LHD_LHA_CDRLS_Final.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approvlld f1 O.t• Item} OMS No. 0704.0188 n.. IMAollc reponjftf ....,_lot liM eoi0C11on of lllfomoallon lo --to·-- 110 .._.per ••-.lnducllftg!M- fot ....-,-....,., -• .~.,.,..

data aGift .. , gdwlfto Wid m*"*""tr ft data-.,, lftd c--. M d _.._. N- of lnfonnetloll. S...ll c- ret ... "' IHt llwdaft ~ ot _,., 0U. a~ of INa coiJecllon of lnformnon, ~-· for ra<Ndn1 N Ndell, ta ft ~~ of OeftooiN, Ea-... ........ lilt-ate 1070&-0 111. 111_.,.,10 lhouW IN aw.e Nl ..., elllor ....,..., of law,.,. p.,..., lhell be ... loct t• ...., jMNity tot fa111o>t to Ufiii'IY - a co .ectlan of lnt..........,n" It den ftOt 4hploy a.....-, wild OMS-"""""" 1'1- • net-.,.,........, to the-.,. ......... on. IeoNI.......-- 1D 1lle --...... ~ 0111_,.,- C-.ctJPRNo.latellln .,_E.

A. CONTRACT UNE ITEM NO. B. EXHIBIT C. CATEGORY:

Work Specification 0001 A 1111' na - Ontell

D. SYSTEM/ITEM I E. CONTRACTIPR NO. F. CONTRACTOR

Third Party Advance Planning N00024-14-R-440S

1. DATA ITDI NO. 2. TITU 01' DATA ITDI 3 . IIUII111U

A001 WORK SPECIFICA nON REPORT WORK SPECIFJCA nON DEVELOPMENT/SHIP

4. AUTHORITY (Dofa Acqulalr/tlll Doc-No.I , •• CONTRACT RSRIIIJICI I . IIEQUIIINQ OFFICa

Dl-MGMT-81786 See Blk 16 NAVSEA21 7.002SOIEQ I. DIIT ITA TIIIINT 10. FREOUINCY 12. DATEOFFIQT IUIMIISION 14. OIITIIIIUTION

LT (Bik 16) lllQUtiiED See Blk 16 SeeBJk 16 b . COPIES

e. AI'P COCE See Blk 16

11. AS OF DATE 13. DATI 01' IUIHQIISfT a. ADOR£SSEE Aolol

~lk16 Draft 111111 ti.IIEMAMUI COR 0 0 1 Wotk Specifications, Reque.sts for Contract Changes, detailed cost estimates, ACOR 0 0 1 ship check summary report. non-standard reference summary report. and post award NSA 0 0 I availability execution support. Deliverables 10 be posted on a Government designated web TYCOM 0 0 1 site.

Blk S. Contract Reference:

C.2.S, C.2.6, C.3.1.1 .b, C.3.1.2.d, and C.3.2.1

Blk 7. DO 2SO REQ:

Letter of Transmittal (L n shall be via email with noti(tc~tion and direciOry information for retrieval.

Blk 9. Dist Statement Required:

Distribution Statement D. Distribution Authorized 10 the Depanment of Defense and U.S. DOD Contractors only due to business sensitive nature of data. Other Requests shall be refcn'ed 10 NA VSEA 21.

Blk 10. Frequency

• Ship check summary report required monthly.

·Non-standard reference summary report required 7 calendar days prior 10 Technicallnslruction (TI) performance period end date.

·Availabil ity WOlle: Specifications required as defined in Technical Instruction (11).

- Emergent Maintenance (EM) Work Specifications 24 hours after government notification of requirement 10 develop specification.

• Request for CGntract Changes and post award availability support as de(tned in Technical lnslnlc:tion (n).

Blk 12. Date of First Submission

- Ship check summll)' report required 30 days after the award of contract.

• Non-standard reference summary report required 7 calendar days prior to Technical Instruction (n ) performance period end date.

-Availability Wotk Specifications required as defined in Technlcal lnstnletion (TI).

• Emergent Maintenance (EM) Work Specificatiotls 24 hours after government notification of requirement 10 develop specification.

- Request for Contract Changes and post award availability support as defined in Technical Instruction (n).

jn. PIUCii CIIIOUI'

11. EITIMAtm

TOTAL PRICE

I I I I I f

I I I I I

I 1l . toTAL 0 0 4

KAMDBY~ H. DATE

LJ4~ ~ J.T I

~ ,-"'- x /\' 11/13/2015 ,, ~--J•s I

DOF~ ~RM 1423·1.1=~2~ Pf!EVIOUS EDITION MAY BE US£0. Pag• _ I_ of Peg•s --llln8l 0

CONTRACT DATA REQUIREMENTS LIST

(1 Data /rem!

A. CONTRACT UNE ITEM NO.

0007 l

B. EXHIBIT IC, CATEGORY:

A TOP ™ OTHER Work Specification

Third Party Advance Planning I

E. CONTRACT/PR NO. IF. CONTRACTOR

N00024-14-R-4405

D. SYSTEM/ITEM

16. REMARKS (Contmued/

B!k 13. Date of Subsequent Submission:

- Ship check summary report required monthly.

-Non-standard reference summary report required 7 calendar days prior toT cchnical Instruction {TI) perfomtance period ~nd date.

- A\ ailability Work Specifications required as defined in Technical Instruction (Tl).

-Emergent Maintenance {EM) Work Specifications required 24 hours after go\emmenl notification.

-Request !br Contract Changes and post award availability support as dcfim:d in Technical Instruction {TI).

DD FORM 1423-1, FEB 2001 Page~~ of Pages

CONTRACT DATA REQUIREMENTS UST Form Approvftl (t D•t• h•mJ OMS No. 0704.0188 n.. ,... • ._..,. ...,.., fw1Ho cellecnlon Ill...,......,.., .. -ad to-- 110.......,,.. ,._ ... lncludlnt- *"• fw _.,. ..._.,., ~~ •llldntl ~~- -... . ..-..nns-,..~-.,. ,...,, w _,.1::"1.,11111....-...,- col1ecUoft 111 ..........,...._ s...- ,...,..,.. ... , ...,_ ......,,. ., _, o1tw ;r.r. of !lilt collec'ioft Ill w--... . .........,, ~ ,......,, -~.,.,.to- o.-«n of o.t-• ........, • ...,.._ o.-ato (0704-0 111.11eop--- k _.,.-.,._, _,- ~olon Ill taw,,.,....,....,,.,. oulljHtto _, I*\IIIY for fllll"f to •-illY with a·-of --If 11 -•- •m• c...-yvolld OMI co_,_...,. 11o- _....,._to the_......,.. .. .,. ,_ ...,..,.....,_ .. -a._,...,.. c---. o - ter""' c:-...,IPRth. lotadtn...,.. E.

A. CONTRACT UNE ITEM NO. B. EXHIBIT C. CAT!GORY:

Work Seecification 0007 A n._ TM OntiR

O.SYSTEMnTEM I E. CONTRACTIPR NO. F. CONTRACTOR Third Party Advance Planning ~00024-14-R-4405

1. DATA ITEM NO. 2. 1ITUE 01' DATA ITEM 3. 1U8Tn\1

A002 WORK SPECIFICA nON REPORT WORK SPECit1CAnON DEVELOPMENT 4E

4 , MITHDIITT ttJMo Aequh/llott Dec.-No./ I'· C011111ACT ~ I. IIEOUUIINO OffiCI

DI-MGMT-8 1786 SOW C.3.1.l.b NAVSEA21 7.00210MQ 1. DIST UATDEHT 1G. I'IIIQUDCY tz. DAft OF FIIIIT SV.IIIOII t4. DIIT1IIUTION

LT(Bik 16) AeOIJIRID SeeBik 16 See Blk 16 II COPIES

a. APP COllE See Blk 16

H.AIOFDA'R t3.DA'RCI_'". o. AODIIIIIU AMI

'""!:'Bik 16 Oroft

11.MMAIIIII COR 0 0 1

Provide availability wort specification peckages, detailed cost estimate, technical reference ACOR 0 0 1 data, ml!erial dala. and availability plannins data within NMD. Delivc:nbles are to be NSA 0 0 1 posted on a Government designated web site. TYCOM 0 0 1

Blk 7. DO 250 REQ:

Letter of Transminal (L T) •••II be via email with notification and directoty information for retrieval.

Blk 9. Dist Statement Required:

Distribution Statement D. Distribution Authorized to the Department of Defense and U.S. DOD Contractors only due to business sensitive nature of data. Other Requem shall be referred to NA VSEA 21.

Blk 10. Frequency

• Availdlility Work Specification pacuses are required at the "PackJ&e Turnover" milestone as defmed in technicallnstruc:tion (11).

• Emeraent Maintenance (EM) Work Specific:Mions 24 hours after government notification of requirement to develop specification.

Blk 12. Date of First Submission

• Availability Work Specification packaaes are required at the "Packace Turnover" milestone as defined in technical Instruction (TI).

• Emer&ent Maintenance (EM) Work Specifications 24 hours after government notification of requirement to develop specification.

Blk 13. Dale of Subsequent Submission:

• A vaildlility Work Specification f!Kkaau are required at the "Packa:c Turnover" milestone as defined in technica1lnsttuction (11).

• Emei'Jenl Maintenance (EM) Work Specifications 24 hours after &ovcmmenl notification of requimnent to develop speciftc:ation.

til. TOTAL 0 0 4

H.DAT!

~~---0

J. DAT!

( ~ 11/13/2015 •'t'"'lS ."\ DD 'ORM 1423·1. PEB"20Q.!__) PREVIOUS EDITION MAY BE USED. P~• _I_ of Pages --AdaM PlftNionll • 0

, 18. EITIIIIA TID

TOTAL PliCa

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CONTRACT DATA REQUIREMENTS UST Fotm ApptOvtHI 11 O.t•lt•ml OMB ND. 0704-0188

The poMc 1-*'ebwdon let 'lifo-rrf ...,........,., n~~...- ~ -• .. 110 lloun,.. ,_, --~~ 1he *"• ,., _....,. ...._..........,.,. .-.,. dlltll ,._,, ......,. w ....,.......,.IN~-,_..,, w c-plootlna lfl4 rniewlng 1he ai!IC1hon rrf lrll1wm&11on. San<l- ,_..,.-""""..,.,.,. • .,any •"* "'fir. of - collec1lon al lnf .......... n, IM!u*ll ...... .-.. let reMinl 1he llllrdon, 10 1he D..,..._ of Delon•, ~ ... lrM• 0~-1110 (0704-0 111. ""-lldenla ahoUd M _.,. 'llwn ~ any •-,... .. .,. rrf lnv, no P••on INII M ,..)let 111 any JMNkY far f .... 1a -r.: w11h a cahc11on el lnf........,lf h doao- dlopl8y a...,....,.,, ... O..W -.1 ............ PlaMe •-- yeur •- 10 1he.....,. ...... .-................... - 1e tho Q-........ ~~~ ...... ~ .... ............ ~.

A. CONTRACT UNE ITEM NO. B. EXHIBIT C. CATEGORY:

MEETINGAAR 0007 A TOP Till OTHI!II

D. SYSTEM/ITEM I E. CONTRACTIPR NO. F. CONTRACTOR

Third Party Advance Planning N00024-14-R-440S

1. DATA !TIM 110. 2.. TrTUO/IDATAITIM J.IUBTlTU

A003 REPORT, RECORDS OF MEETING/MINUTES MEETING AFTER. ACTION REPORT

4 . .wntOIITY tDet• Aqt.rll#llon o.c- N.c./ , •• COIITMCT IIIAIIIIIICI I III~OfRCI

DI-ADMN-81505 SOW C.3.1.7, C3.1.8 NAVSEA21

7. 00 210 11£0 I. III&T ITATUIENT 10. fMQUEHC't 12.. DATI Of' PIRIT 11U-.oH 14. IIIITIIIIUl10N

LTCBik 16) IEOUIIIED See Blk 16 See Blk 16 lo. COPIIS

I, Al"1 CODE See Blk 16

11. AI 01' DATI 13. DATI DP IUU!OUEHT a AOORESSIE Ana:

"*Y:"stk 16 Otan Ret

11. 111MARU PCO 0 0 I

Provide after action reports for all meetinp attended. COR 0 0 I

ACOR 0 0 I

8110 00250 REQ NSA 0 0 I

Letter ofT...nsmittal (L 1) shall be via email with notification lind directory TYCOM 0 0 I lnfonnacion for retrieval.

Blk 9. Dist Statement Required:

Distribution Statement D. Distribution Authorized to the Department or Defense alld U.S. DOD Contractors only due to business sensitive nature of data. Other Requests shall be referred to NA VSEA 21.

Blk 10. Frequency

- Meetina attendance and subsequent after action reports arc dcfmcd In the applicable Tecbnicallnsuuction (TJ).

Blk 12. Date of First Submission

- Mcctina attendance and subsequent after ll:tion reports arc defmed in the applicable Technical Instruction (TJ).

Blk 13. Date of Subsequent Submission:

- Meeting attendance and subsequent after action reports arc defined in the applicable Technical Instruction (11).

11. TOTAl 0 0 s

[\7ARED~~

H. DATE

~~___() J.DAT J ( ~~ . o· 'V-x 11/1312015 II \~ lS \.1 " \.'\.

DD ~RM 1423-1, Fllt'209.LJ PA£VIOUS EDITION MAY BE USED. P•g• _t_ of -- Pqea

I 17 PRICE GIIOIIP

11 . BT11M11D

TOTA&.""ct

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CONTRACT DATA REQUIREMENTS UST Form Approved (1 D•t• lt•mJ OMS No. 07(U.(J188 n.. ,_ .._,.,. ..... fw ........... ....._ .. " •• ......_.. ___ 110-.... _ ........... tt.. ..... fw .......... ~ • ...cHnt ... .,.,.

ala-·~-m..,..,.,. tt..--. -:::.=...~-,_,. tt.. _..,of........,_, ..,. --,.,....,. -.ro......, ""*"- • _, .e... = ...... ....,.., of ...,_.....,. ........... ....,.,.,. ......... Ill tt.. o---n of Oof-. ~ ........ Dlr- 10704-0 U ). ~-wid H- lha1 N,__l _, .-.......... el r.w, ne ..... n INIIH M.., to_, ,....ny f• f ..... Ill --.oly """e oolecdoft ef ..., __ K h- not dlf'lecJ:.:., ~void OMI--· PIMM. net-,....,_ 111 tt..- ....., ....... 18M..,...._.,_, .. tt.. o-_......,c--... '•"'-e-n .... ...-~n~~ec~~E.

A. CONTRACT UNE ITEM NO. B. EXHIBIT C. CATEGORY:

0007 A 11lfl _ 11o11 __ OTIIIII LONG LEAD MATERIAL --

D.IYSTEMIIT!M I E. CONTRACT/PR NO. F. CONTRACTOR

Third Party Advance Planning N00024-14-R-440S

1. DATA ITDI NO. :Z. TllU! Of DATA ITDI J,IUSTJn.l

A004 STATUS REPORT LONG LEAD 11ME MA TERJAL REPORT

4. Aun«<IITY llJaU AqvblfiM o.-t Ne.J I·· COIIITRACT IIIJ'EM:IfCi I IIEOUIIIN4 Of'l'a

(BLK 16) SOW C.3.3.l.b, C.3.6.3, C.3.7.4 NAVSEA21

7. DOUOMQ I. IIIIT ITATIIIIMT 10. AIIQUDICY 12. DAlt Of FIIIIT ..,_...,.. 14. ....,..,.

LT(Bik 16) RIEOUIIIID MTHLY 30DAC ~ . C:Of'IES

•. _,COlli (Bik 16) U . AI OF DAlt t:t.DAltOP • AOOREIII!f "'"" ·~v Dr ell .... ...,.

11. III!JMMI COR 0 0 1

Provide LL TM report docwncntins idcntific:ation of, proClfttnent of. receipt or and ACOR 0 0 I turnover or LL TM to the Government. NSA 0 0 1

TV COM 0 0 1

one 4. Autt.ority:

AccomplWI para 3.2.4. ofDI-MGMT-80368A R.eported data fields as a minimum shall include:

StoP NAME

SSP NUMBER

SSP START/END DATES

AV AILABJLJTY TYPE (SRAJDSRA ETC.)

WORK ITEM NUMBER

WORK ITEM Tin.E WORK ITEM LL TM REFERENCE NUMBER ( SUBPARAGRAPH S.l)

ITEM DESCRIPTION

FSC

NllNIPART NR

QUANTITY ORDERED

UNIT OF ISSUE

UNJTCOST

TOTAL COST

REQUJSTION NUMBER

TCN NUMBER!JRACKJNO NUMBER

ESTIMATED DELIVERY DATE

RECEIPT DATE

INVOICE DATE

QUANTITY RECIEVED

QUANTITY TRANS FE RED TO NSA

DATE OF TRANSFER TO NSA

REMARKS· TO INCLUDE PROCUREMENT RECOMMENDATIONS

Blk 7. DO 2SO REQ:

Letter ofTI'IIISmittal (L T) shall be via email with notification and direc:tory information ror retrieval.

Blk 9. Dist Statement Jte.cluired: Discribution Statement 0. DiSiribution Authorized to the Department orDcrecue and U.S. DOD Contractors only due to business sensitive nature or data. Other Requesu shall be refened to NA VSEA 21.

1e. UTIIItA TID TOTAL l'tiiC!

I

I

I I I I I I I I I I I I I

11 TOTAL 0 0 4

L\~~r- H. DATE t. APPROVED BY

J.oT I

11/13/201S LM~ •• 1& }15 I ~~~

DD F9RM 1423·1. FEIJ2001 PREVIOUS EDITION MAY BE USED. P•g• _I_ of -- Paou

CONTRACT DATA REQUIREMENTS LIST Form Approv11d It Dllt11 lt•mJ OMS No. 0704·0188

The pubic ,.anlng ...,...., for 1Ha cohcdon of lnfonnatlon It onlnMted 111 ..,., ... 110 hours per reopo-. ln-1 1he limo for rwlewlngl-. -c~~~no Oldonlnf au oo ...... p111er1t1e end melnUIWng 1he dau -d, "!:"..:::C'""' 1114 ,........,, 1he col- of lnfoiiNIIIon. Send ..... -,_...,. INa b....., •tllma~ or eny o1het = of IIIIo COIIK1!on of lniO!fMIIoft, lndUdlnt one for red...W.O lho llwd..,, to 1he C....-...t of Cefenoe, &.cutlw SoMe .. .,.,_,.,.

10704-0 Ul. Re~o"""""' 1M aw.,. !hat~-~...., oilier~ of law,.,._.., ohooll bo oub)oct to ony penalty for f...,10 ._1y wllh • oolloctlorl of Ini-tio"" It doot- ·m:.. _, y .... OM8 COfltlol I'IUII'Iber. do- ........ .,_-,. tho- .............. ._ ........... ~--the

- ........ c:ar.trac~~,. fer tho c:-tJI'IIIIo. lotod 11> .-E.

A. CONTRACT UNE ITEM NO. 8. EXHIBIT C. CATEGORY:

0007 A TOP TM _ ona STATUS REPORT

0. SYSTEMnTEM I E. CONTRACT/PR NO. F. CONTRACTOR Third Party Advance Planning N00024-I 4-R-4405

1. DATA ITEM NO. Z. 11Tli Of DATA ITEM :I.IUITITU.

AOOS STATUS REPORT AVAILABILITY SCHEDULE TURNOVER

BOOK and DURA 110N ANALYSIS

4. AUTMDNI'Y fo.ta kqub/liorl o.-1 No.I II. CONTWACT IIEFIAEINCI I . REOUIRWG DmCE

DI-MGMT-80368A SOW C.J.l.IO, C.3.1.1 I NAVSEA21

7. DOZSOR!Q I . DIIT ITATEio&NT 10.flllQUENCY ta. DATI! Of AIIST IVIIIIIIIOH 14. DIITRIMITIO!f

LT(Bik 16) fllQUIIIID See Blk 16 See Blk 16 b. COPIES

I. AI'P COlli 11. AI OF DATE 13. DAQ Of IUIIiQUSfT a. ADDRESSEE ANI

A See Blk 16 ~lk 16 Ctatt Reo Repro

11. AEMAAIIII COR 0 0 I

Provide availability swnmuy report (aka "Availability Turnover Boolr.j prior to ACOR 0 0 1 publication of the work paclr.ece in the NMD. Report shall include: NSA 0 0 1

· Assessment of Availability planning effort. TV COM 0 0 1

• Work Specification Index.

• Listin& of Work Specifications listed as Option Items,

· Listing of Process Control Procedures (PCPs) required for each Work Specification, ·Listing of Government Furnished Material for each Work Specification, procurement status, and material availability.

• Listing of Work Specification testing requirements.

- Listing of System/Equipment certification requirement!,

· Listing of Work Specifications that require shipboard structural access cuts, Summary of estimates for Work Specifications reported as Man-days and Material Cost,

- Information conceminc the proration of service/support costs required of -various Government activities based on authorized availability work package, Listing of Liaison Action Reports (LAR)IReversc Liaison Action Reports (RLAR) incorporated into modernization work specifications, -Alteration Installation Team (All) or third party maintenance provider information.

- Ships Force messing and berthing requirements information including impact of habitability related repairs. Ship stability requirement! to support dry-docking. tank assessment, tank preservation, or waterborne repairs.

Availability duration analysis report. including identification of: availability duration, critical path Work SpecifiCations and controlling Work Specifications, major event and mile&tone schedule, production sequencing of repairs and alterations, conjunctive repairs and alterations. schedule impact of ship habitlbility related repairs. schedule impact associated with tank assessment!

andfor preservation, total availability and incrementally scheduled induserial manpower requirements, and shipboard compartment impacts due to required manning levels. Report shall also provide recommendations for availability duration chances based on analysis rcsulu.

117-I'IIICI! GIIOUI'

11. Ul1MATED

TOTAL f'IIICI!

'L--.....J I I I I I I I I I I

I

I

I I I I

I

I I I I

11. TOTAL 0 0 4

~QDB~

H. OAT£ I. APPROVED BY J.DAT I

~ 1 J/13/201S ~~~ ll 1\,J•s- I u - DO FpRM 1423·1. FE'2uu .- PREVIOUS EDITION MAY BE USED. Page _ I _ of -- Pages

CONTRACT OAT A REQUIREMENTS LIST

(1 Data Item)

A. CONTRACT LINE ITEM NO.

0007 I B. EXHIBIT I c. CATEGORY:

A TOP TM OTHER STATUS REPORT

D. SYSTEM/ITEM

Third Party Advance Planning

16. REMARKS /Continued)

Blk 7. DO 250 REQ:

I

E. CONTRACT/PR NO. I F. CONTRACTOR

N00024-14-R-4405

Letter of Transmittal (L T) shall be via email with notification and directory information tor retrieval.

Blk 9. Dist Statement Required:

Distribution Statement D. Distribution Authorized to the Department of Defense and U.S. DOD Contractors only due to business sensitive nature of data. Other Requests shall be referred to NA VSEA 21.

Blk 10. Frequency

- Draft report required at the A-360 milestone as de tined in Technical Instruction (TI). Government shall provide approval/disapproval of draft report within 5 working days. Re-submitta1 of corrected draft report required no later than the A-330 milestone as de tined inTI.

- Final report required at 5 working days prior to the 'Package Turnover'' milestone as defined in the Tl.

B lk 12. Date of First Submission -Draft report required at the A-360 milestone as defined in Technical Instruction (TI). Government shall provide approval/disapproval of draft report within 5 working days. Re-submittal of corrected draft report required no later than the A-330 milestone as de tined inTI.

- Final report required at 5 working days prior to the " Work Package Integration Conference' ' milestone as defined in the Tl.

Blk 13 Date of Subsequent Submission:

- Draft report required at the A-360 milestone as defined in Technical Instruction (TI). Government shall provide approvaVdisapproval of draft report within 5 working days. Re-submittal of corrected draft report required no later than the A-330 milestone as defined inTI.

-Final report required at 5 working days prior to the "Work Package Integration Conference'' milestone as defined in the Tl.

DO FORM 1423-1. FEB 2001 Page _ _ of Pages

CONTRACT DATA REQUIREMENTS LIST Fotm Approved 11 Data ltflm/ OMS No. 07()4.()188

The P\AIIIc repo'*'t burdon for dlla colecllon of Info......., II·-- to •-• 110 hours 1* •••-N.Iftclllcllftg 1N-,., ~ ~ _.,.,. •»111110 dela -· tllllwtolt 1M ..........,. 1N dela ,_.., - ::::::::"' •d r4Niewlng 1N collection of lntormdon. lend co-,_...,. dlla burden -lite or .,Y o111er .. r.r, of 1N1 colledon of lnfonnallon, lncluclln~ tor ~ 1N burdon, 10 1N o-r- or D"'-. &ecviiYe Serwlo .. Dlr_.,.

107CM-O 111 . ..._...,ta allouldiM • ...,. 1Mt ftOtwl any o-~of law, no,.._ -liM ... joct 10 any penalty for,....,., to·~ with a collecUon of lnfo...,.llon If h doea not ••~ ourremty velkl CM8 COI'llrOI.....- dD--.,... form te the..,.,. ............... lend --'-'ad- t4l lhe a-,...,,. -"'o t•wc:-..tJPRNo.l-"' .....,,, A. CONTRACT UNE ITEM NO. B. EXHIBIT C. CATEGORY:

0007 A Till' nt OTIIIJI Report

D. SYSTEM/ITEM I E. CONTRACTIPR NO. F. CONTRACTOR

Third Party Advance Planning N00024-14·R-4405

1. DATA llUUIO. 2. TITl.a Of DATA 11111 s. 8UIT1TUi

A006 Technicallnfonnation Report Provisional Technical Documentation (PTD)

4. AUTHOArTY ~Ia ~a/ffotr ~ No.I I'· CONTIIACT llll'O!HCI I REOUIRING OFfiCI

01-MISC-80652 SOW C.3.3.1, C.3.3.3 NAVSEA2l 7.bOZ!IOII!O 1 . DIST STATEMENT 10. l'lllOVDICY 12. DATI OF RRST IUIIIIII- 14. DIITJI11Ul1011

LTCBlk 16) llltOVIII!D MTIU..Y 30DAC b COPIES

1. APP COllE U. ASOI'DATI IS. DATI OP IUISlCIUDIT a ADDNSSE£ Anal See Blk 16 ~N Dr-" N/A SeeBik 16

II.REMAfUCS COR 0 0 I Provisioning Technical documentation data in acc:ordance wilh the requirements of ACOR 0 0 I NA VSEA Standard Item 009-19 for all LL TM. NSA 0 0 I

Blk 7. DO 250 EQ:

Letter orTransrnittal (L T) shall be via email with notiriC&tion and delivery infonnation for retrieval.

Blk 9. Dist Statement Required:

Distribution Statement D. Di!lribution Authorized to the Department of Defense and U.S.

DOD Contractors only due to business sensitive nature of data. Other Requests shall be referred to NA VSEA 21.

Blk 13. Date of Subsequent Submission:

In lieu of requirements stated in parapaph 3.3 .17 ofNA VSEA Standard Item 009-09, report monthly until all LL TM is delivered and signed for by the Naval Supervisina Authority.

11.TOTAL 0 0 3

G. PREPARED BY H. DATE

·~~~ J.oAT I MURPKV.JOHNJOS£PH.JOIZ7JO =-~ 11113/2015 I I l(o ~ DO FORM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. Page _I_ of Pages

Malle l'nlhlllklntlll a

117. l'taCE CIROUI'

I

11. IITIMA'IU

TOTAL l'tiiC1!

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CONTRACT DATA REQUIREMENTS UST Form Appnw.d (t O.t• lt•mJ OMS No. 07()4.()188

n. ,...., ,_...b...., f01 tllle _...., et w.....-11--..."' -• 110.....,,.. -· ~.,. _.., _._, ....._,.."'•.......,. .., ..... ..... --· ""*""'-......... ~ ... ---. ~ --............ " ef lrtf-*"' ...... --..... ~ ............ ...,_ 01"" ·-= ef INa - ef lnf-, loldu6\t ......... doe ......... , to h ~Of DeferiM, lloecMMI liMeN DIIHwa18 (071N-0 U} "-4enta -..,., bo ew--~&lOY •"-~of •-· no,....., ohell ... INt to any ,....rtyfOI f-. to ....,ply wlfl • -" ef ..._...,If h-not,.:=.:., --"1 vall4 o• coonrol .....,...,. de--.,.,. 1om1 tollle -....-.-• ...,.. ..,....,,_ .. die a-.....,.,.--. ,., ..,. c--""•· ..... ., •• E.

A. CONTRACT UNE ITEM NO. B. EXHIBIT C. CATEGORY:

Work Specification 0007 A T .. TM OntiR

D. SVSTEMnTEM I E. CONTRACTIPR NO. F. CONTRACTOR Third Party Advance Planning N00024-14-R-440S

1. DATA ITEM NO. 2.. T1T1.i OF DATA ITUI 3 . .-nna

A007 WORK SPECrFICAllON REPORT DEVELOPMENT OF WORK SPECJFJCA llONS, ADDENDUM and ERRA ITA

4. AVTHDIITY (Drlf• AqviMIIM o-nt No.I , •• c:amiACT IIIFIMNCI a. lllOUIRIIG omct Dl-MGMT-81786 SOW C.3.1.12 NAVSEA21

7. 110210111!0 1. DIIT ITATD181T 10. I'IIIICIUBICY 1 2.. OA'n OF F1UT IUIMIUIOif "· DISTRIIU11011

LT(Bik 16) II!OUIMD SeeBLK 16 SeeBLK 16 b . COPIES

I. ,.,.COlli 11.A$0FOAft 13.DATIOI' • AODftf.BSEE "'"" See BLK 16 ~:JLKI6 """ Ret Repro

1 I. !~~EMAMI COR 0 0 1

Work Package Amendments (addendum and ernw), Work Specifications, ACOR 0 0 1 detailed cost utimales. Deliverables are to be posted on a designated NSA 0 0 I Oovcmment web site. TV COM 0 0 1

Bllt 7. DD 2SO REQ:

Letter of Transmittal (L T) shall be via email with notification and directory information for retrieval.

Blk 9. Dist Statement Required:

Distribution Swement D. Distribution Authorized to the Department ofDefenx and U.S. DOD Contractors only due to business scasitive nature of data. Other Requests shall be referred to NA VSEA 21.

Blk 10 Frequency:

Addendum and erratas required IS defined in Technicallnstnietion (TI).

Blk 12 Date of Firtst Submission:

Addendum and erratas required IS defined in Technical lns11'UCtion (11).

Blk 13 Date ofSubsequet1t Submission:

Addendum and erratas required as defined in Technical InstNc:tion (TI).

11. TOTAL 0 0 4

~BQ

H. DATE

~~ ~ J.DAr J ( 11/13/2015 it 1(, IS'

DO IIORM 1423·1, FEB 2001 PREVIOUS EDITION MAY BE USED. P•o• 1 of Pages

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17. I'IICI GIIOU'

, • • IEliT1IM TiD TOTALI'IIca

CONTRACT DATA REQUIREMENTS UST Fotm Apptov«< (1 O.t• lt•ml OMB No. 0704.0188

TN.,.-,_.,........., tot-_..... .t lrrfwrMMft '---,. • ..., .. 110 hourt ,_, .. .,._,I,..._..,_ *"• fer-· ................ ...,_, •**'I ·-.. -. --·-......,.., 1he ~.,..., .,.....,.,, .,. rewlowlnt ... coleclloft et ,............ SlftOII- ........ thll ....... .......,. .. ""' ·-= et thlo colleclfon ot lnl~n~~allorl. ~ _......,. tot ·-• 1ho lturtlon, 1• .,. ~ of o.IMM, '-- 1en1.,. Dlr-r•r.

10704-0 U J. "-~ ahauld lie-- 1ho1 Mtwhhet-.a- o1hor ~ .t tow,.,.,..._, ....a lie .,.locl,.-peMI1y for,....,. 111 - ly whh • coUocllon ~~:.::.~·cr.,or;:==..c::.'i'.:::-... l. •--,_,_,..,. ...._.........,., ._.....,.._,,_,.doe A. CONTRACT LINE I'TeM NO. B. EXHIBIT C. CATEGORY:

ILS PLAN 0007 A Tao TM OTHER

D. SYSTEM/ITEM I E. CONTRACTIPR NO. F. CONTRACTOR

Third Party Advance Planning ~0002~14-R-4405

1.DATAfTBUIO. .t. TITlE OF DATA ITDI J . IUITITU

A009 STA lUS REPORT INTEGRA TED LOGISTIC SuPPORT (ILS)

PLAN

4. AUTHOIITY (Defo MttWitiM o-1 No.I I'· COif11IAC1' MRIIBICE

• • IEQUIMG omcl

DI-MGMT-80368A SOWC.3.3.2 ~AVSEA21

7 . DO 2JO 1110 1. DIST ITATUIENT 10.I"RRQUINCY 12. CIA T£ OF FIIIIT IU-1110111 14. ... 11111Ul1011

LT(Blk 16) REOUIIIID One/R 30DAC b. COPtiS

I.~CODE 11. AIOFDATl 1.1. DAT11 OP I T •· AODII£SSEE Anlli SeeBlk 16 IU-r:"&Jk 16

.,., .... llopro

1 I. II!MAIIICI COR 0 0 I

ILS pl1n outlinins processes, procedures, certifications and personnel required to ACOR 0 0 1 support the procurement of material. parts, components and equipment identified as LL TM, purchasing sntqics to maximize cost savinp duoU&h procurement scallna and confiJW11tion control. proccssins material receipts and veril)in1 delivery via sicned documentation from the Government provided at the point of delivery.

Blk 7. DO 250 REQ:

Letter or Transmittal (L 1) shall be via email with notification and directory lnronnation for retrieval.

8\k 9. Dist Statement Required:

Distribution S1akment D. Distribution Authorized to the Department ofDefen.!e llld U.S. DOD Contractors only due to business sensitive nature of data. Other Requests shall be referred to NAVSEA 21.

Blk 13. Dale or Subsequent SubmiSllion:

Required when ILS plan is changed. Typos ofiLS plan d!ange include chqcs to proces;~cs, procedures, certiOcations and key personnel required to support the procurement, shippinJ, and trackinc orLLTM.

11. TOTAL 0 0 2

~~~AREDBV H. DATE

·~.--{) J.DA;

1 1 I ~ /Is (~~~ -;; - 11113/2015

DD FqRM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Pege_J_ of -- P•a•• ,....~ • . 0

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17. PIIICl QIIOUP

li. UYWATID TOTAL PIIICl

CONTRACT DATA REQUIREMENTS LIST Fonn Apptovtld 11 Data h• mJ OMS No. 07()4.() t 88

The......., ,_nlng b .. clool IOf IIIIo callectian ..t lnla.....don Ia -etecl"' .,.,.,. 110.....,. I*,_,.., lnc:IUtllnt the....,,.., mMwlnt lnl1ruc1lano, ......,, Plnnt

::."'.=· :r::::.=:..~=• :=::.,~:.=,.~~ ":..~,:: = :o'o.=:"'e:c.":~!. "'=-":':"'. ony l0?04-01111 .... .,.,.._ ....,.,. .. be •-• - ...-. eny nw ~ ..t lew, n. ,....,.. ollel be ... Ject "' eny --"'1 tOf falling "' comjlly ..t1h a c olecdon ..t ...,.,....tlon lilt-not • .,...., • currently vllol OM8 ..- ...-... • not,_,..., fcNm t a the-_....,., ....., _.,.....-"'1M Go-.....,.~Ofll-r .. u..~No . .....,hlloclrl.

A. CONTRACT UNE ITEM NO. B. EXHIBIT C. CATEGORY:

CCFREPORT 0007 A TOP TM 011CER

D. SYSTEM/ITEM I E. CONTRACTIPR NO. F. CONTRACTOR

Third Party Advance Planning N00024-14-R-440S

1. DATA l1UII NO. Z. 1ITU fW DATA ITIM 3 . IUIITITU!

AOIO SCLSIS COMPONENT CHARACTERISTICS FILE (CCF SHIP'S CONFIGURATION CHANGE REPORT

REPORT)

4. AUTHORITY m.t• Acqu/lltl«< o.c-1 No.I I'· COifTIIACf III!RIIINCE •.• QlJIING OfFICE

01-MGMT-11775 SOW C.3.1.4, C.3.4.2.a NAVSEA21 7.0DZIO.Q I. IQT ITATEIIEHT 10.f'II!GUIIICY 12. DATE OF FIIIIT IUtltiiiUION 14. DIITIIIU'OON

LT(Bik 16) IIIOUIMD See Blk 16 Sec Blk 16 b COPIES

e. AI'PCO!lt! Sec Blk 16

11. AI 01' DAl1 13. DATI OF IUIISEQUDfT •· AODRUUE Fl

~Bikl6 Draft Ret ~ro

11. IIEMARIII ACOR 0 0 1

Docwnentation renectinc revised or updated ships changed configuration (as lYCOM 0 0 1 determined during Ship Checks, Work Speciflc:etion Development, or during Assessment accomplishment.)

Blk 7. DD 250 REQ:

Letter ofTransmittal (L T) shall be via email with notifiCation and directory information for retrieval.

Blk 9. Dist Statement Required:

Distribution Statement D. Distribution Authorized to the Department of Defense and U.S. DOD Contractors only due to business sensitive nature of data. Other Requests shall be referred to NA VSEA 21.

Blk 10. frequency:

- Required as Ship Configuration Changes are di.scovered.

Blk 12. Date of first Submission:

• Required at first discovCI)' of a Ship Configuration Change.

Blk 13. Date ofSubscquent Submission:

• Required as Ship Configuration Chqcs are discovered.

111. TOTAL 0 0 2

G. PREPARED BY H. OAT£

\J~~ J.Df. I r\~._p, 11/13/2015 ..__p ' I I~ •S

DD Fa.RM 1423-1, FEB~001 PREVIOUS EDITION MAY BE USED. Peve_l_ of -- Pages

Adabe Profealoniiii.G

117. f'fiCI GROUP

11. UTIMATED

TOTAL~

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CONTRACT DATA REQUIREMENTS UST Form Appmvtld (1 O.teltemJ OMS No. 0704-0t88

TN,._.._..,.- foolllla colectl.., Dflllf-1lellla -• ·-110.....,...., ·-· _...,..__,.,_.....,._,--.., ..,.,. """' -· ......... -... -..... .__ "·~-~~--...... --.. - · s..~-- ..... ,."'" --..., __ ally ,._ at 1lhla collec1lell of '"fotrna1lell, I~ .,, tar N<Nclng llw ~ ...... "' llw o.,- et Def-, lbiMM!ve lenttc• ~~· 10704-0-r:.;t Ra.-u ....,., .. "•-•llwl,.. eny .._ ~ ef lew, ne ..., • ..,lhell lle ... joct 111...., ,_.tty flf talloot"' """""with a~ etw ...... v ... •t 1t ..... ,.., ..,.~ cunwrttv ...... OMB ..-........., •-·-.,.ur....., ..... -. ....,....,. . ....., _,.,...... _"'.,. .... - ..... c-.... ·--~Ne.lleledln .... £.

A. CONTRACT UNE ITEM NO. B. EXHIBIT C. CATEGORY:

FINANCIAL REPORT 0007 A ~ Til

OTHP --

D. IYSTEMIITEM I E. CONTRACTIPR NO. F. CONTRACTOR

Third Party Advance Planning N00024-14-R-440S

t. DATA ITEM 110. 2. 11TU OF DATA ITEM :1.1Ul111TU

AOJl FUNDS and MAN-HOURS EXPENDITIJRE REPORT FINANCIAL PHYSICAL PROGRESS REPORT

... AUntiiRrrY IDtf• ~ ,__ No.I , •. CONTRACT IIIERJIEJICE I. IIECII.IIIING OfFICS

DI-FNCL-80331 A SOW C.3.1.13 NAVSEA21

7.DOUORE<l t. DIST ITAraerf 10. FIIE.QUBICY 12. DATE Of' fNT .,_111011 14. DIITIWUnOII

LTCBlk 1~1

REQUIRED MTHLY 300AC II CONS

t. AWCODE 11. AI OF DATE 1:1. DATI OF e. AOOIIESSEE' Flnol SeeBik 16 IUIMII~oo. y Orofl .... ...,., .

ti.MMARICI PCO 0 0 1 Physical Prosress Reports to permit a direct comparison of completed work COR 0 0 I associated with aiiTI task requirements. ACOR 0 0 1

8\k 7. DD 250 REQ:

Letter of Transmittal (L T) shall be via email with notiCJCation and directory infonnation for retrieval.

Blk 9. Dist Statement Required:

Distribution Statement 0. Distribution Authoriud to the Department of Defense and U.S. DOD Contractors only due to businc.u sensitive nature of data. Other Requests shall be referred to NA VSEA 21.

11. TOTAL 0 0 3

~ARED~

H. DATE

c ... ~.o - 11/13/2015 rn~ ~ J.DAr I' I v /15

DO F¥M 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. Page _ 1_ of Pages -

I 17. PIIICI OIIOW'

11. UTIMAliD

TOTAI.I'IIICI

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CONTRACT DATA REQUIREMENTS UST Fonn Approv.d 11 Date Item) OMS No. 0704-0188

TM ,..-~"ll IUIIenfor IIU oollocdon of lnfoom.-.lo ·--to o--oe 110 .,.. • ..., ._,lrocludlnf,.,.,. for,_...,,.......,_, -cf>l"ll•111111ng data ......... ...,._,.- ............... - dltl ... ~~and,........,. .... colloCIIon of lnlorme1loft. Sand-_.,.""' ....... ..,.,..._., IJIWof

- - of IIIIa col141c:11o11 of lnfonn.aon. lndudlnt 0111 ~ ,. llurdaft, to 1ha o.,-. of Defonoo, ~ .. SeNt- '*--t07CM-0111}. llotpoftdonta -II bo _.-no I lillY...., 8::!.., of .. w. no_., lhll bo lllllloct to IJIWof -llty for fllllnt '10 oomply with • coi*:Uon oflnf-lf It--•::;,.• _,--,void OM8 ·-""""*· do---,_ to lhe ....... org..U... Sond _,.....,....,.to lhe G-1 ....... c:or...tlftt - fatlhec-ll'tiJio ....... llllloclll.

A. CONTRACT UNE ITEM NO. B. EXHIBIT C. CATEGORY:

DEMAND HISTORY 0007 A Till' 'I'M OTHER

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

Third Party Advance Planning N00024-14-R-4405

1.DATA ITEMNO. a. nnE OF DATA n'EII s.swmu

A012 DEMAND ONLY TRANSACTIONS REPORT LLlM DEMAND ONLY TRANSACTIONS

6 , AUTHDIIITY (DUo ActttM1t1M o- Ntt.l , •• CONTIIACT 8I!IIIIICC I. .OUIRIHG OFFICE

DI·MGMT -81806 SOW C.3.7.2 NAVSEA21

7 . D02SOIIlQ t. DIST STATEMENT 10.PMOUINCY 12. DATI Ofii'IIIST -5110111 14. DIST1IIIUTION

LT(Bik 16) IIIQUIIII!D MTHLY 30DAC b. COPIES t.Mf>CODI See Blk 16 1 1. AI OP DATI 13.DATIOP o ADOREWE Pinel

-·~y Drat!

Reg llop<o

II.IIUIAIIU COR 0 0 1

Identify, capture and n:port all Demand Only Transactions (DOT). ACOR 0 0 1

NSA 0 0 1

Blk 7. DD 250 REQ: NAVSUP WSS 96 0 0 1 Letter of Transmittal (L T) shall be via email with notifk:ation and directol)' infonnation for NAVSESSC94 0 0 1 retrieval.

Blk 9. Dist Scatement Required:

Distribution Statement D. Distribution Authorized to the Department of Defense and U.S.

DOD Contnletors only due to business sensitive nature of data. Other Requests shall be n:fern:d to NA VSEA 21.

I

11. UTIIIATID

TOTALPIICE

I I I I I I I I I I

I

11. TOTAL 0 0

5 I c:;7;BYQ

H. DATE I. APPROVED BY

~ J.DA~

\_}-\~ (IS ( .A 1/13/2015 al I~ I

DD FQRM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. P•ge 1 of P•ges

CONTRACT DATA REQUIREMENTS UST

(1 O.ta /tam/

Form Apprond OMS No. 0704-0188

A. CONTRACT UNE ITEM NO. B. EXHIBIT C. CATEGORY:

0007 A TOP TM onu Assessment Report_

D. SYSTEM/ITEM IE. CONTRACTIPR NO.

N00024-14-R-4405

F. CONTRACTOR

Third Party Advance Planning

1. DATA IT8II NO. 2. TrTU OF OAT A IT8II :a. IIUimU! I 17. PIICI GIIDIM'

AOIJ TESTIINSPEcnON REPORT CMP ASSESSMENT PERFORMANCE REPORT

II . CC*TIIACT lllfiRUICI l . lllGUIIUIIG OfRC& I'' IEITIIIAliD SOW C.3.4.2.a, C.3.5.2 NAVSEA 21 TOTAL Pilei

~T-.-DD--~--IIl-Q--~~~.~~==~n~AnmaN==~T~-,O-.~=-~~-C-Y------~-,2.~0-A~=-o-P~Aa~T-~-------+-,4-.--------~--~--------------~

4. AvntOIITY IIJM• ,..__ o.w-t No.I

DI-NDTI-808098

LT(Bik 1n lllOUIIID See Blk 16 See Blk 16 1 . .\WCODE "-- BJk

U. AIOfDA~ 11.DATIOP.~QUINT

.,_ IUI"Le~tk 16 Material assessment results documentation in suppon of all CMP assessment:. performed and S~ial Project technical analysis reports.

Bile 7. DD 250 REQ:

• ADDIIEISE&

COR

A COil

NSA

TYCOM

b. COPIES

Anal Draft flat 0 0 I 0 0 I 0 0 I 0 0 I

Letter ofTransmittal (L T) shall be via email with notification and directory infonnation for ~~al. ~---------+--~--+-~

Blk 9. Dist Statement Required:

Distribution Statement D. DiJVibution Authorized 10 the Department of Defense and U.S.

DOD Contractors only due to business sensitive nature or data. Other Requests shall be referred 10 NA VSEA 21.

Blk 10. Frequency:

Assessment result documentation reportS and Special Project reportS are defined in the ~ppllcable Tec:hnic:allnstruction.

Blk 12. Date of First Submission:

Asftssment result documentation reports and Spec:ial Projec:t reportS are deRned in lhe applicable Tec:hnicallnstruction.

Blk 13. Date of Subsequent Submission:

Assessment result documentation reports and Special Projec:t repcxts are defined in the applicable Technic:al Instruction.

1------+---+----r--i I t-------t'---+---t---1 1

J------+----+---+--1 1 t------+----+---+--1 1 1------+----r--+---f I 1------+----r--+--i I 1------+---+----+----1 1 t------+---+----+----1 1

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1-----+----+---+---t I

1----~--4----4----1 1 1------+---+---+---f I

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G. PREPARED IV H. DATE I. ~R~VED BY fl J. DAT

MUUtfYJOIIN.J05EPH.IIIl7SO=-~=--=- IJ/1312015 ~ ""--..\/ I. ~~ f JS' I 641 --·· ·-- DD FORM 1423-1. FEB 2001 PReVIOUS EDITION MAY BE USED Page ...J_ of___ Pages

Adabe....,....,. 1.0

CONTRACT DATA REQUIREMENTS UST Form Approved (1 Deta hemJ OMS No. 0704-0188

The,.-MPOftlnt-fot- eo- of I~ lo ........,.10 -.go 110 holn I* _ ... Including 1N *"• tor _ _,-. • ...-, • ...,.,.

data-"· pntwtne -mllntalrino tile*"'..-... =:"f..,, ,.....wi"I1N 0011-of-· - eom- Nfl'dllll ""'--·~~~Of l/ltOf 01lw of 1hla caloctlon of Inform...,, lnoludlnf o or r.-tfto 1M burcNn, 10 1M .,_.,...,, of Oaf.,.., "-&111 .. SanAe. Dlr-."' 10704-~"mi. fleopo~ ohould lie --1Nt ~ .,., ·-=c: of law, .,.,.,... INI1 lie oubjocl to l/ltOf poNIIty for f......,IO c-'Y whh • coa.ctlon of Info-HIt"-""' ..,Ia¥ • c ... OI'Itly wild OM8 -•-· cfo--,_ ,_ 10 tile....,..,....,...., 1oM ............ ,_ 10 tho a-........ c-.d"'l om- fottho c-.c.IPA No. lotool .. IINII!.

A. CONTRACT UNE ITEM NO. B. EXHIBIT C. CATEGORY:

0007 A 1111' TM emu MATERIAL, LEVEL I

D.SYSTaMTEM I E. CONTRACT/PR NO. F. CONTRACTOR Third Party Advance Planning ~00024-14-R~OS

1. DATA ITEM NO. Z. nn.E OF DATA ITI!Jo1l J,IUB'RTU

AOI4 CERTIFJCA TION DATA for NON-NUCLEAR LEVEL t LEVEL t MA TERJAL CERTIFICATION

MATERIAL

4 . AUTHOIITY (IJM• Actfuh/t~OII ~~No.} I'· CONTIIACT II£FEREHCf I ... GUlliNG OFFICI

Dl·MISC-81020 C.3.1.f NAVSEA21 7.DOZIOREQ 1. DIIT IITATIMENT 10. FIIEOUENCY 12. OAT! OF I'IRST SUUISIIOit 14. OIITNIIITIC*

LT(Bik 16) REQUIRED MlliLY 30DAC 11. COI'IES

I . Alf'COO£ (Blk 16)

11. AI OF OAT! I:S. DATI! OF SUIIRouaT • · ADDAESSEE AMI

~y Draft Rae Atpo

11. AIMAIIICI COR 0 0 1

Provide Levell Certification and tracking data for all Level t material identified, proc:urcd, ACOR 0 0 1 rcc:eived, and turned over to the Government NSA 0 0 I lYCOM 0 0 I Blk 7. DO 250 REQ:

Letter of Transmittal (L 1) shall be via email with notific:ation and directory information for retrieval.

Blk 9. Dist Slatement Required:

Distribution Statement D. Distribution Authorized to the Department of Defense and U.S. DOD Contrac:tora only due to business sensitive nature of data. Other Requests shall be referred to NAVSEA 21.

I

ll. unMATID

TOTAl. Mel

I I I I I I I

111. TOTAL 0 0 4

~AAEDBY ~

H. DATE I. APPROVED BY J. DATE I

t.)4 \..l.Jn'\ ~ ,,,,b,l5 - t 1/13/2015 I ---.:..:J

DO FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page I of Pages

INSTRUCTIONS FOR COMPLETING DO FORM 1423

(SlHI DoD 5010. 12-M for detailed fmlluctfons.)

FOR GOVERNMENT PERSONNEL

Item A. Self-explanatory.

!tam B. Setf-axplanato.ry.

IU.m C. Mark (XI appropriate category: TOP - Tachnh:al Data Packl&liil:

TM • Technlt:lll Manual: Ottuar - other eat~tgory at data, such 1111

•Provlslonirag, ••confiiJUratlon Management, • ate.

lttm1 D. Enter 1'113me of systamlit.m being 11equ!rad that data will support.

11111'!'1 e. S.lf-axplln.otnry (to be filled In aft« contrKt aw.rd).

!tam F. Salf-.xphanatory (to be !Diad In after contr;act award).

ltiM'I G. Signat\lra of P18PBrel' of CDRL.

Item H. Di!ite COAL was prepar!Hf.

Item I. Signature of CDRL approval authority.

Item J. Dete CDRL w.u approved.

Item 1, Su DoD FAR SuppiBmant Subpart 4. 71 lor proper numbering.

Item 2. Enter title as It app..ars on data acqtJisltiQI'I document cited in Item 4.

Item 3. Enter subtitle of data ltllm lor further definition of data Item lopth:mall!ntry).

ltllfn 4. EntM Data Item Desc:ripticln IO!DJ numbltf, military spacifiClltlon nt.m~bar, or mllttary libmd11rd number listed in DoD 5010.12·L IAMSOL), or ona•tlme DIO numb.,., that dafmel data =on tent ~~t~d format rltQI.Ilr~~manu.

Item 5. Entar rafer~~nee to taskln; In contract that gllntlfllla~ raquiramMt fDr the data item /e.g., Statement of W11rk paragr-.ph numbar).

!tam 8, Entv techniellll offk:e responsible fDr onswlng adequacy of the data Item.

Item 7. Specify r.qulrement for ln$pactlon/11Cceptance gf the data Item by the Govemln(lnl, Item B. Specify requiroment fgr approlnl! ef 11 draft before preparation of the fine! deta item.

ftam 9. For technlcal data, specify requirement for contractor to mvk ttt.

appropriate diuriblltion statamltl'lt on thfl date lrtlf. DoDD 5230.241.

ftem 10. Specify number of times data items 11re to be dellver&d.

Item 11. Spe~fy as·-of data of dahllttrm, when oppllc.o:ble.

Item 12. Specify wlwn first $Ubmlttal ill- required.

!lam 13, SpecifY when 11Ub$1tquent 1ubmittals lll'8 required, whm eppUcable.

(tam 14. Enter addrauaas and number o:>f dreft/lio.l copies to be deliver-ad to:> nch addrassae. E•ptain r-.producibla co:>ples In !tom 1&.

Item 15. Enter total numbor of dt11ft/final copies to ba delivered.

Item 1ft. Un for a<;fd!tlonal/clarHyino Information fer Items 1 through 15.

El!amples are: Tailoring of doc1.1n1ents .:!tlld In Item 4; Clarification of submittal dates In Items 12 and 13; E•planatio:>n of r&producible copie-s !n !tarn 14.; Desired m.dium fer deliVIIry of the data item.

Ou t"OHM 1423-1 tBACKJ. FEB 2001

FOR THE CONTRACJOR

Item 17. Spaclfy epprcprlate prise QI'O\.lp from ana ol the fotlowing lltOIIPl of effort In devaloplng aatimated prlc011 for each data !tom !iSUid on the DO Form 1423.

a. Group I. Dofrnition • Data whish l.s not otherwise essential to the contractor'11 performance of the primary contracted affott !production, development, tasting, and adminlstrlltion) but whieh Is requirad by DO Form 1423.

Estlmetad Price • Cosllo to be included under Group I ara those appl!eabla ta preparing ~~nd auambling tha data !tern In conformance with Governmant raqultamants, and tha administration and other a•penses related to r-.praduclng and dal!varlng $1.1Ch data Items to tha GQvemm~~nt.

b. Gfoup II. Definition • Oa111 which is esrantiel to the parform .. nc:a of the primary c11ntractad effort but the contrGtor Is required to p11rform addith:mal work to conform to Govmnment r!KfUiretnefliS with regard to d_,lh cl content, format, frequancy of submittal, preparation, control, or IJllllllty of the date Item.

Estlmlltad Pri~a • Costs to be lncludtd undllf Gro\.Jp II are tho1111 lnct.~rrad ovar end above th11 co&t ol the esuntial data Item without eonformlng 11:1 Govornmant r~~qUlrements, el'ld thll aclmll'llstratlve and ether 11xpensas rallnad to reproducing and d.Uvering such data item to the! Govammant.

c. Group Ill. Daflnltlon • Data whk:h the ccntnJctor mvst davolop for hill ltuamal uu In P•rfcrmance of the primary CQMltac.tad effort and does Mt r•qulre any substantial change to ccnforrn to Gcvammant requirements with ngard to depth of content, format, ftequoncy of submittal, praparatlon, centro!, and quality of tha data Item.

Elrtimated Ptk:a • Com to be ln~ludad undllf Group Ill ara th11 administrative and other expenses ralatad te reproduclntr and d11liv11ring such d11ta item to the Government.

d. Gfoup IV. Definition • Dau whleh iJ deve!cp•d by the contractor es part of his normal operating procedures and his effort in supplying thHII data ttJ the GIIVamment I' minimal.

Estimated Price" Group IV lt11ms should normally be shown on the DD Form 1423 at no cost, Item 18. For eaeh datalt«n, ant« an amount It~! to that portion of the tl:ltal ptlc:e which is estimated to be attributabla 10 tha production or development for tha Gov«nmant of that item of data.

lhr.:a estimated data prices sh111l ba developed only from those costs which will ba inC!Jrred as a diriJCI result of the requitemant to supply tha data, !lVIII' and above th11s11 ce~ts which would otherwise be lnc.tmed In performance of the C:Qnttact It no data were required. The 11rtimatad deta prices thaU I'IQI lnclud.o: any ami!UJlt for rights In dat11. The Government's right to usa the: data shall be governed by the pertinent provisions of tha cllhlrai:t.