JS-2 CDRLs A001-047.pdf

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LWLCCA HULL ARRAY COMPONENTS Federal contract opportunity
Solicitation number
N00024-20-R-6113
Issued by
Department of the Navy Naval Sea Systems Command

About this file

This document provides a Contract Data Requirements List (CDRL) for the LWLCCA HULL ARRAY COMPONENTS procurement. The Navy seeks engineering design, test, and production support services for a lightweight low cost conformal array system. The CDRL includes 47 data items across multiple categories such as management, safety, quality, testing, and configuration management. Key deliverables include a systems engineering management plan, safety hazard analysis report, program management plans, integrated program management reports, unique item identification plans and reports, test plans and reports, failure analysis reports, production progress reports, specifications, verification matrices, and configuration audit reports. Delivery dates range from 30 to 365 days after contract award or key milestones. Distribution of deliverables will be authorized to the DoD and contractors for official use only.

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Text version

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 46 Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

SYSTEMS ENGINEERING MANAGEMENT PLAN

(SEMP)

3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.) 5. CONTRACT REFERENCE

SOW 3.1

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

150DAC

14. DISTRIBUTION

18. ESTIMATED

TOTAL

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

A D (See Block 16)

N/A ASREQ a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 8: Approval is for technical content and contingent upon accurate incorporation of all Government comments. Government review cycle will be 30 days after receipt.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10 and 13: Plan shall be revised as required within 60 days after the need for revision is identified or directed by the Government but not more frequently than annually.

BLOCK 14: Draft Plan shall be submitted NLT 90DAC.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16 1 1

15. TOTAL 1 1

G. PREPARED BY

Erik Moore

H. DATE I. APPROVED BY J. DATE

See Block 16

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 46 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER SAFT

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

SYSTEM SAFETY HAZARD ANALYSIS REPORT

(SSHAR)

3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-SAFT-80101C

5. CONTRACT REFERENCE

SOW 3.2

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

180DAC

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

A D (See Block 16)

N/A ASREQ a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 8: Approval is for technical content and contingent upon accurate incorporation of all Government comments. Government review cycle will be 30 days after receipt.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10 and 13: Report shall be revised as required within 60 days after the need for revision is identified or directed by the Government but not more frequently than annually.

BLOCK 14: Draft Report shall be submitted NLT 120DAC.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16 1 1

15. TOTAL 1 1

G. PREPARED BY

Erik Moore

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 46 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

PROGRAM MANAGEMENT PLAN (PMP)

3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-MGMT-81797 Notice 1

5. CONTRACT REFERENCE

SOW 3.4.2

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

60DAC

14. DISTRIBUTION 18. ESTIMATED

TOTAL

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

N/A D (See Block 16)

N/A ASREQ a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10 and 13: Plan shall be revised as required within 60 days after the need for revision is identified or directed by the Government but not more frequently than annually.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16

15. TOTAL 1

G. PREPARED BY

Jeffrey Kim

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 46 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

PROGRAM MANAGEMENT PLAN (PMP)

3. SUBTITLE

SUBCONTRACTOR MANAGEMENT PLAN

17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-MGMT-81797 Notice 1 (See Block 16)

5. CONTRACT REFERENCE

SOW 3.4.3

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

60DAC

14. DISTRIBUTION 18. ESTIMATED

TOTAL

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

N/A D (See Block 16)

N/A ASREQ a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 4: DI-MGMT-81797 Notice 1 is tailored as follows: Contractor shall provide PMP for subcontractor management.

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10 and 13: Plan shall be revised as required within 60 days after the need for revision is identified or directed by the Government but not more frequently than annually.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16

15. TOTAL 1

G. PREPARED BY

Jeffrey Kim

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 46 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

CONTRACT WORK BREAKDOWN STRUCTURE

3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-MGMT-81334D

5. CONTRACT REFERENCE

SOW 3.4.4

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

90DAC

14. DISTRIBUTION 18. ESTIMATED

TOTAL

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

A D (See Block 16)

N/A ASREQ a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 8: Approval is contingent upon accurate incorporation of all Government comments.

Government review cycle will be 30 days after receipt.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10 and 13: The CWBS shall be updated as required to incorporate changes. Changes to the CWBS or associated definitions, at any reporting level, shall require approval by the Government.

BLOCK 14: The draft CWBS shall be submitted NLT 30DAC.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16 1 1

15. TOTAL 1 1

G. PREPARED BY

Jeffrey Kim

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 46 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

INTEGRATED PROGRAM MANAGEMENT REPORT

(IPMR)

3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-MGMT-81861A

5. CONTRACT REFERENCE

SOW 3.4.5

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION 18. ESTIMATED

TOTAL

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

A D (See Block 16)

0 20DARP a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 8: First submission requires approval for content and format. Approval is contingent upon accurate incorporation of all Government comments. Government review cycle will be 15 days after receipt. Subsequent submissions do not require approval.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10 and 12: First Report shall be submitted NLT 60 days following the Integrated Baseline Review (IBR). Formats 1-6 are due monthly, and format 7 is due annually.

BLOCK 14: Draft report format and content is due NLT 30 days following the IBR.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16 1 1

15. TOTAL 1 1

G. PREPARED BY

Jeffrey Kim

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 46 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

ITEM UNIQUE IDENTIFICATION (IUID) MARKING PLAN

3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-MGMT-81803 Notice 1

5. CONTRACT REFERENCE

SOW 3.11

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

A D (See Block 16)

N/A ASREQ a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 8: Approval is for technical content and is contingent upon accurate incorporation of all Government comments. Government review cycle will be 30 days after receipt.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10 and 13: Plan shall be revised as required within 60 days after the need for revision is identified or directed by the Government but not more frequently than annually.

BLOCK 14: Draft Plan shall be submitted NLT 120DAC.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16 1 1

15. TOTAL 1 1

G. PREPARED BY

CDR Nicole Ponder

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 46 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

ITEM UNIQUE IDENTIFICATION (IUID) MARKING

ACTIVITY, VALIDATION AND VERIFICATION REPORT

3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-MGMT-81804A

5. CONTRACT REFERENCE

SOW 3.11

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

N/A D (See Block 16)

N/A See Block 16 a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10, 12 and 13: Submission shall be NLT 30 days after each marking activity.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16

15. TOTAL 1

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 46 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER PSSS

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

BILL OF MATERIALS (BOM) FOR DIMINISHING

MANUFACTURING SOURCES AND MATERIAL

SHORTAGES MANAGEMENT

3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-PSSS-81656B

5. CONTRACT REFERENCE

SOW 3.11

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

N/A D (See Block 16)

N/A See Block 16 a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10, 12 and 13: Report shall be submitted NLT 14 days after Contractor identifies a DMS situation.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16

15. TOTAL 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 10 of 46 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER QCIC

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

GOVERNMENT INDUSTRY DATA EXCHANGE

PROGRAM (GIDEP) ALERT/SAFE-ALERT REPORT

3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-QCIC-80125B

5. CONTRACT REFERENCE

SOW 3.11

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

N/A D (See Block 16)

N/A See Block 16 a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10, 12 and 13: Submission shall be NLT 30 days after GIDEP notification.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 11 of 46 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER QCIC

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

GOVERNMENT INDUSTRY DATA EXCHANGE

PROGRAM (GIDEP) ALERT/SAFE-ALERT RESPONSE

3. SUBTITLE 17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-QCIC-80126B

5. CONTRACT REFERENCE

SOW 3.11

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION 18. ESTIMATED

TOTAL

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

N/A D (See Block 16)

N/A See Block 16 a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCK 10: Submission shall be NLT 60 days after submission of CDRL A00D.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 12 of 46 Pages

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER MISC

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

TECHNICAL REPORT- STUDY/SERVICES

3. SUBTITLE

DEMILITARIZATION AND DISPOSITION PLAN

17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-MISC-80508B (See Block 16)

5. CONTRACT REFERENCE

SOW 3.12

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

A D (See Block 16)

N/A See Block 16 a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 4: DI-MISC-80508B is tailored as follows: Contractor format is acceptable.

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 8: Approval is for technical content and is contingent upon accurate incorporation of all Government comments. Government review cycle will be 30 days after receipt.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C. App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10 and 13: Plan shall be revised to incorporate changes required by Physical Configuration Audit findings and/or Baseline establishment. Updates shall be submitted within 60 days after the need for change is identified but not more frequently than annually.

BLOCK 14: Draft Plan shall be submitted NLT 120DAC.

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

See Block 16

1 1

15. TOTAL 1 1

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

(1 Data Item)

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER MISC

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

SPECIFICATION REQUIREMENT VERIFICATION

MATRIX (SRVM)

3. SUBTITLE

LwLCCA

17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-MISC-81283

5. CONTRACT REFERENCE

SOW 4.2

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

240DAC

14. DISTRIBUTION 18. ESTIMATED

TOTAL

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

A D (See Block 16)

N/A ASREQ a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 8: Approval is for technical content and contingent upon accurate incorporation of all Government comments. Government review cycle will be 30 days after receipt.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C., App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCKS 10 and 13: SRVM shall be revised as required within 90 days after the need for revision is identified or directed by the Government but not more frequently than quarterly.

BLOCK 14: Draft SRVM shall be submitted NLT 180DAC. Draft revisions shall be submitted NLT 30 days after the need for revision is identified.

See Block 16

1 1

15. TOTAL 1 1

G. PREPARED BY

Erik Moore

H. DATE I. APPROVED BY J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 13 of 46 Pages

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and addressees are specified in the CDRL address and distribution list.

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP _____ TM _____ OTHER NDTI

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A014

2. TITLE OF DATA ITEM

TEST/INSPECTION REPORT

3. SUBTITLE

LwLCCA First Article Test Set

17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-NDTI-80809B Notice 1

5. CONTRACT REFERENCE

SOW 4.3

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

30DATC

14. DISTRIBUTION 18. ESTIMATED

TOTAL

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

N/A D (See Block 16)

16. REMARKS

BLOCK 7: The LT code is used when a record of delivery is desired, but formal DD Form 250 inspection and acceptance is not required.

BLOCK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only for administrative or operational use (December 2016). Other requests shall be referred to PMS4013.

BLOCK 9: DD254 SECURITY DESTRUCTION NOTICE: All classified documents must be destroyed using a National Security Agency (NSA) approved high security crosscut shredder listed on the NSA/CSS evaluated products list for high security crosscut paper shredders, or other approved method for destroying classified information.

BLOCK 9: EXPORT CONTROL 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 Export Administration Act of 1979, as amended (Title 50, U.S.C., App. 2401, et seq.). Violations of these export laws are subject to severe criminal penalties. Disseminate per the provisions of OPNAVINST 55161.

BLOCK 10: Reports shall be submitted NLT 30 days following the conduct of each test.

N/A 30DATC a. ADDRESSEE Final

Draft Reg Repro

15. TOTAL 1

G. PREPARED BY

Erik Moore

H. DATE I. APPROVED BY J. DATE

DD Form 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 14 of 46 Pages

See Block 16

BLOCKS 14 and 15: Distribution shall be by electronic media. Distribution addresses and

TDP OPTION SELECTION WORKSHEET

SYSTEM: LwLCCA First Article Test Set Specification DATE PREPARED:

A. CONTRACT NO.

N0002419R6102

B. EXHIBIT/ATTACHMENT NO.

A

C. CLIN

D. CDRL DATA ITEM NO.

B002

1. TDP Level (X and complete as applicable.)

A. CONCEPTUAL LEVEL

DEVELOPMENTAL LEVEL

PRODUCTION LEVEL

B. REMARKS:

2. TYPE AND FORMAT (X all that apply and complete as applicable) A.

TYPE 2D: 2D DRAWINGS

TYPE 3D: 3D MODEL ONLY

TYPE 3D: 3D MODELS WITH

ASSOCIATED 2D DRAWINGS

B.

NATIVE CAD (SPECIFY TYPE) ______

ISO 10303 STEP FORMAT (Specify STEP PROTOCOL AP203, AP 214 etc.)

ISO32000 PORTABLE DOCUMENT FORMAT: __________________________

OTHER ELECTRONIC FORMAT (SPECIFY TYPE)

PDF Format on Compact Disc; 2-D editable files shall be compatible with MSExcel (“.xlsx”), MSWord (“.docx”), AutoCAD 2016 or higher (“.dwg”) or SolidWorks 2016 or higher (“.slddrw”) refer to Attachment 11

HARDCOPY:

REMARKS:

3. CAGE Code AND DOCUMENT

NUMBERS

A. CONTRACTOR CAGE AND DOCUMENT

NUMBERS

GOVERNMENT CAGE (COMPLETE 3B & 3C OR

3D)

D. To Be Assigned By:

TDA/ISEA

B. USE CAGE CODE: C. USE DOCUMENT NUMBERS:

4. DRAWING FORMATS (X one and complete as applicable)

CONTRACTOR FORMAT.

GOVERNMENT FORMAT.

REMARKS: Refer to Attachment 11 for Format Requirements

5. TDP ELEMENTS REQUIRED (X all that apply)

ELEMENTS REQUIRED TO BE DETERMINED BY CONTRACTOR-OR THE FOLLOWING ARE REQUIRED:

CONCEPTUAL DRAWINGS/MODELS AND ASSOCIATED LISTS

DEVELOPMENTAL DESIGN DRAWINGS/MODELS AND ASSOCIATED LISTS

PRODUCT DRAWINGS/MODELS AND ASSOCIATED LIST

COMMERCIAL DRAWINGS/MODELS AND ASSOCIATED LIST

QUALITY ASSURANCE PROVISIONS

SPECIAL INSPECTION EQUIPMENT (SIE) DRAWINGS/MODELS AND ASSOCIATED LISTS

SPECIFICATIONS

SOFTWARE DOCUMENTATION

SPECIAL PACKAGING INSTRUCTIONS (SPI) DRAWINGS/MODELS AND ASSOCIATED LIST

6. ASSOCIATED LISTS (X and complete as applicable)

A. PARTS LIST (X ONE) (1) INTEGRAL (2) SEPARATE

B. DATA LIST (X ONE) (1) NOT REQUIRED (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY)

C. INDEX LIST (X ONE) (1) NOT REQUIRED (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY)

D. WIRING LIST (X ONE) (1) NOT REQUIRED (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY) E. INDENTURE DATA LIST (X ONE) (1) NOT REQUIRED (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY) F. APPLICATION LISTS (X ONE) (1) NOT REQUIRED (2) REQUIRED (SPECIFY LEVELS OF ASSEMBLY)

7. APPLICABILITY OF STANDARDS. The following Standards apply: (X as applicable)

ASME Y14.100 ENGINEERING

DRAWING PRACTICES WITH

APPENDICES

B C D E

ASME Y14.24 TYPES AND APPLICATIONS OF

ENGINEERING DRAWINGS

ASME Y14.34 ASSOCIATED LIST

ASME Y14.35 REVISION OF ENGINEERING

DRAWINGS AND ASSOCIATED LIST

ASME Y14.41 DIGITAL PRODUCT DATA PRACTICES

ASME Y14.5 DIMENSIONING AND TOLERANCES

OTHER STANDARDS APPLY

AS DESCRIBED:

COMPANY STANDARDS

PERMITTED: YES NO

8. OTHER TAILORING

Page 15 of 46 Pages

Form Approved

OMB No. 0704-0188

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

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP __X__ TM _____ OTHER

D. SYSTEM/ITEM

Light Weight Low Cost Conformal Array

E. CONTRACT/PR NO.

N00024-19-R-6102

F. CONTRACTOR

TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

A015 SYSTEM / SUBSYSTEM SPECIFICATION

3. SUBTITLE

Specification for the LwLCCA First Article Test Set

17. PRICE

GROUP

4. AUTHORITY (Data Acquisition Doc. No.)

DI-IPSC-81431A Notice 1 (See Block 16)

5. CONTRACT REFERENCE

SOW 4.3

6. REQUIRING OFFICE

PMS4013

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST SUBMISSION

See Block 16

14. DISTRIBUTION 18. ESTIMATED

TOTAL

PRICE

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

b. COPIES

A D (See Block 16)

N/A N/A a. ADDRESSEE Final

Draft Reg Repro

16. REMARKS

BLOCK 4: DI-IPSC-81431A is tailored as follows: See applicable TDP Option Selection Worksheet for format requirements.

BLOCK 7: Acceptance shall be based on adequacy of design disclosure information which matches the product configuration and the Government's ability to electronically duplicate the digital data.

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