Exhibit_A-_DD-143_-_Amend_1.pdf
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- N00024-17-R-5152
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Exhibit A - DD-1423 (CDRLS)
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CDRL TITLE OF DATA ITEM SUBTITLE
A001 CONTRACT WORK BREAKDOWN STRUCTURE N/A
A002 CONTRACTORS RISK MANAGEMENT PLAN RISK MANAGEMENT PLAN
A003 SCIENTIFIC AND TECHNICAL REPORTS SECURITY VIOLATIONS/INCIDENTS
A004 INTEGRATED PROGRAM MANAGEMENT REPORT (IPMR) N/A
A005 CONTRACTOR'S PROGRESS AND STATUS REPORT MONTHLY STATUS REPORT
A006
GOVERNMENT FURNISHED INFORMATION DEFICIENCY
REPORT N/A
A007 RESERVED RESERVED
A008
REPORT OF RECEIPTS, INVENTORY, ADJUSTMENTS, AND
SHIPMENTS OF GOVERNMENT PROPERTY GOVERNMENT PROPERTY RECORDKEEPING DOCUMENTATION
A009 MANAGEMENT PLAN PROGRAM MANAGEMENT PLAN (PMP)
A010 CONFERENCE AGENDA N/A
A011 REPORT, RECORD OF MEETING/MINUTES N/A
A012 PRESENTATION MATERIAL N/A
A013 CONTRACT FUNDS STATUS REPORT (CFSR) N/A
A014 DATA ACCESSION LIST (DAL) N/A
A015 RISK MANAGEMENT STATUS REPORT N/A
A016 SCIENTIFIC AND TECHNICAL REPORTS N/A
A017 SYSTEMS ENGINEERING MANAGEMENT PLAN (SEMP) N/A
A018 COMPUTER SOFTWARE PRODUCT DELIVERABLE COMPUTER PROGRAM AND DOCUMENTATION
A019 SOFTWARE DEVELOPMENT PLAN (SDP) SDP UPDATES AND REVISIONS
A020 DOD ARCHITECTURE FRAMEWORK DOCUMENTATION N/A
A021 TECHNICAL REPORT ‐ STUDY/SERVICES REGRESSION/EU/OTHER TESTING REPORT
A022 SYSTEM SAFETY PROGRAM PLAN (SSPP) N/A
A023 SAFETY ASSESSMENT REPORT (SAR) N/A
A024 REVISIONS TO EXISTING GOVERNMENT DOCUMENTS TRAINING MATERIAL
A025 COMPUTER OPERATION MANUAL (COM)
SYSTEM INTERACTIVE ELECTRONIC TECHNICAL MANUAL (IETM); UPDATES AND
REVISIONS
A026 SOFTWARE CENTER OPERATOR MANUAL (SCOM) ELECTRONIC SYSTEM OPERATOR MANUAL (ESOM); UPDATES AND REVISIONS
A027 QUALITY PROGRAM PLAN (QPP) QUALITY ASSURANCE PROGRAM PLAN (QAPP)
A028 RESERVED RESERVED
A029
INFORMATION ASSURANCE (IA) DESIGN REVIEW
INFORMATION PACKAGE (DRIP) CYBERSECURITY DRIP
A030 VULNERABILITY SCAN COMPLIANCE (VSC) REPORT N/A
A031 INFORMATION ASSURANCE (IA) TEST PLAN CYBERSECURITY TEST PLAN
A032 INFORMATION ASSURANCE (IA) TEST REPORT CYBERSECURITY TEST REPORT
A033 SOFTWARE VERSION DESCRIPTION (SVD) N/A
A034 RESERVED RESERVED
A035 SYSTEM/SUBSYSTEM DESIGN DESCRIPTION (SSDD) N/A
A036 INTERFACE DESIGN DESCRIPTION (IDD) INTERFACE DESIGN SPECIFICATION, INTERFACE DESIGN DESCRIPTION
A037 SOFTWARE DESIGN DESCRIPTION (SDD) SOFTWARE DESIGN AND INTERFACE MODELS
A038 REVISIONS TO EXISTING GOVERNMENT DOCUMENTS LEGACY SOFTWARE (SW) BASELINE DOCUMENTATION
A039 DESIGN REVIEW INFORMATION PACKAGE (DRIP) N/A
A040 TECHNICAL REPORT ‐ STUDY/SERVICES SOFTWARE METRICS REPORT
A041
SOFTWARE RESOURCES DATA REPORTING: DEVELOPMENT
AND MAINTENANCE REPORTS AND DATA DICTIONARY N/A
A042
SUSTAINMENT FUNCTIONAL COST‐HOUR REPORT (DD
FORM 1921‐5) N/A
A043 INTERFACE REQUIREMENTS SPECIFICATION (IRS) IRS, HARDWARE PRODUCTS AND SYSTEM INTERFACES
A044 TEST PLANS/TEST PROCEDURES TEST PROCEDURES (SYSTEM LEVEL)
A045 TEST/INSPECTION REPORT FACTORY SYSTEM INTEGRATION TEST (FSIT) REPORT
A046 TEST/INSPECTION REPORT HARDWARE OR SYSTEMS TESTING REPORT
A047 SOFTWARE TEST REPORT (STR) FORMAL QUALIFICATION TEST (FQT) REPORT
A048 COMPUTER PROGRAM END ITEM DOCUMENTATION N/A
CDRL TITLE OF DATA ITEM SUBTITLE
A049 SOFTWARE REQUIREMENTS SPECIFICATION (SRS) SRS AND ASSOCIATED ENGINEERING NOTEBOOKS
A050 SPECIFICATION CHANGE NOTICE (SCN) N/A
A051 TEST/INSPECTION REPORT UNIT TEST RESULTS
A052 CONTRACTOR'S CONFIGURATION MANAGEMENT PLAN N/A
A053 REQUEST FOR VARIANCE (RFV) N/A
A054 ENGINEERING CHANGE PROPOSAL (ECP)
ECP, ECP/FIELD CHANGE (FC) KIT, ECP/FC KIT INSTALLATION
INSTRUCTIONS
A055 SCIENTIFIC AND TECHNICAL REPORTS HUMAN COMPUTER INTERFACE (HCI) ANALYSIS
A056 SCIENTIFIC AND TECHNICAL REPORTS HUMAN COMPUTER INTERFACE (HCI) PROTOTYPES AND STORYBOARDS
A057 INSTALLATION CONTROL DRAWINGS UPDATES AND REVISIONS
A058
DEPARTMENT OF DEFENSE (DOD) MODELING AND SIMULATION
(M&S) VERIFICATION AND VALIDATION (V&V) PLAN N/A
A059
DEPARTMENT OF DEFENSE (DOD) MODELING AND SIMULATION
(M&S) VERIFICATION AND VALIDATION (V&V) REPORT N/A
A060 TEST PLAN CONTRACTOR'S MASTER TEST PLAN (CMTP) (PROGRAM LEVEL)
A061 RESERVED RESERVED
A062 NOTICE OF REVISION (NOR) NOR
A063 SOFTWARE TEST DESCRIPTION (STD) FORMAL QUALIFICATION TEST (FQT) PLAN
A064 SCIENTIFIC AND TECHNICAL REPORTS TEST PROGRAM TOOL/MODELS, DATA, ANALYSIS AND CONCLUSIONS
A065 CONTRACTOR BUSINESS DATA REPORT (DD FORM 1921‐3) N/A
A066 COST DATA SUMMARY REPORT (DD FORM 1921) N/A
A067 FUNCTIONAL COST‐HOUR REPORT (DD FORM 1921‐1) N/A
A068 PROGRAM PROTECTION IMPLEMENTATION PLAN (PPIP) N/A
A069 TEST PLAN UNIT TEST PLAN
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 1 of 69 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MGMT 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A001
2. TITLE OF DATA ITEM
CONTRACT WORK BREAKDOWN STRUCTURE
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-81334D*
5. CONTRACT REFERENCE
3.1.1.4.1.1, 3.1.1.4.2
6. REQUIRING OFFICE
PEO IWS 10.0
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: The CSDR Plan is included as a contract attachment.
Data submitters can obtain information on how to gain access to the DCARC Portal/Submit- Review System via the DCARC website located at http://cade.osd.mil/csdr.
Subcontractor Reporting: Prime contractors are responsible for flowing down CSDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds specified in the DoDI 5000.02, or as required by the CWIPT. This includes requiring subcontractors to electronically report directly to the DCARC using the CSDR Submit-Review System.
BLK 8: Approval for the CWBS shall be for technical content and contractual compliance in accordance with DI-MGMT-81334D (or most recently approved version). The Government will review, comment on, and approve or reject the CWBS using the CSDR Submit-Review System within five (5) business days after receipt. DCARC will review the CWBS for mathematical consistency and metadata completeness according to the OSD DDCA-approved contract CSDR plan and the applicable DID.The DCARC has established a goal of fifteen (15) business days to validate the CWBS and provide notification of acceptance or rejection. If the DCARC finds the CWBS to be unacceptable, the Contractor shall resubmit within thirty (30) business days. If the DCARC finds the CWBS to be acceptable, the CWBS will be loaded into the DACIMS database.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017.
Other U.S. requests shall be referred to PEO IWS 10.0.
BLKS 10, 12 & 13: The Contractor shall prepare and submit the first contract CWBS Index and Dictionary at the same time the first Interim Report is due or, when the Initial Report is due. The Contractor shall also maintain and update the Dictionary throughout the life of the contract. If changes to the CWBS occur, the contractor must submit an updated CWBS Index and Dictionary with the next affected CSD Reports.
The contract CSDR plan uses the event field as the driver for the submission of the reports, not the "as of date." If the event slips, the Contractor shall notify the Government that a date change is needed.
BLK 14: The CWBS will be submitted electronically using the CSDR Submit-Review System.
DCARC
SEE BLK 16
15. TOTAL
G. PREPARED BY
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
TOTAL
PRICE
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 2 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MGMT 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A002
2. TITLE OF DATA ITEM
CONTRACTORS RISK MANAGEMENT PLAN
3. SUBTITLE
RISK MANAGEMENT PLAN
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-81808
5. CONTRACT REFERENCE
3.1.3
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
ONE/R*
12. DATE OF 1st SUBMISSION
60 DARC*
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
ASREQ
Draft
Final
BLK 8: Approval shall be for technical content and contractual compliance. The Government will provide comments or approval within twenty (20) business days after receipt. Final copy is due NLT twenty (20) business days after receipt of comments or approval.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLK 12: Document will be submitted with Contractor’s proposal. Government will provided comments upon contract award for Contractor to revise document.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data Package.
BLK 14b: See Attachment 3 to the CDRL for Form of Electronic Delivery of Data.
SEE
ADDRESSEE
LIST
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 3 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MISC 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A003
2. TITLE OF DATA ITEM
SCIENTIFIC AND TECHNICAL REPORTS
3. SUBTITLE
SECURITY VIOLATIONS/INCIDENTS
4. AUTHORITY (Data Acquisition Doc. No)
DI-MISC-80711A*
5. CONTRACT REFERENCE
3.1.4
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
ASREQ*
12. DATE OF 1st SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
SEE BLK 16
Draft
Final
BLK 4: Contractor format is acceptable.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLKS 10, 12 & 13: Initial report shall be delivered within five (5) business days upon discovery of a security violation and/or incident. Monthly reports shall be delivered containing progress and updates until the incident has been resolved.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 4 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MGMT 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A004
2. TITLE OF DATA ITEM
INTEGRATED PROGRAM MANAGEMENT REPORT
(IPMR)
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-81861A
5. CONTRACT REFERENCE
3.3.2.1, 3.3.2.2.3.1, 3.3.2.2.4
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
MTHLY
12. DATE OF 1st SUBMISSION
60 DAC
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
10 DARP
Draft
Final
Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 5 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MGMT 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A005
2. TITLE OF DATA ITEM
CONTRACTOR'S PROGRESS AND STATUS REPORT
3. SUBTITLE
MONTHLY STATUS REPORT
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-81928
5. CONTRACT REFERENCE
3.1.1.3.2, 3.1.1.4.2, 3.1.1.4.3, 3.1.2, 3.2.2.1, 3.2.2.3.3, 3.3.2.1, 3.3.3.2.3, 3.3.3.3.3, 3.3.3.4.4
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
MTHLY
12. DATE OF 1st SUBMISSION
60 DAC
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
10 DARP
Draft
Final
Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 6 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MGMT 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A006
2. TITLE OF DATA ITEM
GOVERNMENT FURNISHED INFORMATION
DEFICIENCY REPORT
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-80596*
5. CONTRACT REFERENCE
3.2.2.1, 3.3.2.1
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
ASREQ*
12. DATE OF 1st SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
SEE BLK 16
SUBMISSION
SEE BLK 16
Draft
Final
BLK 4: Contractor’s format is acceptable.
Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLKS 10, 11, 12 & 13: A GFI Deficiency Report shall be submitted in accordance with the following guidelines:
a. If GFI is not received within ten (10) business days after the date it is scheduled to be delivered.
b. Within fifteen (15) business days after contractor receipt of the GFI and inspection for patent defects such as quantity, identification, description, and readability, or if it differs in some other significant respect from that expected to be delivered.
c. Within ten (10) business days after contractor determination that GFI has latent defects such as technical, engineering, or design deficiencies that existed at the time of delivery, but which were not discovered until actual attempted use of the
GFI.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 7 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER 11
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A007
2. TITLE OF DATA ITEM
RESERVED
3. SUBTITLE
RESERVED
4. AUTHORITY (Data Acquisition Doc. No)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
12. DATE OF 1st SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
Draft
Final
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 8 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MGMT 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A008
2. TITLE OF DATA ITEM
REPORT OF RECEIPTS, INVENTORY, ADJUSTMENTS,
AND SHIPMENTS OF GOVERNMENT PROPERTY
3. SUBTITLE
GOVERNMENT PROPERTY RECORDKEEPING
DOCUMENTATION
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-80442
5. CONTRACT REFERENCE
3.2.2.1, 3.3.2.1
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
MTHLY
12. DATE OF 1st SUBMISSION
60 DAC
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
10 DARP
Draft
Final
Operational Use; (Approval Date). Other U.S. requests shall be referred to PEO
IWS 10.0.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data Package.
Blk 14b: See Attachment 3 to the CDRL for Form of Electronic Delivery of Data.
H. DATE
I. APPROVED BY
J. DATE
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 9 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MGMT 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A009
2. TITLE OF DATA ITEM
MANAGEMENT PLAN
3. SUBTITLE
PROGRAM MANAGEMENT PLAN (PMP)
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-80004A
5. CONTRACT REFERENCE
3.1.1.2
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
ASREQ*
12. DATE OF 1st SUBMISSION
0 DAC
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
SEE BLK 16
Draft
Final after receipt. Final copy is due NLT twenty (20) business days after receipt of comments or approval.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLKS 10 & 13: Revisions shall be delivered when an event occurs that requires an update to the information contained within the PMP including the Open Systems Management Plan (OSMP) and Security Management Plan (SMP).
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 10 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER ADMN 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A010
2. TITLE OF DATA ITEM
CONFERENCE AGENDA
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Doc. No)
DI-ADMN-81249A*
5. CONTRACT REFERENCE
3.1.1.3.1, 3.1.1.3.2, 3.1.1.3.3, 3.1.12.1, 3.3.2.2.2, 3.3.3.1.2.1.2, 3.3.3.1.2.2.2, 3.3.3.1.2.3.2, 3.3.3.2.3, 3.3.3.3.3, 3.3.3.4.4
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
ASREQ*
12. DATE OF 1st SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
SEE BLK 16
Draft
Final
BLK 8: Approval shall be for contractual compliance and technical content. The Government will provide comments or approval within two (2) business days after receipt. Final copy is due NLT three (3) business days after receipt of comments or approval.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLKS 10, 12 & 13: Submit agenda fourteen (14) business days prior to start of all Program Management meetings (e.g., Post Award Kick-off meeting, Program Management Reviews, etc.), Technical and Design Reviews (e.g. Preliminary Design Reviews (PDR), Critical Design Reviews (CDR), etc.), and Integrated Baseline Reviews (IBR).
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 11 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER ADMN 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A011
2. TITLE OF DATA ITEM
REPORT, RECORD OF MEETING/MINUTES
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Doc. No)
DI-ADMN-81505*
5. CONTRACT REFERENCE
3.1.1.3.1, 3.1.1.3.2, 3.1.1.3.3, 3.1.1.3.4, 3.1.12.1, 3.1.12.2, 3.2.2.4.7, 3.3.2.2.2, 3.3.3.1.2.1.2, 3.3.3.1.2.2.2, 3.3.3.1.2.3.2, 3.3.3.2.3, 3.3.3.3.3, 3.3.3.4.4
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
ASREQ*
12. DATE OF 1st SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
SEE BLK 16
Draft
Final
Government will provide comments or approval within ten (10) business days after receipt. Final copy is due NLT ten (10) business days after receipt of comments or approval.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLKS 10, 12, & 13: Submit five (5) business days after completion of each meeting/review. If additional time is needed, the delivery date may be extended subject to approval of the Government. (At a minimum, reviews imply: TRM reviews, CSEA PMRs, Technical Reviews, etc.).
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 12 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER ADMN 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A012
2. TITLE OF DATA ITEM
PRESENTATION MATERIAL
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Doc. No)
DI-ADMN-81373*
5. CONTRACT REFERENCE
3.1.1.3.1, 3.1.1.3.2, 3.1.1.3.4, 3.1.8.1, 3.2.2.3.4, 3.2.2.4.7, 3.3.2.2.2, 3.3.3.1.2.1.2, 3.3.3.2.2.2, 3.3.3.1.2.3.2, 3.3.3.2.3, 3.3.3.3.3, 3.3.3.4.4
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
ASREQ*
12. DATE OF 1st SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
SEE BLK 16
Draft
Final
BLK 4: Contractor format is acceptable.
Government will provide comments or approval within three (3) business days after receipt. Final copy is due NLT three (3) business days after receipt of comments or approval.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLKS 10, 12 & 13: Submit NLT tn (10) business days prior to the start of each Program Management Review (PMR), Contract Milestone Review or any other meeting with Government attendance.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 13 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MGMT 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A013
2. TITLE OF DATA ITEM
CONTRACT FUNDS STATUS REPORT (CFSR)
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-81468
5. CONTRACT REFERENCE
3.1.1.4.2
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
MTHLY
12. DATE OF 1st SUBMISSION
60 DAC
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
10 DARP
Draft
Final
Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 14 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MGMT 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A014
2. TITLE OF DATA ITEM
DATA ACCESSION LIST (DAL)
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-81453A*
5. CONTRACT REFERENCE
3.1.2
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
MTHLY
12. DATE OF 1st SUBMISSION
60 DAC
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
10 DARP
Draft
Final
Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 15 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MGMT 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A015
2. TITLE OF DATA ITEM
RISK MANAGEMENT STATUS REPORT
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Doc. No)
DI-MGMT-81809
5. CONTRACT REFERENCE
3.1.3
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
SEE BLK 16
12. DATE OF 1st SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
SEE BLK 16
Draft
Final
Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLKS 10, 12 & 13: Submit NLT ten (10) business days prior to SSDS Integrated Combat System Program Review (ICS PR), CSEA Program Management Review (PMR), Government Risk Management Board (RMB), and Technical Review Manual (TRM) reviews as required.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 16 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER MISC 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A016
2. TITLE OF DATA ITEM
SCIENTIFIC AND TECHNICAL REPORTS
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Doc. No)
DI-MISC-80711A*
5. CONTRACT REFERENCE
3.1.1.5, 3.1.7, 3.1.7.9, 3.1.8.1, 3.1.12, 3.1.13, 3.2.2.3.1, 3.2.2.3.2, 3.2.2.3.4, 3.2.2.3.5, 3.2.2.4.5, 3.2.2.4.9, 3.2.2.4.15, 3.2.2.7.2, 3.3.2.4, 3.3.2.4.5, 3.3.2.4.6, 3.3.2.4.16, 3.3.3.1.2.1.2, 3.3.3.1.2.2.2, 3.3.3.1.2.3.2, 3.3.3.2.3, 3.3.3.3.3, 3.3.3.4.4
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
ASREQ*
12. DATE OF 1st SUBMISSION
SEE BLK 16
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
SEE BLK 16
Draft
Final
Government will provide comments or approval within fifteen (15) business days after receipt. Final copy is due NLT ten (10) business days after receipt of comments or approval.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLKS 10, 12 & 13: As required to meet all the deliverables/requirements for the Completion CLINs and as directed by the Technical Instructions for the Level of Effort (LOE) CLINs.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 17 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER SESS 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A017
2. TITLE OF DATA ITEM
SYSTEMS ENGINEERING MANAGEMENT PLAN (SEMP)
3. SUBTITLE
N/A
4. AUTHORITY (Data Acquisition Doc. No)
DI-SESS-81785A*
5. CONTRACT REFERENCE
3.2.2.3, 3.3.2.3
6. REQUIRING OFFICE
PEO IWS 10.0
7. DD 250 REQ
LT
ONE/R*
12. DATE OF 1st SUBMISSION
60 DARC*
14. DISTRIBUTION
a. ADDRESSEE
SUBMISSION
SEE BLK 16
Draft
Final
Government will provide comments or approval within twenty (20) business days after receipt. Final copy is due NLT twenty (20) business days after receipt of comments or approval.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; June 2017. Other U.S. requests shall be referred to PEO IWS 10.0.
BLKS 10 & 13: Revisions shall be delivered when an event occurs that requires an update to the information contained within the SEMP including the Risk Management Plan (RMP).
BLK 12: Document will be submitted with Contractor’s proposal. Government will provided comments upon contract award for Contractor to revise document.
BLK 14: Data submittals shall be marked with applicable Technical Instruction number or CLIN number as appropriate. See Attachment 5 to the CDRL for Special Provision Regarding Electronic Administrative Changes to the CDRL Data
Joel Tootill, PEO IWS 10P
H. DATE
28 Aug 2017
I. APPROVED BY
Marc Goldenberg, PEO IWS 10PA1
J. DATE
28 Aug 2017
17. PRICE
GROUP
18. ESTIMATED
DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page 18 of 69 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 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 0001
B. EXH/ATCH NO.
A
C. CATEGORY
TDP TM OTHER IPSC 1
D. SYSTEM/ITEM
COMBAT SYSTEMS ENGINEERING AGENT
(CSEA) / SOFTWARE DESIGN AGENT (SDA)
E. CONTRACT/PR NO.
N00024-17-R-5152
F. CONTRACTOR
TBD
1. DATA ITEM NO
A018
2. TITLE OF DATA ITEM
COMPUTER SOFTWARE PRODUCT
3. SUBTITLE
DELIVERABLE COMPUTER PROGRAM AND
DOCUMENTATION
4. AUTHORITY (Data Acquisition Doc. No)
DI-IPSC-81488
5. CONTRACT REFERENCE
3…
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