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CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER DRPR

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Engineering Drawings

3. SUBTITLE

Revised SHIP INSTALLATION DRAWINGS (SIDS)

4. AUTHORITY (Data Acquisition Document No.)

DI-DRPR-80651

5. CONTRACT REFERENCE

SOW PARA 3.1

6. REQUIRING OFFICE

PMA - 251

7. DD 250 REQ

SD

9. STATEMENT REQUIRED

C

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

See BLK 16

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 4: Level 3 revised SIDS for the installation, revised for as built installation. Existing format applies.

Block 11,12: Contractor shall provide four copies NLT 1 week after completion of project.

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

Air 4.8 Install Lead

IPT Lead DI-DRPR-80651 Description/Purpose is hereby tailored to also include “revised for as built installation Level 3 (Production) SIDS”.

Applicable Military Specifications:

MIL-STD-100

ASME Y14.100

0
4
0

(See Block 16)

15. TOTAL (
0
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

TBD

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED

CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

B

C. CATEGORY:

TDP TM OTHER FNCL

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Funds and Man-Hours Expenditure Report

3. SUBTITLE

Report of actual expenditures

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-80331A

5. CONTRACT REFERENCE

SOW Para. 3.1.9

6. REQUIRING OFFICE

PMA – 251

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

WEEKLY

12. DATE OF FIRST SUBMISSION

NLT 7DATC

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See BLK 16

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 13: After the first submission, every week that Data Item No. C004 is not due.

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

Air 4.8 Install Lead

IPT Lead

4
4
0
15. TOTAL (
4
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 2 of 13 CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

C

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

C001

2. TITLE OF DATA ITEM

Contractor’s Personnel Roster

3. SUBTITLE

Artisan List

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81834

5. CONTRACT REFERENCE

SOW Para. 3.1.4

6. REQUIRING OFFICE

PMA - 251

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

14 DAC

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

Air 4.8 Install Lead

DI-MGMT-81834 is hereby tailored to also include Personnel/Artist Certifications.

0
4
0
15. TOTAL (
0
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

C

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

C002

2. TITLE OF DATA ITEM

CONDITION REPORT

3. SUBTITLE

Change in scope of work

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81648

5. CONTRACT REFERENCE

SOW PARA3.1.10

6. REQUIRING OFFICE

NAVAIR, Lakehurst, NJ

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

0
4
0
15. TOTAL (
0
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

C

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

C003

2. TITLE OF DATA ITEM

Liaison Action Request (LAR)

3. SUBTITLE

Deviation Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81792

5. CONTRACT REFERENCE

SOW PARA 3.1.11

6. REQUIRING OFFICE

PMA - 251

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

See BLK 16

8. APP CODE

See BLK 16

11. AS OF DATE

See BLK 16

13. DATE OF SUBSEQUENT SUBMISSION

See BLK 16

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 8, 11, 12, 13: Contractor shall provide three draft copies as required. Government will review and provide comments/corrections to the contractor within 1 week after receiving draft. Contractor shall incorporate all comments/corrections into official submission within 1 week after receiving comments. Note: Draft copy is for approval only and not considered an official deliverable.

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

Air 4.8 Install Lead

IPT Lead

NAVAIR
4
4
0
15. TOTAL (
4
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

C

C. CATEGORY:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

PR No. TBD

F. CONTRACTOR

N/A

1. DATA ITEM NO.

C004

Contractor’s Progress, Status and Management Report
3. SUBTITLE

Detailed progress report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW PARA 3.1.12

6. REQUIRING OFFICE

PMA - 251

7. DD 250 REQ

DD

9. STATEMENT REQUIRED

C

10. FREQUENCY

See BLK 16

12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See BLK 16

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 10, 12, 13: DI-MGMT-80227 Description/Purpose is hereby tailored to also include “Reports shall be issued at 30%, 60%, 90% completion of project and as requested”.

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

Air 4.8 Install Lead

Deviation: Deviation from the authorized DID, DI-MGMT-80227, change in format is approved for delivery in any Microsoft Office application or combination.

NAVAIR
4
4
0
15. TOTAL (
4
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

D

C. CATEGORY:

TDP TM OTHER MISC

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

D001

2. TITLE OF DATA ITEM

QA Program Certification

3. SUBTITLE

Report of status

4. AUTHORITY (Data Acquisition Document No.)

See Block 16

5. CONTRACT REFERENCE

SOW PARA 3.1.4

6. REQUIRING OFFICE

PMA - 251

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

NLT 7DAC

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See BLK 16

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 4: Contractor format is acceptable. Contractor shall provide a copy of their Quality Assurance Program Certification in accordance with Technical Specification 9090-310(F(or current series)).

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

4
4
0
15. TOTAL (
4
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

D

C. CATEGORY:

TDP TM OTHER MISC

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

D002

2. TITLE OF DATA ITEM

FINAL REPORT

3. SUBTITLE

Summary of tasks performed

4. AUTHORITY (Data Acquisition Document No.)

see BLK 16

5. CONTRACT REFERENCE

SOW PARA 3.1.13

6. REQUIRING OFFICE

PMA - 251

7. DD 250 REQ

DD

9. STATEMENT REQUIRED

C

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 4, 12: Contractor format is acceptable. Contractor shall provide three draft copies NLT 2 weeks after completion of project. At a minimum the report shall address a final breakdown of cost expenditures by Labor, Material, Sub-Contracts and Other Direct Costs (ODC). The report shall contain as attachments all inspection records, Quality checklists, test reports and certifications. The report shall contain a section summarizing the tasks completed and the deviations or alterations from the original task. The report shall also contain a section addressing lessons learned, both positive and negative, from the completed task. Government shall review and provide comments/corrections to the contractor within 1 week after receiving draft. Contractor shall incorporate all comments/corrections into official submission within 1 week after receiving comments. Note: Draft copy is for approval only and not considered an official deliverable.

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

4
4
0
15. TOTAL (
4
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

D

C. CATEGORY:

TDP TM OTHER MISC

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

D003

2. TITLE OF DATA ITEM

Pre-Installation Check-Out (PICO) Test Document

3. SUBTITLE

Ship Yard Requirements

4. AUTHORITY (Data Acquisition Document No.)

See BLK 16

5. CONTRACT REFERENCE

SOW PARA 3.2.17

6. REQUIRING OFFICE

PMA - 251

7. DD 250 REQ

DD

9. STATEMENT REQUIRED

C

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

Immediately following completion Of Task

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 4: Pre-Installation Check-Out as per Section 3.5.5 of document TS 9090-310E: Alterations to Ships Accomplished by Alteration Installation Teams.

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

0
4
0
15. TOTAL (
0
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

D

C. CATEGORY:

TDP TM OTHER MISC

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

PR No. TBD

F. CONTRACTOR

N/A

1. DATA ITEM NO.

D004

2. TITLE OF DATA ITEM

PICO Completion Report

3. SUBTITLE

Ship Yard Requirements

4. AUTHORITY (Data Acquisition Document No.)

See BLK 16

5. CONTRACT REFERENCE

SOW PARA 3.2.17

6. REQUIRING OFFICE

PMA - 251

7. DD 250 REQ

SD

9. STATEMENT REQUIRED

C

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

Immediately following completion Of Task

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 4: PICO Test Document supplied by NAVAIR 4.8.

Block 4: Pre-Installation Check-Out as per Section 3.5.5 of document TS 9090-310E: Alterations to Ships Accomplished by Alteration Installation Teams.

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

0
4
0
15. TOTAL (
0
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED

CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

D

C. CATEGORY:

TDP TM OTHER MISC

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

D005

2. TITLE OF DATA ITEM

Plan of Action and Milestones Report (POA&M)

3. SUBTITLE

Management Progress Report

4. AUTHORITY (Data Acquisition Document No.)

See BLK 16

5. CONTRACT REFERENCE

SOW PARA 3.1.14

6. REQUIRING OFFICE

PMA - 251

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

WEEKLY

12. DATE OF FIRST SUBMISSION

NLT 7 DAC

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See BLK 16

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 4: Provide POA&M in format as required by Naval Sea System Command in accordance with Technical Specification 9090-310F(or current series).

Block 13: Weekly after first submission.

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

0
4
0
15. TOTAL (
0
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

D

C. CATEGORY:

TDP TM OTHER MISC

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

D006

2. TITLE OF DATA ITEM

Certified Paint Analysis Report

3. SUBTITLE

Paint Testing/Abatement

4. AUTHORITY (Data Acquisition Document No.)

See Block 16

5. CONTRACT REFERENCE

SOW PARA 3.2.12

6. REQUIRING OFFICE

PMA - 251

7. DD 250 REQ

DD

9. STATEMENT REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

NLT 7DAC

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

See BLK 16

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 4: Contractor shall provide a Certified Paint Analysis Report as per NAVSEA Standard Item 009-02. This analysis must include the laboratory’s state license number and necessary accreditations.

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

4
4
0
15. TOTAL (
4
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

CONTRACT DATA REQUIREMENTS LIST (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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

D

C. CATEGORY:

TDP TM OTHER MISC

D. SYSTEM/ITEM

ALRE Systems

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

D007

2. TITLE OF DATA ITEM

Quality Assurance Manual

3. SUBTITLE

Ship Yard Requirements

4. AUTHORITY (Data Acquisition Document No.)

See Block 16

5. CONTRACT REFERENCE

SOW PARA 3.1.4

6. REQUIRING OFFICE

PMA - 251

7. DD 250 REQ

DD

9. STATEMENT REQUIRED

C

10. FREQUENCY

1TIME

12. DATE OF FIRST SUBMISSION

14 DAC

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE
b. COPIES

Draft Final

Reg Repro

16. REMARKS

Block 4: Contractor format is acceptable. Contractor shall provide a copy of their approved Quality Assurance Manual.

Block 14: The deliverable shall be submitted via hard copy and electronically to:

PMA 251 COR

PMA 251 ACOR

0
4
0
15. TOTAL (
0
4
0

G. PREPARED BY

PMA 251 COR

H. DATE

TBD

I. APPROVED BY

PMA 251 DPM

J. DATE

File details come from the government source that posted it. Updated .