DRAFT_EPTS_Exhibit_A_CDRLs_and_Annexes.xls

XLS spreadsheet 980 KB Posted Sep 30, 2015

Attached to: Engineering Products and Technical Services
Solicitation number: N00421-15-R-0009
Issued by: Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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Draft Engineering Products and Technical Services Exhibit A Contracts Data Requirements List (CDRLs)

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Other files

File	Type	Posted
EPTS_Questions_amendment_3_N00421.docx	DOCX document	Nov 16, 2015
Amendment_3_mod_0004_N00421-15-R-0009.docx	DOCX document	Nov 16, 2015
N00421-15-R-0009__0003.docx	DOCX document	Nov 3, 2015
EPTS_N00421-15-D-0009_Response_to_Questions_110315.docx	DOCX document	Nov 3, 2015
EPTS_Response_to_Question.docx	DOCX document	Oct 15, 2015
N00421-15-D-0009_0001.docx	DOCX document	Oct 13, 2015
Attachment_P5-_Past_Performance_Questionnaire.doc	DOC document	Oct 13, 2015
WD_05-2057.pdf	PDF	Oct 13, 2015
Attachment_1_-QASP.docx	DOCX document	Oct 13, 2015
Attachment_5-_ScheduledGovernmentFurnishedPropertryFORM.pdf	PDF	Oct 13, 2015
Attachment_P7-Subcontractor_CLIN_Breakout.xls	XLS spreadsheet	Oct 13, 2015
Exhibit_A_CDRLs_and_Annexes_.xls	XLS spreadsheet	Oct 13, 2015
RFP_N00421-15-D-0009.docx	DOCX document	Oct 13, 2015
Attachment_P6-CLIN_Breakout_Spreadsheet.xls	XLS spreadsheet	Oct 13, 2015
Attachment_3-_DD254_temp.doc	DOC document	Oct 13, 2015
Attachment_6-_RequisitionedGovernmentFurnishedPropertyFORM.pdf	PDF	Oct 13, 2015
Attachment_2-_OCI_List.doc	DOC document	Oct 13, 2015
WD_05-3033.pdf	PDF	Oct 13, 2015
WD_05-2103.pdf	PDF	Oct 13, 2015
WD_05-2543.pdf	PDF	Oct 13, 2015
Attachment_4-_Data_Transmittal_Form.doc	DOC document	Oct 13, 2015
Attachment_7-List_of_Applicable_Wage_Determinations.pdf	PDF	Oct 13, 2015
EPTS_Advance_Notice_questions.docx	DOCX document	Oct 6, 2015
DRAFT_RFP_EPTS_N00421-15-D-0009.docx	DOCX document	Sep 30, 2015

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A001

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A001	Acceptance Test Plans/Procedures
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
See Block 16			SOW Para. 3.1.1.a			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 4 - Submit in contractor format using NAVAIRINST 3960.4 Project Test Plan Policy and Guide for Testing						See Block 16
Air Vehicles, Air Vehicle Weapons, and Air Vehicle Installed Systems for guidance
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit within 30 working days prior to scheduled testing.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							1	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183							Attachment E

DRAFT

A002

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A002	Preparation of Test Report				Test Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
See Block 16			SOW Para. 3.1.1.b, 3.1.1.d, 3.1.1.f , 3.5.1.1.d, 3.5.2.1.b , 3.8.1.e			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 4 - Contractor format acceptable. Use MIL-HDBK-831A Note 1, Preparation of Test Reports, for
guidance.
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).						See Block 16
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit within 15 working days after completion of testing.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							2	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A003

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A003	Test Plans/Test Procedures
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
DI-SESS-81704			SOW Para. 3.1.1.c, 3.1.1.e, 3.5.1.1.d, 3.6.1.c, 3.8.1.b			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).						See Block 16
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit within 30 working days before test is scheduled to be performed.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							3	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A004

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A004	Certification/Verification Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
See Block 16			SOW Para. 3.2.1.1			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 4 - Submit using the Government format shown in Annex 1						See Block 16
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit within 10 working days after completion of certification/verification.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							4	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A005

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A005	Certification/Verification Manual
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
See Block 16			SOW Para. 3.2.1.1			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 4 - The Government will provide the Contractor with the Certification Manuals to complete.						See Block 16
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit within 10 working days after completion of a certification.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							5	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A006

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A006	Maintenance Action Form (MAF) Status Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
Contractor Format			SOW Para. 3.2.1.1, 3.2.2.1, 3.2.3.1			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		MTHLY		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).						See Block 16
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit by the 10th working day of each month.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							6	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A007

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A007	Scientific and Technical Reports				Recommendations Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
DI-MISC-80711A			SOW Para. 3.2.1.1, 3.2.4.1.i, 3.3.1.1.a/b/c/e/f/g, 3.3.2.1.a/b/c/e/h, 3.4.1.1.a, 3.4.2.1.a, 3.5.1.1, 3.5.1.1.a/c/g, 3.5.2.1.a, 3.6.1.a, 3.7.1, 3.9.1, 3.9.2			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).						See Block 16
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit by10 working days after identifying a recommendation.
For Rapid Response tasking ( PBSOW paragraph 3.9.1) submit within 48 hours.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							7	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A008

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A008	Data Information Form
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
See Block 16			SOW Para. 3.2.2.1, 3.2.3.1, 3.5.1.1.			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 4 - Submit using the Government format provided in Annex 2.						See Block 16
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit 20 working days after travel, test completion and field changes.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							8	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A009

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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.
CONTRACTS DATA REQUIREMENTS LIST		B. EXHIBIT		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A009	Status Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
DI-MGMT-80368A			SOW Para. 3.2.3.1.a			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		Weekly		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).						See Block 16
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 11, 12, & 13 - Submit on the second working day after the end of each week
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							9	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A010

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A010	Field Change Installation Program (FCIP) Form
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
See Block 16			SOW Para. 3.2.3.1.d, 3.5.1.1.h			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 4 - Submit using the Government format in Annex 3						See Block 16
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit NLT 10 working days after a field change installation.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							10	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A011

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A011	Parts Inventory Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
See Block 16			SOW Para. 3.2.4.1.a			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		QTRLY		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 4 - Submit using Government format in Annex 4						See Block 16
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 11, 12, & 13 - Submit NLT 10 working days after the end of each month.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							11	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A012

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A012	Payback Status Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
See Block 16			SOW Para. 3.2.4.1.f			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		QTRLY		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 4 - Submit using the Government format shown in Annex 5.						See Block 16
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 11, 12, & 13 - Submit within 10 working days after the end of each quarter.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							12	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A013

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A013	Engineering Drawings				Installation Control Drawings
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
DI-DRPR-80651			SOW Para. 3.3.1.1.d			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).						See Block 16
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit within 30 working days after approved system changes/upgrades.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							13	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A014

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A014	Status Report				Landing Data Summary Report
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
See Block 16			SOW Para. 3.3.1.1.h			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		QTRLY		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 4 - Submit using the Government format shown in Annex 6.						See Block 16
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 11, 12, & 13 - Submit witihin 30 working days after the end of each quarter.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							14	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A015

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A015	Planned Maintenance System (PMS)/ Mainteance
	Requirements Card (MRC)
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
DI-MNTY-80991A			SOW Para. 3.3.1.1.i, 3.3.2.1.f			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).						See Block 16
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit within10 working days after approved system change/upgrade.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							15	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A016

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A016	Planned Maintenance System (PMS)/Maintenance Index
	Page (MIP)
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
DI-MNTY-80992A			SOW Para. 3.3.1.1.i, 3.3.2.1.f			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).						See Block 16
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit within 10 working days after approved system change/upgrade.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							16	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A017

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A017	Navy Training Systems Plan
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
See Block 16			SOW Para. 3.3.2.1.d			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 4 - Contractor format acceptable using OPNAVINST 1500.76A Naval Training Systems Requirements,						See Block 16
Acquisition, and Management for guidance.
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit within 30 working days after installation/certification or ECP implementation.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							17	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A018

A. CONTRACT LINE ITEM NO.					Form Approved
(1 Data Item)					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 Highway,
Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D.C. 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		C. CATEGORY:
		A		TDP	TM		OTHER		X
D. SYSTEM/ITEM			E. CONTRACT/PR NO.		F. CONTRACTOR
Air Traffic Control and Landing Systems			N00421-15-R-0009		TBD
1. DATA ITEM NO.	2. TITLE OF DATA ITEM				3. SUBTITLE
A018	Logistics Support Status Report				Integrated Logistics Support Plan (ILSP)
4. AUTHORITY (Data Acquisition Document No.)			5. CONTRACT REFERENCE			6. REQUIRING OFFICE
DI-ILSS-80525			SOW Para. 3.3.2.1.d			NAWCAD 4.11.7.1
7. DD 250 REQ	9.DIST STATEMENT	10. FREQUENCY		12. DATE OF FIRST SUBMISSION		14. DISTRIBUTION
	REQUIRED						b. COPIES
XX		See Block 16		See Block 16
8. APP CODE	D	11. AS OF DATE		13. DATE OF SUBSEQUENT SUBMISSION		a. ADDRESSEE	Draft	Final
N/A		See Block 16		See Block 16				Reg	Repro
16. REMARKS						NAWCAD 4.11.7.1	0	1	0
Block 7 - Acceptance will be by the COR via the Data Item Transmittal/Acceptance Rejection Form (Attachment X).						See Block 16
If this form has not been transmitted within 30 days of transmission of CDRL, the CDRL is considered accepted.
Blocks 10, 11, 12, & 13 - Submit within 30 working days after installation/certification or ECP implementation.
Block 14 - Deliverables to be provided in electronic format (Microsoft 2003 or greater).
Hard copy due only upon request.
Block 14 Address:
Department of the Navy
Commander, NAVAIRWARCENACDIV
ATTN: Code 4.11.7.1 Bldg 8271
17454 Webster Field Road
St. Inigoes, MD 20684-4012
							0	1	0
						15. TOTAL	J. DATE
G. PREPARED BY			H. DATE	I. APPROVED BY
							18	of	49
DD Form 1423-1, JUN 90			Previous editions are obsolete			Page
1007/183

DRAFT

A019

CONTRACTS DATA REQUIREMENTS LIST					Form Approved
(1 Data Item)					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

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