Exhibit_A_-_CDRL_DD1423_06.07.13.docx

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Security Forces Qualification and Certification Management Software Tool
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N00030-13-Q-0029
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Exhibit A Contract Data Requirements List (CDRL)

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ATTACHMENT_01_-_Security_Form_DD254_09.05.13.pdf PDF
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CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

Public reporting burden for this collection information is estimated to average 440 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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204 Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing Contracting Officer for the contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

ITEM 0001

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X .

D. SYSTEM/ITEM

Security Forces Qualification and Certification Management software tool

E. CONTRACT/PR NO:

114EWBILL

F. CONTRACTOR:

TBD

17.

price group

)1. DATA ITEM NO

A001

2. TITLE OF DATA ITEM

Progress, Status and Management Report

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81904

5. CONTRACT REFERENCE

SOW PARA 1.1.1; 1.1.4; 1.3.3.1

6. REQUIRING OFFICE

SP321

E stimated total price

)7. DD 250 REQ

NO

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

7.
9.
10.
12.

a.ADDRESSEE

b. COPIES

8. APP CODE

N/A

13.
11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
14.
11.
15.
REQ
REPRO
16.
12.
17.
SP321

16. REMARKS

Block 11: Last Day of contractor’s monthly accounting period.

Block 12: Due NLT 17 working days after the end of the first complete accounting period Block 16: Submittal shall be in electronic format.

SP3001

SPN

15. TOTAL

17.

price group

)1. DATA ITEM NO

A002

2. TITLE OF DATA ITEM

Not Used

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

18.

estimated total price

)7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

7.
9.
10.
18.

b. COPIES

8. APP CODE

19.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
20.
13.
21.
REQ
REPRO
22.
14.
23.

16. REMARKS

15 TOTAL

17.P rice group

)1. DATA ITEM NO

A003

2. TITLE OF DATA ITEM

Integrated Master Schedule (IMS)

3. SUBTITLE

N/A

18.

E stimated total price )4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81650

5. CONTRACT REFERENCE

SOW PARA 1.1.3

6. REQUIRING OFFICE

SP321

7. DD 250 REQ

NO

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

7.
8.
9.
24.

b. COPIES

8. APP CODE

N/A

25.
11. AS OF DATE

SEE BLOCK 16

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
26.
15.
27.
REQ
REPRO
28.
16.
29.
SP321

16. REMARKS

Block 11: Last Day of contractor’s monthly accounting period.

Block 12: Due NLT 17 working days after the end of the first complete accounting period Block 16: Submittal shall be in electronic format.

SP3001

15. TOTAL

17.

price group

)1. DATA ITEM NO

A004

2. TITLE OF DATA ITEM

Not Used

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

estimated total price

)7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

10.
11.
12.
30.

b. COPIES

8. APP CODE

31.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
32.
17.
33.
REQ
REPRO
34.
18.
35.

16. REMARKS

15. TOTAL

G. Prepared By Ward Szerlag, SP3216 H. Date

I. Approved By

J. Date

CONTRACT DATA REQUIREMENTS LIST
Form Approved

OMB No. 0704-0188

Public reporting burden for this collection information is estimated to average 440 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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204 Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing Contracting Officer for the contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

ITEM 0001

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X .

D. SYSTEM/ITEM

Security Forces Qualification and Certification Management software tool

E. CONTRACT/PR NO:

114EWBILL

F. CONTRACTOR:

TBD

17.

price group

)1. DATA ITEM NO

A005

2. TITLE OF DATA ITEM

System Specification

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-IPSC-81431

5. CONTRACT REFERENCE

SOW PARA 1.2.1

6. REQUIRING OFFICE

SP321

18.

E stimated total price

)7. DD 250 REQ

NO

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

8.
11.
12.
36.

b. COPIES

8. APP CODE

A

37.
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
38.
19.
39.
REQ
REPRO
40.
20.
41.
SP3216

16. REMARKS

Block 12: 120 Days after successful completion of test and evaluation activities.

Block 16: Submittal shall be in electronic format.

SP3143

15. TOTAL

price group

)1. DATA ITEM NO

A006

2. TITLE OF DATA ITEM

Configuration Management Plan

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-CMAN-80858B

5. CONTRACT REFERENCE

SOW PARA 1.3

6. REQUIRING OFFICE

SP321

18.

estimated total price

)7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

160 DAC

14. DISTRIBUTION

8.
11.
12.
42.

b. COPIES

8. APP CODE

A

43.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
44.
21.
45.
REQ
REPRO
46.
22.
47.
SP3216

16. REMARKS

Block 12: 160 Days after successful completion of test and evaluation activities.

Block 16: Submittal shall be in electronic format.

SP3143

15 TOTAL

rice group

)1. DATA ITEM NO

A007

2. TITLE OF DATA ITEM

Commercial Software Change Notification

3. SUBTITLE

N/A

18.

E stimated total price )4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81807

5. CONTRACT REFERENCE

SOW PARA 1.3.2

6. REQUIRING OFFICE

SP321

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

13.
14.
15.
48.

b. COPIES

8. APP CODE

N/A

49.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION ASREQ

DRAFT
FINAL
50.
23.
51.
REQ
REPRO
52.
24.
53.
SP3216

16. REMARKS

Block 16: Submittal shall be in electronic format.

SP3143

15. TOTAL

price group

)1. DATA ITEM NO

A008

2. TITLE OF DATA ITEM

NOT USED

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

estimated total price

)7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

16.
17.
18.
54.

b. COPIES

8. APP CODE

55.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
56.
25.
57.
REQ
REPRO
58.
26.
59.

16. REMARKS

15. TOTAL

G. Prepared By

H. Date

I. Approved By

J. Date

CONTRACT DATA REQUIREMENTS LIST
Form Approved

OMB No. 0704-0188

Public reporting burden for this collection information is estimated to average 440 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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204 Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing Contracting Officer for the contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

ITEM 0001

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X .

D. SYSTEM/ITEM

Security Forces Qualification and Certification Management software tool

E. CONTRACT/PR NO:

114EWBILL

F. CONTRACTOR:

TBD

17.

price group

)1. DATA ITEM NO

A009

2. TITLE OF DATA ITEM

Test & Evaluation Master Plan (TEMP)

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

SOW PARA 1.5.1

6. REQUIRING OFFICE

SP321

18.

E stimated total price

)7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

150 DAC

14. DISTRIBUTION

9.
13.
14.
60.

b. COPIES

8. APP CODE

A

61.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
62.
27.
63.
REQ
REPRO
64.
28.
65.
SP3216

16. REMARKS

Block 16: Submittal shall be in electronic format.

SP3143

15. TOTAL

17.

price group

)1. DATA ITEM NO

A010

2. TITLE OF DATA ITEM

Software Test Plan (STP)

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-IPSC-81438A

5. CONTRACT REFERENCE

SOW PARA 1.5.1

6. REQUIRING OFFICE

SP321

18.

estimated total price

)7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

9.
13.
14.
66.

b. COPIES

8. APP CODE

A

67.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
68.
29.
69.
REQ
REPRO
70.
30.
71.
SP3216

16. REMARKS

BLOCK 12: 90 DAYS PRIOR TO TEST.

Block 16: Submittal shall be in electronic format.

SP3143

15 TOTAL

rice group

)1. DATA ITEM NO

A011

2. TITLE OF DATA ITEM

NOT USED

3. SUBTITLE

E stimated total price )4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

19.
20.
21.
72.

b. COPIES

8. APP CODE

73.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
74.
31.
75.
REQ
REPRO
76.
32.
77.

16. REMARKS

15. TOTAL

price group

)1. DATA ITEM NO

A012

2. TITLE OF DATA ITEM

Software Test Reports (STRs)

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-IPSC-81440A

5. CONTRACT REFERENCE

SOW PARA 1.5.1

6. REQUIRING OFFICE

estimated total price

)7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ASGEN

12. DATE OF FIRST SUBMISSION

45DATC

14. DISTRIBUTION

22.
23.
24.
78.

b. COPIES

8. APP CODE

N/A

79.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
80.
33.
81.
REQ
REPRO
82.
34.
83.

16. REMARKS

Block 10: Dependant on number of tests performed.

Block 16: Submittal shall be in electronic format.

SP3216

SP3143

15. TOTAL

G. Prepared By

H. Date

I. Approved By

J. Date

CONTRACT DATA REQUIREMENTS LIST
Form Approved

OMB No. 0704-0188

Public reporting burden for this collection information is estimated to average 440 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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204 Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing Contracting Officer for the contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

ITEM 0001

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X .

D. SYSTEM/ITEM

Security Forces Qualification and Certification Management software tool

E. CONTRACT/PR NO:

114EWBILL

F. CONTRACTOR:

TBD

17.

price group

)1. DATA ITEM NO

A013

2. TITLE OF DATA ITEM

Training Plan

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81637

5. CONTRACT REFERENCE

SOW PARA 1.6

6. REQUIRING OFFICE

SP321

18.

E stimated total price

)7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

165DAC

14. DISTRIBUTION

10.
15.
16.
84.

b. COPIES

8. APP CODE

A

85.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
86.
35.
87.
REQ
REPRO
88.
36.
89.

16. REMARKS

SP3143

SWFPAC

SWFLANT

15. TOTAL

17.

price group

)1. DATA ITEM NO

A014

2. TITLE OF DATA ITEM

Training Course Materials

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

MIL-PRF-29612

5. CONTRACT REFERENCE

SOW PARA 1.6.3

6. REQUIRING OFFICE

SP321

18.

estimated total price

)7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

165DAC

14. DISTRIBUTION

10.
15.
16.
90.

b. COPIES

8. APP CODE

A

91.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
92.
37.
93.
REQ
REPRO
94.
38.
95.

16. REMARKS

SP3143

SWFPAC

SWFLANT

15 TOTAL

17. P rice group

)1. DATA ITEM NO

A015

2. TITLE OF DATA ITEM

Software Development Plan (SDP)

3. SUBTITLE

N/A

18.

E stimated total price )4. AUTHORITY (Data Acquisition Document No.)

DI-IPSC-81427A

5. CONTRACT REFERENCE

SOW PARA 1.8.1

6. REQUIRING OFFICE

SP321

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

25.
26.
27.
96.

b. COPIES

8. APP CODE

A

97.
11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

SEE BLOCK 16

DRAFT
FINAL
98.
39.
99.
REQ
REPRO
100.
40.
101.

16. REMARKS

Block 8. Government comments/approval will be provided within 14 days after receipt.

Block 13. If required, resubmit within 30 days after receipt of Government comments. Review cycles will continue until SSP concurs with the document content.

Block 16: Submittal shall be in electronic format.

SP3216

SP3143

15. TOTAL

17 .

price group

)1. DATA ITEM NO

A016

2. TITLE OF DATA ITEM

Software Requirements Specifications (SRS)

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-IPSC-81433A

5. CONTRACT REFERENCE

SOW PARA 1.8.1

6. REQUIRING OFFICE

estimated total price

)7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

28.
29.
30.
102.

b. COPIES

8. APP CODE

A

103.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
104.
41.
105.
REQ
REPRO
106.
42.
107.

16. REMARKS

SP3216

SP3143

15. TOTAL

G. Prepared By

H. Date

I. Approved By

J. Date

CONTRACT DATA REQUIREMENTS LIST
Form Approved

OMB No. 0704-0188

Public reporting burden for this collection information is estimated to average 440 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 information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204 Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government issuing Contracting Officer for the contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

ITEM 0001

B. EXHIBIT

A

C. CATEGORY

TDP TM OTHER X .

D. SYSTEM/ITEM

Security Forces Qualification and Certification Management software tool

E. CONTRACT/PR NO:

114EWBILL

F. CONTRACTOR:

TBD

17.

price group

)1. DATA ITEM NO

A017

2. TITLE OF DATA ITEM

Software Design Description (SDD)

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-IPSC-81435A

5. CONTRACT REFERENCE

SOW PARA 1.8.1

6. REQUIRING OFFICE

SP321

18.

E stimated total price

)7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

11.
17.
18.
108.

b. COPIES

8. APP CODE

A

109.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
110.
43.
111.
REQ
REPRO
112.
44.
113.

16. REMARKS

SP3216

SP3143

15. TOTAL

17.

price group

)1. DATA ITEM NO

A018

2. TITLE OF DATA ITEM

Requirements Traceability Verification Matrix (RTVM)

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81283

5. CONTRACT REFERENCE

SOW PARA 1.8.1

6. REQUIRING OFFICE

SP321

18.

estimated total price

)7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

11.
17.
18.
114.

b. COPIES

8. APP CODE

A

115.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
116.
45.
117.
REQ
REPRO
118.
46.
119.

16. REMARKS

SP3216

SP3143

15 TOTAL

17. P rice group

)1. DATA ITEM NO

A019

2. TITLE OF DATA ITEM

Software Installation Plan (SIP)

3. SUBTITLE

N/A

18.

E stimated total price )4. AUTHORITY (Data Acquisition Document No.)

DI-IPSC-81428

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

7. DD 250 REQ

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

31.
32.
33.
120.

b. COPIES

8. APP CODE

A

121.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
122.
47.
123.
REQ
REPRO
124.
48.
125.

16. REMARKS

SP3216

SP3143

15. TOTAL

17 .

price group

)1. DATA ITEM NO

A020

2. TITLE OF DATA ITEM

Software Transition Plan (STrP)

3. SUBTITLE

N/A

4. AUTHORITY (Data Acquisition Document No.)

DI-IPSC-81429

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

estimated total price

)7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

FOUO

10. FREQUENCY

ONE/R

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

34.
35.
36.
126.

b. COPIES

8. APP CODE

A

127.
11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

DRAFT
FINAL
128.
49.
129.
REQ
REPRO
130.
50.
131.

16. REMARKS

SP3216

SP3143

15. TOTAL

G. Prepared By

H. Date

I. Approved By

J. Date

DD Form 1423, JUN 90 Previous Editions are obsolete Page5 of 5

File details come from the government source that posted it. Updated .