N00024-15-R-5202_Revised_Exhibit_A_CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding 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 C. CATEGORY

CLIN A001 A TDP _________ TM _________ OTHER ____X____

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

ASW Product Supportability N00024-15-R-5202 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 Contract Work Breakdown Structure WBS with costs accrued

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81334D (SEE BLK 16) SOW PARA. 2.1.2 PEO IWS 5.0 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO REQUIRED See BLK 16 30 DAC

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

D SUBMISSION a. ADDRESSEE Draft Final

N/A SEE BLK 16 N/A 10TH Reg Repro

16. REMARKS

BLOCK 4: DI-MGMT-81334D is for guidance only. Contractor format iPDM 0 1 0 is acceptable. Regular copies shall be via electronic mail in a SEA02524 1

MS Word, MS Power Point and/or MS Excel format. COR 1

PEO IWS 5B 1

BLOCK 9: Distribution Statement D: Distribution is authorized to the

Department of Defense (DoD) and U.S. DoD contractors only;

Critical Technology; date data generated. Other requests for this document shall be referred to PEO IWS 5.0. Distribution Statement shall include Export Control Warning Notice.

BLOCK 10: Report Due the 10th of each month.

BLOCK 14: Deliver to the following via iPDM (https://ipdm.navy.mil):

messaging to PEO IWS 5 PSM, PEO IWS 5B, PEO IWS 5B ISS Manager, PEO IWS 5B CSSQT Manager, PEO IWS 5B Installation Manager

0 4 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Helen Rice Chhay Lim DD FORM 1423-1, JUN 90 Previous editions are obsolete. Page 1 of 8 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 the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

CLIN A002 A TDP _________ TM _________ OTHER ____X____

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

ASW Product Supportability N00024-15-R-5202 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

TECHNICAL/PROGRAM REVIEW

A002 CONFERENCE AGENDA MEETING AGENDA

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-ADMN-81249A (SEE BLK 16) SOW PARA. 2.1, 2.2, 2.3, 2.5 PEO IWS 5.0 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO REQUIRED ASREQ(See Block16) ASREQ(See Block16)

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

D SUBMISSION a. ADDRESSEE Draft Final

N/A SEE BLK 16 N/A N/A Reg Repro

16. REMARKS

BLOCK 4: DI-ADMN-81249A is for guidance only. Contractor format iPDM 0 1 0 is acceptable. Regular copies shall be via electronic mail in a PEO IWS 5B 1

MS Word, MS Power Point and/or MS Excel format. PEO IWS 5B Install 1

PEO IWS 5B ISS 1

BLOCK 9: Distribution Statement D: Distribution is authorized to the PEO IWS 5B PSM 1

Department of Defense (DoD) and U.S. DoD contractors only;

Critical Technology; date data generated. Other requests for this document shall be referred to PEO IWS 5.0. Distribution Statement shall include Export Control Warning Notice.

BLOCKS 10 and 12: Submit 7 days before each program review.

BLOCK 14: Deliver to the following via iPDM (https://ipdm.navy.mil):

messaging to PEO IWS 5 PSM, PEO IWS 5B, PEO IWS 5B ISS Manager, PEO IWS 5B CSSQT Manager, PEO IWS 5B Installation Manager

0 5 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, JUN 90 Previous editions are obsolete. Page 2 of 8 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 the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

CLIN A003 A TDP _________ TM _________ OTHER ____X____

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

ASW Product Supportability N00024-15-R-5202 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 CONFERENCE MINUTES N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-ADMN-81250A (SEE BLK 16) SOW PARA. 2.1, 2.2, 2.3, 2.5 PEO IWS 5.0 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO REQUIRED ASREQ(See Block16) ASREQ(See Block16)

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

D SUBMISSION a. ADDRESSEE Draft Final

N/A SEE BLK 16 N/A SEE BLK 16 Reg Repro

16. REMARKS

BLOCK 4: DI-ADMN-81250A is for guidance only. Contractor format iPDM 0 1 0 is acceptable. Regular copies shall be via electronic mail in a PEO IWS 5B 1

MS Word and/or MS Excel format. Updated presentationa materials PEO IWS 5B Install 1 with changes tracked are accetable minutes PEO IWS 5B ISS 1

BLOCK 9: Distribution Statement D: Distribution is authorized to the PEO IWS 5B PSM 1

Department of Defense (DoD) and U.S. DoD contractors only;

Critical Technology; date data generated. Other requests for this document shall be referred to PEO IWS 5.0. Distribution Statement shall include Export Control Warning Notice.

BLOCKS 10 and 12: Submit NLT 15 days after each program review.

BLOCK 13: Government has 30 days to review. Contractor has 15 days to incorporate comments.

BLOCK 14: Deliver to the following via iPDM (https://ipdm.navy.mil):

messaging to PEO IWS 5 PSM, PEO IWS 5B, PEO IWS 5B ISS Manager, PEO IWS 5B CSSQT Manager, PEO IWS 5B Installation Manager

15. TOTAL 0 5 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, JUN 90 Previous editions are obsolete. Page 3 of 8 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 the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

CLIN A004 A TDP _________ TM _________ OTHER ____X____

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

ASW Product Supportability N00024-15-R-5202 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

CONTRACTOR'S PROGRESS, STATUS N/A

A004 AND MANAGEMENT REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-80227 (SEE BLK 16) SOW PARA. 2.1, 2.2, 2.3, 2.4, 2.5 PEO IWS 5.0 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO REQUIRED See BLK 16 30 DAC

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

D SUBMISSION a. ADDRESSEE Draft Final

N/A SEE BLK 16 N/A SEE BLK 16 Reg Repro

16. REMARKS

BLOCK 4: DI-MGMT-80227 is for guidance only. Contractor format iPDM 0 1 0 is acceptable. Regular copies shall be via electronic mail in a PEO IWS 5B 1

MS Word and/or MS Excel format. PEO IWS 5B CSSQT 1

PEO IWS 5B Install 1

BLOCK 9: Distribution Statement D: Distribution is authorized to the PEO IWS 5B ISS 1

Department of Defense (DoD) and U.S. DoD contractors only; PEO IWS 5B PSM 1

Critical Technology; date data generated. Other requests for this SEA02524 1 document shall be referred to PEO IWS 5.0. Distribution Statement shall include Export Control Warning Notice.

BLOCK 10: Report Due the 10th of each month.

BLOCK 13: Allow 3 days for government comment. Submit 5 days after incoprated government comments.

BLOCK 14: Deliver to the following via iPDM (https://ipdm.navy.mil):

messaging to PEO IWS 5 PSM, PEO IWS 5B, PEO IWS 5B ISS Manager, PEO IWS 5B CSSQT Manager, PEO IWS 5B Installation Manager

15. TOTAL 0 7 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, JUN 90 Previous editions are obsolete. Page 4 of 8 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 the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

CLIN A005 A TDP _________ TM _________ OTHER ____X____

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

ASW Product Supportability N00024-15-R-5202 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

TECHNICAL REPORT - Transportation Plan, Technical Data, A005 STUDY/SERVICES Technical reports & Studies

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80508B (SEE BLK 16) SOW PARA. 2.2, 2.3, 2.5 PEO IWS 5.0 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO REQUIRED ASREQ(See Block16) ASREQ(See Block16)

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

D SUBMISSION a. ADDRESSEE Draft Final

N/A SEE BLK 16 N/A SEE BLK 16 Reg Repro

16. REMARKS

BLOCK 4: DI-MISC-80508B is for guidance only. Contractor format iPDM 0 1 0 is acceptable. Regular copies shall be via electronic mail in a PEO IWS 5B 1

MS Word and/or MS Excel format. PEO IWS 5B Install 1

PEO IWS 5B PSM 1

BLOCK 9: Distribution Statement D: Distribution is authorized to the

Department of Defense (DoD) and U.S. DoD contractors only;

Critical Technology; date data generated. Other requests for this document shall be referred to PEO IWS 5.0. Distribution Statement shall include Export Control Warning Notice.

BLOCKS 10 and 12: Submit 15 days after completion of each study.

BLOCK 13: Allow 30 days for government comment;

Submit 15 days after incorporate government comments.

BLOCK 14: Deliver to the following via iPDM (https://ipdm.navy.mil):

messaging to PEO IWS 5 PSM, PEO IWS 5B, PEO IWS 5B ISS Manager, PEO IWS 5B CSSQT Manager, PEO IWS 5B Installation Manager

15. TOTAL 0 4 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, JUN 90 Previous editions are obsolete. Page 5 of 8 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 the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

CLIN A006 A TDP _________ TM _________ OTHER ____X____

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

ASW Product Supportability N00024-15-R-5202 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

INCO Procedures per ship

A006 TEST PLAN

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80566A (SEE BLK 16) SOW PARA.2.3.6 PEO IWS 5.0 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO REQUIRED ASREQ(See Block16) ASREQ(See Block16)

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

D SUBMISSION a. ADDRESSEE Draft Final

N/A SEE BLK 16 N/A SEE BLK 16 Reg Repro

16. REMARKS

BLOCK 4: DI-NDTI-80566A is for guidance only. Contractor format iPDM 0 1 0 is acceptable. Regular copies shall be via electronic mail in a PEO IWS 5B 1

MS Word and/or MS Excel format. PEO IWS 5B Install 1

PEO IWS 5B PSM 1

BLOCK 9: Distribution Statement D: Distribution is authorized to the

Department of Defense (DoD) and U.S. DoD contractors only;

Critical Technology; date data generated. Other requests for this document shall be referred to PEO IWS 5.0. Distribution Statement shall include Export Control Warning Notice.

BLOCKS 10 and 12: Submit 30 days before each test.

BLOCK 13: Allow 15 days for government comment;

Submit 15 days after incorporate government comments.

BLOCK 14: Deliver to the following via iPDM (https://ipdm.navy.mil):

messaging to PEO IWS 5 PSM, PEO IWS 5B, PEO IWS 5B ISS Manager, PEO IWS 5B CSSQT Manager, PEO IWS 5B Installation Manager

15. TOTAL 0 4 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, JUN 90 Previous editions are obsolete. Page 6 of 8 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 the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

CLIN A007 A TDP _________ TM _________ OTHER ____X____

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

ASW Product Supportability N00024-15-R-5202 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

Validated Logistics Delivery A007 Validation Completion Report ILS Audit Reports

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81720 (SEE BLK 16) SOW PARA. 2.2 PEO IWS 5.0 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO REQUIRED ASREQ (SEE BLK 16) ASREQ(SEE BLK 16)

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

D SUBMISSION a. ADDRESSEE Draft Final

N/A SEE BLK 16 N/A See BLK 16 Reg Repro

16. REMARKS

BLOCK 4: DI-MGMT-81720 is for guidance only. Contractor format iPDM 0 1 0 is acceptable. Regular copies shall be via electronic mail in a PEO IWS 5B 1

MS Word, MS Power Point and/or MS Excel format. PEO IWS 5B PSM 1

BLOCK 9: Distribution Statement D: Distribution is authorized to the

Department of Defense (DoD) and U.S. DoD contractors only;

Critical Technology; date data generated. Other requests for this document shall be referred to PEO IWS 5.0. Distribution Statement shall include Export Control Warning Notice.

BLOCK 10 and 12: Report Due 10 months after each TI/ACB tasked.

BLOCK 13: Allow 30 days for government comment; Submit 15 days after incorporate government comments

BLOCK 14: Deliver to the following via iPDM (https://ipdm.navy.mil):

messaging to PEO IWS 5 PSM, PEO IWS 5B, PEO IWS 5B ISS Manager, PEO IWS 5B CSSQT Manager, PEO IWS 5B Installation Manager

0 3 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, JUN 90 Previous editions are obsolete. Page 7 of 8 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 the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY

CLIN A008 A TDP _________ TM _________ OTHER ____X____

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

ASW Product Supportability N00024-15-R-5202 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

CONTRACTOR'S PROGRESS, STATUS

A008 AND MANAGEMENT REPORT Weekly Status Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-80227 (SEE BLK 16) SOW PARA. 2.3, 2.4 PEO IWS 5.0 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

NO REQUIRED ASREQ (SEE BLK 16) ASREQ(SEE BLK 16)

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

D SUBMISSION a. ADDRESSEE Draft Final

N/A SEE BLK 16 N/A Tues ea Week Reg Repro

16. REMARKS

BLOCK 4: DI-MGMT-80227 is for guidance only. Contractor format iPDM 0 1 0 is acceptable. Regular copies shall be via electronic mail in a PEO IWS 5B 1

MS Word format. PEO IWS 5B Install 1

PEO IWS 5B ISS 1

BLOCK 5: Para 2.3.6, 2.4.2. Details all fleet interface and shipboard PEO IWS 5B PSM 1

Work Status

BLOCK 9: Distribution Statement D: Distribution is authorized to the

Department of Defense (DoD) and U.S. DoD contractors only;

Critical Technology; date data generated. Other requests for this document shall be referred to PEO IWS 5.0. Distribution Statement shall include Export Control Warning Notice.

BLOCK 10 and 12: Report Due Tues each week for prior 7 days

BLOCK 13: Non-approved CDRL

BLOCK 14: Deliver to the following via iPDM (https://ipdm.navy.mil):

messaging to PEO IWS 5 PSM, PEO IWS 5B, PEO IWS 5B ISS Manager, PEO IWS 5B CSSQT Manager, PEO IWS 5B Installation Manager

0 5 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD FORM 1423-1, JUN 90 Previous editions are obsolete. Page 8 of 8 Pages