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CONTRACT 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 thus burden estimate or any other aspect of this collection o f 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 |
| C. CATEGORY: |
TM
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Air ASW Systems |
| N00421-16-R-0005 |
TBD
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| Contractor’s Progress, Status, and Management Report |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-80227 |
| SOW Para 7.0 |
| PMA-264 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
b. COPIES
| 8. APP CODE |
| D (See Block 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
N/A
| 16. REMARKS |
| See Block 16 |
| 0 |
| 1 |
| 0 |
Block 4: Contractor format is acceptable.
Block 9: Distribution authorized to the Department of Defense (DoD) and U.S. DoD contractors (Critical Technology) (11 Sep 2013). Other U.S. requests shall be referred to Program Executive Officer (Air), PMA-264, Naval Air Systems Command, 47123 Buse Road, Bldg. 2272, Suite 146, Patuxent River, MD 20670-1547.
Block 13: Subsequent submissions due 10 days after the end of the month.
Block 14:
Deliver in Adobe Acrobat .pdf format to the TPOC.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Requiring Office
15 May 2015
Requiring Office Approver
15 May 2015
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 1 |
| of |
| 3 |
| Pages |
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 thus burden estimate or any other aspect of this collection o f 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 |
| C. CATEGORY: |
TM
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Air ASW Systems |
| N00421-16-R-0005 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A002 |
| Operations Security (OPSEC) Plan |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-80934 |
| SOW Para 7.0 |
| PMA-264 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| See Block 16 |
| See Block 16 |
b. COPIES
| 8. APP CODE |
| D (See Block 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
N/A
| See Block 16 |
| See Block 16 |
| 16. REMARKS |
| See Block 16 |
| 0 |
| 1 |
| 0 |
Block 4: Delete references in DI-MGMT-80934; instead use the definition of sensitive information given in Public Law 100-235, use National Security Decision Directive 298 for the concept of Operations Security.
Block 9: Distribution authorized to the Department of Defense (DoD) and U.S. DoD contractors (Critical Technology) (11 Sep 2013). Other U.S. requests shall be referred to Program Executive Officer (Air), PMA-264, Naval Air Systems Command, 47123 Buse Road, Bldg. 2272, Suite 146, Patuxent River, MD 20670-1547.
Blocks 10, 11, 12, and 13: Preliminary draft OPSEC Plan due 90 days after award. Final plan due 45 days after Government approval (PMA-264) of draft. Revisions as required after approval of final plan only to comply with Government Data Protection Policy Documents revisions.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Requiring Office Approver
15 May 2015
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 2 |
| of |
| 3 |
| Pages |
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 thus burden estimate or any other aspect of this collection o f 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 |
| C. CATEGORY: |
TM
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
| Air ASW Systems |
| N00421-16-R-0005 |
| TBD |
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A003 |
| Program Protection Implementation Plan (PPIP) |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-ADMN-81306 |
| SOW Para 7.0 |
| PMA-264 |
| 7. DD 250 REQ |
| 9. DIST STATEMENT REQUIRED |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
LT
| See Block 16 |
| See Block 16 |
b. COPIES
| 8. APP CODE |
| D (See Block 16) |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT SUBMISSION |
| a. ADDRESSEE |
| DRAFT |
| FINAL |
N/A
| See Block 16 |
| See Block 16 |
| 16. REMARKS |
| See Block 16 |
| 0 |
| 1 |
| 0 |
Block 9: Distribution authorized to the Department of Defense (DoD) and U.S. DoD contractors (Critical Technology) (11 Sep 2013). Other U.S. requests shall be referred to Program Executive Officer (Air), PMA-264, Naval Air Systems Command, 47123 Buse Road, Bldg. 2272, Suite 146, Patuxent River, MD 20670-1547.
Blocks 10, 11, 12, and 13: Preliminary draft PPIP due 90 days after award. Final plan due 45 days after Government approval (PMA-264) of draft. Revisions as required after approval of final plan only to comply with Government Data Protection Policy Documents revisions.
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Requiring Office Approver
15 May 2015
| DD FORM 1423-1, JUN 90 (EG) |
| Previous editions are obsolete |
| Page |
| 3 |
| of |
| 3 |
| Pages |