

N/A

Block 4: Contractor format is acceptable. Omit paragraphs 10.3.b, g, l, m, n. Focus report on significant achievements or problems.

Block 9: Use the following distribution statement: “DISTRIBUTION STATEMENT F: Further dissemination only as directed by the Presidential Helicopters Program Office (PMA-274), Patuxent River MD 20670, May 2010, or higher DoD authority."

Blocks 12 and 13: Agenda shall be submitted at least one working day in advance of the meeting.

Block 14: The contractor shall submit the deliverable in digital format using Microsoft Office Word compatible software and shall place the deliverable on the PMA-274 Integrated Digital Environment (IDE) at: https://myteam.navair.navy.mil/programs/pma274/Pages/Default.aspx Provide EMAIL notification upon submission of deliverable to: james.sperbeck@navy.mil.

James Sperbeck

Larry Pugh

DD Form 1423-1 Feb 2001 Previous editions are usable.

Page 1 of 1 Page

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this 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.

VH Helicopters

(See Block 16)

b. COPIES

8. APP CODE

Final

N/A

Block 4: Contractor format is acceptable. Omit paragraphs 10.3.b, g, l, m, n. Focus report on significant achievements or problems.

Block 9: Use the following distribution statement: “DISTRIBUTION STATEMENT F: Further dissemination only as directed by the Presidential Helicopters Program Office (PMA-274), Patuxent River MD 20670, May 2010, or higher DoD authority."

Blocks 12 and 13: Reports shall be current as of the end of the month reported. First submittal shall be 15 days after the end of the first complete month after contract award. Subsequent submittals shall be monthly thereafter, no later than 15 calendar days after the end of the month.

Block 14: The contractor shall submit the deliverable in digital format using Microsoft Office Word compatible software and shall place the deliverable on the PMA-274 Integrated Digital Environment (IDE) at: https://myteam.navair.navy.mil/programs/pma274/Pages/Default.aspx

James Sperbeck

Larry Pugh

Page 1 of 1 Page

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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 this 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.

VH Helicopters

(See Block 16)

b. COPIES

8. APP CODE

Final

N/A

Block 4: Contractor format is acceptable. Paras: 10.1c, 10.3.1.5 and 10.3.6 do not apply.

Block 9: Use the following distribution statement: “DISTRIBUTION STATEMENT F: Further dissemination only as directed by the Presidential Helicopters Program Office (PMA-274), Patuxent River MD 20670, May 2010, or higher DoD authority."

Blocks 12 and 13: Reports shall be current as of the end of the month reported. First submittal shall be 15 days after the end of the first complete month after contract award. Subsequent submittals shall be monthly thereafter, no later than 15 calendar days after the end of the month.

Block 14: The contractor shall submit the deliverable in digital format using Microsoft Office Excel compatible software and shall place the deliverable on the PMA-274 Integrated Digital Environment (IDE) at: https://myteam.navair.navy.mil/programs/pma274/Pages/Default.aspx

James Sperbeck

Larry Pugh

Page 1 of 1 Page

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

OMB No. 0704-0188

The 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 this 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. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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 NO.

A

C. CATEGORY:

TDP _ TM OTHER Security

D. SYSTEM/ITEM

VH Helicopters

E. CONTRACT/PR NO

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Operations Security (OPSEC) Plan FORMTEXT

3. SUBTITLE

Operations Security (OPSEC) Plan

4. AUTHORITY (Data Acquisition Document No. )

DI-MGMT-80934A (See Block 16)

5. CONTRACT REFERENCE

SOW Para 5.9.2

6. REQUIRING OFFICE

NAWCAD 7.4.3

7. DD 250 REQ

LT

9. DIST STATEMENT REQUIRED

F (See Block 16)

10. FREQUENCY

ONE/P

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16

b. COPIES

A

N/A

a. ADDRESSEE

FINAL

(See Block 16)

16. REMARKS

Block 4: Delete references in DI-MGMT-80934A. Instead use the definition of sensitive information given in Public Law 100-235. Use National Security Decision Directive (NSDD) 298 for the concept of Operations Security.

Block 9: Use the following distribution statement: “DISTRIBUTION STATEMENT F: Further dissemination only as directed by the Presidential Helicopters Program Office (PMA-274), Patuxent River MD 20670, May 2010, or higher DoD authority."

Blocks 8, 12, 13 and 14: Approval is for content. Hard copy of preliminary draft and soft copy on compact disk (CD-ROM) in MS Word format shall be submitted within 90 days of contract award to Commander Attn: 7.4.3, 22514 McCoy Road, Unit 10 Patuxent River, MD 20670-1457. Final plan due 45 days after Government approval (NAWCAD 7.4.3) of draft for format and content This single Government-approved OPSEC plan will be applicable to this award and all other option periods. Revisions as required after approval of final plan only to comply with Government Data Protection Policy Documents revisions. Provide EMAIL notification upon submission of deliverable to: james.sperbeck@navy.mil.

(See Block 16)

G. PREPARED BY

James Sperbeck

H. DATE

L. APPROVED BY

Larry Pugh

J. DATE

Page 1 of 1 Page

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 440 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 this burden estimate or any other aspect of this collection, including suggestions for reducing the 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, D.C. 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contract Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP

TM

OTHER

Security

D. SYSTEM/ITEM

VH Helicopters

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Contingency Plan

3. SUBTITLE

Continuation of Mission Essential Contractor Services Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (see block 16)

5. CONTRACT REFERENCE

SOW para 5.12.1

6. REQUIRING OFFICE

PMA -274

7. DD250 REQUIRED

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

One/P

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

8. APP CODE

A F

(See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16

16. REMARKS

Block 4: DID is for guidance only

Block 9: Use the following distribution statement: “DISTRIBUTION STATEMENT F: Further dissemination only as directed by the Presidential Helicopters Program Office (PMA-274), Patuxent River MD 20670, May 2010, or higher DoD authority."

Block 12: Draft plan is required 90 days after contract award. The Government has 30 days to provide comments back to the contractor. The contractor shall incorporate comment and re-submit within 30 days of receiving Government comments.

Block 14: The contractor shall submit the deliverable in digital format using Microsoft Office Word compatible software and shall place the deliverable on the PMA-274 Integrated Digital Environment (IDE) at: https://myteam.navair.navy.mil/programs/pma274/Pages/Default.aspx

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Page 1 of 1 Page

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

Public reporting burden for this collection of information is estimated to average 440 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 this burden estimate or any other aspect of this collection, including suggestions for reducing the 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, D.C. 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contract Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP

TM

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Personnel Gain/Loss Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (see block 16)

5. CONTRACT REFERENCE

SOW para 5.13.1

6. REQUIRING OFFICE

PMA-274

7. DD250 REQUIRED

No

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

8. APP CODE

N/A F

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16

16. REMARKS

Block 4: DID is for guidance only. Format of report shall comply with the attached “ITCOR” spreadsheet.

Block 9: Use the following distribution statement: “DISTRIBUTION STATEMENT F: Further dissemination only as directed by the Presidential Helicopters Program Office (PMA-274), Patuxent River MD 20670, May 2010, or higher DoD authority."

Block 12: First report is required (10) days after contract award.

Block 13: Subsequent submittals required within (10) ten days of gain or loss of employee(s) that had or will access Government IT systems.

Block 14: The contractor shall submit the deliverable in digital format using Microsoft Office Excel compatible software and shall place the deliverable on the PMA-274 Integrated Digital Environment (IDE) at: https://myteam.navair.navy.mil/programs/pma274/Pages/Default.aspx. Provide EMAIL notification upon submission of deliverable to: james.sperbeck@navy.mil.

PMA-274

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Page 1 of 1 Page

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

Public reporting burden for this collection of information is estimated to average 440 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 this burden estimate or any other aspect of this collection, including suggestions for reducing the 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, D.C. 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contract Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

TDP

TM

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Performance Self-Assessment

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (see block 16)

5. CONTRACT REFERENCE

SOW para 5.14

6. REQUIRING OFFICE

PMA-274

7. DD250 REQUIRED

No

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

8. APP CODE

N/A F

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

Block 4: DID is for guidance only.

Block 9: Use the following distribution statement: “DISTRIBUTION STATEMENT F: Further dissemination only as directed by the Presidential Helicopters Program Office (PMA-274), Patuxent River MD 20670, May 2010, or higher DoD authority."

Block 12: Contractor Self-assessment is due within need to check QASP dates Block 14: The contractor shall submit the deliverable in digital format using Microsoft Office Word compatible software and shall place the deliverable on the PMA-274 Integrated Digital Environment (IDE) at: https://myteam.navair.navy.mil/programs/pma274/Pages/Default.aspx. Provide EMAIL notification upon submission of deliverable to: james.sperbeck@navy.mil.

PMA-274

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

Page 1 of 1 Page

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

Public reporting burden for this collection of information is estimated to average 440 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 this burden estimate or any other aspect of this collection, including suggestions for reducing the 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, D.C. 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contract Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP

TM

D. SYSTEM/ITEM

H-53 Helicopter

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A00X

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Information Technology Personnel Security Report for NAVAIR Security

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A (see block 16)

5. CONTRACT REFERENCE

IT clause 5252.204-9505

6. REQUIRING OFFICE

AIR/AD 7.4.1

7. DD250 REQUIRED

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

N/A

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

8. APP CODE

N/A

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See Block 16

16. REMARKS

Block 4: DID is for guidance only. Contractor shall submit IT Personnel Security Report for all employees (including sub-contractors) requiring access to Government IT systems. Format of report shall comply with the attached “IT for Security” spreadsheet in digital media compatible with Microsoft Office 2003.

Block 12: First report is required (10) days after contract award.

Block 13: : Subsequent submittals required within (10) days of gain or (5 days) of loss of employee(s) that have or will access Government IT systems.

Block 14: Report shall be submitted via encrypted e-mail directly to NAVAIR Security point of contact. COR will provide e-mail address of current Security POC. .

AIR/AD 7.4.1

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

Jay Stratakes

J. DATE

Page 1 of 1 Page

17. PRICE GROUP

18. ESTIMATED TOTAL PRICE

Enclosure (9)