JS-2 CDRLs A001-047.pdf
PDF 1 MB Posted
- Attached to
- LWLCCA HULL ARRAY COMPONENTS Federal contract opportunity
- Solicitation number
- N00024-20-R-6113
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.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| N00024-20-R-6113_Amend 0004.pdf | ||
| 20R6113 Offerors Questions_Govt Responses 26 Mar 20.pdf | ||
| N00024-20-R-6113_Amend 0003_Conformed.pdf | ||
| 20R6113 Offerors Questions_Govt Responses_23Mar.pdf | ||
| N00024-20-R-6113_Amend 0002_Conformed.pdf | ||
| N00024-20-R-6113_Amend 0001_Conformed.pdf | ||
| 20R6113 Offerors Questions_Govt Responses.pdf | ||
| JS-1 Statement of Work Amend 0001.pdf | ||
| JS-9 STEPLADDER PRICING.pdf | ||
| JS-8 GFP Template.xlsx | XLSX spreadsheet | |
| N00024-20-R-6113.pdf | ||
| J-3 Government Estimated Labor Mix.pdf | ||
| JS-3 CDRL Glossary List for RFP.pdf | ||
| JS-1 Statement of Work.pdf | ||
| JS-7 DD254.pdf | ||
| J-1 Terms of Use Agreement LWLCCA.pdf | ||
| J-2 Questions and Comments Form.pdf |
Show all 17
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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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