EXH_A__CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/Pr No. listed in Block E.

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

0002 A TDP TM OTHER

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 Hazardous Materials Management Program (HMMP) Plan

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

DI-MGMT-81398C SOW PARA 3.5 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED OTIME 30 DAC b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 10 DARC Reg Repro

16. REMARKS NSWC PCD Code 022 1 1 1

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within 15 days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 13: “DARC” means “Days After Receipt of Government Comments”. Submit updates as required when major program changes dictates.

Blk 14: Reproducible copy shall be files compatible with Microsoft Word 2010 submitted via e-mail to:

Tiphanie.Spradlin@navy.mil Leah.Dunham@navy.mil

NSWC PCD Code A22 1 1 1

15. TOTAL 2 2 2

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

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 24 Pages 1161/183 mailto:Scott.Dubuque@navy.mil mailto:Aaron.K.Walker@navy.mil

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 Contracting Officer’s Management Report Basic Contract Monthly Status Report

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

DI-MGMT-81864 SOW PARA 3.9 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED MTHLY 30 DAC b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

N/A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1

Blk 9: Data shall be marked in accordance with Section H of the basic contract.

Blk 11: Report shall be current through to the last day of each month.

Blk 13: Submit report monthly, no later than the 10th of each month.

Blk 14: Reproducible copy shall be files compatible with Microsoft Word 2010 submitted via e-mail to:

NSWC PCD Code A22 1

15. TOTAL 2

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 24 Pages 1161/183

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A003 Quality Assurance Program Plan (QAPP)

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

DI-QCIC-81794 SOW PARA 3.10 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED OTIME 30 DAC b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 10 DARC Reg Repro

16. REMARKS NSWC PCD Code 022 1 1 1

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within 15 days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 13: “DARC” means “Days After Receipt of Government Comments”. Submit updates as required when major program changes dictates.

Blk 14: Reproducible copy shall be files compatible with Microsoft Word 2010 submitted via e-mail to:

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 24 Pages 1161/183

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A004 Environmental Health and Safety Plan

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

DI-ENVR-81375 SOW PARA 3.11 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED OTIME 30 DAC b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 10 DARC Reg Repro

16. REMARKS NSWC PCD Code 022 1 1 1

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within 15 days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 13: “DARC” means “Days After Receipt of Government Comments”. Submit updates as required when major program changes dictates.

Blk 14: Reproducible copy shall be files compatible with Microsoft Word 2010 submitted via e-mail to:

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 24 Pages 1161/183

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A005 Accident / Incident Report Accident Report

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

DI-SAFT-81563 SOW PARA 3.12 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 10 DARC Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within 5 days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 12: Initial submittals are due no later than 2 working days after accident/incident.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be files compatible with Microsoft Word 2010 submitted via e-mail to:

NSWC PCD Code A22 1 1

15. TOTAL 2 2

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 5 of 24 Pages 1161/183

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A006 Accident / Incident Report Damage Report

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

DI-SAFT-81563 SOW PARA 3.13 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 10 DARC Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8: Approval shall be for format and technical content. NSWC PCD will review the initial submittal and comment within 5 days after receipt. All NSWC PCD comments shall be incorporated into the subsequent submittal.

Blk 12: Initial submittals are due no later than 2 working days after accident/incident involving equipment damage.

Blk 13: “DARC” means “Days After Receipt of Government Comments”.

Blk 14: Reproducible copy shall be files compatible with Microsoft Word 2010 submitted via e-mail to:

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 6 of 24 Pages 1161/183

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A007 Configuration Status Accounting (CSA) Information CSA Documentation

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

DI-SESS-81253C SOW PARA 3.4.1 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Blk 14: Reproducible copy shall be files compatible with Microsoft Word 2010 submitted via e-mail to: Leah.Dunham@navy.mil

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 7 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A008 Interactive Electronic Technical Manuals (IETMs) Technical Manuals

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

TMCR (# TBD) SOW PARA 3.6 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT/DD REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1 1

Blk 7: LT for “Draft”; DD for “Final”.

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Blk 14: Reproducible copy shall be submitted on CD-ROM or via encrypted e-mail to:

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 8 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A009 Technical Report – Study/Services Logistics and Provisioning Documentation

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

DI-MISC-80508B SOW PARA 3.7 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 9 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A010 Technical Report – Study/Services Engineering Studies and Technical Documentation

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

DI-MISC-80508B SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 10 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A011 Product Drawings / Models and Associated Lists Engineering and Technical Documentation

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

DI-SESS-81000E* SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

*Blk 4: TDP Option Selection Worksheet will be provided in individual delivery orders.

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 11 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A012 Conceptual Design Drawings / Models Engineering and Technical Documentation

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

DI-SESS-81001E* SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

*Blk 4: TDP Option Selection Worksheet will be provided in individual delivery orders.

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 12 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A013 Developmental Design Drawings/Models & Associated Lists

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

DI-SESS-81002F SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

*Blk 4: TDP Option Selection Worksheet will be provided in individual delivery orders.

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 13 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A014 Certificate of Compliance

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

DI-MISC-81356A SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 14 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A015 Obsolescence Alert Notice

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

DI-MGMT-81941 SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 15 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A016 Training Program Structure Document

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

DI-SESS-81521B SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 16 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A017 Training Conduct Support Document

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

DI-PSSS-81523C SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 17 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A018 Test Plan

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

DI-NDTI-80566A SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 17 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A019 Test / Inspection Report

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

DI-NDTI-80809B SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 19 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A020 Revisions To Existing Government Documents

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

DI-ADMN-80925A SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 20 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A021 Conference Agenda

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

DI-ADMN-81249B SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 21 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A022 Conference Minutes

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

DI-ADMN-81250B SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 22 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A023 Presentation Material

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

DI-ADMN-81373 SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Blk 14: Reproducible copy shall be files compatible with Microsoft Word or Powerpoint 2010 submitted via e-mail to: Leah.Dunham@navy.mil

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 23 of 24 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for

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

AMCM Depot Maintenance & Spares Support N61331-17-R-0003

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A024 Status Report

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

DI-MGMT-80368A SOW PARA 3.1 – 3.8 NSWC PCD CODE A22 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED SEE BLK 16 SEE BLK 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 022 1 1

Blk 8, 10, 12, 13: Frequency and delivery schedule for the documentation will be as specified in the individual delivery orders.

Leah Dunham, NSWC PCD Code A22 06 September 2016 Tommy Chatman 01 May 2017

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

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (x) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as “Provisioning”, “Configuration Management”, etc.

Item D. Enter name of system/item being acquired that data will support

Item E. Self-explanatory (to be filled in after contract award).

Item F. Self-explanatory (to be filled in after contract award).

Item G. Signature of preparer of CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contact that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addresses and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14; Desired medium for delivery of the data item.

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

a. Group I. Definition - Data which is not otherwise essential to the contractor’s performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items…