N00024-15-R-6263_EXHIBITS_A-E.pdf

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

The public reporting burden for this COllection of information is estimated to average 110 hour, per relponse, including the time for reViewing Inltructions, searching existing data -sources, gathering and mainlaining the data needed, and completing and reviewing the collection of information Send comments regarchng this burden estimate or any other asped of oHadiDn of information, including suggestiOns for reducing thil burden. '0 Ihe Department of Defense, Executive Services and Communications Directorate (0704-0188).

be aware that notwithstanding any other provllion of law, no person shall be subject to any penalty for railing to comply with 8 CQlleetion of information if d does not

Iy valid OMB control number, Please do not return your form to the above organization, Senei completed form 10 the Government Issuing Contracting Officer for the listed in Block E, A. CONTRACT UNE ITEM NO. lB. EXHIBIT A C.CATEGORY

0005 TOP TM OTHER MGMT

D. SYSTEM~TEM IE. CONTRACTIPR NO. ~CONTRACTOR

TB-29X NOOO24-15-R-626 BD

1. DATA ITEM NO. Z. TIT~E OF DATA ITEM i3. SUBTITLE

A001 SYSTEM ENGINEERING MANAGEMENT PLAN TB-29X First Article SEMP

(SEMP)

4, AUTHORITY (Data Acquisition Document No,) 15. CONTRACT REfERENCE i. REQUIRING OfFICE

DI-MGMT-81024 SOW3.1.2 PMS4011

7. DO Z50 REQ 9. DIST STATEMENT ,10. FREQUENCY U DATE OF FIRST SUIIMISSION i14. DlSTRIBU110N

LT

REQUIRED

ONEIR 150DAC !

,I. APP CODE

D ill. AS OF DATE 13. DATf OF SUBSEQUENT b.COPIES

SUBMISSION '.ADDRESSEE . Dnift Final

A (SEE BLK 16) NlA 30DARC Reg Repro

Ii. REMARKS

SEE BLK 16

BLOCK 8: Approval is for technical content. Government review i PMS4011 iNAVSEA 1 1 cycle will be 30 days after receipt.

BLOCK 9: (1) DISTRIBUTION STATEMENT 0: Distribution authorized to the Department of Defense and U.S. 000 contractors only for administrative or operational use (May 2015). Other requests , shall be referred to PMS4011.

(2) DESTRUCTION NOTICE: Classified information, destroy in accordance with the SECNAV M-5510.36 (DON Information Security program) or 000 5220.22-M (National Industrial Security Program Operating Manual). Unclassified limited documents, (e.g., FOUO, distribution statement control) destroy by any methods that will prevent disclosure of contents or reconstruction of the document.

(3) WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U. S. C. Sec.

2751 et seq.) or the Export Administration Act of 1979, as amended, , Title 50, U.S. C., App. 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the !

provisions of OPNAVINST 55161. , BLOCK 14: Draft shall be submitted 90DAC.

BLOCKS 14 and 15: Documents shall be submitted electronically by , uploading to the PMS4011 Data Repository and shared document location on the iNAVSEA website. Notification of submittal shall be provided via email to the addresses specified in the CDRL Glossary, Attachment 1.

15. TOTAL-. 1 1

G. PREPARED BY BABIK ERI N L 1266 """""~j;IJli;''''''.'m I. APPROVED BY

J. DATE

• ~ • ON. (=us. 0",\1 GOVlI'rru"'\ft~t OU=OOO, BRADlEY.SHERRY.S.1232084 :::;,:~.~"::'. f~~~,.:":~"':'; ~"::'.:QU"'PK~, ou,.us

Erin Babik 381 537 ~.~:~~s'~:" :;~;::'~:..,. Sherry Bradley 967 <»=8A"Dcn:;t1 r:::;;:!:M'tJ~l~ lClI.ilH16

17. PRICE GROUP

18. ElIl1MATED

TOTAL PRICE

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

b CONTRACT OATA REQUIREMENTS LIST Fonn Approved

, burden for this collection of In'ormatlon is estimated to averagfJ 110 hours ,per response" lnduding the tIme for reviewing lOstructlons, searching existIng data 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 the Department of Defense, Executive Services and Communications Directorate (070+0188), Respondents should be aWBre that notYllthstanding any a1her prOVIsion of law, no person shall be subject to any penalty for falling to comply with a collection of information if it does display a currently valid OMB control number. Please do not return your form to the above organiz.atlOn. Send completed form to the Govemment Issuing Contracting Officer for the ContractfPR No. listed in Block E

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

0005 A TOP TM OTHER SAFT

D. SYSTEMnTEM IE. CDNTRACTIPR NO. F. CONTRACTOR

TB-29X NOO024-15-R-6263 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTln.E

A002

SYSTEM SAFETY HAZARD ANAL YSIS

TB-29X First Article SSHA

REPORT (SSHA)

4, AUTHORITY (Data AcquiSition Document No.) 15. CONTRACT REFERENCE 16. REQUIRING OFFICE

DI-SAFT-80101B SOW3.1.3 ·PMS4011

7.00 250REQ 9. DIST STATEMENT 10. FREQUENCY 1:1. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

REQUIRED ONEIR 180DAC

8. APP CODE

11. AS OF DATE 13. DATE OF SUBSEQUENT b.cOPIES SUBMISSION • ADDRESSEE Final

A (SEE BLK 16) NIA 30DARC

Draft

Reg I Repro

16. REMARKS SEE BlK 16

BLOCK 8: Approval is for technical content. Government review PMS4011 iNAVSEA

'~cycle will be 30 days after receipt.

BLOCK 9: (1) DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U. S. DoD contractors only for administrative or operational use (May 2015). Other requests shall be referred to PMS4011.

I

(2) DESTRUCTION NOTICE: Classified information, destroy in accordance with the SECNAV M-5510.36 (DON Information

I

Security program) or DoD 5220.22-M (National Industrial Security Program Operating Manual). Unclassified limited documents, (e.g., =HFOUO, distribution statement control) destroy by any methods that will prevent disclosure of contents or reconstruction of the document.

(3) WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U. S. C.

Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S. c., App. 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCK 14: Draft shall be submitted 120DAC.

BLOCKS 14 and 15: Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNA VSEA website. Notification of submittal shall be provided via email to the addresses specified in the CDRL Glossary, Attachment 1.

15. TOTAL-~ 1 1

G. PREPARED BYBABIK.ERIN.L 1266 ~~,~~~;,::~\;¥~~~:,:~g~:::,,, I. APPROVED BY J. DATE BRADLEY.SHERRY.S.1 23208 ~~~·~s',~:~s~, 'YS'*fIItII~,(H.Iil_1

"''1m, "".Dt>O. ~~P~I. ""'"'-I~N

Erin Babik 381 537 ;":e"~~;~;8:~~.~~1~~~:mll 4967 m"llRAD<t~,$I<NillV; H1QMWtl

Sherry Bradley O.."illI5M1l61."'or ~oo

17. PRICE GROUP

18. ESTIMATED

DO FORM 1423-1, FEB 2001 PREVIOUS EDmON MAY BE USED Page of 22 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No, 0704-0188

The public reporting burden for this collection of information is estimated to a\'erage 110 hours per response, mcluding the timo for reviewing instructions, searching existing data sources. gathenng and mainiaimng the data needed, and completing and revievilng the collection of information. Send comments regarding this burden estimate Of any other aspect of this coilectlon of information. including suggestions for reducing this burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188) Respondents shou!d be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for taiting to comply \M1h a collection of information if it does display a currently valid OMS control number. Please do nol return your form to the above organIzation Send completed form to the Government Issuing Contracting Officer for the Contr8et1PR No. listed in Block E

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

0005 A TOP TM OTHER IPse O,SYSTEMnTEM r' CONTRACTIPR NO, F, CONTRACTOR

TB-29X NOO024-15-R-6263 TBD

1, DATA ITEM NO, '2, TITLE OF OATA ITEM 3, SUenn..E

A003 IINTERFACE REQUIREMENTS

SPECIFICATION (IRS)

TB-29X First Article IRS

DI-IPSC-81434A

[$, CONTRACT REFERENCE4. AUn;ORITY (Dala AcqUiSition Document No.) S, REQlJlRING OFFICE

PMS4011[SOW3,14

~~~-=--~~~-----+1-4,~O-~-TR-IB-U~TI-ON~----------------~7,00260 REQ 9, OIST STATEMENT i10, FREQUENCY 12, DATE OF FIRST SUBMISSION

LT

REQUIRED

! SEE BLK 16 120DAC

I,APPCODE

D r1'AS OF DATE 13, DATE OF SUBSEQUENT SlJBM~SION

A (SEE BLK 16) NIA SEE BLK 16

16,REMARKS

BLOCK 8: Approval is for technical content. Government review cycle will be 30 days after receipt.

BLOCK 9: (1) DISTRIBUTION STA TEMENT 0: Distribution authorized to the Department of Defense and U.S, 000 contractors only for administrative or operational use (May 2015), Other requests shall be referred to PMS4011,

(2) DESTRUCTION NOTICE: Classified information, destroy in accordance with the SECNAV M-5510, 36 (DON Information Security program) or 000 5220. 22-M (National Industrial Security Program Operating Manual). Unclassified limited documents, (e.g., FOUD, distribution statement control) destroy by any methods that will prevent disclosure of contents or reconstruction of the document,

(3) WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S,c. Sec, 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U. S. C" App. 2401, et seq, Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of

OPNAVINST 55161.

BLOCKS 10 and 13: Update as required to incorporate changes but not more frequently than once per quarter.

BLOCK 14: Draft shall be submitted 90DAC, BLOCKS 14 and 15: Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNA VSEA website. Notification of submittal shall be provided via email to the addresses specified in the CDRL Glossary, Attachment 1, G, PREPARED BY BABIK.ERI N.L.126

Erin Babik 6381537

PREVIOUS EDITION MAY BE USED

b,COPIES a, ADDRESSEE Floal I Reg Repro IDraft

SEE BLK 16

PMS4011 iNAVSEA

15. TOTAL-~

Page of ~ Pages

17, PRICE GROUP

18, ESnMATED

DO FORM 1423·1, FEB 2001

The public reponing burden for this collection of informatIOn is estlmaled to average 110 hours per response, Including the time for reviewing instructions, searching eXisting data sources. gathering: and maintaining the dala needed, and completing and revielNling the collection ofinforma1ion. Send commen1s regarding this burden estimate O'f any other aspect of this collection of informalloo\ including suggestions for reduCIng thIs burden, to the Depa-rimenj of Defense, Executive ServICes and Communications Djrectorate (0704-0186) Respondents should be aware that notwathstand!ng any other provision of law, no person shall be subject to any penally for failing to comply with a collection of information if It does display a currently valid OMB control number Please do no1 return your form to the above orgamzatlon. Send compleled form to 1he Govl:trnmeni Issuing Contracting Officer tor the ConlractiPR No hsted In 810ck E A. CONTRACT LINE ITEM NO. B. EXfllBIT iC. CATEGORY

0005 A i

TOP TM OTHER ORPR

o. SYSTEMnTEM iE. CONTRACT/PR NO. F. CONTRACTOR

TB-29X NOO024-15-R-6263 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3.SUBTIT1.E

A004 INSTALLATION CONTROL DRAWINGS TB-29X First Article Installation Control Drawings

4. AUTHORITY (Data Acquisitu:m Document NO.) r' CONTRACT REFERENCE 16. REQUiRING OFFICE

DI-DRPR-81242 (SEE BLK 16) SOW3.1.5 !PMS4011

7. DO 250 REQ == 9.DISTSTATEMENT

. FREQ~~~R 12. DATE OF FIRST SUBMISSION

LT

REQUIRED 180DAC

•. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT . COPIES

0 SUBMISSION '.ADDRESSEE Fhal

A (SEE BLK 16) NIA 30DARC Orall Reg I Repro

16. REMARKS SEE BLK 16

BLOCK 4: DI-DRPR-81242 is tailored as follows: Contractor's format is PMS4011 iNAVSEA 1 1 acceptable. MIL-D-23140 is for guidence only.

BLOCK 8: Approval is for technical content. Government review cycle will be 30 days after receipt.

BLOCK 9: (1) DISTRIBUTION STATEMENT 0: Distribution authorized to the Department of Defense and US. 000 contractors only for administrative or operational use (May 2015). Other requests shall be referred to PMS4011.

(2) DESTRUCTION NOTICE: Classified information, destroy in accordance with the SECNAV M-5510.36 (DON Information Security program) or 000 5220. 22-M (National Industrial Security Program Operating Manual). Unclassified limited documents, (e.g., FOUO, distribution statement control) destroy by any methods that will prevent disclosure of contents or reconstruction of the document. •

(3) WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, US.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, US. C., App. 2401, et seq. Violations ofthese export laws are subject to severe criminal penalties. Disseminate per the provisions of

OPNAVINST 55161.

BLOCK 14: Draft shall be submitted 120DAC.

BLOCKS 14 and 15: Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNAVSEA website. Notification of submittal shall be provided via email to the addresses specified in the CDRL Glossary, Attachment 1.

15. TOTAL_. 1 1

~N.L126 :)'91taIIYSlgnet~3f;M1eN.l1266]81SH I. APPROVED BY J. DATE ON:;:_U5.o LL Govemme'll,oll Do\), BRADLEY.SHERRY.S.12320 :'~:::::': l!::.~"~'!::~'!.:::"" . k Oil=?o(!. QU",us~.

'n""BA8IKER!~.:266JB1S)7 Sherry Bradley 84967 =~~;o~!." ~~:~,:....,.D<1te201S0S lO."'1'Sl·{l4'00'

17. PRICE GROUP

11. TOTAL PRICE

00 FORM 1423-1, FEB 2001 PREVlOUS EDITION MAY BE USED Page &l! Pages

The public reporting burden for this collection of Information is estimated to average 110 hours per response, Including the time for revie'Wing instructions, searching existing data sources, gathenng and maintaining the data needed, and completing and revlelNlng the collection of Information. Send comments regarding this burden estimate or any other aspect of this collec110n of Information, Including suggestions for reducing this burden, to the Department of Defense, Executive SeMces and CommUnications Directora1e (0704~01Sa), Respondents should be aware that not'M1hstand1ng any other provision of Jaw, no person shall be subject to any penalty for railing to comply with a collection of informatIon if it does display a currently valid OMS control number Please do not return your form to the above organIzation Send completed form to the Government Issuing Contracting Officer for the ContractJPR No listed In Block E, A. CONTRACT LINE ITEM NO B. EXHIBIT :C. CATEGORY

0005 A TOP TM OTHER MiSe

10. SYSTEMnTEM E. CONTRACTIPR NO. F. CONTRACTOR

TB-29X N00024-1 ~R-6263 TBo

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A005 :SPECIFICA TlON REQUIREMENTS

• VERIFICA TlON MA TRIX (SRVM)

14. AUTHORITY {Data AcqUISition Document No.} i5. CONTRACT REFERENCE 6. REQUIRING OFFiCe ol-MISC-81283 ISOW3.2.1 PMS4011

7. DO 250 ReQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14.0ISTRIBUTION

LT

REQUIRED

ONEIR 1800AC

18.APPCODE

11, AS OF DATE 13. DATE OF SUBSEQUENT

~ SUBMISSION • ADDRESSEE

I A (SEE BLK 16) NIA 300ARC

Draft

S SEE BLK 16

BLOCK 8: Approval is for technical content. Government review PMS4011 iNAVSEA 1 1 cycle will be 30 days after receipt.

BLOCK 9: (1) DISTRIBUTION STATEMENT 0: Distribution authorized to the Department of Defense and US. 000 contractors only for administrative or operational use (May 2015). Other requests shall be referred to PMS4011.

(2) DESTRUCT/ON NOTICE: Classified information, destroy in accordance with the SECNAV M-551O.36 (DON Information Security program) or 000 5220.22-M (National Industrial Security Program Operating Manual). Unclassified limited documents, (e.g., FOUO, distribution statement control) destroy by any methods that will prevent disclosure of contents or reconstruction of the document.

(3) WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, US. C.

Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, US.G., App. 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate I per the provisions of OPNAVINST 55161. I

BLOCK 14: Draft shall be submitted 120DAC.

BLOCKS 14 and 15: Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNA VSEA website. Notification of submittal shall be provided via email to the addresses specified in the CDRL Glossary, Attachment 1.

15. TOTAL-~ 1 1

G. PREPARED BY BABIK.ERIN.L.126 ::~~~1A~ftJ;~ """'" I. APPROVED BY

J. DATE

o-....."m..n! (;"oo{)nD,tiu=PK, BRADLEY.SHERRY.S.123 DOQ/(.J;I"I"lq"wbyll AOlfV5HERflY$ll12060'967

(£R>r.L.ltb638!S37 01+<,.\.IS,t>"'1.IS C; f"''''t~L6"",OaD,ou_PI(f, Erin Babik 6381537 0,. '",,'10''''' Sherry Bradley 2084967 llu_lISN,m_II1UICX Y_~EAAY'l.111~(l1I4961 DOlO 21l1,JlSIl6I. IU-f).C'OO'

17. PRICE GROUP

11. ESTIMATED

00 FORM 1423-1, FfS 2001 PREVlOU6 EDIllON MAY BE U6ED Page ~ Of 6§ Pages

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and revle'Ning 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188).

Respondents should be a......-are thai not'NIthstanding any other provision of law, no person shall be subject to any penalty for failing to comply 'Nith a collection of information if it does display a currently valid OMS control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the ContractlPR No listed in Block E

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

0005 A TOP TM OTHER NOTI

D. SYSTEM/ITEM IE. CONTRACTIPR NO. F. CONTRACTOR

TB-29X NOO024-15-R-6263 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A006 FIRST ARTICLE QUAL/FICA TlON TEST PLAN

AND PROCEDURES

4. AUTHORITY (Data AcquiSition Document No ) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-81307A SOW 3.2.2 & 3.2.3 PMS4011

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

LT

REQUIRED

ONEIR 275DAC

8.APP CODE

11. AS OF DATE 13. DATE OF SUBSEQUENT b. COPIES

SUBMISSION a. ADDRESSEE Final

A (SEE BLK 16) NIA 30DARC

Draft

Reg Repro

16. REMARKS

SEE BLK 16

BLOCK 8: Approval is for technical content. Government review PMS4011 iNAVSEA 1 1 cycle will be 30 days after receipt.

BLOCK 9: (1) DISTRIBUTION STATEMENT 0: Distribution authorized to the Department of Defense and U. S. 000 contractors only for administrative or operational use (May 2015). Other requests shall be referred to PMS4011.

(2) DESTRUCTION NOTICE: Classified information, destroy in accordance with the SECNAV M-5510.36 (DON Information Security program) or 000 5220. 22-M (National Industrial Security Program Operating Manual). Unclassified limited documents, (e.g., FOUO, distribution statement control) destroy by any methods that will prevent disclosure of contents or reconstruction of the document.

(3) WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U. S. C.

Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.s.C., App. 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNA VINST 55161.

BLOCK 14: Draft shall be submitted 215DAC.

BLOCKS 14 and 15: Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNA VSEA website. Notification of submittal shall be provided via email to the addresses specified in the CDRL Glossary, Attachment 1.

15. TOTAL-iii 1 1

G. PREPARED BY BABIK.ERI N.L.126 ~~'~~I~;';:~:~ft~:~'o::'c::~"" I. APPROVED BY J. DATE

BRADLEY.5HERRY.5. D'gl1ally "gned by BRA LEYSHEIIRYS1HlOll4Wi7

Erin Babik 6381 537 ~~~:~'o~~~~~~· ~~~~:I~!: c 1266181S3} ~=~~~~~~~~6:':;

m .. nt.DIJ~D.DIJ=PI(I

Sherry Bradley 1232084967 HfRRYSll31!Nl4967 Date 2015050614.52 1 ~·OO

17. PRICE GROUP

18. ESTIMATED

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of ~ Pages i (1 Data Item) OMB No. 0704-0188re publIC repMmg burden for th,s collection of rnformation IS estimated to average 110 hours per response. Inctud,ng the lime for ,evie..,ng Instrucl.ons. s ••rching ..i.M~ data sources. galhenng and maintaining the data needed. and completmg and reviewing Ihe collection of information. Send comments regarding this burden estimate or any other aspect of this collecilon of Information, mcludlng suggestions for redUCing thiS burden. to the Department of Defense, ExeCUtive Services and Communications Directorate (0704~016B) !Respondents should be 8mre mat not'lv'lthstandmg any other provision of law, no person shall be subjed to any penalty for failing to comply With a collectIOn of information If It does display a currently valid OMS contrOl number. Please do nOl return your form to the above organization. Send completed form to 1he Governmen11ssuing Contracting Officer for the iContracUPR No listed In Block E

!A. CONTRACT LINE ITEM NO. ·B. EXHIBIT Ie. CATEGORY

0005 l A TOP TM OTHER NOTI ie.v, '"m'""''' IE. CONTRACTIPR NO. f, CONTRACTOR

TB-29X NOO024-15-R-6263 TBO

!1. OATA ITEM NO. (TTITLE OF DATA ITEM 3, SUBTITLE

A007 TESTI INSPECT/ON REPORT

i .

4. AUTHORITY (Dala Acqu'srt'on Document No ) I'. CONTRACT REfERENCE 6. REQUIRING OffiCE

OI-NOTl-80809B SOW3.2.3 PMS4011

7.00250 REQ :9.0ISTSTATEMENT I' O. fREQUENCY !12. DATE Of FIRST SUBMISSION i14. DISTRIBUTION

LT REQUIRED SEE BLK 16 SEE BLK 16

a. APPCODE ! 0 1'" AS OF DATE 1'3. DATE OF SUBSEQUENT b.COPIES

I SUBMISSION Final i (: 16) i a ADDRESSEE

NIA NIA NIA Draft R~ Repro

16. REMARKS

iSEE BLK 16

BLOCK 9: (1) DISTRIBUTION STATEMENT 0: Distribution authorized PMS4011 iNAVSEA I to the Department of Defense and US, 000 contractors only for administrative or operational use (May 2015). Other requests shall be referred to PMS4011.

(2) DESTRUCTION NOTICE: Classified information, destroy in accordance with the SECNAV M-5510.36 (DON Information Security i program) or DoD 5220. 22-M (National Industrial Security Program Operating Manual). Unclassified limited documents, (e.g., FOUO, I distribution statement control) destroy by any methods that will prevent disclosure of contents or reconstruction of the document, I

(3) WARNING,' This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.s.C, Sec. 2751 et seq) or the Export Administration Act of 1979, as amended, Title 50, I

US.C., App. 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of

IOPNAVINST 55161.

BLOCKS 10 and 12,' Submission shall be submitted within 30 days i following the conduct of each test.

BLOCKS 14 and 15: Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNAVSEA website. Notification of submittal shall be !

provided via email to the addresses specified in the CDRL Glossary, Attachment 1.

I r---

15. TOTAL_. 1

G, PREPARED BY BABIKERIN,L.1266 ak,,".s.",~.,.'H. DAT::,~~~':" II. APPROVED BY BRADLEY'sHERRY.S. ~~E~;,,:!f.~~~~~I':::::'~1

Erin Babik 381537 :;;:,v~;~,;:~tru,,,,,,,.,,,, • Sherry Bradley 1232084967 .~;~':::;; '212""""

17. PRICE GROUP

tao ESTIMATED

DO FORM 1423·1, FEB 2001 PREVlOUS EDITION MAY BE USED Page I of ;1l!. Pages

The public reporting burden for this collectIOn of InfOrmatloil is estimated to average 110 hours per response. induding the time for revurwlng instructions, searChing exi-sting data mSII'ltBII'ling the data needed, and complet!ng and revlewmg the collection of information. Send comments regarding this burden estimate or any other a.spect of

Including suggestions for redudng this burden, 10 the Department of Defense, Ex:cculive Services and Communicalions Directorate (O704~O188).

Respondents should be aware thaI notwithstanding any other provision of law, no shall be sUDJect to any penalty for failing to comply INIth a coltection of information if It does display a currently valid OMS control number Please do not return your form to above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed In Block E A. CONTRACT LINE ITEM NO. is. EXHIBIT TEGORY

0005 A DP TM OTHER NDT!

D. SYSTEM~TEM E, CONTRACTIPR NO, F. CONTRACTOR

TB-29X NOO024-15-R-6263 TBD

1. DATA ITEM NO, 2. TITLE OF DATA ITEM 3. SUBTITLE

A008 TEST I INSPECTION REPORT FIRST ARTICLE TEST REPORT

4, AUTHORITY (Data AcqUISition Document No) 15. CONTRACT REFERENCE 5, REQUIRING OFFICE

DI-NDTI-80809B SOW 3,2.4 PMS4011

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

SS

REQUIRED ONEIR 30DATC

D

11. AS OF DATE 13, DATE OF SUSSEQUENT b. COPIES

•. ADDRESSEE Final

(SEE BLK 16) NIA LK 16 Draft Reg Repro

16. REMARKS

SEE BLK 16

BLOCK 8: Approval is conditional approval, approval, or disapproval, PMS4011 iNAVSEA 1 lAW FAR clause 52,209-3. Government review cycle will be 30 days after receipt.

BLOCK 9: (1) DISTRIBUTION STA TEMENT D: Distribution authorized to the Department ofDefense and US. DoD contractors only for administrative or operational use (May 2015). Other requests shall be referred to PMS4011,

(2) DESTRUCTION NOTICE: Classified information, destroy in accordance with the SECNAV M-5510,36 (DON Information Security program) or DoD 5220. 22-M (Nationallndustrlal Security Program Operating Manual). Unclassified limited documents, (e.g., FOUO, distribution statement control) destroy by any methods that will prevent disclosure of contents or reconstruction of the document.

(3) WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, US. C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, US. C., App. 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of

OPNAVINST 55161.

BLOCKS 10 and 13: Upon Government request, lAW FAR clause 52.209-3.

BLOCKS 14 and 15: Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNA VSEA website. Notification of submittal shall be provided via email to the addresses specified in the CDRL Glossary, Attachment 1. =

16.TOTAL-~ 1

GPREPAREDBYBABIK.ERIN.L.126 ~'~~3;'::~d;b~~.QM,fi I. APPROVED BY i.:fR~J5~1mO'H'MJBRADlEY.SHERRY.5.1232084 ""." 0.0;'. '~"'''''~''" DoC ".,-I'o<'o..-U'i;"

Erin Babik 6381537 :I:;~~'~~~~' 96 7 ,;,;~;<~,;;',., llJlIHI';%7

Sherry Bradley 19..a.t1l0'

17. PRICE GROUP

18. eSTIMATED

TDTALPRICE

DO FORM 1423-1, FEB 2001 PRE.:V10US ED!Tl0N MAY BE USED Page of ~ Pages

I~e public reporting burden for this collect,on of information ,s estimaled to average 110 hours per response. including the time for reviewing instructions. searching existing data SOUfceS, gathering and maintalning the data needed, and completing and rellie'Wing the collection of Information. Send comments regardmg this burden estimate or any other aspect of lhlS collection of informallon, including suggesllons for redUCing this burden. to the Department of Defense, Executive SeNices and Communications Directorate (O704-0168), ,Respondents should be aware that notwithstanding any other provntion of law, no person shall be subject to any penalty for failing to comply INith a collection of information Lf i1 does :displaya currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the ContractlPR No. listed in Block E.

A. CONTRACT LINE ITEM NO. IB. EXHIBIT A Ie. CATEGORY

0005 TOP X TM OTHER

O. SYSTEM/ITEM .E. CONTRACTIPR NO. F. CONTflACTOR

TB-29X

I

NOO024-15-R-6263 TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM a. SUBTITLE

A009 PRODUCT DRAWINGS/MODELS AND TB-29X Drawings, Drawing Updates and Notices ASSOCIATED LISTS First Article

4. AUTHORITY Oata Acquistlion Document No.} 15. CONTRACT REFERENCE '6':'REQUlRtNG OFFICE

DI-SESS-81000E (SEE BLK 16) SOW3.31 IPMS4011

1----"" !10. FREQUENCY 11"2. DATE OF FIRST SUBMiSSiON 114.0ISTflIBUTION7. DO 250 REQ 9. OIST STATEMENT

DO

REQUIRED SEE BLK 16 SEE BLK 16

8. APP CODE I 0 111 AS OF O::A

;13. OATE OF SUBSEQUENT b. COPIES

I SUBMISSION Flnala. ADDRESSEE Draft

A (SEE BLK 16) SEE BLK 16 ROll Repro

~ARKS

SEE BlK 16

BLOCK 4: DI-SESS-81000E is tailored as follows. See applicable TDP !PMS4011 iNAVSEA

1 1 Option Selection Worksheet.

I BLOCK 7: Acceptance shall be based on adequacy of design disclosure information which matches the product configuration and the !

Government's ability to electronically duplicate the digital data. 00250 shall identify the engineering changes and revision level for the i documents being submitted as well as final documentation delivery.

BLOCK 8: Approval is for technical content. Government review cycle will be 30 days after receipt.

BLOCK 9: (1) DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and US. DoD contractors only for i administrative or operational use (May 2015). Other requests shall be referred to PMS4011.

(2) DESTRUCTION NOTICE: Classified information, destroy in I accordance with the SECNAV M-5510.36 (DON Information Security program) or DoD 5220. 22-M (National Industrial Security Program Operating Manual). Unclassified limited documents, (e.g., FOUO, distribution statement control) destroy by any methods that will prevent idisclosure of contents or reconstruction of the document.

(3) WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, US.C. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, US.C., App. 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of i

OPNAVINST 55161.

j15. TOTAL-... 1 1

G.PREPAREOBYBABIK ERIN L 126 ~:~;~s~~:~t~~fc"""'" 'fAPPROVEDBY J. DATE . . . ;,:js; :.,.o,",om"",""oD.",.c'" BRADLEY SHERRY S """,.,.'.0..."''' OlFY-SHERAYS1JllOllot<;l61

Erin Babik 6381537 ",,' 'm''''''I,~:i :~'.:g"m Sherry Bradley .123JnR4~n7 .' ~;.~~:i~~±~i rntn<!nt,o~DoO.::>u=o~, SHERR)'$,;)l]1lB41161 l"-»II"~

11. PRICE GROUP

18. ESTIMATED

DO FORM 1423-1, FEB 2001 PREVIOUS EOITION MAY BE JSEO Page of £§ Pages

A_ COt<;:TRACT LINE ITEM NO.

~TEM-~-----'

TB-29X

OTHER

1u.REMARKS

Data Item No. A009

BLOCKS 10, 12 and 13: First submission shall be 30 days after the Baseline Progress Review.

Drawings shall be updated as needed.

BLOCK 14: Draft shall be submitted 30 days prior to the Baseline Progress Review.

BLOCKS 14 and 15: Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNA VSEA website. Notification of submittal shall be provided via email to the addresses specified in the CDRL Glossary, Attachment 1.

DO FORM 1423-1, FEB 2001 PREvIOUS EDITION MAV BE USEe Page 1Q of 2Ji Page.

TDP OPTION SELECTION WORKSHEET

PROmXT DRAWINGS/MODELS AND ASSOCIATED LISTS

SYSTEM TB-29X DATE PREPAR.ED·

A. CONTRACT NO IB EXHIBIT/ATTACHMENT NO Ie CLiN D CDRL DATA ITEM NO.

NOO024-15-R-6263 ! A 0005 A009

l. TOP Level (X aflll complete (IS (lpplicable)

A ~CONCEPTUAL LEVEL B. REMARKS

.f DEVELOP:V1ENTAL LEVEL

=.f PRODUCTION LEVEL

A. B:0' 2D DRAWINGS NATIVE CAD (Specify Type) TYPE 3D 3D MODEL ONL Y ISO 10303 STEP FORMAT (Specify STEP PROTOCOL AP203, AP 214, etc.)

EJI Y1'1:: 3U: 3U MUUbL:S WII fl

ASSOCIATED 2D DRAWINGS D IS032000 PORTABLE DOCUMENT FORMAT

17] OTHER ELECTRONIC FORMAT (Specify Type)

PDF

o HARDCOPY

REMARKS

1 CAGE COOEANOOOCLMENT A o CONTRACTOR CAGE AND DOCUMENT NUMBERS D To Be Assigned By:

NrMBERS D GOVERNMENT CAGE (COMPLETE 3B &3C or 3D)

B. USE CAGE CODE C LSE DOCUMENT NUMBERS

4. ORA WII\G FORMA TS (X one and complete m' applicable) f7l CONTRACTOR FORMAT

DGOVERNMENT FORMAT

REMARKS

5. TDP ELEME'lTS REQVIREO (X all that apply)

D ELEMENTS REQUIRED TO BE DETERMINED BY CO,,"TRACTOR - OR THE FOLLOWING ARE REQUIRED

D CONCEPTUAL DRA WINGS/MODELS AND ASSOCIATED LISTS

D DEVELOPMENTAL DESIGN DRAWINGS/MODELS AND ASSOCIATED LISTS

Q PRODUCT DRA WINGS/MODELS A,,"D ASSOCIATED LIST

0 COMMERCIAL DRAWINGS/MODELS AND ASSOCIATED LIST

D QUALITY ASSURANCE PROVISIONS

0 SPECIAL INSPECTION EQUIPMENT (SIE) DRAWINGS/MODELS AND ASSOCIATED LISTS

Rl SPECIFICATIO,,"S

0 SOFTWARE DOCU MENTATION

0 SPECIAL PACKAGING INSTRUCTIO,,"S (SPI) DRAWINGS/MODELS AND ASSOCIATED LISTS

6. ASSOCLATEl) LISTS (X and complete as appliCllble) o A PARTS LIST (X ONE) D ( I ) INTEGRAL 0(2) SEPARATE o B. DATA LIST (,lONE) o (I) NOT REQUIRED 0(2) REQUIRED (SPECIFY LEVELS OF ASSEMBU)

D c. INDEX LIST (X ONE) o (I) NOT REQUIRED 0(2) REQUIRED (SPECIFY LEVELSOFASSEMBLy)

G D WIRING LIST (X ONE) (1) NOT REQUIRED o (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLy) o E INDENTURE DATA LIST (X ONE) o (I) NOT REQUIRED [2J (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLy)

D F APPLICATION LISTS (X OI,'E) D (I) NOT REQUIRED D {2} REQUIRED (SPECIFY LEVELS OF ASSEMBLy)

7. APPLICABILITY OF STANDARDS. The following standards apply: (X and complete as applicable) Rl ASME Y14. 100 ENGINEERING RlASME Y14.24 TYPES Af'D APPLlCATIOf'S OF DOTHER STANDARDS APPLY AS

DRAWING PRACTICES WITH ENGINEERING DRAWINGS DESCRIBED

APPENDICES o ASME F14 34 ASSOCIATED LIST

0 8 0 D 0 E GASME YI4 35 REVISION OF ENGINEERING COMPANY STANDARDS PERMITTED:

DYES Rl NO AS ME F I 4.41 DIGITAL PRODUCT DATA PRACTICES o ASME FI45 DIMENSIONING AND TOLERANCES

8. OTHER TAILORING (Atlach additional sheets as necessa~l')

Page lL of ~ pages

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of Information IS estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintalnlnQ 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 the Department of Defense, Executive Services and Communications Directorate (O704~O188).

Respondents should be aware that notwithstanding any other provIsion of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does display a currenlly valid OMB control number. Please do not return your form to the above organIzation, Send completed fonn to the Government Issuing Contracting Officer for the ContracVPR No. listed In Block E

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TOP TM OTHER MGMT

D. SYSTEM/ITEM IE. CONTRACTIPR NO.

TB-29X NOO024-15-R-6263

F, CONTRACTOR

TBD

1. DATA ITEM NO.

AOOA

2. TITLE OF DATA ITEM

PROGRAM MANAGEMENT PLAN (PMP)

3. SUBTITLE

TB-29X First Article - PMP

4. AUniORITY (Data AcquIsition Document No.) 15. CONTRACT REFERENCE

DI-MGMT-81797 SOW3.4

6. REQUIRING OFFICE

PMS4011

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

(SEE BLK 16)

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

30DAC

14. DISTRIBUTION

8.APP CODE

NIA

11. AS OF DATE

NIA

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

16. REMARKS

BLOCK 9: (1) DISTRIBUTION STATEMENT 0: Distribution authorized to the Department of Defense and U. S. 000 contractors only for administrative or operational use (May 2015). Other requests shall be referred to PMS4011.

(2) DESTRUCTION NOTICE: Classified information, destroy in accordance with the SECNAV M-5510.36 (DON Information Security program) or 000 5220. 22-M (National Industrial Security Program Operating Manual). Unclassified limited documents, (e.g., FOUO, distribution statement control) destroy by any methods that will prevent disclosure of contents or reconstruction of the document.

(3) WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U. S. C.

Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, U. S. C., App. 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10 and 13: Plan shall be updated as required to incorporate changes but not more frequently than once per quarter.

BLOCKS 14 and 15: Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNA VSEA website. Notification of submittal shall be provided via email to the addresses specified in the CDRL Glossary, Attachment 1.

SEE BLK 16

PMS4011 iNAVSEA 1

15. TOTAL-II> 1

G. PREPARED BY IH. DATE

I. APPROVED BY

HUDSON.LlSA.1 D,g"~II~ "g~ed byHLJDSO,,"lISA 10ij912904Q D~ ,,,,us a ...U S Ga.ernm~"I.o,,=DoD, BRf,L~ SHERRY S 232084967 ~ ..".... ,--"~..",,,,~.,ou=PKl.ou=USN, 1 ~"",,,.", ..,""'''"''''''''''"''''.'' Li~9fIJ~040 (~=HUDSONLI5A 10891]904Q Sherry ra ley . . ~.•... ,,,,,',..,, DatelO1S0506094bSQQ4'OO.

J. DATE

,~ ........"".".n' '''I,..... ,

17. PRICE GROUP

18. ESTIMATED

DO FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page .11 of ~ Pages

(1 Data Item) OMB No, 0704-0188

The publiC reporting burden for thiS collection of information is estimated to average 110 hours per response, including the lime fOf reviewing instructions, searching existing data sources, gatheting and maintaining the data needed, and completing and reviewing the collection of information. Send comments regardmg this burden estimate or any other aspect of 1hls collection of Information, including suggestions for reducing this burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188).

Respondents should be aware that notwithstanding any other provIsion of law, no person shall be subject to any penalty for failing to comply Vlith a collection or information If It does display a cu~nt!y valid OMS control number. Please do not return your form to the above organization. Send completed form to the Govemment Issuing Contracting Officer for the ContractJPR No. listed In Block, E A, CONTRACT LINE ITEM NO. B, EXHIBIT C, CATeGORY

0005 A TOP TM OTHER MiSe

o. SYSTEM/ITEM IE CONTRACT/PR NO, F, CONTRACTOR

TB-29X NOO024-15-R-6263 TBD

1, DATA ITEM NO, :2, TITLE OF DATA ITeM 3. SUBTITLE

AOOB . SUBCONTRACT MANAGEMENT PLAN (SMP) TB-29X First Article SMP i

4. AUTHORITY (Data AcquisHiol) Document NO ) IS' CONTRACT REFERENCE 6, REQUIRING OFFICE

DI-M/SC-80508B BLK 16) SOW 3.4 PMS4011

7 DO 250 REQ 19, DIST STATEMENT 10, FREQUENCY 12, OA TE OF FIRST SUBMISSION 14, DISTRIBUTION

LT

REQUIRED SEE BLK 16 30DAC

a,APPCODE I 11, AS OF DATE 13, DATE OF SUBSEQUENT b, COPIES 0 SUBMISSION , ADDRESSEE Final

NIA (SEE BLK 16) NIA SEE BLK 16 Ora" Reg Repro

1&, REMARKS

SEE BLK 16

BLOCK 4: DI-MISC-80508B is tailored as follows: Contractor format is PMS4011 iNAVSEA 1 acceptable, BLOCK 9." (1) DISTRIBUTION STATEMENT 0: Distribution authorized to the Department of Defense and Us. 000 contractors only for administrative or operational use (May 2015). Other requests shall be referred to PMS4011.

(2) DESTRUCTION NOTICE: Classified information, destroy in accordance with the SECNA V M-5510,36 (DON Information Security program) or 000 5220,22-M (National Industrial Security Program Operating Manual), Unclassified limited documents, (e.g., FOUO, distribution statement control) destroy by any methods that will prevent disclosure of contents or reconstruction of the document.

(3) WARNING: This document contains technical data whose export is :

restricted by the Arms Export Control Act (Title 22, US,C. Sec. 2751 et seq) or the Export Administration Act of 1979, as amended, Title 50, --

US,C., App. 2401, et seq. Violations of these export laws are subject to severe criminal penalties, Disseminate per the provisions of

OPNAVINST 55161,

BLOCKS 10 and 13, Plan shall be updated as required to incorporate changes but not more frequently than once per quarter, BLOCKS 14 and 15.' Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNAVSEA website, Notification of submittal shall be provided via email to the addresses specified in the CDRL Glossary, Attachment 1.

1S,TOTAL_.. 1

1:~~~WLlSA.l 'IH'DATE I. APPROVED BY jJ, DATe

~PtWJson

BRADLEV,SHERRV's,1232084967 ",,' N""''''''', ~'OO Sherry Bradley """"'''''''rw

17, PRice GROUP

1&, ESTIMATeD

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page II of 2ll Pages

I

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

:The public reportmg burden fOr th:s cojjection of mformation is es1imaled to average 11 Q hours per response, including the time for reviewing instructions. searching existing data sources, gathering and maintaining the data needed, and completing and reviewmg the collection of information, Send comments regarding this burden estimate or any other aspect of thiS collectron of information, Including suggestions for reducing this burden, to the Department or Defense, Executive Services and Communications Directorate (0704-0188).

iRespondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for falling to comply.....th a collection of information if it does 'display a currently valid OMS control number, Please do not return your forM to the above organiza!ion Send completed form to the Governmenllssuing ContractIng Officer for the COf'ltractJPR No listed In Block E

A. CONTRACT LINE ITEM NO. B. EXHIBIT IC' CATEGORY

0005 A TDP TM OTHER MgMT O. SYSlEMIITEM IE. CONTRACTIPR NO. F. CONTRACTOR

TB-29X NOO024-15-R-6263 TBD

1. DATA ITEM NO. :2. TITLE OF DATA ITEM 3. SUBTITLE

AOOC

CONTRACT WORK BREAKDOWN TB-29X First Article - CWBS

ISTRUCTURE (CWBS)

4. AUTHORITY (Data Acquisition Document No.) IS' CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-81334D SOW34 IPMS4011 _.

7.00 2S0 REQ 19'IDIST STATEMENT 10 FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DiSTRIBUTION

REQUIRED

I

LT SEE BLK 16 90DAC

a.APP CODE

11.ASOFDATE ra. DATE OF SUBSEQUENT b. COPIES

I

SUBMISSION s. ADDRESSEE Final

A (SEE BLK 16) NIA 30DARC Draft Reg : Repro

16. REMARKS

ISEE BLK 16

BLOCK 8: Approval is for technical content. Government review cycle ! PMS4011 iNAVSEA 1 1 will be 30 days after receipt.

BLOCK 9: (1) DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and Us. DoD contractors only for administrative or operational use (May 2015). Other requests shall be referred to PMS4011.

(2) DESTRUCTION NOTICE: Classified information, destroy in accordance with the SECNAV M-5510.36 (DON Information Security program) or DoD 5220. 22-M (National Industrial Security Program

I I Operating Manual). Unclassified limited documents, (e.g., FOUO, distribution statement control) destroy by any methods that will prevent

•disclosure of contents or reconstruction of the document.

I

(3) WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, US.c. Sec. 2751 et seq.) or the Export Administration Act of 1979, as amended, Title 50, US.C., App. 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of

OPNAVINST 55161.

BLOCK 10: CWBS shall be updated as required to incorporate changes.

Changes to the CWBS or associated definitions, at any reporting level, shall require approval by the Government.

BLOCK 14: Draft shall be submitted 30DAC.

BLOCKS 14 and 15: Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNA VSEA website. Notification of submittal shall be

Iprovided via email to the addresses specified in the CDRL Glossary, Attachment 1.

15. TOTAL-. 1 1

G. ~~~LlSA.l 08 ~:';~~;::';;';~""""""'"!'c'''''' IH. DATE II. APPROVED BY ~~~~m1l8496i'BRADLEY.5HERRY.S.1232084 :'~:J;.~:::':l;,,':: -..r.1,<><GOr.o£l, __ffi, .....;;;.I.J$I'l

LfJ.:,';j.PltIYSon ;';!'::~:~~';;~,,',,:;;:~w Sherry Bradl3V7 JlrnI4%l «w

17. PRICE GROUP

11. ESTIMATED

DD FORM 1423·1, FEB 2001 PREVIOUS EDITION MAY BE USED page ~ Pages

The public reponing burden for :1'115 coliecllon of information IS estimated to average 1to hours per response, Including the time (or reviewing instructions, searching existing data sources. gathefing and maintaining the dais and comp~etlng and revieWIng ina colledlon of informallon Send commenls regarding thiS burden estimate or any other aspect of 1his coliec1!on of information, Including suggestions reducing th,s burden, to the Departmeni of Defense, Executive Services and Commumcations Directofsie (0704-0168) Respondents should be aware that nolwiihstand~ng any other prOVIsion of law, no person snail be subjeC1 to any penalty tor falilng to comply 'Mth a coliee-hon of information if it does display a currently valid OMB control number Please do not return your form to the above organfzatton Send completed form to the Governrnenlluulng Contracting Officer for the ConiraCUPR No, listed In Block E

A. CONTRACT LINE ITEM NO. iB . EXHIBlT ..rCATEGORY

0005 A TDP TM OTHER MSiMT EM IE. CONTRACTIl'R NO. F. CONTRACTOR

TB-29X NOO024-15-R-6263 TBD

1. DATA ITEM NO. 12. TITLE OF DATA ITEM 3. SUBTITLE

A000 IINTEGRATED PROGRAM MANAGEMENT TB-29X First Article - IPMRIREPORT (IPMR)

4. AUTHORITY (Data Acquisftion Document No ) 15. CONTRACT REFERt'NCt' 6. REQUIRING OFFICE

DI-MGMT-81861 SOW3.4 PMS4011

7 DO 250 REQ 9. DIST STATEMENT !1O. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT REQUIRED SEE BLK 16 60DAC

8. APP CODE 11. AS OF DATE 13. OATE OF SUBSEQUENT o. COPIES

0 SUBMISSION

Final a ADDRESSEE

NIA' (SEE BLK 16) NIA 20DARP Draft Reg Repro

'16: REMARKS

SEE BLK 16

BLOCK 8: 'First submission requires approval, subsequent submissions IpMs4011 i do not require approval. Approval is for content and format. .

Government review cycle will be 30 days after receipt.

BLOCK 9: (1) DISTRIBUTION STATEMENT 0: Distribution authorized to the Department of Defense and US. 000 contractors only for

Iadministrative or operational use (May 2015). Other requests shall be referred to PMS4011,

(2) DESTRUCTION NOTICE: Classified information, destroy in accordance with the SECNAV M-5510.36 (DON Information Security program) or 000 5220.22-M (National Industrial Security Program Operating Manual). Unclassified limited documents, (e.g., FOUO, distribution statement contro/) destroy by any methods that will prevent disclosure of contents or reconstruction of the document.

(3) WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, US. C. Sec. 2751 et seq) or the Export Administration Act of 1979, as amended, Title 50, US.C., App. 2401, et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of

OPNAVINST 55161.

BLOCK 10: Formats 1-6 are due monthly and Format 7 is due annually.

BLOCKS 14 and 15: Documents shall be submitted electronically by uploading to the PMS4011 Data Repository and shared document location on the iNA VSEA website, Notification of submittal shall be provided via email to the addresses specified in the CDRL Glossary, Attachment 1.

15. TOTAL-I> 1

G. PREPARED BY

~:'~',~;.~:,;:'~."" . IH DATE

I. APPROVED BY

HUDSON.LlSA.1 08912 BRADLEY.5HERRy.s,1232 ftI~~~:~~~'."..«I'l(t

U!84f!fudson ~;:: ,~';';';;:O~':; :;-;':":'::"~'" Sherry Bradley 084967 O.W\'''lSOiMU ,S!«W

17. PRICE GROUP

11. esTIMATED TOTAt. PRICE

DO FORM 1423.1, FEB 2001 PREVIOUS EDITION MAY BE USED Page ~ of 22 Pages

!The public reporting burden for this colleclion of Jnformalian is estimated to average 110 hours per response, including the time fOf revieWIng instructions, searching existing data sources, gathenng and malntain,ng the data needed, and completing and reviewing the collection of mfo(maiion. Send comments regarding this burden estimate or any other aspect of ithis coUachon of information, inCluding suggestions for reducing thlS burden, ~o the Department of Oefense, Executive Services and Communications Directorate {0704..Q188}.

'Respo"dents should be aware that not'Mlhstanding any other proVisIon ot !aw. no person shall be subject to any penalty for failing to tempty wi1h a collection of information if it does display a currently valId OMB control number. Ploase do not retum your form to the above organization Send completed form to the Government Issuing Contracting Officer for the ContracUPR No Ilsted in Block E

A. CONTRACT LINE ITEM NO. IB, EXHIBIT A IC. CATEGORY

0005 TOP TM OTHER MOMT

:0. SYSTEM/ITEM E. CONTRACTIPR NO, IF. CONTRACTOR

TB-29X

I

NOO024-15-R-6263 TBD

1. DATA ITEM NO. 2, TITLE OF DATA ITEM :a.SUBTITLE

AOOE

CONTRACTOR'S PROGRESS, STATUS AND ITB-29X First Article Program Status Review MANAGEMENT REPORT Presentation

:C-:-==;'" 4, AUTHORITY (Data AcqUisition DOCument No,) 5. CONTRACT REFERENCE 6, REQUIRING OFFICE

DI-MGMT-80227 iSOW 3.4 and 3.~~1 PMS4011

7. DD 250 REQ 9. DIST 0 ~'~m~.. ' 110. FREQUENCY liZ. DATE OF FIRST SUBMISSION 14, DISTRIBUTION

LT REQUIRED SEE BLK 16 SEE BLK 16

8. APP CODE i 0 111. AS OF O::A :13. DATE OF SUBSEQUENT b.COPIES

I SUBMISSION • ADDRESSEE Flnal

NIA (SEE BLK 16) SEE BLK 16 Draft Reg Repro

IS. REMARKS

SEE BLK 16

BLOCK 9: (1) DISTRIBUTION STATEMENT 0: Distribution PMS4011 iNAVSEA 1 authorized to the Deparlment of Defense and U. S. 000 contractors only for administrative or operational use (May 2015). Other I requests shall be referred to PMS4011.

(2) DESTRUCTION NOTICE Classified information, destroy in accordance with the SECNAV M-5510.36 (DON Information Security program) or 000 5220. 22-M (National Industrial Security Program Operatining Manual). Unclassified limited documents, (e.g., FOUO, distribution statement control) destroy by any methods that will prevent disclosure of contents or reconstruction of i the document.

(3) WARNING: This document contains technical data whose exporl is restricted by the Arms Exporl Control Act (Title 22, U. S. C.

Sec. 2751 et…