Exhibit A - CDRLs (signed).pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 a x

AN/SRQ-4 N00024-21-R-5206

A001 GOVERNMENT FURNISHED INFORMATION

DEFICIENCY REPORT

DI-MGMT-80596 2.3 PEO IWS 5.0

N/A

A D

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

0 1 0

BLK 4: The Contractor shall prepare a deficiency report that advises the Government of the potential impact of deficient information.

BLK 8: Approval is for content as well as format.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and DoD Contractors only. Other requests for this document shall be referred to

PEOIWS5.

By Gov’t Office: IWS5 Date: August 2020 Reasons for restrictions: Administrative/Operational use.

BLKs 10, 11, 12, and 13: The Contractor shall provide the GFI Deficiency Report in conjunction with the monthly status reports.

BLK 13: Monthly following the first submission. Contractor has thirty (30) days for re-submittal.

BLK 14: Regular copies shall be via electronic mail in Microsoft Project or MS Excel compatible format to the addressees listed on Attachment 1 to Exhibit A.

1 63 Adobe Professional 7.0

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 a x

AN/SRQ-4 N00024-21-R-5206

A002 INTEGRATED PROGRAM MANAGEMENT DATA AND

ANALYSIS REPORT (IPMDAR)

DI-MGMT-81861C (SEE BLK 16) 3.1.1, 3.1.5 PEO IWS 5.0

N/A

A D

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

0 0 0

BLK 4: Tailoring of DI-MGMT-81861C:

1) Native schedule format: In addition to the XML electronic schema submission, format shall be provided in contractor's approved scheduling system in its original format (e.g., Primavera, Open Plan Professional or Microsoft Project) as well as human readable format.

2) Schedule margin: Schedule margin is an optional management method for accommodating schedule contingencies. It is a designated buffer within the schedule and does not have any resources assigned to it. Schedule margin shall have a baseline and be under the control of the contractor’s program manager. Schedule margin, if any, shall only be placed as the last task/activity/gap before a contract event or end item deliverable. Any schedule margin planned as a task shall be clearly labeled schedule margin. Discuss the status of schedule margin, including reasons and impacts for changes, if any.

3) Task/activity codes and data dictionary: The first monthly analysis narrative submission shall include the schedule assumptions and data dictionary. Any change, post-first submission, to the 'schedule assumptions' or 'data dictionary' requires re-submittal of the information with the affected IPMR deliverable.

BLK 8: Approval is for content as well as format.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and DoD Contractors only. Other requests for this document shall be referred to

PEOIWS5.

By Gov’t Office: IWS5 Date: August 2020 Reasons for restrictions: Administrative/Operational use.

BLKs 10, 11, 12, and 13: First submission due within twelve (12) working days after the close of the Contractor's first full accounting period after contract award. Monthly following the first submission. Contractor has thirty (30) days for re-submittal.

BLK 14: Regular copies shall be via electronic mail in Microsoft Project to the addressees listed on Attachment 1 to Exhibit A.

Teresa Mulder 12/2/2021

Robert McNeal 12/2/2021

2 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A003 CONTRACTOR’S PROGRESS AND STATUS REPORT

DI-MGMT-81928 (SEE BLK 16) 3.1.2, 4.1.30 PEO IWS 5.0

N/A

N/A D

SEE BLK 16

SEE BLK 16

SEE BLK 16

N/A

0 1 0

BLK 4: Contractor’s format is acceptable. Each report shall include the Contractor's assessment of the overall program and shall contain a comparison of actual versus scheduled progress, problems encountered, obsolescence issues, risk status, program status, submitted or approved Class II Engineering Change Proposals (ECPs), and descriptions of other significant issues that arise.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to Department of Defense and United Statements DOD contractors only. Other requests for this document shall be referred to IWS5.

By Govt Office: IWS5 Date: August 2020 Reason for restrictions: Administrative/Operational use.

BLKs 10 and 11: Monthly report shall be submitted each month within fourteen (14) calendar days of the end of the Contractor's accounting period. The information contained in the report shall be current as of the end of the accounting period.

BLK 12: First submittal is due fourteen (14) calendar days after the end of the first month after contract award.

BLK 14: Regular copies shall be via electronic mail in Microsoft Project, MS Word or MS Excel compatible format to the addressees listed on Attachment 1 to Exhibit A.

Teresa Mulder 12/2/2021

Robert McNeal 12/2/2021

3 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A004 MEETING AGENDA

DI-ADMN-81249B (SEE BLK 16) 3.1.4 PEO IWS 5.0

N/A

N/A D

SEE BLK 16

N/A

SEE BLK 16

SEE BLK 16

0 1 0

BLK 4. Contractor’s format is acceptable. Agenda items for PMRs shall include as a minimum Overall Program Status (including accomplishments and shortcomings since the last PMR), Action Item Status, Management Issues, Contractual Issues, Schedule Eeview (IMS), Metrics Status and Trends, Logistics Status, Reliability, Maintainability, and Quality Assurance (RMQA), Failure Modes, Effects, and Criticality Analysis (FMECA), Test and Evaluation, Configuration Management (CM), Status of Data Item Deliverables including CDRLs, and Risk Review.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

PEO IWS5.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLKs 10, 12 and 13: Conference Agendas are due thirty (30) days before the meeting/review.

BLK 14: Regular copies shall be via electronic mail in Microsoft Project, MS Word or MS Excel compatible format to the addressees listed on Attachment 1 to Exhibit A.

Teresa Mulder 12/2/2021

Robert McNeal 12/2/2021

4 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A005 REPORT, RECORD OF MEETING/MINUTES

DI-ADMN-81505 (SEE BLK 16) 3.1.4 PEO IWS 5.0

N/A

N/A D

SEE BLK 16

N/A

SEE BLK 16

SEE BLK 16

0 1 0

BLK 4. Contractor’s format is acceptable. Tailoring: Delete Paragraph 10.4 of DI-ADMN 81505

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

PEO IWS5.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLKs 10, 12 and 13: Minutes are due ten (10) days after the meeting/review.

Robert McNeal 12/2/2021

5 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A006 CONTRACT WORK BREAKDOWN STRUCTURE (CWBS)

DI-MGMT-81334D 3.1.6 PEO IWS 5.0

N/A

A D

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

0 1 0

BLK 8: Data shall be prepared in accordance with the DI-MGMT-81334D incorporating the information identified in the CSDR plan. Prime contractors are responsible for flowing down this CDRL requirement to all subcontractors who meet the reporting thresholds specified in DODI 5000.02. This includes preparing, and obtaining approved CSDR plans for subcontractors, and requiring subcontractors to electronically submit CWBS data directly to DCARC using the CSDR submit-review system.

BLKs 10 and 13: Contractor shall resubmit thirty (30) days after receipt of Government comments until approved.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

IWS5A.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLKs 8 and 13: Approval is for content as well as format. For each submission, the government has forty-five (45) calendar days for review and acceptance (with or without comments) or rejection. Contractor has thirty (30) calendar days for re-submittal if accepted with comments or if rejected.

BLKs 10, 11 and 12: Frequency, as of Data, Date of First Submission are found in the CSDR Plan. Delivery dates are determined by the events listed in the CSDR plan.

Paragraph 14.C. If the data of the event specified in the CSDR Plan changes, the Contractor shall notify the POC listed in the CSDR Plan Paragraph 6 and request an extension of the event date.

Robert McNeal 12/2/2021

6 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A007 GOVERNMENT PROPERTY (GP) INVENTORY REPORT

DI-MGMT-80441D 3.1.7 PEO IWS 5.0

N/A

N/A D

SEE BLK 16

N/A

SEE BLK 16

SEE BLK 16

0 1 0

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

IWS5A.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLKs 10 and 13: The Contractor shall submit updated reports for GFP that are unsuitable for use with the monthly report.

BLK 12: First submission due within forty-five (45) days of contract award.

Robert McNeal 12/2/2021

7 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A008 COMPUTER SOFTWARE PRODUCT

DI-IPSC-81488 (SEE BLK 16) 3.1.8 PEO IWS 5.0

N/A

A D

SEE BLK 16

N/A

SEE BLK 16

SEE BLK 16

0 1 0

BLK 4: Contractor’s format is acceptable.

BLK 8: Approval is for content as well as format.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

IWS5A.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLKs 10, 12, and 13: Submit as required. The Government has forty-five (45) days for review and acceptance, or rejection. Contractor has thirty (30) days for re-submittal if accepted with comments or if rejected.

Robert McNeal 12/2/2021

8 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A009 ENGINEERING CHANGE PROPOSAL (ECP)

DI-SESS-80639E (SEE BLK 16) 3.1.9, 3.1.14 PEO IWS 5.0

N/A

A D

SEE BLK 16

N/A

SEE BLK 16

SEE BLK 16

0 1 0

BLK 4: Contractor’s format is acceptable.

BLK 8: Approval is for content as well as format.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

IWS5A.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLK 10: Contractor shall submit for any baseline changes.

BLKs 12 and 13: For each submission, the Government has ninety (90) calendar days for review and acceptance (with or without comments) or rejection. Contractor has thirty (30) calendar days for resubmittal if accepted with comments or if rejected.

Robert McNeal 12/2/2021

9 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A010 SUPPLIER’S CONFIGURATION MANAGEMENT PLAN

DI-SESS-80858D (SEE BLK 16) 3.1.10 PEO IWS 5.0

N/A

A D

ONE/R

N/A

SEE BLK 16

SEE BLK 16

0 1 0

BLK 4: Contractor’s format is acceptable. The CM plan shall address software and shall be consistent with the software development plan.

BLK 8: Approval is for content as well as format.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

PEO IWS5.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLK 12: First submission due within ninety (90) days of contract award.

BLK 13: The Government has forty-five (45) das for review and approval, or rejection.

Contractor has thirty (30) days for re-submittal if accepted with comments or if rejected

Robert McNeal 12/2/2021

10 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A011 COST DATA SUMMARY REPORT (DD FORM 1921)

DI-FNCL-81565C 3.1.11 PEO IWS 5.0

N/A

A D

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

0 1 0

BLK 8: Approval is for content as well as format.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

PEO IWS5.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLKs 10, 11, 12, 13: Prepare the Cost Data Summary Report (CDSR) in accordance with DI-FNCL-81565C (or the most recently approved version) and the OSD Deputy Director, Cost Assessment (DDCA)-approved contract CSDR Plan. The DID, DI-FNCL-81565C, is available from the Defense Cost and Resource Center (DCARC) website at http://cade.osd.mil/csdr/FormsReporting.aspx#DIDs. The CSDR Plan is included as a contract attachment.

Contractors shall be required to submit the Contractor Cost Data Reports (CCDRs) at frequencies specified in the OSD DDCA-approved CSDR plan and in the contract. The contract CSDR plan uses the event field as the driver for the submission of the reports, not the "as of date." If the event slips, the contractor must notify the Government Program Office that a date change is needed. It is the responsibility of the Government Program Office to submit a request for change in the event-driven date for reporting through the CSDR Submit-Review system for DCARC approval before the date reflected in the OSD DDCA-approved CSDR Plan.

BLK 14: All CCDRs shall be submitted electronically using the CSDR Submit-Review System. The required form and file type for each CCDR is specified in its Data Item Description (DID). Data submitters must register through the DCARC website and possess a DoD-approved ECA digital certificate or DoD-issued CAC to obtain a DCARC Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the DCARC Portal and requesting a CSDR submitter user role. After the registration information has been verified, the DCARC shall authorize the user account and requested roles. All DCARC Portal accounts need to be renewed at least annually. Deliverable shall also be submitted in digital format compatible with Microsoft Office to the addressees listed on Attachment 1 to Exhibit A.

Subcontractor Reporting: Prime contractors are responsible for flowing down CSDR requirements contained in their prime contracts to all subcontractors who meet the reporting thresholds specified in the DoDI 5000.02, or as required by the CWIPT.

Teresa Mulder 12/2/2021

Robert McNeal 12/2/2021

11 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A012 FUNCTIONAL COST-HOUR REPORT (DD FORM 1921-1)

DI-FNCL-81566C 3.1.11 PEO IWS 5.0

N/A

A D

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

0 1 0

BLK 8: Approval is for content as well as format.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

PEO IWS5.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLKs 10, 11, 13, 13: Prepare the Functional Cost Hour Report (FCHR) in accordance with DI-FNCL-81566C (or the most recently approved version) and the OSD Deputy Director, Cost Assessment (DDCA)-approved contract CSDR Plan. The DID, DI-FNCL-81566C, is available from the Cost Assessment Data Enterprise (CADE) Public website at https://CADE.OSD.MIL/Policy/DIDs. The CSDR Plan is included as a contract attachment.

Contractors shall be required to submit the Contractor Cost Data Reports (CCDRs) at frequencies specified in the OSD DDCA-approved CSDR plan and in the contract. The "As of Dates" and "Due Dates" are notional and subject to change. The CSDR plan uses the submission event names as the driving mechanism for the submittal of the cost reports, not the "as of date." In the event of a programmatic schedule slip, the Reporting Entity shall notify the Government Program Office that a date change is needed. It is the responsibility of the Government Program Office to submit a date change request with supporting documentation in the CADE system for the event-driven submission for CAPE approval.

CAPE will not issue an updated OSD DDCA-approved contract CSDR plan for revisions based solely on date changes.

All CCDRs shall be submitted electronically using the CSDR Submit-Review System. The required form and file type for each CCDR is specified in its Data Item Description (DID).

Data submitters must register through the CADE website (https://cade.osd.mil) and possess a DoD-approved ECA digital certificate or a DoD-issued CAC to obtain a CADE Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the CADE Portal and requesting a CSDR submitter user role. After the registration information has been verified, CAPE shall authorize the user account and requested role. All CADE Portal accounts need to be renewed at least annually. Deliverable shall also be submitted in digital format compatible with Microsoft Office to the addressees listed on Attachment 1 to Exhibit A.

Robert McNeal 12/2/2021

12 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A013 PROGRESS CURVE REPORT

DI-FNCL-81567C 3.1.11 PEO IWS 5.0

N/A

A D

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

0 1 0

BLK 8: Approval is for content as well as format.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

PEO IWS5.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLKs 10, 11, 12, 13: Prepare the Progress Curve Report (PCR) in accordance with DI-FNCL-81567C (or the most recently approved version) and the OSD Deputy Director, Cost Assessment (DDCA)-approved contract CSDR Plan. The DID, DI-FNCL-81567C, is available from the Cost Assessment Data Enterprise (CADE) Public website at https://CADE.OSD.MIL/Policy/DIDs. The CSDR Plan is included as a contract attachment.

Contractors shall be required to submit the Contractor Cost Data Reports (CCDRs) at frequencies specified in the OSD DDCA-approved CSDR plan and in the contract. The "As of Dates" and "Due Dates" are notional and subject to change. The CSDR plan uses the submission event names as the driving mechanism for the submittal of the cost reports, not the "as of date." In the event of a programmatic schedule slip, the Reporting Entity shall notify the Government Program Office that a date change is needed. It is the responsibility of the Government Program Office to submit a date change request with supporting documentation in the CADE system for the event-driven submission for CAPE approval.

CAPE will not issue an updated OSD DDCA-approved contract CSDR plan for revisions based solely on date changes.

BLK 14: All CCDRs shall be submitted electronically using the CSDR Submit-Review System. The required form and file type for each CCDR is specified in its Data Item Description (DID). Data submitters must register through the CADE website (https://cade.osd.mil) and possess a DoD-approved ECA digital certificate or a DoD-issued CAC to obtain a CADE Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the CADE Portal and requesting a CSDR submitter user role. After the registration information has been verified, CAPE shall authorize the user account and requested role.

All CADE Portal accounts need to be renewed at least annually. Deliverable shall also be submitted in digital format compatible with Microsoft Office to the addressees listed on Attachment 1 to Exhibit A.

Robert McNeal 12/2/2021

13 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A014 CONTRACTOR BUSINESS DATA REPORT (CBDR)

DI-FNCL-81765C 3.1.11 PEO IWS 5.0

N/A

A D

SEE BLK 16

SEE BLK 16

SEE BLK 16

SEE BLK 16

0 1 0

BLK 8: Approval is for content as well as format.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

PEO IWS5.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLKs 10, 11, 12, 13: Contractors shall be required to submit 1921-3 Contractor Business Data Report on an annual basis within 60 days subsequent to the end of the contractor's fiscal year for the life of the contract in accordance with DI-FNCL-81765B (or most recently approved version). Only one report is required to be completed and submitted by each FPR (Forward Pricing Rate) unit (e.g., plant, site, business unit) per year, independent of the number of contracts within the FPR unit which contain this CDRL item. The Contractor Business Data Report is to be prepared by and for the business entity (e.g., plant, site, or business unit) responsible for submitting the Forward Pricing Rate Proposal (FPRP) representing the basis for Forward Pricing Rate Agreement (FPRA) negotiations with the government. In the absence of a FPR requirement, the term “FPR unit” should be interpreted for reporting purposes as “business unit” as defined in the FAR.

BLK 14: All 1921-3 reports shall be submitted electronically using the 1921-3 & FPR Submit-Review System. The required form and file type for each 1921-3 report is specified in its Data Item Description (DID) located here: https://CADE.OSD.MIL/Policy/DIDs .

Data submitters must register through the CADE website (https://cade.osd.mil) and possess a DoD-approved ECA digital certificate or a DoD-issued CAC to obtain a CADE Portal account and be authorized to upload CSDR content. Users can obtain access by submitting user information about themselves and their organizations to the CADE Portal and requesting a CSDR submitter user role. After the registration information has been verified, CAPE shall authorize the user account and requested role. All CADE Portal accounts need to be renewed at least annually. Deliverable shall also be submitted in digital format compatible with Microsoft Office to the addressees listed on Attachment 1 to Exhibit A.

Teresa Mulder 12/2/2021

Robert McNeal 12/2/2021

14 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A015 SPECIFICATION CHANGE NOTICE (SCN)

DI-SESS-80643E (SEE BLK 16) 3.1.12 PEO IWS 5.0

N/A

N/A D

SEE BLK 16

N/A

SEE BLK 16

SEE BLK 16

0 1 0

BLK 4: Contractor’s format is acceptable.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

PEO IWS5.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use

BLKs 10, 12, and 13: Submit as required. The Government has forty-five (45) days for review and acceptance or rejection. Contractor has thirty (30) days for re-submittal if accepted with comments or if rejected

Robert McNeal 12/2/2021

15 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A016 CONFIGURATION AUDIT PLAN

DI-SESS-81646C (SEE BLK 16) 3.1.15 PEO IWS 5.0

N/A

A D

SEE BLK 16

N/A

SEE BLK 16

SEE BLK 16

0 1 0

BLK 4: Contractor’s format is acceptable.

BLK 8: Approval is for content as well as format

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and DOD contractors only. Other requests for this document shall be referred to

IWS5A.

By Govt Office: IWS5 Date: August 2020 Reason for restriction: Administrative/Operational use.

BLK 12: First submission due within sixty (60) days of contract award.

BLKs 10 and 13: Final delivery of the audit plan is due ninety (90) days prior to the respective audit, i.e. FCA and PCA. Contractor has thirty (30) days for re-submittal if accepted with comments or if rejected

Robert McNeal 12/2/2021

16 63

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0004 A X

AN/SRQ-4 N00024-21-R-5206

A017 MANUALS, TECHNICAL: AIRCRAFT MAINTENANCE

INSTRUCTIONS, TECHNICAL CONTENT REQUIREMEN

AN/SRQ-4 SOURCE DATA FOR IETMS

MIL-DTL-81928C (SEE BLK 16) 3.2.2, 3.2.3 PEO IWS 5.0

N/A

A D

QTRLY

SEE BLK 16

90 DAC

SEE BLK 16

0 1 0

BLK 4: MIL-DTL-81928C shall be used for format and content. Two copies of "source data for IETMS" text shall be delivered: One in digital format compatible with adobe portable document format (PDF) and the other in Microsoft Office. All figures, graphics and schematics shall be delivered in computer graphics metadata (CGM) format.

BLK 8: Approval is for technical content and format.

BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized…