Exhibit_A,_B,_and_C_DRAFT_PNW_CVN_PSM_CDRL_Package_2-2-18.pdf

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Pacific North West CVN Private Sector Maintenance
Solicitation number
N00024-18-R-4300
Issued by

About this file

This document is a draft Contract Data Requirements List (CDRL) for the Pacific Northwest CVN Private Sector Maintenance contract.

The CDRL outlines 98 required data items to be delivered under the contract. Key items include engineering drawings, work specifications, condition found reports, cost status reports, a long lead time items list, provisioning technical documentation using ICAPS, and commercial off-the-shelf technical manuals. Delivery schedules and distribution statements are specified. The Navy will require approval for technical content on some items.

The Naval Sea Systems Command is the requiring office. The CDRL identifies contractors, shipyards, and other Navy commands that will receive the data deliverables. Pricing is not addressed as this is a draft pre-solicitation document.

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Text version

PACIFIC NORTHWEST CVN PRIVATE SECTOR MAINTENANCE (PNW CVN PSM)

TABLE OF CONTENTS

CONTRACT/PR NO.: N00024-18-R-4300 DRAFT 2-2-18

ITEM SUBTITLE

CDRLs

NOT

USED

A004, A006-A007, A009-A010, A013, A016-A030, A033-A039, A041-A045, A047-A055, A057-A064, A066-A069, A074-A087, A089-A097, B001-B002, B004-B009, C004-C005, C009

A001 LIASON ACTION REQUEST (LAR)

A002 ACTUAL WEIGHT AND MOMENT REPORT

A003 DETAILED COST ESTIMATES

A005 ENGINEERING DRAWINGS

A008 PLANNING PROGRESS SCHEDULE (IAPA)

A011 SCHEDULE OF SYSTEMS CERTIFICATION

A012 MATERIAL STATUS REPORT

A014 CONDITION FOUND REPORT

A015 WORK SPECIFICATIONS

A031 ELECTRONIC FORMAT DATE REPORT

A032 CONTRACT FUNDS STATUS REPORT

A040 COPIES OF PURCHASE ORDERS, VENDOR RECEIPTS, AND TECHNICAL SPECIFICATIONS

A046 DEPARTURE REPORT

A056 MASTER INTEGRATED SCHEDULE

A065 PLANNING PROGRESS SCHEDULE (CIAs/PIAs/DPIAs)

A070 REQUEST FOR WAIVER OR DEVIATION

A071 LONG LEAD TIME ITEMS LIST

A072 COST STATUS REPORT FOR AVAILS 12 WEEKS OR LESS

A073 COST STATUS REPORT FOR AVAILS GREATER THAN 12 WEEKS

A088 INTEGRATED PROGRAM MANAGEMENT REPORT (IPMR)

A098 DEMAND ONLY TRANSACTIONS REPORT

B003 COMMERICAL OFF-THE-SHELF (COTS) TECHNICAL MANUALS

B010 TECHNICAL MANUAL SCHEDULE AND STATUS REPORTS

C001 CONTRACTOR FURNISHED MATERIAL (CFM) REPORT

CONTRACT DATA REQUIREMENTS LIST (CDRL)

CONTRACT/PR NO: N00024-18-R-4300 DRAFT 2-2-18

G. PREPARED BY

H. DATE

I. APPROVED BY

JOHN C BUCKLEY

J. DATE

ITEM SUBTITLE

C002 INSTALLATION OF EQUAL COMPONENT REPORT

C003 ALTERATION VERIFICATION REPORT

C006 PROVISIONING TECHNICAL DOCUMENTATION (PTD)

C007 SCLSIS/CDMD-OA REPORTING

C008 ENGINEERING DATA FOR PROVISIONING (EDFP) (DIGITAL)

C010 COMPONENT IDENTIFICATION DATA (CID) FOR STATEMENT OF PRIOR SUBMISSION (SPS)

C011 REQUIRED DOCUMENTATION FOR INSTALLATION OF GFM ITEMS

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A001

2. TITLE OF DATA ITEM

LIASON ACTION REQUEST

3. SUBTITLE

LIASON ACTION REQUEST (LAR)

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81792

5. CONTRACT REFERENCE

SECTION C, SOW Item 0001, Section 1.1 Para g.;

Item 0007, Section 7.1 Para 2.f; Item 0008, Section

8.1 Paras 1.i. and m; Item 0009, Section 9.1 Para 2.f.

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

D (SEE BLK 16)

10. FREQUENCY

ASGEN (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASGEN (SEE BLK 16)

14. DISTRIBUTION

SEE BLK 16

8. APP CODE

A (SEE

BLK 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASGEN (SEE BLK 16)

ADDRESSEES

Draft

Final

Reg Repro

16. REMARKS

BLK 8: UPON SUBMISSION OF MODIFICATION REQUEST, GOVERNMENT SHALL REVIEW AND

APPROVE/DISAPPROVE WITHIN TEN (10) WORKING DAYS

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 10, 12, AND 13: AS DEEMED NECESSARY BY THE CONTRACTOR.

BLK 14: ONE COPY IN ELECTRONIC FORMAT, ONE SET OF FULL SIZED PRINTS TO NWRMC.

NWRMC WILL PROVIDE TO SHIP.

POCs:

Supervisor, Northwest Regional Maintenance Center, Address TBD

Code XXX

NWRMC 1 1

15. TOTAL 1 1

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A002

2. TITLE OF DATA ITEM

WEIGHT AND STABILITY REPORTS FOR IN-SERVICE

SURFACE SHIPS

3. SUBTITLE

ACTUAL WEIGHT AND MOMENT REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81404A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW Item 0001, Section 1.1 Para f.;

Item 0008, Section 8.1 Para h.; Item 0009, Section

9.1 Para 2.f.

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

N/A

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

SEE BLK 16

8. APP CODE

SUBMISSION

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: THE CONTRACTOR SHALL COMPILE AN ACTUAL WEIGHT AND MOMENT REPORT

AND/OR STABILITY STUDY, THROUGH LIAISON WITH THE GDPA IN ACCORDANCE WITH

GENERAL SPECIFICATION FOR OVERHAUL OF SURFACE SHIPS (S9AA0-AB-GOS-010) AND THE

NAVY MODERNIZATION PROCESS MANAGEMENT OPERATIONAL MANUAL (NMP-MOM)

(SL720-AA-MAN-030).

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

Northwest Regional Maintenance Center, NWRMC 1

15. TOTAL 1

GROUP

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A003

2. TITLE OF DATA ITEM

PERFORMANCE AND COST REPORT

3. SUBTITLE

DETAILED COST ESTIMATES

4. AUTHORITY (Data Acquisition Doc. No)

DI-FNCL-80912 SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW PARA 13

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

N/A

Reg Repro

16. REMARKS

BLK 4: PARA 10.1 ONLY APPLIES. DETAILED COST ESTIMATES SHALL BE PER THE

REQUIREMENTS OF COMUSFLTFORCOMINST 4790.3 VOLUME VII, CHAPTER 5, USING

APPENDIX A AS A TEMPLATE FOR CLASS C ESTIMATES NOTED IN PARAGRAPH 5.3.2 OF

CHAPTER 5. CLASS F ESTIMATES DETAILED IN C-1 AND C-2 TABLES SHALL BE PROVIDED AT

A SUMMARY LEVEL OF MAN-HOUR AND MATERIAL COSTS NOTED IN PARAGRAPH 5.3.4 OF

CHAPTER 5.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

Northwest Regional Maintenance Center, GROUP

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A005

2. TITLE OF DATA ITEM

REVISIONS TO EXISTING TO GOVERNMENT

DOCUMENTS

3. SUBTITLE

ENGINEERING DRAWINGS

4. AUTHORITY (Data Acquisition Doc. No)

DI-ADMN-80925 (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW Item 0001, Section 1.1 Paras g.

and h.; Item 0007, Section 7.1 Paras f. and g.; Item

0008, Section 8.1 Para 1.i.; Item 0009, Section 9.1

Paras 2.f. and g.; Item 0010, Section 10.1 Para 1.i.

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

LT

2TIMES (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

SEE BLK 16

8. APP CODE

SUBMISSION

SEE BLK 16

ADDRESSEES

Draft

Final

Reg Repro

16. REMARKS

BLK 4: FOR GUIDANCE ACCESS NAVSEA 9090-310G (SL720-AA-MAN-030) IS VIA NDE

APPLICATIONS AT https://www.nde.navy.mil .

BLK 8: APPROVAL FOR TECHNICAL CONTENT AND ADEQUACY. GOVERNMENT HAS 15

DAYS TO REVIEW AND APPROVE/DISAPPROVE.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 10: REQUIREMENT IS FOR TWO TIMES EACH AVAILABILITY.

BLK 11: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE CONTACTOR.

BLK 12: REDLINE DRAWINGSTO BE PROVIDED TWO TIMES AFTER COMPLETION OF REDLINE

DRAWINGS. UPDATES TO REDLINE DRAWINGS AS REQUIRED AND AS MUTUALLY AGREED

TO BETWEEN THE GOVERNMENT AND THE CONTACTOR.

BLK 13: FINAL DRAWINGS TO BE SUBMITTED 30 DAYS AFTER EOA

Northwest Regional Maintenance Center, HPY for CVN68 Class is NNSY:

Aircraft Carrier Planning Yard

Commander, Norfolk Naval Shipyard

Attn: Code 280

Bldg. 29-2, 2nd Floor

Portsmouth, VA 23709

HPY for CVN 78 Class is HII-NNS:

NWRMC 2 2

NNSY 1 1

HII-NNS 1

15. TOTAL 3 4

18. ESTIMATED

https://www.nde.navy.mil/

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A008

2. TITLE OF DATA ITEM

CONTRACTOR’S PROGRESS, STATUS AND

MANAGEMENT REPORT

3. SUBTITLE

PLANNING PROGRESS SCHEDULE (IAPA)

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-80227 (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW Item 0001, Section 1.1 Para r.

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

N/A

WEKLY

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

SEE BLK 16

SUBMISSION

SEE BLK 16

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: PARA 10.1 AND 10.2 ONLY APPLY. PARA 10.3 SHALL BE TAILORED TO INCLUDE

STATUS ON ONLY THE FOLLOWING MILESTONES IAW WITH SOW:

A. ESTABLISH MAINTENANCE PERIOD IN NAVY MAINTENANCE DATABASE (NMDR)

B. PROVIDE SUPPORTING GOVT FURNISHED INFORMATION (GFI)

C. 95% OF PRIME CONTRACTOR WORK PACKAGE IDENTIFIED & SCREENED

D. SUBMIT COMPLETED 4-E SPECIFICATIONS (CDRL A015) AND CLASS C COST

ESTIMATES FOR WORK SCREENED BY A-4 (NOTE: WORK SCREENED WITHOUT

REQUIRED GFI IS DEFERRED TO THE A-2 MILESTONE)

E. PROVIDE LLTM LIST (CDRL A071) AND PREFAB ESTIMAETS FOR WORK DEFINED AT

A-4

F. WORK PACKAGE LOCK

G. PROVIDE FUNDING FOR LLTM; PLACE FUNDS ON CONTRACT

H. COMMENCE LLTM PROCUREMENT

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 11 AND 12: 14 DAYS AFTER COMMENCEMENT OF PLANNING.

BLK 13: EVERY WEEK DURING PROJECT MEETING.

Northwest Regional Maintenance Center, CNAP:

Commander, Naval Air Forces, Pacific

Attn: Code XXX

CNAP 1

15. TOTAL 2

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A011

2. TITLE OF DATA ITEM

PROJECT PLANNING CHART

3. SUBTITLE

SCHEDULE OF SYSTEMS CERTIFICATION

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-80507C (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW PARA 17

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

N/A

2TIME

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

SEE BLK 16

SUBMISSION

ASREQ

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: PARA 2 ONLY APPLIES.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

Northwest Regional Maintenance Center, 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

17. PRICE

GROUP

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A012

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA REPORT

3. SUBTITLE

MATERIAL STATUS REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A (SEE BLK 14)

5. CONTRACT REFERENCE

SECTION C, SOW PARA 18

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

N/A

Reg Repro

16. REMARKS

BLK 4: PARAS 1 AND 2 ONLY APPLY

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

Northwest Regional Maintenance Center, 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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently

17. PRICE

GROUP

valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A014

2. TITLE OF DATA ITEM

CONDITION FOUND REPORT

3. SUBTITLE

CONDITION FOUND REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81648 (SEE BLK 16)

5. CONTRACT REFERENCE-

SECTION C, SOW Item 0008, Section 8.1 Para

1.f.(3)

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

N/A

ASGEN (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASGEN (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASGEN (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: PARA 3.2 DOES NOT APPLY. AT A MINIMUM, THE CFR SHALL INCLUDE THE

FOLLOWING:

- Identify contract number, ship and hull number

- Serialized by CFR number

- Identification of the applicable Work Specification number

- Date requirement was discovered

- Description of the work requirement

- Specific location of the work

- Recommendation for corrective action

- Recommendation for the appropriate/best time to accomplish the work (i.e. during current availability with or without schedule change, future CNO or Continuous Maintenance Availability). Provide supporting rational for the recommendation, such as cost efficiencies, availability of work force, availability of material, premium expenditures, etc.

- Identification of known interface with other work already on contract or being performed by a different maintenance activity

- Identification of related changes, if any, to production milestones/key events and contract completion date. If none, so state.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLKS 10, 12 AND 13: . SUBMIT WITHIN 3 WORKING DAYS OF IDENTIFICATION OF THE

REQUIREMENT.

BLK 14: ELECTRONIC SUBMISSION VIA NMD/IMS SIMILAR TO THE REQUIREMENT IN MOA

#04-4.

POC:

Northwest Regional Maintenance Center, 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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

17. PRICE

GROUP

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A015

2. TITLE OF DATA ITEM

WORK SPECIFICATION REPORT

3. SUBTITLE

WORK SPECIFICATIONS

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81786 (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW Item 0001, Section 1.1 Paras b., c., and d.(1), Table C-2; Item 0007, Section 7.1 Para 2.a., Table C-3; Item 0008, Section 8.1 Para 1.f.(2);

Item 0009, Section 9.1 Para 2.a.; Item 0010, Section

10.1 Para 1.f.(3)(d)

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

LT

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SEE BLK 16

A (SEE BLK16)

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: SPECIFICATION SHALL BE WRITTEN IN SIMILAR FORMAT TO BASIC

SPECIFICATIONS DESCRIBING THE ADDITIONAL WORK TO BE ACCOMPLISHED AS

DEFINED BY THE GOVERNMENT SUPPORTED BY OPNAV FORM 4790/2KS, 2L DRAWINGS,

SARP LINE ITEM SPECIFICATION AND OTHER COMMONLY USED DOCUMENTATION.

EMERGENT WORK SPECIFICATIONS SHALL BE IAW CURRENT APPENDIX IN THE

REFERENCED AUTHORITY AND SHALL USE THE STANDARD ITEMS (SI) WHICH ARE IN

EFFECT ON THE DATE OF SPECIFICATION SUBMISSION TO THE SUPERVISOR FOR

ACCEPTANCE. NAVSEA S0300-B2-MAN 010/SOM (LATEST REV AND CHANGES) USED AS

GUIDANCE.

BLK 8: APPROVAL FOR TECHNICAL CONTENT AND ADEQUACY. GOVERNMENT HAS 15 DAYS

TO REVIEW AND APPROVE/DISAPPROVE.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 10, 12 AND 13: NLT 10 DAYS AFTER IDENTIFICATION OF REQUIREMENT

BLK 14: THE CONTRACTOR MAY WRITE THE 4E SPECIFICATION IN MS WORD FORMAT AND

THEN SHALL IMPORT IT INTO NMD, THEN ISSUE THE 4E SPECIFICATION TO NWRMC AND

NMD.

Northwest Regional Maintenance Center, NWRMC 1 1

GROUP

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A031

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA REPORT

3. SUBTITLE

ELECTRONIC FORMAT DATE REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A

5. CONTRACT REFERENCE

SECTION C, SOW Item 0007, Section 7.1 Para

2.c.(3); Item 0008, Section 8.1 Paras 1.f.(3)(b), (e) and (f); Item 0009, Section 9.1 Para 2.c.(3)

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

NO

WEKLY (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

SEE BLK 16

SUBMISSION

SEE BLK 16

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: PARAS 1 AND 2 ONLY APPLY.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 10, 12 AND 13: FROM DISCOVERY OF THE FIRST DISCREPANCY AND UNTIL SUBMISSION

AND COMPLETION OF THE LAST RCC. RECORDS SHALL BE MAINTAINED AND PROVIDED TO

THE SUPERVISOR NLT 10 AFTER REQUEST. THE REPORT SHALL BE SUBMITTED WEEKLY

DURNG THE AVAILABILITY, AT A+5 (DAYS), AND A FINAL REPORT WITHIN C+60 (DAYS).

Northwest Regional Maintenance Center, 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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A032

2. TITLE OF DATA ITEM

CONTRACT FUNDS STATUS REPORT (CFSR)

3. SUBTITLE

CONTRACT FUNDS STATUS REPORT (CFSR)

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81468 (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW PARA 3

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

LT

MTHLY

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

SUBMISSION

15 DARP

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: FORMAT AS MUTUALLY AGREED UPON BY NWMRC AND THE CONTRACTOR.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 12: 33 WORKING DAYS AFTER THE END OF FIRST COMPLETE ACCOUNTING MONTH

FOLLOWING CONTRCT AWARD OR MOD. SUBMIT SEPARATE CFSR FOR EACH OF THE

FOLLOWING CLINS: XXXX THRU XXXX AND IF EXERCISED XXXX THRU XXXX.

BLK 14: SUBMIT BY ELECTRONIC MAIL OR AS MUTUALLY AGREED TO BY THE

GOVERNMENT AND THE CONTRACTOR.

Northwest Regional Maintenance Center, PMS312E (email only): Richard Stein (richard.e.stein@navy.mil)

NWRMC 2

PMS312 1

15. TOTAL 3

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A040

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA REPORT

3. SUBTITLE

COPIES OF PURCHASE ORDERS, VENDOR RECEIPTS,

AND TECHNICAL SPECIFICATIONS

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A

5. CONTRACT REFERENCE

SECTION C, SOW PARA 19

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

N/A

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLKS 12 AND 13: PROVIDE NLT 15 DAYS AFTER RELEASE OF PURCHASE ORDER TO VENDOR.

SUBMIT TO THE SUPERVISOR, PSNS&IMF CODE 242.2, WITH CDRL C006 AS NECESSARY, VIA

CDRL A014.

BLK 14: SUBMIT WITH CDRL C006 VIA CDRL A014 (CFR).

Northwest Regional Maintenance Center, Puget Sound Naval Shipyard and

Intermediate Maintenance Facility

Code 242.2

PSNS & IMF

15. TOTAL 4

GROUP

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A046

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA REPORT

3. SUBTITLE

DEPARTURE REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-81309A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW Para 12; Item 0002, Section 2,1

Para h.; Item 0008, Section 8.1 Para 1.u.; Item 0010, Section 10.1 Para 1.u.

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

LT

OTIME

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

SUBMISSION

N/A ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: NAVSEA STD ITEM 009-99 (SERIES) TO BE USED AS GUIDANCE. DI-SESS-81309A TO BE

TAILORED AS MUTUALLY AGREED TO BY NWRMC CODE XXX AND THE CONTRACTOR.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 12: AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE CONTRACTOR.

BLK 14: SUBMIT BY ENTERING THE DEPARTURE REPORT INFORMATION INTO NMDR,

WHICH IS THE PROGRAM OF RECORD OR AS MUTUALLY AGREED TO BY THE GOVERNMENT

AND THE CONTRACTOR

Northwest Regional Maintenance Center, GROUP

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A056

2. TITLE OF DATA ITEM

KEY EVENTS SCHEDULE

3. SUBTITLE

MASTER INTEGRATED SCHEDULE

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81791 (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW PARA 4.h.

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

N/A

Reg Repro

16. REMARKS

BLK 4: PARAS 1 AND 2 ONLY APPLY.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (JULY 2016). OTHER REQUESTS FOR THIS

DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER CODE

XXX, PUGET SOUND NAVAL SHIPYARD, WA.

Northwest Regional Maintenance Center, NWRMC

15. TOTAL

GROUP

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A065

2. TITLE OF DATA ITEM

KEY EVENTS SCHEDULE

3. SUBTITLE

PLANNING PROGRESS SCHEDULE (CIAs/PIAs/DPIAs)

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81791(SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW Item 0007, Section 7.1. Para

2.q.; Item 0009, Section 9.1 Para 2.q.

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

N/A

WEKLY

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

SEE BLK 16

SUBMISSION

SEE BLK 16

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: PARA 1 AND 2 ONLY APPLY. PARA 2.1 SHALL BE TAILORED TO INCLUDE STATUS ON

ONLY THE MILESTONES LISTED IN THE SOW, TABLE C-3, EXECUTION PLANNING SCHEDULE

FOR CVN 68 CLASS & CVN 78 CLASS SHIPS (PIA/DPIA)

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 11 AND 12: 14 DAYS AFTER COMMENCEMENT OF PLANNING.

BLK 13: EVERY WEEK DURING PROJECT MEETING.

Northwest Regional Maintenance Center, 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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A070

2. TITLE OF DATA ITEM

REQUEST FOR VARIANCE (RFV)

3. SUBTITLE

REQUEST FOR DEVIATION

4. AUTHORITY (Data Acquisition Doc. No)

DI-SESS-80640D

5. CONTRACT REFERENCE

SECTION C, SOW Item 0001, Section 1.1 Para g.;

Item 0007, Section 7.1 Para 2.f; Item 0008, Section

8.1 Paras 1.i. and m; Item 0009, Section 9.1 Para

2.f.; Item 0010, Section 10.1 Para 1.m.

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

LT

ASGEN (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASGEN (SEE BLK 16)

14. DISTRIBUTION

A (SEE BLK

16)

SUBMISSION

ASGEN (SEE BLK 16)

ADDRESSEES

Draft

Final

Reg Repro

16. REMARKS

BLK 8: GOVERNMENT WILL APPROVE/DISAPPROVE WITH IN 15 WORKING DAYS OF DRAFT

SUBMITTAL. APPROVAL IS FOR TECHNICAL CONTENT, LOGISTIC IMPACTS AND ACCURACY.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLKS 10, 12 AND 13: NLT 3 WORKING DAYS AFTER ISSUE IDENTIFICATION.

BLK 14: ELECTRONIC FORMAT AS MUTUALLY AGREED TO BY THE GOVERNMENT AND

CONTRACTOR.

Northwest Regional Maintenance Center, NWRMC 2 4

PMS 312 1

15. TOTAL 2 5

GROUP

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A071

2. TITLE OF DATA ITEM

PRODUCIBILITY ANALYSIS REPORT

3. SUBTITLE

LONG LEAD TIME ITEMS LIST

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-80797 (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW Item 0001, Section 1.1 Para r., Table C-2

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

LT

OTIME/R (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: FOR NUCLEAR/NON-NUCLEAR MATERIAL – LONG LEAD TIME MATERIAL LIST,

CONTINGENCY REPAIR MATERIAL LIST, INSTALLATION AND CHECKOUT SPARES (INCO)

LIST AND MAINTENANCE ASSIST MODULES (MAMS) LIST.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 10: ONE SUBMISSION PER AVAILABILITY, REVISIONS AS REQUIRED.

BLK 12: SUBMIT NINE MONTHS PRIOR TO THE START OF AVAILABILITY.

BLK 13: REVISIONS AS MUTUALLY AGREED TO BY THE GOVERNMENT AND THE

CONTACTOR.

BLK 14: SUBMIT BY ELECROIC MAIL OR AS MUTUALLY AGREED TO BY THE GOVERNMENT

AND THE CONTRACTOR.

POC:

Northwest Regional Maintenance Center, GROUP

18. ESTIMATED

TOTAL PRICE

If nuclear is involve, NAVSEA08 must be involved.

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A072

2. TITLE OF DATA ITEM

CONTRACT COST REPORT FOR AVAILS 12 WEEKS OR

LESS

3. SUBTITLE

COST STATUS REPORT FOR AVAILS 12 WEEKS OR

LESS

4. AUTHORITY (Data Acquisition Doc. No)

DI-FNCL-81787

5. CONTRACT REFERENCE

SECTION C, SOW Item 0002, Section 2-1 Para f.

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

LT

WEKLY

12. DATE OF FIRST SUBMISSION

30 DAC (SEE BLK 16)

14. DISTRIBUTION

ASGEN

SUBMISSION

SEE BLK 16

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 12: SUBMIT FIRST REPORT 30 DAYS AFTER AWARD OF CONTRACT CLIN XXXX/AWARD

OF OPTIONS, CLINS XXXX.

BLK 13: SUBMISSIONS SHALL CONTINUE ON A WEEKLY BASIS UNTIL DATA IS REFLECTED

FOR 30 DAYS AFTER THE PERIOD OF PERFORMANCE OF CLIN COMPLETION.

BLK 14: SUBMIT BY ELECRONIC MAIL OR A MUTUALLY AGREED TO BY THE GOVERNMENT

AND THE CONTRACTOR.

Northwest Regional Maintenance Center, GROUP

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A073

2. TITLE OF DATA ITEM

CONTRACT COST REPORT FOR AVAILS GREATER THAN

12 WEEKS

3. SUBTITLE

COST STATUS REPORT FOR AVAILS GREATER THAN

12 WEEKS

4. AUTHORITY (Data Acquisition Doc. No)

DI-FNCL-81788

5. CONTRACT REFERENCE

SECTION C, SOW Item 0002, Section 2-1 Para f.

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

LT

WEKLY

12. DATE OF FIRST SUBMISSION

30 DAC (SEE BLK 16)

14. DISTRIBUTION

ASGEN

SUBMISSION

SEE BLK 16

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 12: SUBMIT FIRST REPORT 30 DAYS AFTER AWARD OF CONTRACT CLIN XXXX/AWARD

OF OPTIONS, CLINS XXXX.

BLK 13: SUBMISSIONS SHALL CONTINUE ON A WEEKLY BASIS UNTIL DATA IS REFLECTED

FOR 30 DAYS AFTER THE PERIOD OF PERFORMANCE OF CLIN COMPLETION.

BLK 14: SUBMIT BY ELECTRONIC MAIL OR AS MUTUALLY AGREED TO BY THE

GOVERNMENT AND THE CONTRACTOR.

Northwest Regional Maintenance Center, Commander, Naval Air Forces Pacific

PMS312E 1

GROUP

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X 1

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A088

2. TITLE OF DATA ITEM

INTEGRATED PROGRAM MANAGEMENT REPORT

(IPMR)

3. SUBTITLE

INTEGRATED PROGRAM MANAGEMENT REPORT

(IPMR)

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81861A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW Para 3.

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

LT

BI-WEKLY

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

SUBMISSION

5 DARP

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: GOVERNMENT WILL TAILOR DOWN DI-MGMT-81861A FOR EACH AVAILABILITY, IF

APPICABLE.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA.

BLK 12: PROVIDE 15 DAYS AFTER AVAILAILITY START. SUBMIT SEPARATE REPORTS FOR

EACH CLIN AUTHORIZED.

BLK 13: OR AS MUTUALLY AGREED TO BETWEEN THE GOVERNMENT AND THE

CONTRACTOR.

BLK 14: ONE ELECTRONIC COPY ON CD AND ONE HARD COPY TO EACH ADDRESSEE.

Northwest Regional Maintenance Center, GROUP

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO.

CLIN XXXX

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X

D. SYSTEM/ITEM

PNW CVN PSM

E. CONTRACT/PR NO.

N00024-18-R-4300

F. CONTRACTOR

TBD

1. DATA ITEM NO

A098

2. TITLE OF DATA ITEM

DEMAND ONLY TRANSACTIONS REPORT

3. SUBTITLE

DEMAND ONLY TRANSACTIONS (DOT) REPORT

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-81806A (SEE BLK 16)

5. CONTRACT REFERENCE

SECTION C, SOW PARA 21

6. REQUIRING OFFICE

NWRMC

7. DD 250 REQ

LT

OTIME

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

SEE BLK 16

SUBMISSION

SEE BLK 16

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: PARA 2 ONLY APPLIES.

BLK 9: DISTRIBUTION “D” AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY DUE TO CARRIERS NNPI (DATE TO BE ADDED). OTHER REQUESTS FOR

THIS DOCUMENT SHALL BE REFERRED TO NORTHWEST REGIONAL MAINTENANCE CENTER

CODE XXX, PUGET SOUND NAVAL SHIPYARD, WA

BLK 12: SUBMIT NLT 14 DAYS AFTER EOA.

BLK 14: SUBMIT VIA DOD EMAIL CUSTOMER ASSISTANCE (CAS)/MILSTRIP ORDER ENTRY

SYSTEM (MOES) OR VIA EMAIL IN MS EXCEL 2003-2007. SEA 21 AND RMC LETTER

TRANSMITTAL ONLY.

Northwest Regional Maintenance Center, Commanding Officer, NAVSUP WSS

Code 97

NAVSUP

WSS Code 97

SEA 21 1

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 the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A.…

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