SSN_765_CDRLS_12_4_14.ppt

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USS COLUMBUS (SSN 762) Engineering Overhaul (EOH) Federal contract opportunity
Solicitation number
N0002415R4300
Issued by
Department of the Navy Naval Sea Systems Command

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SSN 765 Contract Data Requirements List (CDRLs)

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

TDP ________ TM ____________ OTHER _________________________________

1 0

USS MONTPELIER (SSN 765)

Competitive A001 Technical Work Documents

OT-

CLIN 0001

SUPSHIP

LT

(See Blk 16) (See Blk 16) (See Blk 16)

Block 4: Complete initial issuance of technical work documents (i.e. Task Group Instructions (TGIs), Inspection Reports (IRs)) associated with availability planning and execution. Technical work documents are written for each job in the Availability Work Package (AWP).

A

CLIN 0002

SUPSHIP

Task Group Instructions / Inspection Reports

1 0

N/A

Natalia Argote PMS392H13

N/A

N/A Block 5/10/12/13:

The full 100%, of this special incentive shall be paid if 95% or more of the required detailed work planning documents (excluding test documents) are issued for work at start of the availability in accordance with the USS MONTPELIER (SSN 765) AWP. The special incentive date is the start of execution of the availability.

Three quarters of this special incentive (75%) shall be paid if more than 93% and less than 95% of required detailed work planning documents (excluding test documents) are issued for work at the start of execution of the availability.

Half of the special incentive (50%) shall be paid if 90% up to 93% of the required detailed work planning documents (excluding test documents) are issued for work at start of execution of the availability.

Issuance of less than 90% of the detailed work planning documents (excluding T-phase) for work at the start of execution of the availability shall result in no special incentive.

Within thirty (30) business days after the start of execution of the availability, the Contractor shall provide documentation to the Supervisor that includes: 1) a letter indicating the percentage of detailed work planning documents (excluding test documents) issued for the ship’s start of execution, 2) the master listing of detailed work planning documents (excluding test documents) required prior to the ship’s execution – with Actual and Estimated detailed work planning documents issue dates, and 3) identification of any issues of concern related to detailed work planning documents development (excluding test documents) for the ship’s execution. This documentation shall include the number and percentage of required detailed work planning documents (excluding test documents) issued for the ship at the start of execution, the number and percentage of detailed work planning documents (excluding test documents) still in development at the start of the ship execution, and the Contractor’s self-assessment of performance under this special incentive.

It should be noted that any changes beyond the above noted AWP that affect the detailed work planning documents in process (excluding test documents), the detailed work planning documents will be excluded from the special incentive determination.

Natalia Argote PMS392H13

14 NOV 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

DI-MGMT-80269

CLIN 0001, CLIN 0003

SUPSHIP

LT

ONE/R (See Blk 16)

60 DAC

(See Blk 16)

Block 4: GFM Schedule shall include description of item to include military designator, vendor drawing, and/or part number (if applicable), National Stock Number (NSN), quantity required, date required and source document.

All undocking and Level I SAED/SUBSAFE Items shall be so marked.

Block 5: CLIN 0001, CLIN 0003 and DDGOS 0902-018-2010, 5000-0-e.

Blocks 10/13: Revisions required for currency.

A002 Report, Support Equipment Delivery Schedule/ Delinquency Schedule of GFM (Exception Report) Material Ordering Schedule

Natalia Argote, PMS 392H13

14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

1 0

A003

Product Drawings and Associated Lists

DI-DRPR-81000A

CLINs 0001, 0003, 0004, 0005, 0006

SUPSHIP

LT

(See Blk 16) (See Blk 16) (See Blk 16)

Block 5: Drawings/Tracings shall be provided in an electronic format suitable for reproduction DDGOS 0902-018-2010, 9020.1.i NAVSEA SL720-AA-MAN-010 applies to SHIPALTs.

Block 8: Content and format. Allow 10 days for Navy review.

Blocks 10/12/13: In accordance with Block 5 reference requirements.

New And Revised Drawings, Final Tracings

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13 14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A004 Material Status Report

CLIN 0001, 0003, 0004, 0006

SUPSHIP

LT

ASREQ

(See Blk 16) (See Blk 16) (See Blk 16)

Block 5: CLIN 0001 and DDGOS 0902-018-2010, 5000-0-I.

Blocks 10/12/13: NLT 10 days after initiation of purchase order.

Purchase Order, Copies of

DI-ILSS-80114

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13 14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

1 0

A005

Ship Construction Report

CLIN 0001, 0003, 0004, 0006

SUPSHIP

LT

15 DARP

Block 4:DDGOS 0902-018-2010, 5000-0-d.
Data may be a diskette, or as a hard copy. Contractor’s

format acceptable. Data shall include both Shipbuilder’s and Vendor’s drawings.

Block 5: CLIN 0001 and DDGOS 0902-018-2010, 5000-0-e

Drawing/Schedule Status

MTHLY

90 DAC

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13 14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A006

Mass Properties Data Report (Submarines)

DI-MISC-81507

CLIN 0001, 0003, 0004,0005, 0006

SUPSHIP

LT

(See Blk 16)

Block 5: DDGOS 0902-018-2010, 9290-1-d.

Blocks 10/12/13: In accordance with SWLIN.

ASREQ

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13 14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A007

Engineering Change Proposals

DI-CMAN-80639C

CLIN 0001, 0003, 0004, 0005, 0006

SUPSHIP

LT

Block 5: CLIN 0001 and DDGOS 0902-018-2010, 5000-0-l-b.

Block 8: Content and format. Allow 15 days for Navy review.

Block 10: Revisions required to satisfy Navy Comments.

Blocks 10/12: As determined by contractor or directed by Navy.

SUPSHIP 1 0

2 0

20 DARC

A

PMS 392H1 1 0

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13 14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A008

Request for Waivers and Deviations

DI-CMAN-80640C

CLIN 0001, 0003, 0004, 0005, 0006

SUPSHIP

LT

Block 5: CLIN 0001 and DDGOS 0902-018-2010, 9020-1-q.

Block 8: Content and format. Allow 15 days for Navy review.

Block 10: Revisions required to satisfy Navy Comments.

Blocks 10/12: As determined by contractor or directed by Navy.

20 DARC

A

PMS392H1 1 0

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 14 Nov 14

PMS392CB 1 0

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A009

CLIN 0001

LT

Block 5: CLIN 0001 DDGOS 0902-018-2010, 9020-3, 5000-0-i

Block 8: Content and format. Allow 60 days for Navy review.

Blocks 12/13: Plan must be received and approved before commencing availability. Change in plan must be submitted for review.

ONE/R

Fire Protection Plan Organization Chart and Instructions and Flooding Chart

A (See Blk 16)

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A010 Agenda, Ship Sea Trial

Block 4: Data shall satisfy Block 5 reference requirements. OPNAVINST 4700.8H and CINCLANTFLT/CINCPACFLTINST 4790.3 Joint Fleet Maintenance Manual

Block 5:CLIN 0003
DDGOS 0902-018-2010, 9080-1.

Block 8: Submit for government review 60 days prior to Fast Cruise. Content and format. Allow 30 days for Navy review.

Block 10: Revisions required to satisfy Navy review , comments and as directed by Navy.

Block 12: NLT 30 days prior to Fast Cruise.

LT

PMS 392H1

SHIP

TYCOM

A

CLIN 0003

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A011 Publication Package, Field Change

Blocks 10/12/13: As required by DDGOS DDGOS 0902-018-2010, 9020-1-j and SWLIN.

Block 14: SUPSHIP will provide distribution.

This item includes changes and updates to all publications affected by availability validated by shipcheck. As a minimum, “Printer Proof” copies of SRD shall be onboard prior to Fast Cruise.

CLIN 0001, 0003, 0004, 0005, 0006

NTE

Natalia Argote, PMS 392H13 14 Nov 14

PMS392CB 1 0

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A012 Submarine Safety/Material Certification Composite List

PMS 392

Block 5: DDGOS 0902-018-2010, 9020-0, 5000-0-f and NAVSEA 0924-062-0010.

Blocks 10/12: Deferred delivery, retain on file.

Blocks 14/15: Quantity and distribution will be provided by SUPSHIP.

See Blk 16

DFDEL (See Blk 16)

PMS392H1

CLIN 0001, 0003, 0004, 0005, 0006

DI-QCIC-80815

DFDEL (See Blk 16)

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A013 Test/Inspection Report

Block:4: Applicable URO MRC(s) specified in the Availability Work Package. Submarine Maintenance standard 7650-081-091 for those items not specifically inspected under a URO MRC, (e.g., tanks opened for preservation only vice URO MRC inspection(s).)

Block 5:DDGOS 0902-018-2010, 9110-0-b and NAVSEA
0924-062-0010

Blocks 10/12/13/14: In accordance with the applicable inspection document, i.e., URO MRC and/or Submarine Maintenance standard 7650-081-091

(See Blk 16) (See Blk 16) Report, Hull Surveys and Surveillance Inspection

Natalia Argote, PMS 392H13 14 Nov 14

CLIN 0001, 0003, 0004, 0005, 0006

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A014 Ship Construction Schedule Report

Block 5: CLIN 0001 and DDGOS 0902-018-2010, 9190-1.

Block 8: Content. Allow 7 days for Navy review.

Block 10/12: NLT 60 days before availability commences.

CLIN 0001

Paint Schedule

10 DARC

SUPSHIP

SHIP

NAVSEA 05UT

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A015

Ship, Booklet of Inclining Experiment Data

Block 5: CLIN 0001, CLIN 0003 and DDGOS 0902-018-2010, 9020-3.

Blocks 10/12/13: Data to be delivered in accordance with Block 5.

CLIN 0001, 0003

DI-MISC-80904

(See Blk 16)

SUPSHIP

PMS 392CB

SHIP

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A016

Block 5: Including DDGOS 0902-018-2010, 9400-1.

Blocks 10/12/13: Preliminary report one month after initial survey. Final after completion of Sea Trials.

DI-NDTI-80809B

(See Blk 16)

PMS 392H1

SHIP

Noise Measurement (Submarines)

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13 14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A017 Inspection and Test Plan

Block 4: Data shall satisfy Block 5 reference requirements and Availability Work Package requirements.

Block 5: CLIN 0001 and DDGOS 0902-018-0210, 9020-0-h

Block 12:Development and submission of test plan schedule (i.e.
POTS/PATS) A – 7 Months
Development and submission of the test plan schedule (i.e. Open and Inspect Plan) A-30 Days

Block 14: SEA05U7T will provide additional distribution as needed.

OTIME

CLIN 0001

DI-QCIC-81110 (See Blk 16)

PMS 392H1

NAVSEA 05UT

Pre-overhaul Material Condition Report

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A018 Inspection and Test Plan

Block 4: To be submitted in digital microsoft project (mpp). Prior approval required to ensure proper sequencing with other scheduled availability events.

Block 5: Including DDGOS 0902-018-2010, 9290-8.

Block 8: Content. Allow 14 days for Navy review.

Block 12: 30 days prior to start of availability.

Block 13: Revise as required to suit availability events scheduled.

DI-QCIC-81110 (See Blk 16)

PMS 392H1

Compartment Test

A (See Blk 16)

SHIP

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13 14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A019

Block 4: Completion of all open, inspect, and reporting requirements to identify to fully encompass all open and inspect activities reflected in the AWP and scheduled completion date, will be submitted to the Supervisor for approval and establishment of incentive baseline at least 30 Days prior to the start of the availability. Reports generated during the availability as a result of inspections, test, work requirements, etc., should clearly define the purpose of the inspection or test and include a clear description of condition, comparison of acceptable data vs. actual data, and recommend corrective action required/taken. Data shall be the result of inspections directed on equipment prior to repair, test alteration, etc.

Blocks 10/12/13: Report required no later than five days after completion of each inspection directed. The contractor shall provide weekly status reports of progress completing Open and Inspect actions to the Open and Inspect Plan.

DI-NDTI-80809B

SUPSHIP

SHIP

Equipment Inspection Report Prior to Repair/Alteration (See Blk 16)

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13 14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A020 Test/ Inspection Report

Block 5: Including DDGOS 0902-018-2010, 9110-0-I and 9020-9

Blocks 10/12/13: Reports shall be submitted at the time specified in SWLIN and DDGOS sections listed for Block 5 above.

ASREQ (See Blk 16)

DI-NDTI-80809B

SUPSHIP

TYCOM

Reports, Hull Structure Tests (See Blk 16)

SHIP

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13 14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A021

Engineering Documents

SUPSHIP

Data shall consist of one (1) full-size repro, suitable for electrostatic process .

Block 5: Including DDGOS 0902-018-2010, 9020-9-f.

Blocks 12/13: 30 days after completion of all tests.

Final Set of Test Reports 0 4

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13 14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

Material History

A022 Lists, Master Equipment

SUPSHIP

LT

Block 5: Including DDGOS 0902-018-2010, 9020-2, 5000-h

Block 12: 60 days after end of availability.

SHIP

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13 14 Nov 14

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A023 Docking Procedures Documentation

CLIN 0003

PMS 392

LT

(See Blk 16)

Block 4: NSTM Chapter 997 and NAVSEA Forms 9997-1, 9997-2, 9997-3, and/or 9997-4 as applicable

Block 5: CLIN 0003and DDGOS 0902-018-2010, 5000-0-h

Blocks 10/12/13: As directed by work package. .

Docking Reports

5 0

SUPSHIP

SHIP

(See Blk 16)

TYCOM

Planning Yard

USS MONTPELIER (SSN 765)

Natalia Argote, PMS 392H13 Natalia Argote, PMS 392H13

NAVSEA 05U7T

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C. CATEGORY

F. CONTRACTOR

E. CONTRACT/PR NO.

D. SYSTEM/ITEM

1. DATA ITEM NO.

2. TITLE OF DATA ITEM

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 260 REQ

8. APP CODE

10. FREQUENCY

9. DIST STATEMENT

REQUIRED

12. DATE OF FIRST SUBMISSION

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

14. DISTRIBUTION

b. COPIES Draft Final Reg Report

18. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

16. REMARKS

G. PREPARED BY

I. APPROVED BY

H. DATE

J. DATE

DD Form 1423-1, JUN 90 Previous editions are obsolete Page ____ of ____ Pages 1007/183

15. TOTAL

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.

A024

DI-NDTI-80809B

SUPSHIP

LT

(See Blk) 16

Block 5: Including DDGOS 0902-018-2010, 9670-1-d.

Blocks 10/12/13: Submit in accordance with the applicable test schedules.

J.H. Houk, Data Manager Reports, Test,…

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