Exhibit_A_Contract_Data_Requirements_List.pdf
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ATTACHMENT J.1
TABLE OF CONTENTS MATRIX
EXHIBITS A, B & C
CDRL DID NO. TITLE OF DID (SUBTITLE) CONTRACT REFERENCE
Exhibit A
A001 DI-MGMT-81797 PROGRAM MANAGEMENT PLAN SOW PARA 3.1
A002 DI-MGMT-81861A INTEGRATED PROGRAM
MANAGEMENT REPORT (IPMR)
SOW PARAs 3.1, 3.1.2, 3.1.3, 3.1.5, 3.1.6, 3.7, 3.7.5.4
A003 DI-MGMT-81864 CONTRACTING OFFICER'S
MANAGEMENT REPORT
SOW PARAs 3.1, 3.1.7, 3.1.8, 3.2.5, 3.3.10, 3.4.3.7, 3.7, 3.7.4.4
A004 DI-ADMN-81249A CONFERENCE AGENDA SOW PARAs 3.1.3, & 3.7.5.4
A005 DI-ADMN-81250A CONFERENCE MINUTES SOW PARAs 3.1.3, 3.5.4 &, 3.7.5.4
A006 DI-ADMN-81373 PRESENTATION MATERIAL SOW PARAs 3.1, 3.1.3, 3.3.10, & 3.7.5.4
A007 DI-MGMT-81334D CONTRACT WORK BREAKDOWN
STRUCTURE SOW PARA 3.1.4
A008 DI-MGMT-80368A STATUS REPORT (CONTRACT CDRL
DELIVERY STATUS) SOW PARA 3.1.9
A009 DI-FNCL-81116 MANHOUR ESTIMATE, TECHNICAL
COST PROPOSALS SOW PARA 3.1.10
A010 DI-MISC-80508B
TECHNICAL REPORT –
STUDY/SERVICES (END OF CONTRACT
TRANSITION PLAN)
SOW PARA 3.1.11
A011 DI-MISC-80508B
TECHNICAL REPORT-
STUDIES/SERVICES (ENGINEERING
STUDIES AND INVESTIGATIONS)
SOW PARA 3.2.1
A012 DI-MISC-80711A
SCIENTIFIC AND TECHNICAL REPORTS
(OPEN ARCHITECTURE ASSESSMENT
TOOL)
SOW PARA 3.2.2.9
A013 DI-MISC-80508B
TECHNICAL REPORT –
STUDIES/SERVICES MATERIAL SAFETY
DATA SHEETS
SOW PARA 3.2.5.2
A014 DI-IPSC-81448B FIRMWARE SUPPORT MANUAL (FSM) SOW PARA 3.3.5.1
A015 DI-NDTI-81284 TEST AND EVALUATION PROGRAM
PLAN (TEPP) SOW PARA 3.3.7.1
A016 DI-SESS-81704
TEST PLANS/TEST PROCEDURES
(PRODUCTION ACCEPTANCE TEST
(PAT) PROCEDURES)
SOW PARAs 3.3.5,
3.3.7.1 &, 3.3.7.5
A017 DI-NDTI-80809B
TEST PLANS/TEST PROCEDURES
(ENVIRONMENTAL QUALIFICATION
TEST (EQT) REPORT)
SOW PARA 3.3.7.4
A018 DI-SESS-80858C CONTRACTOR’S CONFIGURATION
MANAGEMENT PLAN SOW PARA 3.4
A019 DI-SESS-81121A BASELINE DESCRIPTION DOCUMENT SOW PARA 3.4.2
A020 DI-SESS-80639D
ENGINEERING CHANGE PROPOSAL
(ECP): CLASS I AND CLASS II
(PRELIMINARY/FINAL)
SOW PARA 3.4.3.2
A021 DI-SESS-80643D SPECIFICATION CHANGE NOTICE
(SCN) SOW PARA 3.4.3.4
A022 DI-SESS-80640D REQUEST FOR VARIANCE (RFV) SOW PARA 3.4.3.5
A023 DI-CMAN-81516 AS BUILT CONFIGURATION LIST
(ABCL) SOW PARA 3.4.3.6
A024 DI-SESS-81253B
CONFIGURATION STATUS
ACCOUNTING INFORMATION (CSA
DATABASE)
SOW PARA 3.4.3.7
A025 DI-SESS-81613A
SSDS TI-16 RELIABILITY AND
MAINTAINABILITY (R&M) PROGRAM
PLAN
SOW PARA 3.5.1
A026 DI-SESS-81497A
RELIABILITY PREDICTION AND
DOCUMENTATION OF SUPPORTING
DATA
SOW PARA 3.5.2.3
A027 DI-SESS-80255A FAILURE SUMMARY AND ANALYSIS
REPORT
SOW PARAs 3.5.3.4 & 3.6.3
A028 DI-MISC-80508B
TECHNICAL REPORT –
STUDIES/SERVICES (CORRECTIVE
ACTION SUMMARY REPORT (CASR))
SOW PARA 3.5.3.4
A029 DI-NDTI-80809B
TEST/INSPECTION REPORT
(PRODUCTION ACCEPTANCE TEST
(PAT) AND SYSTEM BURN-IN TEST
(SBT)
SOW PARA 3.6.3
A030 DI-ILSS-80868 SPECIAL EQUPIMENT TOOLS AND
TEST EQUIPMENT LIST SOW PARA 3.6.5
A031 DI-MGMT-81949
DIMINISHING MANUFACTURING
SOURCES AND MATERIAL SHORTAGES
(DMSMS) IMPLEMENTATION PLAN
SOW PARA 3.6.6
A032 DI-MISC-80508B
TECHNICAL REPORT –
STUDY/SERVICES (PRODUCT RECALL,
DMSMS, OBSOLESCENCE
IDENTIFICATION AND VENDOR
CHANGE NOTICES)
SOW PARA 3.6.6.1
A033 DI-MGMT-81900
DIMINISHING MANUFACTURING
SOURCES AND MATERIAL SHORTAGES
(DMSMS) (HEALTH ANALYSIS REPORT)
SOW PARA 3.6.6.1
A034 DI-MISC-80711A
SCIENTIFIC AND TECHNICAL REPORTS
(MAINTENANCE TASK ANALYSIS
(MTA))
SOW PARA 3.7.3
A035 DI-PSSS-81872A LEVEL OF REPAIR ANALYSIS (LORA)
REPORT SOW PARA 3.7.3
A036 DI-SESS-80994A
RELIABILITY CENTERED
MAINTENANCE (RCM) FUNCTIONAL
BLOCK DIAGRAM (FBD)
SOW PARA 3.7.3
A037 DI-SESS-80979A
RELIABILITY CENTERED
MAINTENANCE (RCM) MASTER
SYSTEM AND SUBSYSTEM INDEX
(MSSI)
SOW PARA 3.7.3
A038 DI-SESS-80981A
RELIABILITY CENTERED
MAINTENANCE (RCM) FUNCTIONAL
FAILURE ANALYSIS (FFA) REPORT
SOW PARA 3.7.3
A039 DI-SESS-80983A
RELIABILITY CENTERED
MAINTENANCE (RCM) ADDITIONAL
FUNCTIONALLY SIGNIFICANT ITEM
(AFSI) SELECTION REPORT
SOW PARA 3.7.3
A040 DI-SESS-80982A
RELIABILITY CENTERED
MAINTENANCE (RCM) FUNCTIONALLY
SIGNIFICANT ITEM (FSI) INDEX
SOW PARA 3.7.3
A041 DI-SESS-80980A RELIABILITY CENTERED SOW PARA 3.7.3
MAINTENANCE (RCM) FAILURE
MODES EFFECTS AND ANALYSIS
(FMEA) REPORT
A042 DI-SESS-80984A
RELIABILITY CENTERED
MAINTENANCE (RCM) LOGIC TREE
ANALYSIS (LTA) WITH SUPPORT
RATIONALE AND JUSTIFICATION
REPORT
SOW PARA 3.7.3
A043 DI-SESS-80985A
RELIABILITY CENTERED
MAINTENANCE (RCM) SERVICING
AND LUBRICATION ANALYSIS (SLA)
REPORT
SOW PARA 3.7.3
A044 DI-SESS-80989A
RELIABILITY CENTERED
MAINTENANCE (RCM) INACTIVE
MAINTENANCE (IEM) REQUIREMENT
ANALYSIS REPORT
SOW PARA 3.7.3
A045 DI-SESS-81829
RELIABILITY CENTERED
MAINTENANCE (RCM) CORRECTIVE
MAINTENANCE (CM) DEVELOPMENT
REPORT
SOW PARA 3.7.3
A046 DI-SESS-80986A
RELIABILITY CENTERED
MAINTENANCE (RCM) MAINTENANCE
REQUIREMENT INDEX (MRI)
SOW PARA 3.7.3
A047 DI-SESS-80988A
RELIABILITY CENTERED
MAINTENANCE (RCM) TASK
DEFINITION REPORT
SOW PARA 3.7.3
A048 DI-SESS-80987A
RELIABILITY CENTERED
MAINTENANCE (RCM) PROCEDURE
VALIDATION REPORT
SOW PARA 3.7.3
A049 DI-SESS-80992A
PLANNED MAINTENANCE SYSTEM
(PMS) MAINTENANCE INDEX PAGE
(MIP)
SOW PARAs 3.7.3 & 3.7.3.1
A050 DI-SESS-80991A
PLANNED MAINTENANCE SYSTEM
(PMS) MAINTENANCE REQUIREMENT
CARD (MRC)
SOW PARAs 3.7.3 & 3.7.3.1
A051 DI-SESS-81518C
INSTRUCTIONAL PERFORMANCE
REQUIREMENTS DOCUMENT
(LEARNING OBJECTIVES
STATEMENTS)
SOW PARA 3.7.4
A052 DI-SESS-81520B
INSTRUCTIONAL MEDIA DESIGN
PACKAGE (COMPUTER BASED
TRAINING (CBT) DESIGN STRATEGY)
SOW PARA 3.7.4
A053 DI-SESS-81526C
INSTRUCTIONAL MEDIA PACKAGE
(ELECTRONIC SCRIPTS,
STORYBOARDS)
SOW PARA 3.7.4
A054 DI-PSSS-81526C INSTRUCTIONAL MEDIA PACKAGE
(ON-SCREEN LESSONS) SOW PARA 3.7.4
A055 DI-SESS-81520B
INSTRUCTIONAL MEDIA DESIGN
PACKAGE (TRAINING PACKAGES AND
SOURCE DATA)
SOW PARA 3.7.4
A056 DI-PSSS-81524C TRAINING EVALUATION DOCUMENT SOW PARA 3.7.4
A057 DI-ILSS-80872 TRAINING MATERIALS (LESSON PLANS
AND TRAINING GUIDES) SOW PARA 3.7.4
A058 DI-PACK-80455
PACKAGING PLAN (PACKING,
HANDLING, STORAGE AND
TRANSPORTATION (PHS&T) PLAN)
SOW PARA 3.7.5.5
A059 DI-SESS-81619 INSTALLATION AND CHECKOUT
(INCO) SPARES LISTING SOW PARA 3.7.5.6
A060 DI-MGMT-81804A
ITEM UNIQUE IDENTIFICATION (IUID)
MARKING ACTIVITY, VALIDATION
AND VERIFICATION REPORT
SOW PARA 3.7.5.7
Exhibit B
B001 DI-SESS-80776A TECHNICAL DATA PACKAGE (TDP) SOW PARA 3.3.9
B002 DI-DRPR-81242 INSTALLATION CONTROL DRAWINGS SOW PARA 3.3.9 &
3.3.9.1
B003 DI-SESS-81248B INTERFACE CONTROL DOCUMENT
(ICD)
SOW PARA 3.3.9 &
3.3.9.2
Exhibit C
C001 TMCR-SNIPP-130015-000 TECHNICAL MANUAL (ELECTRONIC
TECHNICAL MANUALS (ETM)
DRAFT/PRELIMINARY/FINAL)
SOW PARA 3.7.5.1
C002 DI-TMSS-81812 TECHNICAL MANUAL SCHEDULES
AND STATUS REPORT
SOW PARA 3.7.5.1
C003 DI-TMSS-81811 TECHNICAL MANUAL COST REPORT SOW PARA 3.7.5.1
C004 DI-TMSS-81819A TECHNICAL MANUAL VALIDATION
CERTIFICATE
SOW PARA 3.7.5.1
C005 DI-TMSS-81821 TECHNICAL MANUAL VERIFICATION
INCORPORATION CERTIFICATE
SOW PARA 3.7.5.1
C006 DI-MISC-80711A SCIENTIFIC AND TECHNICAL REPORTS
CORRECTIVE MAINTENANCE
EXERCISES (CMEs)
SOW PARA 3.7.5.2
N00178-16-R-3001 Exhibit A
CONTRACT DATA REQUIREMENTS LIST
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit A
C. Category
TDP TM OTHER X - MGMT
D. System / Item
SSDS MK 2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A001
2. Title of Data Item
PROGRAM MANAGEMENT PLAN
3. Subtitle N/A
4. Authority (Data Acquisition Document No.)
DI-MGMT-81797 (SEE BLK 16)
5. Contract Reference
SOW PARA. 3.1
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
9. Dist Statement Required
D
(SEE BLK 16)
10. Frequency
OTIME
12. Date of First Submission
45 DAC
14. Distribution
a. Addressee b. Copies
8. App Code
A (SEE BLK 16)
11. As Of Date N/A
13. Date of Subsequent Submission N/A
Draft Final
Reg Repro
16. Remarks BLK 4: Contractor's format is acceptable.
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes.
BLK 8: Approval will be for technical content only. The Government will provide approval or review comments with
45 calendar days after receipt. Final copy reflecting review comments or revisions due 30 calendar days after receipt of comments.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 14 December 2015. Other requests shall be referred to:
Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.
BLK 14: Electronic Media: First choice for electronic delivery is Microsoft 2010 application (or earlier) file uploaded to the government’s specified website. Second choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier) format. Third choice is by compact disc with data in Microsoft 2010 applications (or earlier). When using the third method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the third method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of- Contact and Responsibilities.
CDSA DN (TA) 1 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWCDD KO 0 1 0
NSWCDD K SPEC 1 0 1
SEE BLK 16
15. TOTAL ════> 2 1 4
G. Prepared by
Michael J Mountain H. Date
L. Approved by
Patricia A. Honosky, DM J. Date
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 60 Pages
1007 / 183 michael.mountain Typewritten Text
16 DEC 15
patricia.honosky Typewritten Text patricia.honosky Typewritten Text patricia.honosky Typewritten Text
17 DEC 15
patricia.honosky Typewritten Text patricia.honosky Typewritten Text patricia.honosky Typewritten Text patricia.honosky Typewritten Text
CONTRACT DATA REQUIREMENTS LIST
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit
A C. Category
TDP TM OTHER X - MGMT
D. System / Item
SSDS MK2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A002
2. Title of Data Item
INTEGRATED PROGRAM MANAGEMENT REPORT (IPMR)
3. Subtitle
N/A
4. Authority (Data Acquisition Document No.)
DI-MGMT-81861A
5. Contract Reference SOW PARAs 3.1, 3.1.2, 3.1.3, 3.1.5, 3.1.6, 3.7, 3.7.5.4
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
10. Frequency
MTHLY
12. Date of First Submission
90 DAC
14. Distribution
a. Addressee b. Copies
8. App Code N/A
11. As Of Date
13. Date of Subsequent Submission
SEE BLK 16
Draft Final
Reg Repro
16. Remarks BLK 4: Contractor's format is acceptable. Format 5 is applicable.
BLK 7: Letter of transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S.
DoD contractors only; Administrative or Operational Use; 14 December 2015. Other requests shall be referred to: Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.
BLK 11: Close of contractor’s accounting period
BLK 13: Subsequent submissions due 5 calendar days after close of contractor’s accounting period.
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 0 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWCDD KO 0 1 0
NSWCDD K SPEC 0 0 1
15. TOTAL ════> 0 1 4
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 60 Pages michael.mountain
16 DEC 15
michael.mountain Typewritten Text michael.mountain Typewritten Text michael.mountain Typewritten Text patricia.honosky
17 DEC 15
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit A
C. Category
TDP TM OTHER X - MGMT
D. System / Item
SSDS MK 2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A003
2. Title of Data Item
CONTRACTING OFFICER'S MANAGEMENT REPORT
3. Subtitle N/A
DI-MGMT-81864 (SEE BLK 16)
5. Contract Reference
SOW PARA. 3.1, 3.1.7, 3.1.8, 3.2.5,
3.3.10, 3.4.3.7, 3.7, 3.7.4.4
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT
10. Frequency
ASREQ
12. Date of First Submission
SEE BLK 16
14. Distribution
a. Addressee b. Copies
8. App Code N/A
11. As Of Date
SEE BLK 16
13. Date of Subsequent Submission
SEE BLK 16
Draft Final
Reg Repro
16. Remarks BLK 4: DID is tailored as follows: Delete the first sentence of Paragraph 10.2.
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 14 December 2015. Other requests shall be referred to:
Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act
(Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.
BLK 11: Close of contractor’s accounting period.
BLK 10/12/13: First and subsequent submissions due 5 calendar days after close of contractor’s accounting period
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 0 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWCDD KO 0 1 0
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 60 Pages
16 DEC 15
patricia.honosky
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit A
C. Category
TDP TM OTHER X - ADMN
D. System / Item
SSDS MK 2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A004
2. Title of Data Item
CONFERENCE AGENDA
3. Subtitle N/A
4. Authority (Data Acquisition Document No.)
DI-ADMN-81249A (SEE BLK 16)
5. Contract Reference SOW PARAs 3.1.3, 3.7.5.4
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
10. Frequency
ASREQ
12. Date of First Submission
SEE BLK 16
14. Distribution
a. Addressee b. Copies
8. App Code N/A
11. As Of Date N/A
13. Date of Subsequent Submission
SEE BLK 16
Draft Final
Reg Repro
BLK 4: Contractor’s format is acceptable.
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S.
DoD contractors only; Administrative or Operational Use; 14 December 2015. Other requests shall be referred to: Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe
BLKS 10/12/13: An agenda shall be submitted 14 calendar days prior to each meeting/review/conference.
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 0 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWCDD KO 0 1 0
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 60 Pages
16 DEC 15
patricia.honosky Typewritten Text patricia.honosky
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit A
C. Category
TDP TM OTHER X - ADMN
D. System / Item
SSDS MK 2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A005
2. Title of Data Item
CONFERENCE MINUTES
3. Subtitle N/A
4. Authority (Data Acquisition Document No.)
DI-ADMN-81250A (SEE BLK 16)
5. Contract Reference SOW PARAs 3.1.3, 3.5.4, 3.7.5.4
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
10. Frequency
ASREQ
12. Date of First Submission
SEE BLK 16
14. Distribution
a. Addressee b. Copies
8. App Code N/A
11. As Of Date N/A
13. Date of Subsequent Submission
SEE BLK 16
Draft Final
Reg Repro
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S.
DoD contractors only; Administrative or Operational Use; 08 May 2015. Other requests shall be referred to: Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.
BLK 10: Minutes shall be submitted for each meeting/review/conference as identified in the SOW
BLKs12/13: Submit NLT 5 calendar days after each meeting/review/conference.
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 0 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWCDD KO 0 1 0
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 5 of 60 Pages
16 DEC 15
patricia.honosky
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit A
C. Category
TDP TM OTHER X - ADMN
D. System / Item
SSDS MK 2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A006
2. Title of Data Item
PRESENTATION MATERIAL
3. Subtitle
DI-ADMN-81373 (SEE BLK 16)
5. Contract Reference SOW PARAs 3.1, 3.1.3, 3.3.10 & 3.7.5.4
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
10. Frequency
ASREQ
12. Date of First Submission
SEE BLK 16
14. Distribution
a. Addressee b. Copies
8. App Code N/A
11. As Of Date N/A
13. Date of Subsequent Submission
SEE BLK 16
Draft Final
Reg Repro
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S.
DoD contractors only; Administrative or Operational Use; 14 December 2015. Other requests shall be referred to: Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.
BLK 10: Presentation Material shall be submitted for each meeting/review/conference as identified in the
SOW
BLKs 12/13: First and subsequent submissions duel NLT 5 calendar days prior to each meeting/review/conference.
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 0 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWCDD KO 0 1 0
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 6 of 60 Pages
16 DEC 15
patricia.honosky
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit A
C. Category
TDP TM OTHER X -MGMT
D. System / Item
SSDS MK 2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A007
2. Title of Data Item
CONTRACT WORK BREAKDOWN STRUCTURE
3. Subtitle N/A
4. Authority (Data Acquisition Document No.)
DI-MGMT-81334D (SEE BLK 16)
5. Contract Reference
SOW PARA. 3.1.4
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
10. Frequency
ONE/R
12. Date of First Submission
30 DAC
14. Distribution
a. Addressee b. Copies
8. App Code N/A
11. As Of Date N/A
13. Date of Subsequent Submission
SEE BLK 16
Draft Final
Reg Repro
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S.
DoD contractors only; Administrative or Operational Use; 08 May 2015. Other requests shall be referred to: Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe
BLKs 10/13: Revise CWBS NLT 30 calendar days after program changes that affect this data item.
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 0 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWCDD KO 0 1 0
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 7 of 60 Pages
16 DEC 15
patricia.honosky
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit
A C. Category
TDP TM OTHER X - MGMT
D. System / Item
SSDS MK 2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A008
2. Title of Data Item
STATUS REPORT
3. Subtitle
CONTRACT CDRL DELIVERY STATUS
4. Authority (Data Acquisition Document No.)
DI-MGMT-80368A (SEE BLK 16)
5. Contract Reference
SOW PARA. 3.1.9
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
10. Frequency
ASREQ
12. Date of First Submission
SEE BLK 16
14. Distribution
a. Addressee b. Copies
8. App Code N/A
11. As Of Date N/A
13. Date of Subsequent Submission
SEE BLK 16
Draft Final
Reg Repro
BLK 4: Contractor’s format is acceptable. Paragraphs 3.2.4 & 3.2.5 only apply
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S.
DoD contractors only; Administrative or Operational Use; 14 December 2015. Other requests shall be referred to: Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe
BLK 13: Report is due NLT 10 calendar days after end of the contractor’s reporting period.
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 0 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWCDD KO 0 1 0
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 8 of 60 Pages
16 DEC 15
patricia.honosky
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit A
C. Category
TDP TM OTHER X - FNCL
D. System / Item
SSDS MK2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A009
2. Title of Data Item
MANHOUR ESTIMATE, TECHNICAL COST PROPOSALS
3. Subtitle N/A
4. Authority (Data Acquisition Document No.)
DI-FNCL-81116 (SEE BLK 16)
5. Contract Reference
SOW PARA.3.1.10
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
10. Frequency
ASREQ
12. Date of First Submission
SEE BLK 16
14. Distribution
a. Addressee b. Copies
8. App Code N/A
11. As Of Date N/A
13. Date of Subsequent Submission
SEE BLK 16
Draft Final
Reg Repro
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S.
DoD contractors only; Administrative or Operational Use; 14 December 2015. Other requests shall be referred to: Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe
BLKs 10/12/13: All submittals shall be 30 calendar days after request is made by CDSA DN COR.
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 0 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWCDD KO 0 1 0
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 9 of 60 Pages michael.mountain Typewritten Text michael.mountain Typewritten Text michael.mountain Typewritten Text michael.mountain Typewritten Text
16 DEC 15
patricia.honosky
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit A
C. Category
TDP TM OTHER X - MISC
D. System / Item
SSDS MK 2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A010
2. Title of Data Item
TECHNICAL REPORT – STUDIES/SERVICES
3. Subtitle
END OF CONTRACT TRANSITION PLAN
4. Authority (Data Acquisition Document No.)
DI-MGMT-80508B
5. Contract Reference
SOW PARA. 3.1.11
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
10. Frequency
ONE/R
12. Date of First Submission
SEE BLK 16
14. Distribution
a. Addressee b. Copies
8. App Code
A (SEE BLK 16)
11. As Of Date N/A
13. Date of Subsequent Submission N/A
Draft Final
Reg Repro
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for
BLK 8: Approval will be for technical content only. A draft copy is due 180 calendar days prior to contract end.
The Government has 30 days to review and provide comments. The contractor has 30 days to provide revisions.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S.
DoD contractors only; Administrative or Operational Use; 14 December 2015. Other requests shall be referred to: Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.
BLKs 10/12: First submission due 120 days prior to contract end. Revisions due 30 days after a change occurs that affect this data item.
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 1 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWC DD KO 0 1 0
NSWC DD CS 1 0 1
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 10 of 60 Pages
16 DEC 15
patricia.honosky Typewritten Text patricia.honosky
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit A
C. Category
TDP TM OTHER X - MISC
D. System / Item
SSDS MK2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A011
2. Title of Data Item
TECHNICAL REPORT – STUDIES/SERVICES
3. Subtitle
ENGINEERING STUDIES AND INVESTIGATIONS
4. Authority (Data Acquisition Document No.)
DI-MISC-80508B (SEE BLK 16)
5. Contract Reference
SOW PARA. 3.2.1
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
10. Frequency
ASREQ
12. Date of First Submission
SEE BLK 16
14. Distribution
a. Addressee b. Copies
8. App Code N/A
11. As Of Date N/A
13. Date of Subsequent Submission
SEE BLK 16
Draft Final
Reg Repro
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S.
DoD contractors only; Administrative or Operational Use; 14 December 2015. Other requests shall be referred to: Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.
BLKs 10/12/13: First and subsequent submissions due 30 calendar days after end of each study/investigation conducted.
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 0 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWC DD KO 0 1 0
NSWC DD CS 0 0 1
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 11 of 60 Pages
16 DEC 15
patricia.honosky
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit A
C. Category
TDP TM OTHER X - MISC
D. System / Item
SSDS MK 2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A012
2. Title of Data Item
SCIENTIFIC AND TECHNICAL REPORTS
3. Subtitle
OPEN ARCHITECTURE ASSESSMENT TOOL
4. Authority (Data Acquisition Document No.)
DI-MISC-80711A (SEE BLK 16)
5. Contract Reference
SOW PARA. 3.2.2.9
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
10. Frequency
ASREQ
12. Date of First Submission
SEE BLK 16
14. Distribution
a. Addressee b. Copies
8. App Code N/A
11. As Of Date N/A
13. Date of Subsequent Submission
SEE BLK 16
Draft Final
Reg Repro
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S.
DoD contractors only; Administrative or Operational Use; 14 December 2015. Other requests shall be referred to: Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of OPNAVINST 5510.161.
BLKs 10/12/13: First and subsequent submissions due 5 calendar days prior to Critical Design Review (CDR) or as directed by the CDSA DN COR.
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 0 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWC DD KO 0 1 0
Michael Mountain
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 12 of 60 Pages
16 DEC 15
patricia.honosky
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and 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.
B. Exhibit A
C. Category
TDP TM OTHER X - MISC
D. System / Item
SSDS MK 2 TI-16 HARDWARE
E. Contract / PR No.
N00178-16-R-3001
F. Contractor
SELECTED PRIME CONTRACTOR
1. Data Item No.
A013
2. Title of Data Item
TECHNICAL REPORT – STUDIES/SERVICES
3. Subtitle
MATERIAL SAFETY DATA SHEETS (MSDS)
4. Authority (Data Acquisition Document No.)
DI-MGMT-80508B (SEE BLK 16)
5. Contract Reference
SOW PARA. 3.2.5
6. Requiring Office
CDSADN/R31
7. DD 250 Req.
LT (SEE BLK 16)
10. Frequency
ASREQ
12. Date of First Submission
SEE BLK 16
14. Distribution
a. Addressee b. Copies
8. App Code N/A
11. As Of Date N/A
13. Date of Subsequent Submission
SEE BLK 16
Draft Final
Reg Repro
16. Remarks
BLK 4: Contractor’s format is acceptable.
BLK 7: Letter of Transmittal shall be via E-mail with notification of file attributes and directory information for retrieval.
BLK 9: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S.
DoD contractors only; Administrative or Operational Use; 14 December 2015. Other requests shall be referred to: Combat Direction Systems Activity (CSDA), ATTN: R30P, 1922 Regulus Ave, Virginia Beach, VA 23461-2097.
WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C. Sec 2751, et seq.) or the Export Administration Act of 1979, as amended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe
BLKs 10/12/13: First and subsequent submissions due whenever hazardous material is used or generated.
BLK 14: Electronic Media: First choice is by electronic mail as an attachment in Microsoft 2010 applications (or earlier). Second choice by compact disc with data in Microsoft 2010 applications (or earlier). When using the second method, each recipient of the distribution receives his/her own separate CD. Unclassified data may be delivered in either format; classified data to be delivered using the second method (portable media) to the contacts listed in Section G, Government Contract Administration Points-of-Contact and Responsibilities.
CDSA DN (TA) 0 0 1
CDSA DN (PL) 0 0 1
CDSA DN (COR) 0 0 1
NSWC DD KO 0 1 0
DD Form 1423-1, JUN 90 Previous editions are obsolete Page 13 of 60 Pages
16 DEC 15
patricia.honosky
( 1 Data Item )
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering…
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