CDRL_Data_Package_for_N00024-19-R-5111_06JUN2019Signed.pdf

NEW PROCUREMENT

N00024-19-R-5111

FOR

GUIDED MISSILE DIRECTOR MK 82 MOD 0/

DIRECTOR CONTROLLER MK 200 MOD 0

TABLE OF CONTENTS MATRIX

04-JUN-2019

EXHIBITS A & B

CDRL DID NO. TITLE OF DID (SUBTITLE) CONTRACT REFERENCE

EXHIBIT A

A001 DI-MGMT-81797 PROGRAM MANAGEMENT PLAN SOW SEC. C, PARA 3.2.1

A002 DI-MGMT-80227 CONTRACTOR’S PROGRESS, STATUS AND

MANAGEMENT REPORT

SOW SEC. C, PARAs 3.2, 3.2.4,

3.2.9 & 3.3.5

A003 DI-ADMN-81373 PRESENTATION MATERIAL SOW SEC. C, PARA 3.2.5

A004 DI-ADMN-81505 REPORT, RECORD OF MEETING/MINUTES SOW SEC. C, PARAs 3.2, 3.2.5 &

3.9.4

A005 DI-MGMT-80368A STATUS REPORT (CONTRACT CDRL DELIVERY

STATUS)

SOW SEC. C, PARA 3.2.6

A006 DI-QCIC-80553A ACCEPTANCE TEST PLAN (FACTORY/

PRODUCTION ACCEPTANCE TEST PLAN)

SOW SEC. C, PARAs 3.3.3 & 3.4

A007 DI-NDTI-80603A TEST PROCEDURE (ACCEPTANCE INSPECTION

AND TEST PROCEDURES)

SOW SEC. C, PARAs 3.3.3, 3.4 &

SOW SUBSEC. 1B, PARA II.B.8

A008 DI-NDTI-80809B TEST/INSPECTION REPORT (FACTORY

ACCEPTANCE TEST AND SYSTEM BURN-IN

TEST)

SOW SEC. C, PARAs 3.3.3 & 3.3.6.1

A009 DI-SESS-81309A INTERNAL CONTRACTOR TECHNICAL DATA

REPORT (AWS SPECIFICATIONS, WS-10501)

SOW SEC. C, PARA 3.3.3

A010 DI-SESS-80643D SPECIFICATION CHANGE NOTICE (SCN) SOW SUBSEC. 1A

A011 DI-SESS-81253C CONFIGURATION STATUS ACCOUNTING (CSA)

INFORMATION

SOW SEC. C, PARA 3.3.5 &

SOW SUBSEC. 1C, PARA V

A012 DI-SESS-80255A FAILURE SUMMARY AND ANALYSIS REPORT

(FAILURE REPORTING, ANALYSIS AND

CORRECTIVE ACTION SYSTEM (FRACAS))

SOW SEC. C, PARAs 3.3.6.1 & 3.9.3

A013 DI-FNCL-81565C COST DATA SUMMARY REPORT (DD FORM

1921)

SOW SEC. C, PARA 3.2.12

A014 DI-MGMT-81334D CONTRACT WORK BREAKDOWN STRUCTURE SOW SEC. C, PARAs 3.2.12 &

3.4.1

A015 DI-FNCL-81765B CONTRACTOR BUSINESS DATA REPORT (DD

FORM 1921-3)

A016 DI-FNCL-81566C FUNTIONAL COST-HOUR REPORT (DD FORM

1921-1)

A017 DI-SESS-81022D CONFIGURATION AUDIT SUMMARY REPORT

AND CERTIFICATION (FUNCTIONAL AND

PHYSICAL CONFIGURATION AUDITS)

SOW SEC. C, PARA 3.4.4 &

SOW SUBSEC. 1C, PARA IV.C

A018 DI-SESS-80858C SUPPLIER’S CONFIGURATION MANAGEMENT

PLAN

SOW SEC. C, PARAs 3.6, 3.6.1,

3.8 & SOW SUBSEC. 1C, PARA I

A019 DI-SESS-80640D REQUEST FOR VARIANCE (RFV) (REQUEST FOR

DEVIATIONS/WAIVERS)

SOW SEC.C, PARAs 3.6.1, 3.6.2

& SOW SUBSEC. 1C, PARA

VI.D

A020 DI-SESS-80639D ENGINEERING CHANGE PROPOSAL (ECP) SOW SEC. C, PARAs 3.6.1, 3.6.3

& SOW SUBSEC. 1C, PARA

VI.C

A021 DI-QCIC-81794 QUALITY ASSURANCE PROGRAM PLAN SOW SUBSEC. 1B, PARAs I & II

A022 DI-MISC-81832 COUNTERFEIT PREVENTION PLAN SOW SEC. C, PARA 3.7.2.1

A023 DI-MISC-80508B TECHNICAL REPORT-STUDIES/SERVICES

(UNAUTHORIZED SOURCES PURCHASE

REPORT)

SOW SEC. C, PARA 3.7.2.1

A024 DI-SESS-81613A RELIABILITY & MAINTAINABILITY (R & M)

PROGRAM PLAN

SOW SEC.C, PARAs 3.9, 3.9.5 &

SOW SUBSEC. 1F

A025 DI-SAFT-81626 SYSTEM SAFETY PROGRAM PLAN (SSPP) SOW SEC. C, PARA 3.10

A026 DI-MGMT-81803 ITEM UNIQUE IDENTIFICATION (IUID)

MARKING PLAN

SOW SEC. C, PARA 3.11

A027 DI-MGMT-81804A ITEM UNIQUE IDENTIFICATION (IUID)

MARKING ACTIVITY, VALIDATION AND

VERIFICATION REPORT

A028 DI-SESS-80776A TECHNICAL DATA PACKAGE (AWS DRAWING

PACKAGE)

SOW SEC. C, PARA 3.3.1 &

SOW SUBSEC. 1E

A029 DI-MISC-80508B TECHNICAL REPORT – STUDY/SERVICES

(SPECIFICATION/STANDARDS ASSESSMENTS)

SOW SUBSEC. 1F, PARA I

A030 DI-MGMT-82247 CONTRACTOR’S SYSTEMS SECURITY PLAN

AND ASSOCIATED PLANS OF ACTION TO

IMPLEMENT NIST SP 800-171 ON A

CONTRACTOR'S INTERNAL UNCLASSIFIED

INFORMATION SYSTEM ( SYSTEM SECURITY

PLAN)

SOW SEC. C, PARAs 3.12.1 & 3.12.3

A031 DI-ENVR-81014A ENVIRONMENTAL STRESS SCREENING

PROCEDURES AND IMPLEMENTATION PLAN

SOW SUBSEC. 1D

A032 DI-MISC-80508B TECHNICAL REPORT – STUDY/SERVICES

(CYBER INCIDENT REPORT)

SOW SEC. C, PARA 3.12.5

EXHIBIT B

B001 DI-SESS-81309A INTERNAL CONTRACTOR TECHNICAL DATA

REPORT (PROVISIONING TECHNICAL

DOCUMENTATION (PTD))

SOW SUBSEC. 1A, PARA 2

B002 DI-SESS-81713 PROVISIONING PERFORMANCE SCHEDULE

(PPS)

SOW SUBSEC. 1A, PARA 2

ATTACHMENTS TO THE CDRL ATTACHMENT TITLE

1 ADDRESSEE LIST

2 WORDING OF DISTRIBUTION STATEMENTS

3 ELECTRONIC DELIVERY OF DATA

4 TDP OPTION SELECTION WORKSHEET

CDRL DD FORM 1423

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.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

GUIDED MISSILE DIRECTOR MK 82 MOD

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

PROGRAM MANAGEMENT PLAN

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81797 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW SEC. C, PARA 3.2.1

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final

Reg Repro

16. REMARKS

Block 4: Contractor's format is acceptable.

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 8: Approval will be for technical content and contractual compliance. the Government will provide approval or review comments within 45 calendar days after receipt. Final copy reflecting review comments or conditions for approval, if any, is due 30 calendar days after receipt of review comments.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 4 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Block 13: Subsequent submissions will be 30 days after identification of change.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1AP6 1 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

VENESCO DMTS 0 0 0

15. TOTAL 1 3 0

G. PREPARED BY

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

J. DATE

05-JUN-2019

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 35 Pages

17. PRICE 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.

B. EXHIBIT

A

TDP TM OTHER ADMN

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A002

2. TITLE OF DATA ITEM

CONTRACTOR'S PROGRESS, STATUS AND MANAGEMENT REPORT

3. SUBTITLE

N/A

DI-MGMT-80227 (SEE BLK 16)

SOW SEC. C, PARAs 3.2, 3.2.4, 3.2.9 & 3.3.5

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Contractor's format is acceptable.

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 4 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 12/13: Initial submission due 45 DAC. Subsequent submissions due monthly thereafter.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

NAVSEA 025 0 0 0

15. TOTAL 0 3 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 35 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 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.

B. EXHIBIT

A

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A003

2. TITLE OF DATA ITEM

PRESENTATION MATERIAL

3. SUBTITLE

SEE BLK 16

DI-ADMN-81373 (SEE BLK 16)

SOW SEC. C, PARA 3.2.5

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 3: Subtitle to be provided to match the applicable program review/meeting/conference.

Block 4: Format shall be mutually agreed upon by Navy and contractor.

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 4 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 12/13: Presentation material shall be provided at each program review/meeting/conference, as applicable.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

DCMA

P. RICCI 0 1 0

CACI

T. O'DOWD 0 0 0

15. TOTAL 0 4 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 35 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 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.

B. EXHIBIT

A

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A004

2. TITLE OF DATA ITEM

REPORT, RECORD OF MEETING/MINUTES

3. SUBTITLE

N/A

DI-ADMN-81505 (SEE BLK 16)

SOW SEC. C, PARAs 3.2, 3.2.5 & 3.9.4

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Contractor's format is acceptable.

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 3 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 10/12/13: Submit NLT 10 working days after each meeting.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

DCMA

P. RICCI 0 1 0

CACI

T. O’DOWD 0 1 0

15. TOTAL 0 6 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 35 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 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.

B. EXHIBIT

A

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A005

2. TITLE OF DATA ITEM

STATUS REPORT

3. SUBTITLE

CONTRACT CDRL DELIVERY STATUS

DI-MGMT-80368A (SEE BLK 16)

SOW SEC. C, PARA 3.2.6

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

QRTLY

12. DATE OF FIRST SUBMISSION

115 DAC

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

15 DARP

Reg Repro

16. REMARKS

Block 4: In DID DI-MGMT-80368A, the paragraphs 3.1 and 3.2.4 are applicable. Contractor's format is acceptable.

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 4 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 1 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

DCMA

P. RICCI 0 1 0

CACI

T. O'DOWD 0 1 0

VENESCO DMTS 0 1 0

15. TOTAL 0 8 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 35 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 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.

B. EXHIBIT

A

TDP TM OTHER QCIC

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A006

2. TITLE OF DATA ITEM

ACCEPTANCE TEST PLAN

3. SUBTITLE

FACTORY/PRODUCTION ACCEPTANCE TEST PLAN

DI-QCIC-80553A (SEE BLK 16)

SOW SEC. C, PARAs 3.3.3 & 3.4

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

R/ASR

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Contractor's format is acceptable.

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 8: Approval will be for technical content and contractual compliance. The Government will provide comments or approval within 30 days after receipt.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 4 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 10/12/13: Submit draft document 90 days after contract award.

Final copies, reflecting review comments or conditions for approval, if any, are due 30 calendar days after receipt of review comments.

Submit revision 30 days after change occurs.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1AP6 1 1 0

PEO IWS 1AP4 0 1 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

NSWC/PHD A35

A. MAQUINALEZ 0 1 0

D. NGUYEN 0 1 0

DCMA

P. RICCI 0 1 0

CACI

15. TOTAL 1 9 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 35 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 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.

B. EXHIBIT

A

TDP TM OTHER NDTI

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A007

2. TITLE OF DATA ITEM

TEST PROCEDURE

3. SUBTITLE

ACCEPTANCE INSPECTION AND TEST PROCEDURES

DI-NDTI-80603A (SEE BLK 16)

SOW SEC. C, PARAs 3.3.3, 3.4 & SOW

SUBSEC. 1B, PARA II.B.8

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

R/ASR

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Contractor's format is acceptable.

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 8: Approval will be for technical content and contractual compliance. The Government will provide review comments within 30 days after receipt.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 4 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 10/12/13: Submit draft copy 60 calendar days prior to acceptance inspection test. Final copies, reflecting review comments or conditions for approval, if any, are due 30 calendar days after receipt of review comments. Submit revision 30 days after change occurs.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1AP6 1 1 0

PEO IWS 1AP4 0 1 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

NSWC/PHD A35

A. MAQUINALEZ 0 1 0

D. NGUYEN 0 1 0

DCMA

P. RICCI 0 1 0

CACI

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 35 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 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.

B. EXHIBIT

A

TDP TM OTHER NDTI

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A008

2. TITLE OF DATA ITEM

TEST/INSPECTION REPORT

3. SUBTITLE

FACTORY ACCEPTANCE TEST AND SYSTEM BURN-IN

TEST

DI-NDTI-80809B

SOW SEC. C, PARAs 3.3.3 & 3.3.6.1

6. REQUIRING OFFICE

PEO IWS 1A6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

R/ASR

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Contractor's format is acceptable.

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 4 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 10/12/13: Report is due 30 days after completion of test.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

NSWC/PHD A35

A. MAQUINALEZ 0 1 0

D. NGUYEN 0 1 0

DCMA

P. RICCI 0 1 0

CACI

15. TOTAL 0 9 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 35 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 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.

B. EXHIBIT

A

TDP TM OTHER SESS

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A009

2. TITLE OF DATA ITEM

INTERNAL CONTRACTOR TECHNICAL DATA REPORT

3. SUBTITLE

AWS SPECIFICATIONS, WS-10501

DI-SESS-81309A (SEE BLK 16)

SOW SEC. C, PARA 3.3.3

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

R/ASR

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Contractor's format is acceptable.

Block 7: DD 250 inspection by DCMA and DD 250 Acceptance by PEO IWS 1AP6 submittal shall be via E-mail with notification of file attributes and directory for retrieval. Adjudicated comments shall be included in DD 250 delivery of specifications.

Block 8: Approval shall be for technical content and contractual compliance. Allow 30 days for Government review.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 4 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 10/12/13: Deliver revisions 30 days after need is determined.

Final copies, reflecting review comments or conditions for approval, if any, are due 30 days after receipt of review comments.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1AP6 1 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

NSWC/DD V43 0 1 0

NSWC/PHD A35

A. MAQUINALEZ 0 1 0

D, NGUYEN 0 1 0

DCMA

P. RICCI 0 1 0

CACI

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 35 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 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.

B. EXHIBIT

A

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A010

2. TITLE OF DATA ITEM

SPECIFICATION CHANGE NOTICE (SCN)

3. SUBTITLE

N/A

DI-SESS-80643D (SEE BLK 16)

SOW SUBSEC. 1A

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Contractor's format is acceptable.

Block 7: Distribution via DD 250 to PEO IWS 1AP6. All other recipients and interim deliveries via letter of transmittal. Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 3 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 10/12/13: Submit as required to document engineering changes.

SCNs shall include change pages to affected specifications.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

CSCS AN47 0 1 0

NSWC/DD V43 0 1 0

NSWC/PHD A35

A. MAQUINALEZ 0 1 0

D. NGUYEN 0 1 0

DCMA

P. RICCI 0 1 0

CACI

15. TOTAL 0 10 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 10 of 35

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.

B. EXHIBIT

A

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A011

2. TITLE OF DATA ITEM

CONFIGURATION STATUS ACCOUNTING (CSA) INFORMATION

3. SUBTITLE

N/A

DI-SESS-81253C (SEE BLK 16)

SOW SEC. C, PARA 3.3.5 & SOW SUBSEC.

1C, PARA V

6. REQUIRING OFFICE

PEO IWS 1CM

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Reports shall reflect the composite status, including modifications of each system under the contract.

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 3 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 10/12/13: First submission for each report shall be NLT 15 days after completion of system acceptance. Subsequent submission shall be NLT 15 days after last major item(s) of the respective report have been shipped. This will be an 'As Built Configuration Report'.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1CM 0 1 0

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

NSWC/PHD A35

A. MAQUINALEZ 0 1 0

D. NGUYEN 0 1 0

DCMA

P. RICCI 0 1 0

CACI

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 11 of 35

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.

B. EXHIBIT

A

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A012

2. TITLE OF DATA ITEM

FAILURE SUMMARY AND ANALYSIS REPORT

3. SUBTITLE

SEE BLK 16

DI-SESS-80255A (SEE BLK 16)

SOW SEC. C, PARAs 3.3.6.1 & 3.9.3

6. REQUIRING OFFICE

NSWC/PHD A74

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 3: FAILURE REPORTING, ANALYSIS, AND CORRECTIVE ACTION SYSTEM

(FRACAS)

Block 4: In paragraph 10.3.1 of DI-SESS-80255A, the requirements 10.3.1c, 10.3.1h, 10.3.1i, 10.3.1o, 10.3.1p, 10.3.1q and paragraph

10.2.3 do not apply. Contractor's format is acceptable.

Block 7: Letter of transmittal shall be via E-mail with notifications of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 3 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 10/12/13: The initial reporting shall commence after two months of cabinet testing. Subsequent submissions shall be made quarterly beginning 28 FEB.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the CDRL. Deliver to PCO or ACO in accordance with the condition provided in SOW SEC. C, PARAs 3.3.6.1 & 3.9.3 of this contract.

NSWC/PHD A74 0 1 0

NSWC/PHD A64 0 1 0

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

DCMA

P. RICCI 0 1 0

CACI

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 12 of 35

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.

B. EXHIBIT

A

TDP TM OTHER FNCL

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A013

2. TITLE OF DATA ITEM

COST DATA SUMMARY REPORT (DD FORM 1921)

3. SUBTITLE

N/A

DI-FNCL-81565C

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

3TIME

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 4 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 11/12/13: Prior to and after contract definitization, submissions shall be in accordance with the approved Cost and Software Data Reporting Plan.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the CDRL. The cost Data Summary Report must be submitted electronically to DCARC as stand-alone Excel compatible files or as DCARC approved Extensible Markup Language (XML) files by report upload to the DCARC's secure website. PDF format is not acceptable. The DCARC website (http://dcarc.cape.osd.mil) contains information about delivery methods and submission instructions.

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

DCMA

P. RICCI 0 0 0

DCARC 0 1 0

NAVSEA 025 0 1 0

15. TOTAL 0 5 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 14 of 35

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.

B. EXHIBIT

A

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A014

2. TITLE OF DATA ITEM

CONTRACT WORK BREAKDOWN STRUCTURE

3. SUBTITLE

N/A

DI-MGMT-81334D

SOW SEC. C, PARAs 3.2.12 & 3.4.1

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

R/ASR

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 3 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 10/12/13: Prior to and after contract definitization, submissions shall be in accordance with the Cost and Software Data Reporting Plan.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the CDRL. The Contract Work Breakdown Structure form must be submitted electronically to DCARC as stand-alone Excel compatible files or as DCARC approved Extensible Markup Language (XML) files by report upload to the DCARC's secure website. PDF format is not acceptable.

The DCARC website (http://dcarc.cape.osd.mil) contains information about delivery methods and submission instructions.

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

DCMA

P. RICCI 0 0 0

DCARC 0 1 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 15 of 35

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.

B. EXHIBIT

A

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A015

2. TITLE OF DATA ITEM

CONTRACTOR BUSINESS DATA REPORT (DD FORM 1921-3)

3. SUBTITLE

N/A

DI-FNCL-81765B

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ANNLY

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 3 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 12/13: Reports are due 60 days subsequent to the end of the contractor's fiscal year.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the CDRL. The Contractor Business Data Report form must be submitted electronically to DCARC as stand-alone Excel compatible files or as DCARC approved Extensible Markup Language (XML) files by report upload to the DCARC's secure website. PDF format is not acceptable.

The DCARC website (http://dcarc.cape.osd.mil) contains information about delivery methods and submission instructions.

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

DCMA

P. RICCI 0 0 0

DCARC 0 1 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 16 of 35

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.

B. EXHIBIT

A

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A016

2. TITLE OF DATA ITEM

FUNCTIONAL COST-HOUR REPORT (DD FORM 1921-1)

3. SUBTITLE

N/A

DI-FNCL-81566C

6. REQUIRING OFFICE

PEO IWS 1AP6

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ANNLY

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 7: Letter of transmittal shall be via E-mail with notifications of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 3 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 12/13: Reports are due 60 days subsequent to the end of the contractor's fiscal year.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the CDRL. The Contractor Business Data Report form must be submitted electronically to DCARC as stand-alone Excel compatible files or as DCARC approved Extensible Markup Language (XML) files by report upload to the DCARC's website. PDF format is not acceptable. The DCARC website (http://dcarc.cape.osd.mil) contains information about delivery methods and submission instructions.

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

NASEA 025 0 0 0

DCMA

P. RICCI 0 0 0

DCARC 0 1 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 17 of 35

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.

B. EXHIBIT

A

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A017

2. TITLE OF DATA ITEM

CONFIGURATION AUDIT SUMMARY REPORT AND CERTIFICATION

3. SUBTITLE

FUNCTIONAL AND PHYSICAL CONFIGURATION AUDITS

DI-SESS-81022D (SEE BLK 16)

SOW SEC. C, PARA 3.4.4 & SOW SUBSEC.

1C, PARA IV.C

6. REQUIRING OFFICE

PEO IWS 1CM

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Contractor's format is acceptable.

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 3 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 10/12/13: Submit report within 15 working days after completion of each audit.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1CM 0 1 0

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

NSWC/PHD A35

A. MAQUINALEZ 0 1 0

D. NGUYEN 0 1 0

DCMA

P. RICCI 0 1 0

CACI

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 18 of 35

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.

B. EXHIBIT

A

0/DIRECTOR CONTROLLER MK 200 MOD 0

E. CONTRACT/PR NO.

A018

2. TITLE OF DATA ITEM

SUPPLIER'S CONFIGURATION MANAGEMENT PLAN

3. SUBTITLE

N/A

DI-SESS-80858C (SEE BLK 16)

SOW SEC. C, PARAs 3.6, 3.6.1, 3.8 &

SOW SUBSEC. 1C, PARA I

6. REQUIRING OFFICE

PEO IWS 1CM

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

R/ASR

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

Block 4: Contractor's format is acceptable.

Block 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.

Block 8: Approval will be for technical content and contractual compliance. Allow 30 days for Government review.

Block 9: Wording of Distribution Statements:

Distribution Statement D (USN): see paragraph 4 of Attachment 2 to the CDRL;

Distribution Statement D (FMS): see paragraph 6 of Attachment 2 to the CDRL.

Blocks 10/12/13: Deliver revisions 90 days after need is determined.

Final copies, reflecting review comments or conditions for approval, if any, are due 30 days after receipt of review comments.

Block 14a: For Addressee List: see Attachment 1 to the CDRL.

Block 14b: For Electronic Delivery of Data: see Attachment 3 to the

CDRL.

PEO IWS 1CM 1 1 0

PEO IWS 1AP6 0 1 0

PEO IWS 1AP4 0 0 0

PEO IWS 4TD 0 1 0

PEO IWS 4TD6 0 1 0

NSWC/PHD A35

A. MAQUINALEZ 0 1 0

D. NGUYEN 0 1 0

DCMA

P. RICCI 0 1 0

CACI

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

04-JUN-2019

I. APPROVED BY

TANYA D. CROWDER, DATA MANAGER,

PEO IWS 1AP4

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 19 of 35

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.

B. EXHIBIT

A

0/DIRECTOR…