Exhibit_A,_B_&_C_-_N00024-19-R-5601_CDRL_Data_Package_25_June_2019.pdf

CDRL PACKAGE FOR

CONSOLE, DISPLAY, AND

PERIPHERAL EQUIPMENT

N00024-19-R-5601

TABLE OF CONTENTS

MATRIX N00024-19-R-5601

12-JUN-2019

TABLE OF CONTENTS MATRIX

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

EXHIBIT A

A001 DI-MGMT-81797 PROGRAM MANAGEMENT PLAN SOW SEC. C PARAs 3.2.1 &

3.2.9

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

MANAGEMENT REPORT

SOW SEC. C PARAs 3.2.4, 3.2.5.1, 3.2.5.2, 3.2.8, 3.3.5, 3.12, 3.12.4.4 & 3.12.5.3

A003 DI-ADMN-81249B CONFERENCE AGENDA SOW SEC. C PARAs 3.2.5 &

3.12.5.3

A004 DI-ADMN-81373 PRESENTATION MATERIAL SOW SEC. C PARAs 3.2.5, 3.2.5.7, 3.2.5.8 & 3.12.5.3

A005 DI-ADMN-81505 REPORT, RECORD OF MEETING/MINUTES

(CONFERENCE MINUTES)

SOW SEC. C PARAs 3.2.5,

3.9.5 & 3.12.5.3

A006 DI-MGMT-80368A STATUS REPORT (CONTRACT CDRL DELIVERY

STATUS)

SOW SEC. C PARA 3.2.6

A007 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

SOW SEC. C PARA 3.2.7.8

A008 DI-MGMT-81808 CONTRACTOR'S RISK MANAGEMENT PLAN SOW SEC. C PARA 3.2.8

A009 DI-MISC-80508B TECHNICAL REPORT-STUDY/SERVICES (END OF

CONTRACT TRANSITION PLAN)

SOW SEC. C PARA 3.2.10

A010 DI-FNCL-81116 MANHOUR ESTIMATE, TECHNICAL COST

PROPOSALS

SOW SEC. C PARA 3.2.11

A011 DI-SESS-81704 TEST PLAN/TEST PROCEDURES (PRODUCTION

ACCEPTANCE TEST PROCEDURES)

SOW SEC. C PARAs 3.3.2 & 3.4.2

A012 DI-NDTI-80809B TEST/INSPECTION REPORT (PRODUCTION

ACCEPTANCE TEST AND SYSTEM BURN-IN TEST

(SBT) REPORT)

SOW SEC. C PARAs 3.3.2 & 3.4.2

A013 DI-IPSC-81448B FIRMWARE SUPPORT MANUAL (FSM) SOW SEC. C PARA 3.3.3.1

A014 DI-CMAN-81516 AS BUILT CONFIGUURATION LIST (ABCL)

(INDENTURED BILL OF MATERIALS)

SOW SEC. C PARA 3.3.4

A015 DI-SESS-81253C CONFIGURATION STATUS ACCOUNTING (CSA)

INFORMATION

SOW SEC. C PARA 3.3.5

A016 DI-SESS-81619 INSTALLATION AND CHECKOUT (INCO) SPARES

LISTING

SOW SEC. C PARA 3.5

A017 DI-SESS-81359B PARTS LIST (LOWEST REPLACEABLE UNIT (LRU)

CROSS-REFERENCE LIST)

SOW SEC. C PARAs 3.5 & 3.12.5.2

A018 DI-MGMT-80004A MANAGEMENT PLAN (SUPPLY SUPPORT SERVICES

PLAN)

A019 DI-SESS-80858C SUPPLIER’S CONFIGURATION MANAGEMENT PLAN

(CONTRACTOR’S CONFIGURATION MANAGEMENT

PLAN)

SOW SEC. C PARAs 3.5, 3.6,

3.6.1 & 3.8

A020 DI-SESS-80640D REQUEST FOR VARIANCE (RFV)

(DEVIATION/WAIVER)

SOW SEC. C PARAs 3.6.1 & 3.6.2

A021 DI-SESS-80639D ENGINEERING CHANGE PROPOSAL (ECP) SOW SEC. C PARAs 3.6.1 &

3.6.3

A022 DI-SESS-80643D SPECIFICATION CHANGE NOTICE (SCN) SOW SEC. C PARA 3.6.4

A023 DI-QCIC-81794 QUALITY ASSURANCE PROGRAM PLAN (QUALITY

MANAGEMENT PLAN)

SOW SEC. C PARA 3.7.1

A024 DI-MGMT-80004A MANAGEMENT PLAN (MATERIALS SCREENING

PLAN)

SOW SEC. C PARA 3.7.2

A025 DI-MISC-81832 COUNTERFEIT PREVENTION PLAN SOW SEC. C PARA 3.7.2.1

A026 DI-MGMT-81949 DIMINISHING MANUFACTURING SOURCES AND

MATERIAL SHORTAGES (DMSMS)

IMPLEMENTATION PLAN

SOW SEC. C PARA 3.8

A027 DI-MISC-80508B TECHNICAL REPORT - STUDY/SERVICES (PRODUCT

RECALL, DMSMS, OBSOLESCENCE IDENTIFICATION

AND VENDOR CHANGE NOTICES)

SOW SEC. C PARA 3.8

A028 OT-18-20124 DIMINISHING MANUFACTURING SOURCES AND

MATERIAL SHORTAGES (DMSMS) HEALTH

ANALYSIS REPORT

SOW SEC. C PARA 3.8.1

A029 DI-SESS-81613A RELIABILITY AND MAINTAINABILITY (R&M)

PROGRAM PLAN (CONSOLE, DISPLAY, AND

PERIPHERAL EQUIPMENT RELIABILITY AND

MAINTAINABILITY (R&M) PROGRAM PLAN)

SOW SEC. C PARAs 3.9, 3.9.5 & 3.9.6

A030 DI-SESS-81604A MAINTAINABILITY AND BUILT IN TEST

DEMONSTRATION PROCEDURE

SOW SEC. C PARA 3.9

A031 DI-SESS-81497A RELIABILITY AND MAINTAINABILITY PREDICTIONS

REPORT

SOW SEC. C PARAs 3.9 & 3.9.3

A032 DI-SESS-80255A FAILURE SUMMARY AND ANALYSIS REPORT SOW SEC. C PARA 3.9.4

A033 DI-SAFT-81626 SYSTEM SAFETY PROGRAM PLAN (SSPP) SOW SEC. C PARA 3.10

A034 DI-SAFT-80101C SYSTEM SAFETY HAZARD ANALYSIS REPORT

(SSHAR)

SOW SEC. C PARA 3.10

A035 DI-ENVR-81840 PROGRAMMATIC ENVIRONMENTAL SAFETY AND

HEALTH EVALUATION (PESHE) PLAN

SOW SEC. C PARA 3.10.1

A036 DI-MGMT-81803 ITEM UNIIQUE IDENTIFICATION (IUID) MARKING

PLAN

SOW SEC. C PARAs 3.11 & 3.12.5.5

A037 DI-MISC-80711A SCIENTIFIC AND TECHNICAL REPORTS

(MAINTENANCE TASK ANALYSIS (MTA))

SOW SEC. C PARA 3.12.2

A038 DI-PSSS-81872A LEVEL OF REPAIR ANALYSIS (LORA) REPORT SOW SEC. C PARA 3.12.2

A039 DI-PSSS-80992B PLANNED MAINTENANCE SYSTEM (PMS)

MAINTENANCE INDEX PAGE (MIP)

SOW SEC. C PARAs 3.12.2 & 3.12.3

A040 DI-PSSS-80991B PLANNED MAINTENANCE SYSTEM (PMS)

MAINTENANCE REQUIREMENT CARD (MRC)

SOW SEC. C PARAs 3.12.2 & 3.12.3

A041 DI-SESS-81518C INSTRUCTIONAL PERFORMANCE REQUIREMENTS

DOCUMENT (LEARNING OBJECTIVES STATEMENT)

SOW SEC. C PARA 3.12.4

A042 DI-SESS-81520B INSTRUCTIONAL MEDIA DESIGN PACKAGE

(TRAINING PACKAGES AND SOURCE DATA)

SOW SEC. C PARAs 3.12.4 & 3.12.4.3

A043 DI-SESS-81520B INSTRUCTIONAL MEDIA DESIGN PACKAGE

(COMPUTER BASED TRAINING (CBT) DESIGN

STRATEGY)

A044 DI-SESS-81526C INSTRUCTIONAL MEDIA PACKAGE (ELECTRONIC

SCRIPTS, STORYBOARDS)

A045 DI-SESS-81526C INSTRUCTIONAL MEDIA PACKAGE (ON-SCREEN

LESSONS)

A046 DI-PSSS-81524C TRAINING EVALUATION DOCUMENT SOW SEC. C PARA 3.12.4

A047 DI-ILSS-80872 TRAINING MATERIALS (LESSON PLANS AND

TRAINING GUIDES)

A048 DI-ALSS-81545 INTERACTIVE COMPUTER AIDED PROVISIONING

SYSTEM (ICAPS) DATA EXCHANGE (PROVISIONING

TECHNICAL DATA)

SOW SEC. C PARA 3.12.5.1

A049 DI-PSSS-81716 SUPPLEMENTARY PROVISIONING TECHNICAL

DOCUMENTATION

SOW SEC. C PARA 3.12.5.1

A050 DI-PACK-80455 PACKAGING PLAN (PACKAGING, HANDLING,

STORAGE AND TRANSPORTATION (PHS&T) PLAN)

SOW SEC. C PARA 3.12.5.4

A051 DI-MISC-80508B TECHNICAL REPORT – STUDIES/SERVICES

(ENGINEERING STUDIES AND INVESTIGATIONS)

SOW SEC. C PARAs 3.13.1 & 3.13.3

A052 DI-MISC-80508B TECHNICAL REPORT – STUDIES/SERVICES (CYBER

INCIDENT REPORT)

SOW SEC. C PARA 3.2.7.8.5

EXHIBIT B

B001 DI-SESS-80776A TECHNICAL DATA PACKAGE

SOW SEC. C PARA 3.3.1

B002 DI-DRPR-81242 INSTALLATION CONTROL DRAWINGS SOW SEC. C PARA 3.3.1

B003 DI-SESS-81248B INTERFACE CONTROL DOCUMENT (ICD) SOW SEC. C PARA 3.3.1

EXHIBIT C

C001 SEE BLK 16 TECHNICAL MANUAL (ELECTRONIC TECHNICAL

MANUALS (ETM) (DRAFT/PRELIMINARY/FINAL))

SOW SEC. C PARA 3.12.5.3

C002 DI-TMSS-81812 TECHNICAL MANUAL SCHEDULES AND STATUS

C003 DI-TMSS-81811 TECHNICAL MANUAL COST REPORT SOW SEC. C PARA 3.12.5.3

C004 DI-TMSS-81817 TECHNICAL MANUAL QUALITY ASSURANCE

(TMQA) PROGRAM PLAN

C005 DI-TMSS-81818 TECHNICAL MANUAL VALIDATION PLAN SOW SEC. C PARA 3.12.5.3

C006 DI-TMSS-81819A TECHNICAL MANUAL VALIDATION CERTIFICATE SOW SEC. C PARA 3.12.5.3

C007 DI-TMSS-81821 TECHNICAL MANUAL VERIFICATION

INCORPORATION CERTIFICATE

ATTACHMENT TO THE CDRL ATTACHMENT TITLE

1 ADDRESSEE LIST

2 STANDARD TECHNICAL MANUALS AND STYLE GUIDE

FOR STANDARD TECHNICAL MANUALS

3 TDP OPTIONAL SELECTION WORKSHEET

4 DATA ITEM DESCRIPTION FOR OT-18-20124 -

DIMINISHING MANUFACTURING SOURCES AND

MATERIAL SHORTAGES (DMSMS) HEALTH ANALYSIS

CDRL DD FORM 1423

EXHIBIT A

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

CONSOLE, DISPLAY, AND PERIPHERAL

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

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 PARAs 3.2.1 & 3.2.9

6. REQUIRING OFFICE

PEO IWS 1AP1

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

BLK 4: Contractor’s format is acceptable.

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

BLK 8: Approval will be for technical content and contractual compliance. The Government will provide approval or review comments with 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.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1AP1, 1333 Isaac Hull Ave. SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 13: Subsequent submissions 30 days after identification of change.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

PEO IWS 1AP1 1 1 0

PEO IWS 1TI3 1 1 0

PEO IWS 1AP4 0 1 0

NSWC/DD A31

S. BELL 0 1 0

R. DELGADO 0 1 0

VIEWNET 0 1 0

VENESCO DMTS 0 0 0

15. TOTAL 2 6 0

G. PREPARED BY

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

J. DATE

13-JUN-2019

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 62 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

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM 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 3.2.4, 3.2.5.1, 3.2.5.2, 3.2.8, 3.3.5, 3.12, 3.12.4.4

6. REQUIRING OFFICE

PEO IWS 1AP1

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

BLK 4: Contractor’s format is acceptable.

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

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1AP1, 1333 Isaac Hull Ave. SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

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

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

PEO IWS 1AP1 0 1 0

PEO IWS 1TI3 0 1 0

PEO IWS 1AP4 0 1 0

NAVSEA 0256 0 1 0

NAVSEA 02562 0 1 0

NSWC/DD A31

S. BELL 0 1 0

R. DELGADO 0 1 0

NSWC/PHD A41 0 1 0

VENESCO DMTS 0 1 0

15. TOTAL 0 10 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 62 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 ADMN

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

CONFERENCE AGENDA

3. SUBTITLE

N/A

DI-ADMN-81249B (SEE BLK 16)

SOW SEC. C PARAs 3.2.5 & 3.12.5.3

6. REQUIRING OFFICE

PEO IWS 1AP1

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

N/A

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

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

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1AP1, 1333 Isaac Hull Ave. SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 12: An agenda shall be submitted 14 calendar days prior to each meeting/ review/ conference identified in SOW.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

PEO IWS 1AP1 0 1 0

PEO IWS 1TI3 0 1 0

PEO IWS 1AP4 0 1 0

NSWC/DD V13 0 1 0

NSWC/DD A31 0 1 0

NSWC/PHD A35 0 1 0

NSWC/PHD A41 0 1 0

NSWC/PHD A43 0 1 0

NSWC/PHD A66 0 1

NSWC/PHD A74 0 1 0

15. TOTAL 0 11 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 62 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

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

PRESENTATION MATERIAL

3. SUBTITLE

N/A

DI-ADMN-81373 (SEE BLK 16)

SOW SEC. C PARAs 3.2.5, 3.2.5.7,

3.2.5.8 & 3.12.5.3

6. REQUIRING OFFICE

PEO IWS 1AP1

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

BLK 4: Contractor’s format is acceptable.

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

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to:

Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1AP1, 1333 Isaac Hull Ave. SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLKs 10/12/13: Submit presentation material NLT two (2) working days prior to each meeting/review/conference identified in SOW.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

PEO IWS 1AP1 0 1 0

PEO IWS 1TI3 0 1 0

PEO IWS 1AP4 0 1 0

15. TOTAL 0 4 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 62 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

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

REPORT, RECORD OF MEETING/MINUTES

3. SUBTITLE

CONFERENCE MINUTES

DI-ADMN-81505 (SEE BLK 16)

SOW SEC. C PARAs 3.2.5, 3.9.5 & 3.12.5.3

6. REQUIRING OFFICE

PEO IWS 1AP1

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

N/A

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

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

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1AP1, 1333 Isaac Hull Ave. SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLKs 10/12: Minutes shall be submitted for each meeting/review/conference as identified in the SOW. Submit NLT five

(5) working days after each meeting/review/conference.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

PEO IWS 1AP1 0 1 0

PEO IWS 1TI3 0 1 0

PEO IWS 1AP4 0 1 0

NSWC/DD A31

S. BELL 0 1 0

R. DELGADO 0 1 0

NSWC/PHD A41 0 1 0

NSWC/PHD A66

C. TIMAN 0 1 0

A. SALERNO 0 1 0

15. TOTAL 0 10 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 62 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

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

STATUS REPORT

3. SUBTITLE

CONTRACT DELIVERIES STATUS

DI-MGMT-80368A (SEE BLK 16)

SOW SEC. C PARA 3.2.6

6. REQUIRING OFFICE

PEO IWS 1AP4

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

BLK 4: Contractor’s format is acceptable. Paragraphs 2.1, 3.2.4,

3.2.5 and 3.3 only apply.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1AP4, 1333 Isaac Hull Ave. SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLKs 12/13: Initial submission due 30 DAC. Subsequent submissions due monthly thereafter.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

PEO IWS 1AP4 0 1 0

PEO IWS 1AP1 0 1 0

PEO IWS 1TI3 0 1 0

NSWC/DD A31

S. BELL 0 1 0

R. DELGADO 0 1 0

NSWC/PHD A41 0 1 0

15. TOTAL 0 8 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 62 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

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

SEE BLK 16

3. SUBTITLE

N/A

DI-MGMT-82247(SEE BLK 16)

SOW SEC. C PARA 3.2.7.8

6. REQUIRING OFFICE

PEO IWS 1AP1

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

90 DAC

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 2: CONTRACTOR’S SYSTEMS SECURITY PLAN AND ASSOCIATED PLANS OF

ACTION TO IMPLEMENT NIST SP 800-171 ON A CONTRACTOR’S INTERNAL

UNCLASSIFIED INFORMATION SYSTEM

BLK 4: Contractor’s format is acceptable.

BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for retrieval

BLK 8: Approval will be for technical content and contractual compliance. The Government will provide approval or review comments with 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.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1AP1, 1333 Isaac Hull Ave. SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 13: Subsequent submissions 30 days after identification of change.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

PEO IWS 1AP1 1 1 0

PEO IWS 1TI3 1 1 0

PEO IWS 1AP4 0 1 0

NSWC/DD A31

S. BELL 0 1 0

R. DELGADO 0 1 0

15. TOTAL 2 6 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 62 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

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

CONTRACTOR'S RISK MANAGEMENT PLAN

3. SUBTITLE

N/A

DI-MGMT-81808 (SEE BLK 16)

SOW SEC. C PARA 3.2.8

6. REQUIRING OFFICE

PEO IWS 1AP1

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

90 DAC

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

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

BLK 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, are due NLT 30 calendar days after receipt of review comments.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1AP1, 1333 Isaac Hull Ave. SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 13: Subsequent submissions due 30 days after identification of change.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

PEO IWS 1AP1 1 1 0

PEO IWS 1AP4 0 0 0

NSWC/DD A31 0 1 0

NSWC/DD V43 0 1 0

NSWC/PHD A41 0 1 0

NSWC/PHD A43 0 1 0

15. TOTAL 1 6 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 62 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 MISC

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

TECHNICAL REPORT-STUDY/SERVICES

3. SUBTITLE

END OF CONTRACT TRANSITION PLAN

DI-MISC-80508B (SEE BLK 16)

SOW SEC. C PARA 3.2.10

6. REQUIRING OFFICE

PEO IWS 1AP1

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

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

BLK 8: Approval is for technical content and contractual compliance.

The Government will provide approval or review comments within 45 calendar days after receipt. Government comments shall be corrected and resubmitted within 30 calendar days after receipt.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1AP1, 1333 Isaac Hull Ave. SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLKs 12/13: A draft copy is due 180 days prior to contract end. Final copy, reflecting review comments or conditions for approval if any, are due NLT 30 days after receipt of review comments. Revisions due 30 days after a change occurs that affect this data item.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

PEO IWS 1AP1 1 1 0

PEO IWS 1AP4 0 1 0

NSWC/DD A31

S. BELL 1 1 0

R. DELGADO 0 1 0

S. SHAHAN 0 1 0

NSWC/PHD A41 0 1 0

15. TOTAL 2 7 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 62 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 FNCL

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

MANHOUR ESTIMATE, TECHNICAL COST PROPOSALS

3. SUBTITLE

N/A

DI-FNCL-81116 (SEE BLK 16)

SOW SEC. C PARA 3.2.11

6. REQUIRING OFFICE

PEO IWS 1AP1

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

BLK 4: Contractor’s format is acceptable.

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

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Program Executive Office, Integrated Warfare Systems, ATTN: PEO IWS 1AP1, 1333 Isaac Hull Ave. SE, Stop 2301, Washington Navy Yard, DC 20376-2301.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLKs 12/13: All submittals shall be 30 days after request is made by the NAVSEA Contracting Officer or PEO IWS COR.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

PEO IWS 1AP1 0 1 0

PEO IWS 1TI3 0 1 0

PEO IWS 1AP4 0 0 0

NAVSEA 0256 0 1 0

NAVSEA 02562 0 1 0

15. TOTAL 0 5 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 10 of 62 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

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

TEST PLAN/TEST PROCEDURES

3. SUBTITLE

SEE BLK 16

DI-SESS-81704 (SEE BLK 16)

SOW SEC. C PARAs 3.3.2 & 3.4.2

6. REQUIRING OFFICE

NSWC/DD A31

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 3: PRODUCTION ACCEPTANCE TEST PROCEDURES

BLK 4: Contractor’s format is acceptable.

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

BLK 8: Approval will be for technical content and contractual compliance. The Government will provide approval or review comments within 45 calendar days after receipt.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Commander, Naval Surface Warfare Center/Dahlgren Division NSWC/DD A31, 1714 Avenue B (134), Building 1500, Dahlgren, VA 22448-5147.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLKs: 12/13: Initial submission due NLT 60 calendar days prior to PAT. Submit revised test procedures NLT 30 calendar days after procedure change is identified. Final copies reflecting review comments, if any, are due NLT 30 calendar days after receipt of comments.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

NSWC/DD A31

S. BELL 1 1 0

S. SHAHAN 0 1 0

R. DELGADO 0 1 0

NSWC/DD V13 0 0 0

NSWC/PHD A35

V. DIBBLE 0 1 0

A. MAQUINALEZ 0 1 0

NSWC/PHD A36 0 1 0

NSWC/PHD A41 0 1 0

NSWC/PHD A43 0 1 0

NSWC/PHD A66

C. TIMAN 0 1 0

A. SALERNO 0 1 0

NSWC/PHD A74 0 1 0

PEO IWS 1AP1 0 1 0

PEO IWS 1TI3 0 1 0

PEO IWS 1AP4 0 0 0

15. TOTAL 1 14 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 11 of 62

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

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

TEST/INSPECTION REPORT

3. SUBTITLE

SEE BLK 16

DI-NDTI-80809B (SEE BLK 16)

SOW SEC. C PARAs 3.3.2 & 3.4.2

6. REQUIRING OFFICE

NSWC/DD A31

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

BLK 3: PRODUCTION ACCEPTANCE TEST AND SYSTEM BURN-IN TEST (SBT)

REPORT

BLK 4: Contractor’s format is acceptable.

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

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Commander, Naval Surface Warfare Center/Dahlgren Division NSWC/DD A31, 1714 Avenue B (134), Building 1500, Dahlgren, VA 22448-5147.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLKs 12/13: Submit report NLT 30 days after Acceptance Test.

Subsequent reports are due 30 days after each PAT and SBT.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

NSWC/DD A31

S. BELL 0 1 0

S. SHAHAN 0 1 0

R. DELGADO 0 1 0

NSWC/PHD A41 0 1 0

NSWC/PHD A43 0 1 0

NSWC/PHD A66

C. TIMAN 0 1 0

A. SALERNO 0 1 0

NSWC/PHD A74 0 1 0

PEO IWS 1AP1 0 1 0

PEO IWS 1TI3 0 1 0

PEO IWS 1AP4 0 0 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 12 of 62

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 IPSC

EQUIPMENT

E. CONTRACT/PR NO.

N00024-19-R-5601

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

FIRMWARE SUPPORT MANUAL (FSM)

3. SUBTITLE

N/A

DI-IPSC-81448B (SEE BLK 16)

SOW SEC. C PARA 3.3.3.1

6. REQUIRING OFFICE

NSWC/DD A31

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

SEE BLK 16

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

Reg Repro

16. REMARKS

BLK 4: Contractor’s format is acceptable.

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

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

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 12-JUN-2019. Other requests shall be referred to: Commander, Naval Surface Warfare Center/Dahlgren Division NSWC/DD A31, 1714 Avenue B (134), Building 1500, Dahlgren, VA 22448-5147.

WARNING: This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Executive Order 12470. Violation of these export laws are subject to severe criminal penalties.

DESTRUCTION NOTICE: For classified documents follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7, or OPNAVINST 5510.1H, Chapter 17. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

BLK 12: Submit draft NLT 60 calendar days prior to Production Readiness Review (PRR). Final copy reflecting review comments or conditions for approval, if any, is due 30 calendar days after receipt of review comments.

BLK 13: Revisions shall be submitted NLT 30 calendar days after approved program changes that affect this data item. Updates (revisions or corrections) shall be submitted in the form of change pages.

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

BLK 14b.: Form of Electronic Delivery to be in digital format to the Government’s specified website.

NSWC/DD A31

S. BELL 1 1 0

R. DELGADO 0 1 0

S. SHAHAN 0 0 0

NSWC/PHD A35

S. COLEMAN 0 1 0

NSWC/PHD A41 0 1 0

NSWC/PHD A43 0 1 0

NSWC/PHD A66

C. TIMAN 0 1 0

NSWC/PHD A74 0 1 0

PEO IWS 1AP1 0 1 0

PEO IWS 1AP4 0 0 0

15. TOTAL 1 9 0

KATHERINE BURNS,

PEO IWS 1AP7

H. DATE

12-JUN-2019

I. APPROVED BY

TANYA D. CROWDER,

PEO IWS 1AP4, DATA MANAGER

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 13 of 62

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).