PCS_Exhibit_B_CDRLS_14Feb2014.pdf

EXHIBIT B N00024-13-NR-92166

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.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

B

C. CATEGORY:

TDP TM OTHER SAFT

D. SYSTEM/ITEM

PAYLOAD CONTROL SYSTEM

E. CONTRACT/PR NO.

N00024-13-NR-92166

F. CONTRACTOR

TBS

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

SYSTEM SAFETY PROGRAM PLAN (SSPP)

3. SUBTITLE

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-SAFT-81626

5. CONTRACT REFERENCE

App A – D SOW Paragraphs 1.5.4.1

6. REQUIRING OFFICE

PMS425

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMSSN

90 DAC

14. DISTRIBUTION

18. ESTIMATED

TOTAL PRICE

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQ SUBMSSN b. COPIES $ A See Block 16 N/A SEE BLOCK 16 a. ADDRESSEE Final

16. REMARKS Draft Reg Repro See Block 16

PMS425 1 1

15. TOTAL 0 0 0

G. PREPARED BY

Laura Neske, PMS425C41

H. DATE

I. APPROVED BY

Matthew Severson, PMS425B

J. DATE

BLOCK 8: Approval is for technical content. Allow 30 days after receipt for Navy review. Navy comments and corrections shall be incorporated and the final SSPP resubmitted for approval no later than 30 DARC. Recommendation for approval shall be made by the Principal For Safety (PFS).

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 15 January 2013. Other requests shall be referred to Program Executive Officer, Submarines (PMS425), Washington Navy Yard, DC. Release to Australia authorized under the BYG-1 Armament Cooperative Program.

BLOCK 13: Subsequent submissions shall be provided upon major process changes or as required to support subsequent TI/APBs.

BLOCKS 14 AND 15: Distribution and email addresses are provided in the attached “CDRL Addressee List”.

DRAFT VERSION - FOUO

DD Form 1423-1, Feb 2001 Previous editions are obsolete. Page 1 of 3 Pages

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

B. EXHIBIT

B

E. CONTRACT/PR NO.

N00024-13-NR-92166

B002

2. TITLE OF DATA ITEM

SYSTEM SAFETY HAZARD ANALYSIS

REPORT (SSHA)

3. SUBTITLE

DI-SAFT-80101B (See Block 16)

5. CONTRACT REFERENCE

App A – D SOW Paragraphs 1.5.4.2

ASREQ

SEE BLOCK 16

14. DISTRIBUTION

18. ESTIMATED

TOTAL PRICE

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQ SUBMSSN b. COPIES $ A See Block 16 N/A SEE BLOCK 16 a. ADDRESSEE Final

16. REMARKS Draft Reg Repro

DD Form 1423-1, FEB 2001 Previous editions are obsolete. Page 2 of 3 Pages

BLOCK 3: Preliminary Hazard Analysis (PHA); System Hazard Analysis (SHA); Subsystem Hazard Analysis (SSHA); Safety Requirements/Criticality Analysis (SR/CA); Inadvertent Launch Analysis (ILA); Operational & Safety Hazard Analysis (O&SHA) Report.

BLOCK 4: Contractor format is acceptable. Paragraphs 10.2.3.b.2, 10.2.3.b.3, 10.2.3.b.4, and 10.2.3.b.15 are not required for the PHA.

BLOCK 8: Approval is for technical content. Allow 30 days after receipt for Navy review. Navy comments and corrections shall be incorporated and the final SSPP resubmitted for approval no later than 30 DARC.

Recommendation for approval shall be made by the Principal For Safety

(PFS).

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 15 January 2013. Other requests shall be referred to Program Executive Officer, Submarines (PMS425), Washington Navy Yard, DC. Release to Australia authorized under the BYG-1 Armament Cooperative Program.

BLOCKS 10, 12 AND 13: Submittals shall be as scheduled in the approved IMS (Format 6 of the IPMR, ELIN A005).

BLOCKS 14 AND 15: Distribution and email addresses are provided in the attached “CDRL Addressee List”.

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

B. EXHIBIT

B

E. CONTRACT/PR NO.

N00024-13-NR-92166

B003

2. TITLE OF DATA ITEM

SAFETY ASSESSMENT REPORT (SAR)

3. SUBTITLE

DI-SAFT-80102B

5. CONTRACT REFERENCE

App A – D SOW Paragraphs 1.5.4.2

ASREQ

SEE BLOCK 16

14. DISTRIBUTION

18. ESTIMATED

TOTAL PRICE

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQ SUBMSSN b. COPIES $ A See Block 16 N/A SEE BLOCK 16 a. ADDRESSEE Final

16. REMARKS Draft Reg Repro

DD Form 1423-1, FEB 2001 Previous editions are obsolete. Page 3 of 3 Pages

BLOCK 3: Functional One-Line Diagrams and Fault Tables; and Safety Assessment Reports (SAR).

BLOCK 4: Contractor format is acceptable for the SARs.

BLOCK 8: Approval is for technical content. Allow 30 days after receipt for Navy review. Navy comments and corrections shall be incorporated and the final SSPP resubmitted for approval no later than 30 DARC.

Recommendation for approval shall be made by the Principal For Safety (PFS). Recommendation for approval shall be made by the PFS.

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 15 January 2013. Other requests shall be referred to Program Executive Officer, Submarines (PMS425), Washington Navy Yard, DC. Release to Australia authorized under the BYG-1 Armament Cooperative Program.

BLOCKS 10, 12 AND 13: Submittals shall be as scheduled in the approved IMS (Format 6 of the IPMR, ELIN A005).

BLOCK 14: Distribution and email addresses are provided in the attached “CDRL Addressee List”.