Exhibit_A_CDRL.pdf
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- JCREW I1B1 Full Rate Production RFP
- Solicitation number
- N00024-16-R-6327
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Exh A - Contract Data Requirements Listing
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JCREW I1B1 FRP CDRL LIST
CDRL# TITLE SUBTITLE
FRP SOW
REFERENCE
A001 Manufacturing Plan 3.1.1
A002 As Built Configuration List (ABCL) Indentured Bill of Materials 3.1, 3.1.5
A003 Configuration Status Accounting (CSA) Information 3.1.4
A004 Contractor’s Progress, Status, and Management Report 3.1.4, 3.2.2, 3.6
A005 First Article Qualification Test Plan and Procedures First Article Qualification Test (FAQT) Plan 3.1, 3.1.6.1
A006 First Article Qualification Test Report First Article Qualification Test (FAQT) Report 3.1, 3.1.6.1
A007 Acceptance Test Plan Functional Evaluation/Acceptance Test (FE/AT) Plan 3.1
A008 Acceptance Test Report Functional Evaluation/Acceptance Test Report(FE/ATR) 3.1, 3.1.6.2
A009 Failure Summary and Analysis Report Failure Analysis and Corrective Action System (FRACAS) 3.2
A010 Failure Summary and Analysis Report Failure Analysis and Corrective Action Report (FACAR) 3.2.2.4
A011 Parts List Initial O-Level and Initial Depot Spares and Consumables
Lists 3.4.2.1, 3.4.2.2
A012 Depot Maintenance Work Request (DMWR) Manuals 3.4.3
A013 Unique Identification (IUID) Activity and Verification Report 3.4.4
A014 Configuration Management Plan Contractor's Configuration Management Plan 3.5
A015 Environmental Stress Screening Procedures and
Implementation Plan 3.1.6.2.1
A016 Environmental Stress Screening (ESS) Report 3.1.6.2.1
A017 Notice of Revision (NOR) 3.5.2
A018 Request for Variance (RFV) 3.5.3
A019 Diminishing Manufacturing Sources and Material Shortages
(DMSMS) Health Analysis Report
DMSMS Health Analysis and Forecasting Bill of Materials
Report 3.5.4
A020 Engineering Change Proposal (ECP) 3.1, 3.5.1
A021 Integrated Program Management Report (IPMR) 3.7
A022 Status of Government Furnished Equipment (GFE Report) 3.7.1
A023 Presentation Material 3.7.3.1, 3.7.3.2, 3.7.3.3
A024 Reliability Test Plan Production Reliability Acceptance Test (PRAT) Plan 3.1, 3.1.6.2.2.2
A025 Reliability Test Report Production Reliability Acceptance Test (PRAT) Report 3.1, 3.1.6.2.2.2
A026 Repair Parts Report (RPR) 3.4.1, 3.4.1.1, 3.4.1.2, 3.4.1.3
A027 Finish Specification 3.1.1.3
A028 Failure Reporting, Analysis and Corrective Action System
(FRACAS)
Failure Reporting, Analysis and Corrective Action System
(FRACAS) Plan
3.2.2, 3.2.2.1, 3.2.2.5
A029 Manhour Estimate, Technical Cost Proposals Depot Repair Estimate 3.4.1.3
JCREW I1B1 FRP CDRL LIST CONTINUED
CDRL# TITLE SUBTITLE
FRP SOW
REFERENCE
A030 Reliability and Maintainability (R&M) Program Plan 3.4.1
A031 Failure Modes, Effects and Criticality Analysis (FEMECA) Report 3.2.1
A032 Technical Report - Studies/Services Program Protection Implementation Plan (PPIP) 3.8
A033 Calibration and Measurement Requirements Summary
(CMRS) 3.4.1
A034 Quality Assurance Program Plan 3.1
A035 Corrosive Prevention and Control Plan 3.1.1.3
A036 Configuration Audit Plan Physical Configuration Audit (PCA) Plan 3.1.2.1
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 36 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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X MGMT
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A001
2. TITLE OF DATA ITEM
Manufactoring Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-81889
5. CONTRACT REFERENCE
3.1.1
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
1TIME
12. DATE OF 1st SUBMISSION
60 DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
TOTAL
PRICE
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 2 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X CMAN
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A002
2. TITLE OF DATA ITEM
As Built Configuration List (ABCL)
3. SUBTITLE
Indentured Bill of Materials
4. AUTHORITY (Data Acquisition Doc. No)
DI-CMAN-81516
5. CONTRACT REFERENCE
3.1, 3.1.5
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
See BLK 16
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 Draft
Final
Reg Repro
16. REMARKS
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 10, 12, 13: A BILL OF MATERIALS (BOM) SHALL BE SUBMITTED WITH
EACH LRIP REFURBISHED OR PRODUCTION UNIT.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 3 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X SESS
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A003
2. TITLE OF DATA ITEM
Configuration Status Accounting (CSA) Information
3. SUBTITLE
4. AUTHORITY (Data Acquisition Doc. No)
DI-SESS-81253B
5. CONTRACT REFERENCE
3.1.4
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
MTHLY
12. DATE OF 1st SUBMISSION
30 DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
N/A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 Draft
Final
Reg Repro
16. REMARKS
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 10 and 12: INCLUDED AS PART OF THE MONTHLY CONTRACTOR'S
PROGRESS, STATUS AND MANAGEMENT REPORT. CSA DATA FOR EACH
NEWLY IDENTIFIED CONFIGURATION ITEM SHALL BE DELIVERED NLT 30
CALENDAR DAYS AFTER THE NEWLY IDENTIFIED CONFIGURATION ITEM’S
APPROVAL.
BLK 13: CSA DATA SHALL BE UPDATED NLT 30 CALENDAR DAYS AFTER
THE CONTRACTOR CHANGES THE CONFIGURATION ITEM OR THE
CONTRACTOR IS PROVIDED CSA DATA FOR A GOVERNMENT EXECUTED
CHANGE TO THE CONFIGURATION.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 4 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X MGMT
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A004
2. TITLE OF DATA ITEM
Contractor's Progress, Status, and Management Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-80227 (SEE BLK 16)
5. CONTRACT REFERENCE
3.1.4, 3.2.2, 3.6
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
MTHLY
12. DATE OF 1st SUBMISSION
30 DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
BLK 4: DI-MGMT-80227: PARAGRAPH 10.2, FIRST SENTENCE DOES NOT
APPLY. USE CONTRACTOR FORMAT.
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT. GOVERNMENT
RESPONSE TIME IS 15 WORKING DAYS. ANY REJECTED SUBMISSION
SHALL BE CORRECTED AND RESUBMITTED WITHIN 7 WORKING DAYS OF
THE DATE OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 5 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X NDTI
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A005
2. TITLE OF DATA ITEM
First Article Qualification Test Plan and Procedures
3. SUBTITLE
First Article Qualification Test (FAQT) Plan
4. AUTHORITY (Data Acquisition Doc. No)
DI-NDTI-81307A
5. CONTRACT REFERENCE
3.1, 3.1.6.1
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
See BLK 16
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 Draft
Final
Reg Repro
16. REMARKS
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT AND ACCURACY.
GOVERNMENT RESPONSE TIME IS 30 CALENDAR DAYS. ANY REJECTED
SUBMISSION SHALL BE CORRECTED AND RESUBMITTED WITHIN 30
CALENDAR DAYS OF THE DATE OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 10, 12, 13: NLT 60 CALENDAR DAYS PRIOR TO FAQT FOR EACH
SYSTEM. REVISIONS NLT 14 CALENDAR DAYS AFTER CHANGES THAT
AFFECT THIS DATA ITEM.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 6 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X NDTI
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A006
2. TITLE OF DATA ITEM
Test/Inspection Report
3. SUBTITLE
First Article Qualification Test (FAQT) Report
4. AUTHORITY (Data Acquisition Doc. No)
DI-NDTI-80809B
5. CONTRACT REFERENCE
3.1, 3.1.6.1
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
See BLK 16
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT AND ACCURACY.
GOVERNMENT RESPONSE TIME IS 30 CALENDAR DAYS. ANY REJECTED
SUBMISSION SHALL BE CORRECTED AND RESUBMITTED WITHIN 30
CALENDAR DAYS OF THE DATE OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 10, 12, 13: SUBMIT TEST REPORT NLT 30 CALENDAR DAYS AFTER A
FAQT TEST EVENT IS CONDUCTED.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 7 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X QCIC
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A007
2. TITLE OF DATA ITEM
Acceptance Test Plan
3. SUBTITLE
Functional Evaluation/Acceptance Test (FE/AT) Plan
4. AUTHORITY (Data Acquisition Doc. No)
DI-QCIC-80553A
5. CONTRACT REFERENCE
3.1
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
See BLK 16
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 Draft
Final
Reg Repro
16. REMARKS
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT. GOVERNMENT
RESPONSE TIME IS 30 CALENDAR DAYS. ANY REJECTED SUBMISSION
SHALL BE CORRECTED AND RESUBMITTED WITHIN 15 CALENDAR DAYS
OF THE DATE OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 10, 12, 13: NLT 60 CALENDAR DAYS PRIOR TO FAQT FOR EACH
SYSTEM. REVISIONS NLT 14 CALENDAR DAYS AFTER CHANGES THAT
AFFECT THIS DATA ITEM.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 8 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X QCIC
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A008
2. TITLE OF DATA ITEM
Acceptance Test Report
3. SUBTITLE
Functional Evaluation/Acceptance Test (FE/AT) Report
4. AUTHORITY (Data Acquisition Doc. No)
DI-QCIC-81891
5. CONTRACT REFERENCE
3.1, 3.1.6.2
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
See BLK 16
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT. GOVERNMENT
RESPONSE TIME IS 30 CALENDAR DAYS. ANY REJECTED SUBMISSION
SHALL BE CORRECTED AND RESUBMITTED WITHIN 15 CALENDAR DAYS
OF THE DATE OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 10 AND 12: SUBMIT TEST REPORT NLT 30 CALENDAR DAYS AFTER
TEST EVENT CONDUCTED.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 9 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X SESS 1
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A009
2. TITLE OF DATA ITEM
Failure Summary and Analysis Report
3. SUBTITLE
Failure Analysis and Corrective Action System
(FRACAS)
4. AUTHORITY (Data Acquisition Doc. No)
DI - SESS-80255A
5. CONTRACT REFERENCE
3.2
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
MTHLY
Draft
Final
Reg Repro
16. REMARKS
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT. GOVERNMENT
RESPONSE TIME IS 30 CALENDAR DAYS. ANY REJECTED SUBMISSION
SHALL BE CORRECTED AND RESUBMITTED WITHIN 30 DAYS OF THE DATE
OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 12: 30 DAYS AFTER FIRST FAILURE OCCURANCE.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 10 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X SESS
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A010
2. TITLE OF DATA ITEM
Failure Summary and Analysis Report
3. SUBTITLE
Failure Analysis and Corrective Action Report
(FACAR)
4. AUTHORITY (Data Acquisition Doc. No)
DI-SESS-81927
5. CONTRACT REFERENCE
3.2.2.4
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
MTHLY
Draft
Final
Reg Repro
16. REMARKS
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT. GOVERNMENT
RESPONSE TIME IS 30 CALENDAR DAYS. ANY REJECTED SUBMISSION
SHALL BE CORRECTED AND RESUBMITTED WITHIN 30 DAYS OF THE DATE
OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 12: CONTRACTOR SHALL SUBMIT INITIAL FACAR REPORT NLT 30
CALENDAR DAYS FROM FIRST FAILURE OCCURRENCE.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 11 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X SESS
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A011
2. TITLE OF DATA ITEM
Parts List
3. SUBTITLE
Initial O-Level and Initial Depot Spares and Consumables Lists
4. AUTHORITY (Data Acquisition Doc. No)
DI-SESS-81359B (See Blk 16)
5. CONTRACT REFERENCE
3.4.2.1, 3.4.2.2
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 Draft
Final
Reg Repro
16. REMARKS
BLK 4: PARAGRAPHS 3.C, 3.F.3, 3.F.9 AND 4 DO NOT APPLY.
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT. GOVERNMENT
RESPONSE TIME IS 30 CALENDAR DAYS. ANY REJECTED SUBMISSION
SHALL BE CORRECTED AND RESUBMITTED WITHIN 30 CALENDAR DAYS
OF THE DATE OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 10 AND 12: TO BE DELIVERED 120 DAC. SEPARATE LIST IS REQUIRED
FOR INITIAL O-LEVEL SPARES AND CONSUMMABLES AND FOR INITIAL
DEPOT SPARES AND CONSUMMABLES FOR EACH.
BLK 13: REVISIONS NLT 15 CALENDAR DAYS AFTER UPDATES ARE
REQUIRED DUE TO CHANGES TO APPROVED JCREW SYSTEM
HARDWARE CONFIGURATION ITEMS.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 12 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A012
2. TITLE OF DATA ITEM
Depot Maintenance Work Request (DMWR) Manuals
3. SUBTITLE
4. AUTHORITY (Data Acquisition Doc. No)
TMCR SNIPP-160028-000
5. CONTRACT REFERENCE
3.4.3
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
1TIME
12. DATE OF 1st SUBMISSION
120 DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT AND ACCURACY.
APPROVAL IS REQUIRED BEFORE IMPLEMENTING THE DEVIATION.
GOVERNMENT RESPONSE TIME IS 45 CALENDAR DAYS. ANY REJECTED
SUBMISSION SHALL BE CORRECTED AND RESUBMITTED WITHIN 30
CALENDAR DAYS OF THE DATE OR REJECT
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 13 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X MGMT
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A013
2. TITLE OF DATA ITEM
Unique Identification (IUID) Activity and Verification Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-81858
5. CONTRACT REFERENCE
3.4.4
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
See BLK 16
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 Draft
Final
Reg Repro
16. REMARKS
BLK 4: ELECTRONIC MEDIA USING MICROSOFT EXCEL IS PERFERRED.
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT. GOVERNMENT
RESPONSE TIME IS 30 CALENDAR DAYS. ANY REJECTED SUBMISSION
SHALL BE CORRECTED AND RESUBMITTED WITHIN 14 DAYS OF THE DATE
OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 10 AND 13: REVISIONS NLT 15 CALENDAR DAYS AFTER END OF EACH
QUARTER WITH DELIVERY OF ADDITIONAL NEW OR REPAIRED
GOVERNMENT SYSTEMS DURING PERIOD OF PERFORMANCE FOR
PRODUCTION SYSTEMS DELIVERY ORDER.
BLK 12: NLT 15 CALENDAR DAYS AFTER END OF FIRST QUARTER THAT
CONTRACTOR DELIVERED NEW AND/OR REPAIRED GOVERNMENT
SYSTEMS ON PRODUCTION SYSTEMS DELIVERY ORDER CLINS.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 14 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X SESS
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A014
2. TITLE OF DATA ITEM
Configuration Management Plan
3. SUBTITLE
Contractor's Configuration Management Plan
4. AUTHORITY (Data Acquisition Doc. No)
DI-SESS-80858C (See Blk 16)
5. CONTRACT REFERENCE
3.5
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ONE/R
12. DATE OF 1st SUBMISSION
30 DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 Draft
Final
Reg Repro
16. REMARKS
BLK 4: BLK 4: CONTRACTOR'S FORMAT ACCEPTABLE.
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT. GOVERNMENT
RESPONSE TIME IS 30 CALENDAR DAYS. ANY REJECTED SUBMISSION
SHALL BE CORRECTED AND RESUBMITTED WITHIN 30 CALENDAR DAYS
OF THE DATE OF REJECTIONS.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 13: REVISIONS NLT 15 CALENDAR DAYS AFTER UPDATES ARE
REQUIRED DUE TO PROGRAM CHANGES THAT REQUIRE UPDATES.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 15 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X ENVR
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A015
2. TITLE OF DATA ITEM
Environmental Stress Screening Procedures and Implementation Plan
3. SUBTITLE
4. AUTHORITY (Data Acquisition Doc. No)
DI-ENVR-81014
5. CONTRACT REFERENCE
3.1.6.2.1
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
See BLK 16
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 Draft
Final
Reg Repro
16. REMARKS
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT AND ACCURACY.
APPROVAL IS REQUIRED BEFORE IMPLEMENTING THE DEVIATION.
GOVERNMENT RESPONSE TIME IS 45 CALENDAR DAYS. ANY REJECTED
SUBMISSION SHALL BE CORRECTED AND RESUBMITTED WITHIN 30
CALENDAR DAYS OF THE DATE OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 10, 12, 13: NLT 60 CALENDAR DAYS PRIOR TO ESS. REVISIONS NLT 14
CALNEDAR DAYS AFTER CHANGES THAT AFFECT THIS DATA ITEM.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 16 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X ENVR
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A016
2. TITLE OF DATA ITEM
Environmental Stress Screening (ESS) Report
3. SUBTITLE
4. AUTHORITY (Data Acquisition Doc. No)
DI-ENVR-81663
5. CONTRACT REFERENCE
3.1.6.2.1
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
See BLK 16
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT AND ACCURACY.
APPROVAL IS REQUIRED BEFORE IMPLEMENTING THE DEVIATION.
GOVERNMENT RESPONSE TIME IS 45 CALENDAR DAYS. ANY REJECTED
SUBMISSION SHALL BE CORRECTED AND RESUBMITTED WITHIN 30
CALENDAR DAYS OF THE DATE OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 10 AND 12: SUBMIT REPORT NLT 30 CALENDAR DAYS AFTER A TEST
EVENT IS CONDUCTED.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 17 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X SESS
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A017
2. TITLE OF DATA ITEM
Notice of Revision (NOR)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Doc. No)
DI- SESS-80642D
5. CONTRACT REFERENCE
3.5.2
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
ASREQ
12. DATE OF 1st SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ
Draft
Final
Reg Repro
16. REMARKS
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT. GOVERNMENT
RESPONSE TIME IS 30 CALENDAR DAYS. ANY REJECTED SUBMISSION
SHALL BE CORRECTED AND RESUBMITTED WITHIN 30 DAYS OF THE DATE
OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 18 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X SESS
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A018
2. TITLE OF DATA ITEM
Request for Variance (RFV)
3. SUBTITLE
4. AUTHORITY (Data Acquisition Doc. No)
DI-SESS-80640D
5. CONTRACT REFERENCE
3.5.3
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
See BLK 16
12. DATE OF 1st SUBMISSION
See BLK 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
See BLK 16 Draft
Final
Reg Repro
16. REMARKS
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT AND ACCURACY.
APPROVAL IS REQUIRED BEFORE IMPLEMENTING THE DEVIATION.
GOVERNMENT RESPONSE TIME IS 45 CALENDAR DAYS. ANY REJECTED
SUBMISSION SHALL BE CORRECTED AND RESUBMITTED WITHIN 30
CALENDAR DAYS OF THE DATE OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 10 AND 12: NLT 15 CALENDAR DAYS AFTER REQUIREMENT FOR
DEVIATION HAS BEEN IDENTIFIED.
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 19 of 36 Pages
(1 Data Item)
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 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
CLIN
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER X PSSS
D. SYSTEM/ITEM
JCREW FRP
E. CONTRACT/PR NO.
N00024-16-R-6327
F. CONTRACTOR
1. DATA ITEM NO
A019
2. TITLE OF DATA ITEM
Diminishing Manufacturing Sources and Material Shortages (DMSMS) Health Analysis Report
3. SUBTITLE
DMSMS Health Analysis and Forecasting Bill of Materials Report
4. AUTHORITY (Data Acquisition Doc. No)
DI-PSSS-81656A
5. CONTRACT REFERENCE
3.5.4
6. REQUIRING OFFICE
PMS 408
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIRED
D
10. FREQUENCY
QTRLY
12. DATE OF 1st SUBMISSION
90 DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
N/A Draft
Final
Reg Repro
16. REMARKS
BLK 4: PARAGRAPH 2.6 DOES NOT APPLY.
BLK 8: APPROVAL IS FOR TECHNICAL CONTENT. GOVERNMENT
RESPONSE TIME IS 30 CALENDAR DAYS. ANY REJECTED SUBMISSION
SHALL BE CORRECTED AND RESUBMITTED WITHIN 30 DAYS OF THE DATE
OF REJECTION.
BLK 9: STATEMENT “D” REASON: DISTRIBUTION AUTHORIZED TO THE
DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY;
CONTAINS CRITICAL CREW PROGRAM INFORMATION (7 OCT 15). OTHER
U.S. REQUESTS SHALL BE REFERRED TO THE PROGRAM MANAGER,
EXPEDITIONARY MISSIONS (PMS408).
BLK 14: IDE, IAW CONTRACT
SEE
ADDRESSEE
LIST
15. TOTAL
G. PREPARED BY
Barbara Hime
H. DATE
7/1/2016
I. APPROVED BY J. DATE
7/5/2016
17. PRICE
GROUP
18.
ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 20 of 36 Pages
(1 Data Item)
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 maintaining the data needed, and completing and reviewing the…
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