LOT VIII Logistics CDRLs Exhibit C_D Final 8-29-22.docx

DOCX document 353 KB Posted

Attached to
RFP Amendment 0006 for H-1 Training Device Modernization Program Procurement, Upgrades to AH-1Z and UH-1Y Flight Training Devices
Solicitation number
N6134022R00300001
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L-1 H1 Lot VII_VIII QAForm Amend 6.xlsx XLSX spreadsheet
Att 6 GFI_GFS List H-1 Lot 7_8 Amend5.xlsx XLSX spreadsheet
Att 1 H-1 TDMP Lot 7 and 8 SOW 210044C.pdf PDF
H1 Lot VII_VIII RFP Amendment 05 Conform Doc.pdf PDF
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H1 Lot VII_VIII RFP Amendment 04 Conform.pdf PDF
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H1 Lot VII_VIII RFP Amendment 02 Conform.pdf PDF
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C O N T R A C T D A T A R E Q U I R E M E N T S L I S T (1 Data Item) Form Approved OMB No. 0704-0188

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 1
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F215-1

CAMP PENDLETON

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

17. PRICE GROUP

D001
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA: 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

2. BLK 9: THE FOLLOWING STATEMENT SHALL BE INCLUDED ON THE DELIVERABLE:

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

DELIVERY TO THE NAWCTSD PCO AND IPTL SHALL BE LETTER NOTIFICATION ONLY.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
0
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 1
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F227-5

FUTENMA

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

17. PRICE GROUP

D002
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA: 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 1
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F227-3

JBMcGUIRE

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

17. PRICE GROUP

D003
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA: 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 3 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 1
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F227-4

BELLE CHASSE

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

17. PRICE GROUP

D004
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA: 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 4 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 1
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F197-1

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

17. PRICE GROUP

D005
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA: 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 5 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 1
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F227-2

NEW RIVER

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

17. PRICE GROUP

D006
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA: 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 6 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 1
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII UH-1Y FTD, DEVICE 2F206-1

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

17. PRICE GROUP

D007
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA: 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 7 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 1
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII UH-1Y FTD, DEVICE 2F226-3

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

17. PRICE GROUP

D008
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA: 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 8 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 1
TDP _____ TM _____ OTHER SESS
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII UH-1Y FTD, DEVICE 2F196B-2

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

17. PRICE GROUP

D009
BASELINE DESCRIPTION DOCUMENT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-SESS-81121A
SOW PARA: 3.1.1.5.2
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS.

1. BLK 8: THE GOVERNMENT WILL HAVE 7 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW CONCURRENT WITH PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. THE FINAL SUBMISSION SHALL BE DUE 21 BUSINESS DAYS AFTER READY FOR TRAINING (RFT), WITH ALL COMMENTS CORRECTED RESULTING FROM THE PCA.

5. BLK 14: DIGITAL MEDIA SHALL BE IN MICROSOFT OFFICE 2016 OR LATER AND DELIVERED VIA EMAIL, IF LESS THAN 6MB, OTHERWISE SHIP ON CD-ROM. THE CONTRACT SCHEDULE IN SECTION F LISTS E-MAIL AND REGULAR MAIL ADDRESSES.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 9 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 2
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F197-1

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

17. PRICE GROUP

K001
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA: 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 10 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 2
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F227-3

JB McGUIRE

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

17. PRICE GROUP

K002
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA: 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 11 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 2
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F227-4

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

17. PRICE GROUP

K003
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA: 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 12 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 2
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F215-1

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

17. PRICE GROUP

K004
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA: 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
4
4
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 13 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 2
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F227-5

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

17. PRICE GROUP

K005
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA: 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 14 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 2
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII AH-1Z FTD, DEVICE 2F227-2

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

17. PRICE GROUP

K006
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA: 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 15 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 2
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII UH-1Y FTD, DEVICE 2F226-3

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

17. PRICE GROUP

K007
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA: 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 16 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 2
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII UH-1Y FTD, DEVICE 2F196B-2

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

17. PRICE GROUP

K008
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA: 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 17 of 54 Pages

Form Approved

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in BLK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
D LOT 2
TDP _____ TM _____ OTHER MISC
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR

LOT VIII UH-1Y FTD, DEVICE 2F206-1

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

17. PRICE GROUP

K009
TRAINING DEVICE INVENTORY CHECKLIST/RECORD
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE

18. ESTIMATED

TOTAL PRICE

DI-MISC-81191B
SOW PARA: 3.2.9.5
PMA-276
7. DD 250 REQ
9. DIST STATEMENT
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
XX
REQUIRED
2 TIMES
SEE BLK 16
8. APP CODE
D
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBM.
a. ADDRESSEE
b. COPIES

Final

A

N/A
SEE BLK 16
draft
reg
repr

16. REMARKS

1. BLK 8: THE GOVERNMENT WILL HAVE 15 BUSINESS DAYS FOR REVIEW AND ACCEPT, ACCEPT WITH COMMENTS, OR REJECT EACH SUBMISSION.

DISTRIBUTION STATEMENT D- DISTRIBUTION AUTHORIZED TO DOD AND U.S. DOD CONTRACTORS ONLY. ADMINISTRATIVE OR OPERATIONAL USE 01 JANUARY 2021. OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO (CS)/PMA-205, 47123 BUSE ROAD, RADM WILLIAM A. MOFFETT BUILDING, PATUXENT RIVER, MARYLAND 20670-1547.

3. BLK 12: FIRST SUBMISSION SHALL BE A DRAFT COPY DELIVERED FOR REVIEW 15 BUSINESS DAYS PRIOR TO PHYSICAL CONFIGURATION AUDIT (PCA) OF DEVICE.

4. BLK 13: A FINAL COPY SUBMISSION SHALL BE DUE AT ILSV, WITH ALL COMMENTS RESULTING FROM PCA INCORPORATED.

5. BLK 14: DIGITAL MEDIA SUBMISSION SHALL BE DELIVERED ON CD ROM OR VIA E-MAIL IF IT IS LESS THAN 6MB IN MICROSOFT WORD COMPATIBLE WITH OFFICE 2016 FORMAT. EMAIL ADDRESSES ARE PROVIDED IN SECTION F OF THE CONTRACT.

NAWCTSD PCO
SEE BLK16
SEE BLK16
0
NAWCTSD ISEO
1
1
0
NAWCTSD DAPML
1
1
0
NAWCTSD IPTL3
SEE BLK16
SEE BLK16
15. TOTAL
2
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
S. NESS, NAWCTSD ILSM
15 MARCH 2022
S. COLN, PMA205, DAPMTS
15 MARCH 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 18 of 54 Pages

Form Approved

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching…

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