Exhibit_B_-_Contract_Data_Requirements_List(s),_DD_Form_1423_DRAFT.doc

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AN/BYG-1 Combat Control System (CCS) Payload Control System
Solicitation number
N00024-18-R-6102
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Exhibit B

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N00024-18-R-6102_DRAFT.pdf PDF
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Attachment_4B_-_CLASSIFIED_GFI_Form_DRAFT.pdf PDF
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EXHIBIT B

N00024-18-R-6xxx

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing, and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

B

C. CATEGORY:

TDP TM OTHER SAFT

D. SYSTEM/ITEM

PAYLOAD CONTROL SYSTEM

E. CONTRACT/PR NO.

N00024-18-NR-98173

F. CONTRACTOR

TBS

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

SYSTEM SAFETY PROGRAM PLAN (SSPP)

3. SUBTITLE

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-SAFT-81626

5. CONTRACT REFERENCE

App A – G SOW Paragraph 1.5.4.1

6. REQUIRING OFFICE

PMS425

7. DD 250 REQ

LT

9.

DIST STATEMENT REQUIRED

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMSSN

90 DAC

14. DISTRIBUTION

18. ESTIMATED

TOTAL PRICE

8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQ SUBMSSN

b. COPIES

A
See Block 16
N/A
SEE BLOCK 16
a. ADDRESSEE

Final

16. REMARKS

Draft
Reg
Repro
PMS425A3
1
1
0
NUWC DMO
1
1
0
PMS425DMO
1
1
0
PCO
1
1
0
ACO
1
1
0
15. TOTAL
5
5
0

G. PREPARED BY

Jake Glassman, PMS425ND

H. DATE

7/17/18

I. APPROVED BY

Angel Jaeger, PMS425A3

J. DATE

7/17/18

DD Form 1423-1, Feb 2001 Previous editions are obsolete. Page 1 of 3 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing, and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

B

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

N00024-18-NR-98173

F. CONTRACTOR

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM

SYSTEM SAFETY HAZARD ANALYSIS REPORT (SSHA)

3. SUBTITLE

See Block 16

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-SAFT-80101C (See Block 16)

5. CONTRACT REFERENCE

App A – G SOW Paragraph 1.5.4.2

6. REQUIRING OFFICE

7. DD 250 REQ

9.

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMSSN

SEE BLOCK 16

14. DISTRIBUTION

18. ESTIMATED

8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQ SUBMSSN

b. COPIES

A
See Block 16
N/A
SEE BLOCK 16
a. ADDRESSEE

Final

16. REMARKS

Draft
Reg
Repro
PMS425A3
1
1
0
NUWC DMO
1
1
0
PMS425DMO
1
1
0
PCO
1
1
0
ACO
1
1
0
15. TOTAL
5
5
0

G. PREPARED BY

H. DATE

7/17/18

I. APPROVED BY

Angel Jaeger, PMS425A3

J. DATE

DD Form 1423-1, FEB 2001 Previous editions are obsolete. Page 2 of 3 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing, and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

B

C. CATEGORY:

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

N00024-18-NR-98173

F. CONTRACTOR

1. DATA ITEM NO.

B003

2. TITLE OF DATA ITEM

SAFETY ASSESSMENT REPORT (SAR)

3. SUBTITLE

See Block 16

17. PRICE GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-SAFT-80102C

5. CONTRACT REFERENCE

App A – G SOW Paragraph 1.5.4.2

6. REQUIRING OFFICE

7. DD 250 REQ

9.

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMSSN

SEE BLOCK 16

14. DISTRIBUTION

18. ESTIMATED

8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQ SUBMSSN

b. COPIES

A
See Block 16
N/A
SEE BLOCK 16
a. ADDRESSEE

Final

16. REMARKS

Draft
Reg
Repro
PMS425A3
1
1
0
NUWC DMO
1
1
0
PMS425DMO
1
1
0
PCO
1
1
0
ACO
1
1
0
15. TOTAL
5
5
0

G. PREPARED BY

H. DATE

7/17/18

I. APPROVED BY

Angel Jaeger, PMS425A3

J. DATE

DD Form 1423-1, FEB 2001 Previous editions are obsolete. Page 3 of 3 Pages BLOCK 8: Approval is for technical content. Allow 30 days after receipt for Navy review. Navy comments and corrections shall be incorporated and the final SSPP resubmitted for approval no later than 30 DARC. Recommendation for approval shall be made by the Principal For Safety (PFS).

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 11 July 2018. Other requests shall be referred to Program Executive Officer, Submarines (PMS425), Washington Navy Yard, DC. Release to Australia authorized under the BYG-1 Armament Cooperative Program.

BLOCK 13: Subsequent submissions shall be provided upon major process changes or as required to support subsequent TI/APBs.

BLOCKS 14 AND 15: Distribution and email addresses are provided in the attached “CDRL Addressee List”.

BLOCK 3: Preliminary Hazard Analysis (PHA); System Hazard Analysis (SHA); Subsystem Hazard Analysis (SSHA); Safety Requirements/Criticality Analysis (SR/CA); Inadvertent Launch Analysis (ILA); Operational & Safety Hazard Analysis (O&SHA) Report.

BLOCK 4: Contractor format is acceptable. Paragraphs 10.2.3.b.2, 10.2.3.b.3, 10.2.3.b.4, and 10.2.3.b.15 are not required for the PHA.

BLOCK 8: Approval is for technical content. Allow 30 days after receipt for Navy review. Navy comments and corrections shall be incorporated and the final SSPP resubmitted for approval no later than 30 DARC. Recommendation for approval shall be made by the Principal For Safety (PFS).

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 11 July 2018. Other requests shall be referred to Program Executive Officer, Submarines (PMS425), Washington Navy Yard, DC. Release to Australia authorized under the BYG-1 Armament Cooperative Program.

BLOCKS 10, 12 AND 13: Submittals shall be as scheduled in the approved IMS (Format 6 of the IPMR, CDRL A005).

BLOCKS 14 AND 15: Distribution and email addresses are provided in the attached “CDRL Addressee List”.

BLOCK 3: Functional One-Line Diagrams and Fault Tables; and Safety Assessment Reports (SAR).

BLOCK 4: Contractor format is acceptable for the SARs.

BLOCK 8: Approval is for technical content. Allow 30 days after receipt for Navy review. Navy comments and corrections shall be incorporated and the final SSPP resubmitted for approval no later than 30 DARC. Recommendation for approval shall be made by the Principal For Safety (PFS). Recommendation for approval shall be made by the PFS.

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for Administrative or Operational Use, 11 July 2018. Other requests shall be referred to Program Executive Officer, Submarines (PMS425), Washington Navy Yard, DC. Release to Australia authorized under the BYG-1 Armament Cooperative Program.

BLOCKS 10, 12 AND 13: Submittals shall be as scheduled in the approved IMS (Format 6 of the IPMR, CDRL A005).

BLOCK 14: Distribution and email addresses are provided in the attached “CDRL Addressee List”.

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