EX A_TSMS_CDRLs_24Jan2022.pdf
PDF 476 KB Posted
- Solicitation number
- N00024-22-R-6132
About this file
This is a contract data requirements list (CDRL) outlining 50 data items required under a Navy contract for development of a total ship monitoring system. Key details include:
-
The CDRL identifies 50 data items required to be delivered by the contractor, ranging from progress reports and meeting minutes to engineering change proposals, software documentation, and test plans and reports.
-
Major categories of data items include management, systems engineering, safety, testing, logistics support, and configuration management documentation.
-
Delivery schedules and review periods are specified for each data item, typically allowing 30 days for government review and 30 days for contractor response.
-
Distribution is generally limited to the Department of Defense and contractors, with electronic submission procedures outlined.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| N00024-22-R-6132 Amend 0004.pdf | ||
| N00024-22-R-6132 Amend 0003.pdf | ||
| Attachment 2 SOW TSMS_24Jan2022.pdf | ||
| Attachment 7 Production Quantity Pricing_24JAN2022.xlsx | XLSX spreadsheet | |
| N00024-22-R-6132 Amend 0002.pdf | ||
| Attachment 12 TSMS Labor Mix.xlsx | XLSX spreadsheet | |
| N00024-22-R-6132 Amend 0001.pdf | ||
| Attachment 4 DD254.pdf | ||
| Attachment 2 SOW TSMS.pdf | ||
| N00024-22-R-6132 TSMS Solicitation.pdf | ||
| Attachment 5 GFI.pdf | ||
| Exhibit A CDRLs.pdf | ||
| Attachment 1 CDRL Addressee List.pdf | ||
| Attachment 7 Production Quantity Pricing.xlsx | XLSX spreadsheet |
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Text version
N00024-21-NR-94542
TBD
EXHIBIT A
CONTRACT DATA REQUIREMENTS LIST
FOR THE
TOTAL SHIP MONITORING SYSTEM (TSMS)
DEVELOPMENT, PRODUCTION, AND ENGINEERING DESIGN DEVELOPMENT
PREPARED BY
PROGRAM EXECUTIVE OFFICE, SUBMARINES (PEO SUB)
PMS 401
24 January 2022
NO. TITLE SUBTITLE
A001 CONTRACTOR’S PROGRESS AND STATUS REPORT
A002 CONTRACT WORK BREAKDOWN STRUCTURE
A003
INTEGRATED PROGRAM MANAGEMENT DATA AND ANALYSIS
REPORT (IPMDAR)
A004 MEETING AGENDA PROGRAM/TECHNICAL REVIEWS
A005 MEETING MINUTES PROGRAM/TECHNICAL REVIEWS
A006 CONTRACT FUNDS STATUS REPORT (CFSR)
A007 GOVERNMENT FURNISHED INFORMATION DEFICIENCY REPORT
A008 QUALITY DEFICIENCY REPORT
GOVERNMENT FURNISHED PROPERTY (GFP)
DEFICIENCY REPORT
A009 PHYSICAL INVENTORIES REPORT CONTRACTOR ACQUIRED PROPERTY
A00A DESIGN REVIEW INFORMATION PACKAGE (DRIP) TECHNICAL REVIEW INFORMATION PACKAGE
A00B SYSTEM ENGINEERIMG MANAGEMENT PLAN (SEMP)
A00C SPECIFICATION REQUIREMENT VERIFICATION MATRIX
A00D TECHNICAL REPORT – STUDY/SERVICES
SPECIAL STUDIES/ANALYSES, WHITE PAPERS,
TECHNICAL PAPERS, COTS/NDI,
DIMENSION/WEIGHT DATA, NOMENCLATURE
A00E SYSTEM SAFETY PROGRAM PLAN (SSPP)
A00F TEST AND EVALUATION PROGRAM PLAN (TEPP)
A00G TEST PROCEDURE
ENVIRONMENTAL QUALIFICATION TEST,
FACTORY ACCEPTANCE TEST
A00H CONFIGURATION AUDIT SUMMARY REPORT AND CERTIFICATION
FUNCTIONAL CONFIGURATION AUDIT
(FCA)/PHYSICAL CONFIGURATION AUDIT (PCA)
A00J CONFIGURATION STATUS ACCOUNTING (CSA) INFORMATION
A00K ENGINEERING CHANGE PROPOSAL (ECP)
A00L
ENGINEERING CHANGE PROPOSAL SYSTEM SAFETY REPORT
(ECPSSR)
A00M REQUEST FOR VARIANCE (RFV)
A00N REQUEST FOR WAIVER (RFW)
A00P SPECIFICATION CHANGE NOTICE (SCN)
A00Q NOTICE OF REVISION (NOR)
A00R INSTALLATION AND CHECKOUT (INCO) SPARES LISTING INSTALLATION AND CHECKOUT (INCO) KITS
A00S SOFTWARE DEVELOPMENT PLAN (SDP)
A00T FIRST ARTICLE QUALIFICATION TEST PLAN AND PROCEDURES
A00U ACCEPTANCE TEST PLAN
FIRST ARTICLE TEST, ENVIRONMENTAL
QUALIFICATION TEST, FACTORY ACCEPTANCE
TEST
A00V TEST/INSPECTION REPORT
FIRST ARTICLE TEST, ENVIRONMENTAL
QUALIFICATION TEST, FACTORY ACCEPTANCE
TEST
A00W
RELIABILIY CENTERED MAINTENANCE (RCM) FAILURE MODES &
EFFECTS ANALYSIS (FMEA) REPORT
FMEA REPORT
A00X FAILURE SUMMARY AND ANALYSIS REPORT
FAILURE REPORTING, ANALYSIS, AND
CORRECTIVE ACTION SYSTEM (FRACAS)
A00Y INTEGRATED LOGISTICS SUPPORT PLAN
A00Z
RELIABILITY CENTERED MAINTENANCE (RCM) DOCUMENTATION
CONTROL SHEET
RELIABILITY CENTERED MAINTENANCE (RCM)
ANALYSIS AND PRODUCTS
A010 RELIABILITY AND MAINTAINABILITY PREDICTIONS REPORT
RELIABILITY CENTERED MAINTENANCE (RCM)
ANALYSIS AND PRODUCTS
A011 SUPPLEMENTARY PROVISIONING TECHNICAL DOCUMENTATION
PROVISIONING TECHNICAL DOCUMENTATION
(PTD)
A012
ITEM UNIQUE IDENTIFICATION (UID) MARKING ACTIVITY,
VALIDATION AND VERIFICATION REPORT
LIST OF PARTS REQUIRING UID MARKING
A013 AS BUILT CONFIGURATION LIST (ABCL) PRODUCTION CONFIGURATION BASELINE
A014
INTERACTIVE ELECTRONIC TECHNICAL MANUAL (IETM)
CONTENT PLAN
A015 SYSTEM/SUBSYSTEM DESIGN DESCRIPTION (SSDD)
A016 INTERFACE DESIGN DESCRIPTION (IDD)
A017
COMMERCIAL ENGINEERING DESIGN DATA AND ASSOCIATED
LISTS
A018 INTERFACE CONTROL DOCUMENT (ICD)
A019 PRODUCT ENGINEERING DESIGN DATA AND ASSOCIATED LISTS
A01A INSTALLATION CONTROL DRAWINGS
INSTALLATION AIDS, INSTALLATION PLANNING
INFORMATION
A01B INTERFACE REQUIREMENTS SPECIFICATION (IRS)
A01C SOFTWARE REQUIREMENT SPECIFICATION (SRS)
A01D SOFTWARE DESIGN DESCRIPTION (SDD)
A01E SOFTWARE PRODUCT SPECIFICATION (SPS)
A01F SOFTWARE VERSION DESCRIPTION (SVD)
A01G
INTERACTIVE ELECTRONIC TECHNICAL MANUAL (IETM)
CONTENT PLAN
CDRL SUMMARY
CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB No. 0704-0188
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 1 of 50 Pages
Tanesha Velie, PMS4012A2Hayley Liedel, PMS4012A3 24 January 2022 24 January 2022
CONTRACTOR’S PROGRESS AND STATUS REPORTA001
N/A N/A SEE BLK 16
SEE BLK 16
MTHLY
DI-MGMT-81928
Draft
14. DISTRIBUTION
SEE BLK 16
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
SOW Para 3.1.1, 3.1.1.4, 3.1.1.9.2, 3.1.2.13 PMS4012
b. COPIES
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542
A
TBD
OTHER___X___: MGMT
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCK 12: First submission shall be 10 calendar days after the first full accounting month after contract award.
BLOCK 13: Monthly NLT 7 calendar days following the Contractor's accounting period cutoff date.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1 Addressee List. Transmission of documents shall adhere to NAVSEA Security Program Instruction Number 5510.1C, dated 15 Nov 2016 provided as GFI.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
A SEE BLK 16 a. ADDRESSEE Final
(SEE BLK 16) Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 2 of 50 Pages
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
14. DISTRIBUTION
ONE/R
SEE BLK 16
60 DAC
b. COPIES
N/A ASREQ (SEE BLK 16) Draft
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
DI-MGMT-81334D SOW Para 3.1.1.1 PMS4012
0010 A
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
OTHER___X___: MGMT
A002 CONTRACT WORK BREAKDOWN STRUCTURE
BLOCK 8: Approval is for technical content. Revised submissions shall reflect the results of the Integrated Baseline Review (IBRs). Allow 30 calendar days after receipt for Navy review.
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCK 13: Allow 30 calendar days for comment resolution/incorporation and redelivery for approval. Subsequent submissions shall be 30 calendar days after issuance of new orders, and annually within 30 calendar days of establishment of annual baseline.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 3 of 50 Pages
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
14. DISTRIBUTION
QRTLY SEE BLK 16
b. COPIES
N/A N/A SEE BLK 16 Draft
A003
INTEGRATED PROGRAM MANAGEMENT DATA AND ANALYSIS REPORT
(IPMDAR)
DI-MGMT-81861C (SEE BLK 16) SOW Para 3.1.1.2 PMS4012
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
0010 A OTHER__X____: MGMT
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
BLOCK 4: Formats 1 and 5 only. Variance thresholds are established as follows:
SCHEDULE: +/- 5% AND +/- $25,000
COST: +/- 5% AND +/- $25,000
COMPLETION: +/- 5% AND +/- $25,000
Variance analysis will be provided for each variance exceeding the preceding criteria.
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCKS 12 AND 13: First submission shall be from inception through the first full month and is due NLT the 15th of the following month. Subsequent submissions are due quarterly, NLT 30 calendar days after the final day of the Contractor’s accounting period shown in the report.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 4 of 50 Pages
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
14. DISTRIBUTION
SEE BLK 16 SEE BLK 16
b. COPIES
N/A N/A SEE BLK 16 Draft
A004 MEETING AGENDA PROGRAM/TECHNICAL REVIEWS
DI-ADMN-81249C SOW Para 3.1.1.2, 3.1.1.5, 3.1.1.6, 3.2.3.2 PMS4012
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
0010 A OTHER__X____:ADMIN
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
LOCKS 10, 12 AND 13: An agenda shall be submitted NLT 10 calendar days prior to each meeting. The Contractor shall revise each agenda as required to incorporate Navy comments and resubmit NLT 5 calendar days prior to the scheduled meeting.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 5 of 50 Pages
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
14. DISTRIBUTION
ASREQ SEE BLK 16
b. COPIES
N/A N/A ASREQ Draft
A005 MEETING MINUTES PROGRAM/TECHNICAL REVIEWS
DI-ADMN-81250C SOW Para 3.1.1.2, 3.1.1.5, 3.1.1.6, 3.2.3.2 PMS4012
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
0010 A OTHER___X___:ADMIN
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCK 12: Minutes shall be submitted NLT 10 calendar days after each scheduled meeting.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 6 of 50 Pages
N/A N/A 25 DARP Draft
A006 CONTRACT FUNDS STATUS REPORT (CFSR)
DI-MGMT-81468A (SEE BLK 16) SOW Para 3.1.1.2 PMS4012
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
14. DISTRIBUTION
QTRLY SEE BLK 16
b. COPIES
0010 A OTHER___X___:MGMT
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
BLOCK 4: Reporting shall be at the Subcontract Line Item Number (SLIN) level.
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCK 12: First submission shall be 25 calendar days after the Contractor's first full accounting month after contract award.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Attachment 1 Addressee List.
Transmission of documents shall adhere to NAVSEA Security Program Instruction Number 5510.1C, dated 15 Nov 2016 provided as GFI.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 7 of 50 Pages
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
14. DISTRIBUTION
ASREQ (SEE BLK 16) SEE BLK 16
b. COPIES
N/A N/A SEE BLK 16 Draft
A007 GOVERNMENT FURNISHED INFORMATION DEFICIENCY REPORT
DI-MGMT-80596 SOW Para 3.1.1.10 PMS4012
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
0010 A OTHER___X___:MGMT
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCKS 10, 12 AND 13: Deficiency reports shall be submitted within 10 calendar days after discovery of a deficiency. Negative reports are not required.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 8 of 50 Pages
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
0010 A OTHER___X___:QCIC
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
N/A SEE BLK 16 Draft
A008 QUALITY DEFICIENCY REPORT
GOVERNMENT FURNISHED PROPERTY (GFP) DEFICIENCY
REPORT
DI-QCIC-80736 SOW Para 3.1.1.11 PMS4012
14. DISTRIBUTION
ASREQ (SEE BLK 16) SEE BLK 16
b. COPIES
N/A
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCKS 10, 12 AND 13: Deficiency reports shall be submitted within 10 calendar days of receipt of each item of GFP and thereafter within 10 calendar days of defect occurrence.
Negative reports are not required.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 9 of 50 Pages
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
0010 A OTHER___X___:MGMT
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
N/A SEE BLK 16 Draft
A009 PHYSICAL INVENTORIES REPORT CONTRACTOR ACQUIRED PROPERTY
DI-MGMT-80259 SOW Para 3.1.2.11.5 PMS4012
14. DISTRIBUTION
ASREQ (SEE BLK 16) SEE BLK 16
b. COPIES
N/A
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCKS 10, 12 AND 13: First submission shall be 30 calendar days after the end of the Contractor's first fiscal accounting year after contract award.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 10 of 50 Pages
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
SOW Para 3.1.1.6, 3.2.3.2 PMS4012
b. COPIES
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542
A
TBD
OTHER___X___: SESS
Tanesha Velie, PMS4012A2Hayley Liedel, PMS4012A3 24 January 2022 24 January 2022
DESIGN REVIEW INFORMATION PACKAGE (DRIP)A00A
N/A N/A SEE BLK 16
SEE BLK 16
ONE/R (SEE BLK 16)
DI-SESS-81757A
TECHNICAL REVIEW INFORMATION PACKAGE
Draft
14. DISTRIBUTION
SEE BLK 16
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCKS 10, 12 AND 13: Package shall be submitted NLT 21 calendar days prior to each scheduled review. Allow 7 calendar days after receipt for Navy review. Contractor shall revise each package as required to incorporate Navy comments and resubmit NLT 7 calendar days prior to the scheduled review.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 11 of 50 Pages
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
0010 A OTHER__X____:SESS
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
N/A 30DARC (SEE BLK 16) Draft
A00B SYSTEM ENGINEERIMG MANAGEMENT PLAN (SEMP)
DI-SESS-81785A SOW Para 3.1.2.1 PMS4012
14. DISTRIBUTION
ONE/R 180DAC
b. COPIES
A
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
BLOCK 8: Approval is for technical content.
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCKS 12 AND 13: Allow 30 calendar days after receipt for Navy review. Allow 30 calendar days for comment resolution/incorporation and redelivery for approval.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 12 of 50 Pages
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
14. DISTRIBUTION
ONE/R SEE BLK 16
b. COPIES
0010 A OTHER___X___:MISC
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
A N/A 30DARC Draft
A00C SPECIFICATION REQUIREMENT VERIFICATION MATRIX
DI-MISC-81283 SOW Para 3.1.2.3, 3.2.1.2 PMS4012
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCKS 12 AND 13: A draft shall be submitted at the CDR. Final shall be submitted for approval 60 calendar days prior to First Article Test. Allow 30 calendar days after receipt for Navy review. Allow 30 calendar days for comment resolution/incorporation and redelivery for approval.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
A SEE BLK 16 a. ADDRESSEE Final
SEE BLK 16 Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 13 of 50 Pages
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
14. DISTRIBUTION
SEE BLK 16 SEE BLK 16
b. COPIES
0010 A OTHER___X___:MISC
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
N/A SEE BLK 16 Draft
A00D TECHNICAL REPORT – STUDY/SERVICES
SPECIAL STUDIES/ANALYSES, WHITE PAPERS, TECHNICAL
PAPERS, COTS/NDI, DIMENSION/WEIGHT DATA,
NOMENCLATURE
DI-MISC-80508B SOW Para 3.1.2.6.2, 3.1.2.11.4, 3.1.2.11.10, 3.1.2.11.11, 3.1.2.17 PMS4012
BLOCK 8: Certain reports that need Government approval will be specified in Technical Instruction or orders.
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCK 10, 12, AND 13: Submission shall be as required by Technical Instruction or orders. Allow 30 calendar days after receipt for Navy review. Allow 30 calendar days for comment resolution, incorporation and redelivery.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 14 of 50 Pages
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
14. DISTRIBUTION
ONE/R 180DAC
b. COPIES
0010 A OTHER__X____:SAFT
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
A N/A 30DARC Draft
A00E SYSTEM SAFETY PROGRAM PLAN (SSPP)
DI-SAFT-81626 SOW Para 3.1.2.8 PMS4012
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 15 of 50 Pages
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
14. DISTRIBUTION
ONE/R SEE BLK 16
b. COPIES
0010 A OTHER__X____:NDTI
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
A N/A 30DARC (SEE BLK 16) Draft
A00F TEST AND EVALUATION PROGRAM PLAN (TEPP)
DI-NDTI-81284 SOW Para 3.1.2.9, 3.2.2 PMS4012
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCKS 12, AND 13: A draft shall be submitted at the PDR. Final shall be submitted for approval 60 calendar days prior to First Article Test. Allow 30 calendard days for comment resolution/incorporation and redelivery for approval..
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 16 of 50 Pages
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
14. DISTRIBUTION
ONE/R SEE BLK 16
b. COPIES
0010 A OTHER___X___:NDTI
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
A N/A SEE BLK 16 Draft
A00G TEST PROCEDURE
ENVIRONMENTAL QUALIFICATION TEST, FACTORY
ACCEPTANCE TEST
DI-NDTI-80603A SOW Para 3.1.2.9, 3.3.1, 3.3.2 PMS4012
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCKS 12 AND 13: A draft shall be submitted at the CDR. Final shall be submitted 30 calendars days prior to each test. For every submittal, allow 30 calendar days after receipt for Navy review and allow 30 calendar days for comment resolution/incorporation and redelivery for approval.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a. ADDRESSEE Final
Reg Repro
16. REMARKS
15. TOTAL See Blk 16
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
DD Form 1423-1, JUN 90 Previous editions are obsolete. Page 17 of 50 Pages
SEE BLK 16
Hayley Liedel, PMS4012A3 24 January 2022 Tanesha Velie, PMS4012A2 24 January 2022
14. DISTRIBUTION
OTIME (SEE BLK 16) SEE BLK 16
b. COPIES
N/A N/A SEE BLK 16 Draft
A00H CONFIGURATION AUDIT SUMMARY REPORT AND CERTIFICATION
FUNCTIONAL CONFIGURATION AUDIT (FCA)/PHYSICAL
CONFIGURATION AUDIT (PCA)
DI-SESS-81022E SOW Para 3.1.2.12.3 PMS4012
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 this burden, to Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
0010 A OTHER___X___:SESS
TOTAL SHIP MONITORING SYSTEM N00024-21-NR-94542 TBD
BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD contractors only for administrative/operational use (date data generated).
Other requests shall be referred to PEO SUB PMS4012.
BLOCKS 10, 12 AND 13: Shall be submitted one (1) time with each delivered unit.
BLOCK 14 AND 15: Unclassified documents shall be submitted electronically by uploading to the NUWC Submarine Sonar Portal. Notification of submittal and link to the document shall be provided via email to the Attachment 1 Addressee List. Classified documents shall be submitted via CD to NUWC with email notification to the Exhibit A Attachment 1
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY
TDP______ TM______
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION
LT
REQUIRED
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION
SEE BLK 16 a.
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