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CDRL A004

Annex (1)

RECOMMENDATIONS REPORT FORMAT

TITLE

I. INTRODUCTION

II. APPLICABLE DOCUMENTS

III. DISCUSSION – EVALUATION/ANALYSIS

IV. CONCLUSION

V. RECOMMENDATIONS

* All deliverables shall include a cover sheet providing the following information:

- Deliverable Title

- Description of Deliverable

- Date

- Prepared for:_________________under Contract Number: _____________

- TDL Number (if applicable)

CDRL A005

Annex (2)

ENGINEERING REPORT FORMAT

I. Introduction shall consist of a narrative statement of the reasons for investigation; make reference to statement of work, technical instructions, other contract direction, previous related submittals and citation of the government authorization. It should also state aims, objectives, probability of solutions or accomplishments, estimated scope of development effort required and technical approach.

II. Discussion shall give detailed discussion of the technical effort or work performed covering procedures, equipment, facilities, data and mathematical computations used (both successful and unsuccessful), and results (both expected and unexpected).

III. Documentation should be made making reference to all related submittals (drawings, intermediate reports, laboratory reports, conference reports and other research sources).

IV. Status of Accomplishments on all assignments including priority or special assignments along with authorized advanced development pursuits. Identify ECPs/DCPs submitted along with their status, findings resulting from studies, investigations terminated, studies recommended and status of implementation. Also include alteration/modification numbers assigned.

V. Tests. Identify tests conducted by request or proposal, required to demonstrate accomplishments reports upon or necessary to collect data for assembly of special reports. List resultant test reports.

VI. Summary. The main report body shall end with a summary which should be a concise, self-explanatory recapitulation of the report.

VII. Conclusion. The report should contain a logical conclusion based on the contractor’s evaluation of data presented in the report when an evaluation is applicable. The conclusion should be concise and based on supporting arguments presented in the body of the report. Content of the conclusion is optional on less formalized reports and is left to the discretion of the contractor.

VIII. Recommendations. The report should contain recommendations, when applicable. The recommendations should be a logical outcome of the conclusions and should provide information necessary for action leading to improvements of a system or the state of the art. Less formalized reports should especially list planned new developments, proposed studies, analysis of report problems, recommended revision of logistics support, modifications and development of engineering change proposals (ECPs).

NAWCAD CONFIGURATION AID FORM

CDRL A007 Configuration Sheet

Ship:

Date:

Data Collected By:

ALTERATION INSTALLED

ALTERATION DESCRIPTION (Circle Answer)

Y N

OVERHAUL STATUS

DATE: BY:

SHIPBOARD TECHNICIANS (Circle #)

UNRESOLVED MAF

MAF NO. DESCRIPTION RESOLVED (Y/N)

NUMBER OF TECHS 0 1 2 3 4

Logistics Form 003, Rev -, April 15, 2005 PAGE 1 of 2

CDRL A007

Annex (3)

NAWCAD CONFIGURATION AID FORM

Ship:

Date:

Data Collected By:

HSC (ESWBS) EIC RIC NOMENCLATURE (RIC) LOCATION SERIAL NUMBER VALIDATED

Instructions: Validate Nomenclature, Location and Serial Number. If information is correct simply initial the "VALIDATED" column. Enter corrections in the spaces below the error. Enter additions at the

CDRL

Attachment (3)

CDRL A020

Annex (4)

USER LOGISTIC SUPPORT SUMMARY (ULSS) FORMAT

I. INTRODUCTION

II. SYSTEM DESCRIPTION, OPERATIONAL CHARACTERISTICS

III. FACILITIES

IV. PERSONNEL AND TRAINING

V. MAINTENANCE PLANNING

VI. SUPPLY SUPPORT

VII. TEST EQUIPMENT

VIII. PUBLICATIONS

IX. IN-SERVICE ENGINEERING AGENT

X. CONFIGURATION CONTROL

XI. PACKAGING AND HANDLING OF DEPOT REPAIRABLES

XII. CERTIFICATION/VERIFICATION REQUIREMENTS

Current Contract Year:

Current CLIN:

Current Current YTD YTD Current Current Current Current

Task No. Task Title Month Month ST Actual OT Actual Month Month YTD Month YTD Month YTD Total YTD

ST Hrs OT Hrs Hrs Hrs ST Labor $ OT Labor $ Labor $ Travel $ Travel $ Material $ Material $ Costs $

Outstanding Commitments

Labor:

Travel:

Material:

Anticipated Cost to Complete

Labor:

Travel:

Material:

Funds Expenditure Report

Summary

Contract Number N00421-XX-C-XXXX

CDRL ITEM A031

CDRL A030

Annex (5)

CDRL A034

Annex (6)

ATC&LS PHONE-CON ASSISTANCE RECORD

Date ____________________________ Time_________________________

Phone-con Recipient ______________________________________________________

Location ________________________________________________________________

NAWCAD POC __________________________________________________________

Activity Requesting Assistance ______________________________________________

Caller’s Identity __________________________________________________________

Location ________________________________________________________________

System/Subsystem ________________________________________________________

Description of Problem ____________________________________________________

Description of Assistance __________________________________________________

CDRL A042

Annex (7)

1. INTRODUCTION.

1.1. Purpose. This document provides an inventory of all materials contained in the

Air Traffic Control and Landing System Test Bed Computer Program Support Library.

This inventory is provided to the Naval Air Warfare Center Aircraft Division, St. Inigoes, AD-4.11.7, on a quarterly basis by (company name) in conjunction with work performed under PWS paragraph 3.4 of Contract Number _____________________.

2. COMPUTER PROGRAM SUPPORT LIBRARY INVENTORY.

2.1. Descriptive Documentation. The following listed descriptive documentation is physically located at the Test Bed, Landing Systems Test Facility (LSTF) Bldg. 2110;

Patuxent River, Maryland.

Control Number Item Description

2.2. Card Deck Storage. The following listed source/object files are stored on Card

Decks located at the Test Bed.

3. NAWCAD SUPPORT SOFTWARE LIBRARY INVENTORY (AN/TPN-22

UYK-20 PAX PROGRAM) LOAD TAPE CROSS REFERENCE LISTING

3.1. Magnetic Tape Storage. The following listed source/object files are stored on magnetic tapes located at the MATCALS Test Bed.

Control PAR Program PAR Program UYK-20

Number Version Load Tape Numbers Remarks

Landing Summary Report

35C 41A

Ship TYCOM

Desig Ship Name

TPX-42 TPX-42 Indicators

Quarterly Aircraft

Approach Usage Data EQUIPMENT AVAILABILITY PERCENTAGE Ao

Approaches 35C Indicators 35B Radar 35B Indicators

XX QUARTER FY 0X ATC STATUS REPORT (CDRL A043)

HELOS Fixed Wing Unit 1 Unit 2 CH A

CH B

(Spare) Unit 1

43C Radar

IN 1 IN 2Unit 2 CH A CH B IN 3 IN 4

COMMENTS:

CH A CH B

Operational System User

CDRL

Attachment (8)

CONTRACTS DATA REQUIREMENTS LIST Form Approved

(1 Data Item) OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

A TDP_________ TM Other _______MGMT________

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

A001

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80061A

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

LT

8. APP CODE B 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Draft

N/A Reg Repro

16. REMARKS NAWCAD 4.11.7.2 2 0

Block 5: PWS paragraphs: 3.1.5.1, 3.3.2, 3.3.4, 3.3.6, 3.3.8, 3.3.10, 3.3.12, 3.3.14, 3.3.16, 3.3.18, 3.3.20

Block 14 Address:

15. TOTAL 0 2 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

1/17/2018

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 56

Delia Felps

Deliverable Manager

Block 10, 11, 12, & 13: Due within 10 working days after completion of trip.

NAWCAD 4.11.7.2

17454 Webster Field Rd.

Code 4.11.7.2

Naval Air Warfare Center, Aircraft Division

St. Inigoes, MD 20684-4012

See Block 16 See Block 16

11. AS OF DATE

See Block 16

Block 14: Electronic copy shall be made available upon request.

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.

Final

b. COPIES

ATC&LS Ops On Board USN Ships & Shore Based Sites N00421-17-R-0024

Engineering and Technical Services Accomplishment Report Trip Report

A002

DI-MGMT-80937

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

XX

16. REMARKS NAWCAD 4.11.7.2 1 0

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

15. TOTAL 0 1 0

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 56

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.

Coordinated Test Plan Test Plan and Procedures

PWS Paragraphs: 3.3.2.4, 3.3.4.7, 3.3.4.17, 3.3.6.10, 3.3.10.4, 3.3.14.1 NAWCAD 4.11.7.2

See Block 16 15DPTT (See Block 16)

11. AS OF DATE Final

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

Block 10, 11, 12, & 13: Due within 15 working days prior to the start of a testing period.

A TDP_________ TM X Other _______________

A003

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

16. REMARKS NAWCAD 4.11.7.4 2 0

15. TOTAL 0 3 0

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 56

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.

Completed Certification Manual

PWS Paragraph: 3.3.2.7 NAWCAD 4.11.7.2

Block 4: The Government will provide the contractor with the certification manuals to complete.

Block 10, 11, 12, & 13: Due within 10 working days after completion of a certification.

Code 4.11.7.4

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

A004

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

Block 5: PWS Paragraphs: 3.3.2.3, 3.3.4.2, 3.3.4.15, 3.3.4.19, 3.3.6.1, 3.3.6.4, 3.3.6.8, 3.3.8.1, 3.3.10.11, 3.3.12.5, 3.3.18.5

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 56

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.

Recommendations Report

See Block 16 NAWCAD 4.11.7.2

Block 4: The Contractor shall use the example format provided in Annex 1.

Block 10, 11, 12, & 13: Due within 10 working days after the identification of a possible system improvement.

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4)

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

A005

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 5 of 56

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.

Engineering Report

PWS Paragraphs: 3.3.4.1, 3.3.4.3, 3.3.4.14, 3.3.6.6 NAWCAD 4.11.7.2

Block 4: The Contractor shall use the example format provided in Annex 2.

Block 10, 11, 12, & 13: Due within 10 working days after an on-site visit or after maintenance actions have been completed.

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

A006

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

16. REMARKS NAWCAD 4.11.7.4 1 0

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 6 of 56

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.

Shipboard Industrial Test Procedure Test Procedures

PWS Paragraph: 3.3.2.6 NAWCAD 4.11.7.2

See Block 16 15 DPTT (See Block 16)

Block 4: The Contractor shall submit in Contractor format.

Block 10, 11, 12, & 13: Due within 15 working days prior to the start of certification testing.

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

A TDP_________ TM Other ______MGMT_________

A007

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 7 of 56

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.

Configuration Sheet

PWS Paragraph: 3.3.2.2, 3.3.4.11, NAWCAD 4.11.7.2

Block 4: The Contractor shall use the example format provided in Annex 3.

Block 10, 11, 12, & 13: Due within 10 working days after installation of a field change.

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

A008

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 8 of 56

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.

Contractor Eval of Tech Publications & Recommended Changes Technical Documentation Review Report

PWS Paragraphs: 3.3.4.13, 3.3.4.18, 3.3.6.2 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due within 10 working days after technical evaluations of proposed equipment changes.

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

A TDP_________ TM Other ______SESS_________

A009

DI-SESS-80639D

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 9 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Engineering Change Proposal ECP

PWS Paragraphs: 3.3.4.4, 3.3.4.5 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due within 15 working days after the identification of a potential system engineering change.

A TDP_________ TM Other ____TMSS___________

A010

DI-TMSS-81393

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 10 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Field Change Bulletin FCB

PWS Paragraph: 3.3.4.8 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due within 15 working days after approval of engineering change.

A TDP_________ TM Other ______SESS_________

A011

DI-PSSS-81716

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 11 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Supplementary Provisioning Technical Documentation

PWS Paragraph: 3.3.4.13 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due within 15 working days after the implementation of an upgrade or engineering change.

A TDP_________ TM Other _______ALSS________

A012

DI-ALSS-81557

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 12 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Supplemental Data for Provisioning

PWS Paragraph: 3.3.4.13 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due within 15 working days after the implementation of an upgrade or engineering change.

A TDP_________ TM X Other ______________

A013

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 13 of 56

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.

Documentation, Management/Technical Support Technical Manual Modifications/Upgrades

PWS Paragraph: 3.3.4.13, 3.3.4.17, 3.3.6.1, 3.3.6.5, 3.3.20.2 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due within 10 working days after the identification and incorporation of a system upgrade or change.

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

A TDP_________ TM Other ___DRPR____________

A014

DI-DRPR-80651

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 14 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Engineering Drawings

PWS Paragraph: 3.3.4.6, 3.3.6.5, 3.3.20.2 NAWCAD 4.11.7.2

See Block 16 10 DPTT (See Block 16)

Block 10, 11, 12, & 13: Due within 10 working days prior to the start of a testing period for prototypes and/or test fixtures.

A TDP_________ TM Other _______SESS________

A015

DI-PSSS-80991B

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 15 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Planned Maintenance System (PMS): Maintenance Requirment Card (MRC)

PWS Paragraphs: 3.3.6.1, 3.3.6.2, 3.3.6.3, 3.3.12.2, 3.3.12.3 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due within 10 working days after approved system change/upgrade.

A TDP_________ TM Other _______PSSS________

A016

DI-PSSS-80992B

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 16 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Planned Maintenance System (PMS): Maintenance Index Page (MIP)

PWS Paragraphs: 3.3.6.1, 3.3.6.2, 3.3.6.3, 3.3.12.2, 3.3.12.3 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due within 10 working days after approved system change/upgrade.

A017

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 17 of 56

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.

Inventory Status Upgrade Report

PWS Paragraphs: 3.3.6.5, 3.3.20.2 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Report shall be submitted each year by 30 October and updates shall be provided as requested.

A TDP_________ TM Other _______ALSS________

A018

DI-ALSS-81529

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 18 of 56

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.

Logistics Management Information (LMI) Data Products

PWS Paragraphs: 3.3.6.5, 3.3.6.7, 3.3.20.2 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due within 15 working days after the implementation of an upgrade or engineering change.

N00421-17-R-0024

A019

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

Block 14: Deliverables to be provided in electronic format (Microsoft 2007 or greater). Hard copy due only upon request.

15. TOTAL 1 0

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 19 of 56

Delia Felps 1/17/2018

ANNLY (See Block 16) 15DATC (See Block 16)

Block 4 - To be used as guidance only.

Block 10, 11, 12 & 13 - Due 15 working days after contract award and annually thereafter.

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.

Government Property Inventory Report

PWS Paragraphs: 3.1.2.1.3, 3.3.6.5 NAWCAD 4.11.7.2

DI-MGMT-80441C

A020

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 20 of 56

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.

User Logistic Support Summary (ULSS)

PWS Paragraphs: 3.3.6.7, 3.3.6.11 NAWCAD 4.11.7.2

Block 4: The Contractor shall use the example format provided in Annex 4.

Block 10, 11, 12, & 13: Due 15 working days after installation/certification or ECP implementation.

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

A TDP_________ TM Other ______ILSS_________

A021

DI-ILSS-81225

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 21 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Maintenance Support Plan Maintenance/ILS Plans

PWS Paragraph: 3.3.6.7 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due 15 working days after installation/certification or ECP implementation.

A022

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 22 of 56

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.

Test Bed Log Book

PWS Paragraph: 3.3.12.6 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: To be kept in system test beds, and available for review upon request.

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

A TDP_________ TM Other _______MGMT_______

A023

DI-MGMT-80933

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

16. REMARKS NAWCAD 4.11.7.4 1 0

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 23 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Repair/Modification/Overhaul Status Report

PWS Paragraph: 3.3.4.12, 3.3.14.4 NAWCAD 4.11.7.2

WEKLY See Block 16

Block 10, 11, 12, & 13: Due weekly for each item in for repair, modification, and overhaul.

A024

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 24 of 56

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.

Technical Repair Standard (TRS)

PWS Paragraph: 3.3.14.2 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due within 15 working days after the completion of a repair, modification, or overhaul.

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

A TDP_________ TM X Other _______________

A025

OPNAVINST 1500.76B

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 25 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Naval Training Systems Requirements, Acquisition, and Management Training Manual

PWS Paragraph: 3.3.16.1 NAWCAD 4.11.7.2

Block 10, 11, 12, & 13: Due within 15 working days prior to the scheduled training session.

A TDP_________ TM Other _______ILSS_______

A026

DI-ILSS-80872 NOT 1

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 26 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Training Materials Training Aids

PWS Paragraph: 3.3.16.2 NAWCAD 4.11.7.2

A TDP_________ TM Other _______PSSS________

A027

DI-PSSS-81524C

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 27 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.

Training Evaluation Document Student Guide

PWS Paragraph: 3.3.16.2, 3.3.16.3, 3.3.16.5 NAWCAD 4.11.7.2

A TDP_________ TM Other ______MGMT________

A028

DI-MGMT-80061A

7. DD 250 REQ 9.DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 28 of 56

Block 7 - XX - Acceptance will be by the COR via the Data Item Transmittal/Acceptance/Rejection Form (Attachment 4).

If this form has not been transmitted within 10 working days of submission of CDRL, the CDRL is considered accepted.

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.