Exhibit_A-_CDRLS_A001-A013.pdf

PDF 514 KB Posted Aug 5, 2014

Attached to: T56 Series III Engine Depot Repair
Solicitation number: N68335-14-R-0001
Issued by: Department of the Navy Naval Air Systems Command Naval Air Warfare Center

About this file

From the source

Exhibit A CDRLs A001-A013

View the file

Other files

File	Type	Posted
N68335-14-R-0001-0003_Amendment.doc	DOC document	Sep 18, 2014
N68335-14-R-0001-0002_Amendment.doc	DOC document	Sep 5, 2014
Attachment_1_Performance_Work_Statement_Rev_1.pdf	PDF	Sep 5, 2014
N68335-14-R-0001-0001_T56.doc	DOC document	Aug 13, 2014
Attachment_2-_LIST_OF_CSI_AND_CAI_SERIES_III_PARTS.xls	XLS spreadsheet	Aug 13, 2014
Attachment_1-_T56_Performance_Work_Statement_.pdf	PDF	Aug 5, 2014
N68335-14-R-0001_T56_Solicitation.doc	DOC document	Aug 5, 2014

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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 1214, 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:

0X10 A TDP ________ TM ______ OTHER___X_____

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

T56 Engine Repair N68335-14-R-0001 TBD

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

A001 Government Furnished Equipment Repair Status Report Production Plan and Status Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-ILSS-80620 (See16) PWS, Para 3.2.1.2.1; 3.2.1.2.3; 3.3.1.3 AIR-6.7.3.2

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

REQUIRED

D (See 16) (See 16) (See 16) b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUBMISSION a. ADDRESSEE Final

N/A (See 16) ( See 16) Draft Reg. Repro

16. REMARKS ACO 0 1 0

BLOCK 4: Contractor format acceptable. Report shall include:

CLIN

Delivery Order Number

Module Type Module Serial Number

Receipt Date

Shipping Type Commander (TYCOM) Shipping Activity

Estimated Induction Date

Revised Estimated Completion Date (Update as needed to worki in progress) Induction Date

Estimated Completion Date

Completion Date (DD 250 acceptance date) Ship Date

Shipping Destination

SHP% at Military power SFC% at Military power

Fuel Flow at Military power Turn Around Time (TAT)

Shipping Sequence Number and TYCOM

Estimated Monthly Induction Summary including plan and actual quantities Estimated Monthly Production Summary including plan and actual quantities

Actual received and on-hand quantities for each month

Shortfalls in Retrograde needed to meet Task Order requirements Remarks (To include material problems, improprer preservation, and any additional comments required to provide status and condition of assets)

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S.

DoD contractors only (Critical Technology) (12 AUG 2013). Other requests shall be referred to Program Executive Officer Tactical (PEO(T)), PMA-231, 47123 Buse Rd, RADM William A. Moffett

Building, Patuxent River, MD 20670-1547.

BLOCK 10: Monthly or as required for multiple Task Orders within a quarter

BLOCK 11: Receipt Date of Task Order

BLOCK 12 and 13 : First submission required 7 calendar days after receipt of first Task Order and subsequent submission 7 days from receipt of a task order.

Note: Access to the Data Item Descriptions may be found at the following website:

http://quicksearch.dla.mil/

PMA-231 0 0 1

AIR 6.7.3.2 0 0 1

COR / APML 0 0 1

(See 16)

15. TOTAL 0 1 3

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

05 August 2014

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

Jefferson Davis Highway, Suite 1214, 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:

0X10 A TDP ________ TM ______ OTHER___X_____

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

T56 Engine Repair N68335-14-R-0001 TBD

A002 Deficiency Report Missing on Receipt/Induction

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

DI-ALSS-81535 (See16) PWS, Para 3.2.1.2.3; 3.3.2.3 AIR-6.7.3.2

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

REQUIRED

D (See 16) (See 16) (See 16) b. COPIES

N/A N/A ( See 16)

16. REMARKS ACO 0 1 0

BLOCK 4: Contractor format acceptable. Report shall include:

CLIN

Module Type

Module Serial Number

Shipping Activity (AIMD)

Missing Item Information

NIIN

Part Number

Nomenclature

FEDLOG pricing information

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of

Defense and U.S. DoD contractors only (Critical Technology) (12 AUG 2013). Other requests shall be referred to Program Executive Officer Tactical (PEO(T)), PMA-231, 47123 Buse Rd, RADM William A. Moffett Building, Patuxent River, MD 20670-1547.

BLOCK 10: Report shall be submitted on each item received with missing components.

BLOCKS 12 & 13: Report shall be submitted electronically via email. Report shall be submitted within 7 calendar days of first inspection submission and 7 calendar days of subsequent inspections.

PMA-231 0 0 1

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 2 of 13 Pages

Jefferson Davis Highway, Suite 1214, 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:

0X10 A TDP ________ TM ______ OTHER___X_____

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

T56 Engine Repair N68335-14-R-0001 TBD

A003 Teardown Deficiency Report Teardown and Inspection Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

DI-ALSS-81534 (See 16) PWS, Para 3.3.2.1 AIR-6.7.3.2

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

REQUIRED

LT D (See 16) (See 16) (See 16) b. COPIES

N/A N/A (See 16)

16. REMARKS ACO 0 1 0

BLOCK 4: Contractor format acceptable. Report shall include:

Date

Induction Date

Module Type

Module Serial Number

Shipping Activity (AIMD)

Reason for BCM

Hrs since last Depot Repair

Number of previous Depot Repairs

Location of Last Depot Repair

Date of Last Depot Repair

Description of Findings/Comments (including major discrepancies/work to be performed and general condition of modules)

List of components repaired, include serial number and part number

Results from test cell and component tests

List of repairable components replaced, include serial number and part number

Signature/Title

BLOCK 10: Once for each module inducted

BLOCKS 12 & 13: Report shall be submitted electronically via email. Report shall be submitted within 7 calendar days from first and subsequent submission induction of each module.

PMA-231 0 0 1

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 3 of 13 Pages

1077/183

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

Jefferson Davis Highway, Suite 1214, 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:

0X10 A TDP ________ TM ______ OTHER___X_____

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

T56 Engine Repair N68335-14-R-0001 TBD

A004 Technical Report – Study/Services Condition Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80508B (See 16) PWS, Para 3.3.2.5; 3.3.5.5; 3.3.5.6, A.2.2 AIR-6.7.3.2

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

REQUIRED

D (See 16) (See 16) (See 16) b. COPIES

N/A N/A (See 16)

16. REMARKS ACO 0 1 0

BLOCK 4: Contractor format acceptable. Report shall include:

Report Date

Induction Date

Module Type Module Series

Module Serial Number

Shipping Activity (FRC/AIMD/MALS)

Reason for BCM

Time Since New (TSN)

Time Since (last) Repair (TSR)

Time Since (last) Overhaul (TSO)

Location of last Overhaul

Date of last Overhaul

Number of previous Overhauls

Primary Failure Item Nomenclature

Primary Failure Item Part Number

Primary Failure Item Failure Mode

Description of Findings/Comments (including major discrepancies/work to be performed and general condition of modules)

Repair Work Scope and estimated cost for repair (itemized for labor and material)

Signature/Title

BLOCK 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only (Critical Technology) (12 AUG 2013). Other requests shall be referred to Program Executive Officer Tactical (PEO(T)), PMA-231, 47123 Buse Rd, RADM

William A. Moffett Building, Patuxent River, MD 20670-1547.

BLOCK 10: Once for each module inducted

BLOCKS 12 & 13: Report shall be delivered in a Microsoft Office Format such as Excel or

Access. Report shall be submitted within 5 days from induction of each module.

PMA-231 0 0 1

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 4 of 13 Pages

Jefferson Davis Highway, Suite 1214, 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:

0X10 A TDP ________ TM ______ OTHER___MGMT_____

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

T56 Engine Repair N68335-14-R-0001 TBD

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

A005 Status Report Field Team Status Report/Engineering and

Technical Services Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-80368A (See 16) PWS, Para 3.3.5.2; 3.3.5.3 AIR-6.7.3.2

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

REQUIRED

D (See 16) (See 16) 30DAC b. COPIES

N/A (See 16) (See 16)

16. REMARKS ACO 0 1 0

BLOCK 4: Contractor format acceptable. Report shall include:

Tasks completed since last report

New tasks started since last report

Total projected manhours for each uncompleted task on report

Total manhours performed on completed tasks

Estimated completion dates for work in progress

BLOCK 11: Last day of previous month

BLOCK 13: Report shall be submitted electronically via email. Report shall be submitted within 7 calendar days from induction of each module.

PMA-231 0 0 1

15. TOTAL 0 1 2

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 5 of 13 Pages

Jefferson Davis Highway, Suite 1214, 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:

0X10 A TDP ________ TM ______ OTHER_MGMT_

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

T56 Engine Repair N68335-14-R-0001 TBD

A006 Status Report Over and Above Status Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-80368A (See 16) PWS, Para 3.3.5.5 AIR-6.7.3.2

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

REQUIRED

D (See 16) MTHLY 30DAC b. COPIES

16. REMARKS ACO 0 1 0

BLOCK 4: Contractor format acceptable. Report shall include:

Tasks completed since last report

New tasks started since last report

Total projected manhours for each uncompleted task on report

Total manhours performed on completed tasks

Estimated completion dates for work in progress

BLOCK 11: Last day of previous month within 10 calendar days from induction of each module.

PMA-231 0 0 1

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 6 of 13 Pages

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:

0X10 A TDP ________ TM ______ OTHER __MISC__

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

T56 Engine Repair N68335-14-R-0001 TBD

A007 Technical Report – Study/Services Cannibalization Request

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80508B (See 16) PWS, Para 3.3.7.1 AIR-6.7.3.2

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

REQUIRED

D (See 16)

ASREQ ASREQ b. COPIES

N/A ASREQ ASREQ

Draft Reg

Repro

16. REMARKS ACO 0 1 0

BLOCK 4: Contractor format acceptable. Report shall include:

Delivery Order Number

Module Type

Module Serial Number

Date of Induction

Estimated Completion Date

Cannibalizaed Item Information:

NIIN

Part Number

Nomenclature

Pricing Information (source and cost)

Quantity of Units per Assembly

Quantity of Units to be Cannibalized

Quantity of material on hnd (stock)

Quantity of material on order (requisitions)

Forecasted material usage for fiscal year

Attempted purchase from 2 or 3 sources of supply

Estimated Delivery Date (EDD)

BLOCKS 10 through 13: Reports shall be submitted electronically via email as required.

PMA-231 0 0 1

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

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 7 of 13 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 co llection 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:

0X10 A TDP ________ TM ______ OTHER___SAFT_____

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

T56 Engine Repair N68335-14-R-0001 TBD

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

A008 Ammunition Demilitarization and Disposition Plan Material Demilitarization and

Disposition Listing

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

DI-SAFT-81640 (See 16) PWS, Para 3.3.8.1 AIR-6.7.3.2

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

REQUIRED

D (See 16) QTRLY 90DAC b. COPIES

16. REMARKS ACO 0 1 0

BLOCK 4: Remove references to “Ammunition”. Contractor format acceptable. Report shall include:

Serial Number (if applicable)

Part Number

Demilitarization Code

Nomenclature

NSN

Reason for Disposal

Disposed items shall remain on Material Demilitarization and Disposition List through the life of the contract.

If Scrap: Weight (tonnage) broken out by type: ferrous/non-ferrous, and other scrap

BLOCK 11: Last day of previous quarter.

on the 5th day of the first month of each quarter.

PMA-231 0 0 1

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 8 of 13 Pages

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:

0X10 A TDP ________ TM ______ OTHER___SAFT_____

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

T56 Engine Repair N68335-14-R-0001 TBD

A009 Ammunition Demilitarization and Disposition Plan Contractor’s Disposal Procedures

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

DI-SAFT-81640 (See 16) PWS, Para 3.3.8.3 AIR-6.7.3.2

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

REQUIRED

D (See 16) ONE/R 30DAC b. COPIES

N/A N/A ASREQ

16. REMARKS ACO 0 1 0

BLOCK 4: Remove references to “Ammunition”. Contractor format acceptable. Report shall include condemned material handling, demilitarization and disposition procedures for the Contractor’s facilities.

PMA-231 0 0 1

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 9 of 13 Pages

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:

0X10 A TDP ________ TM ______ OTHER___MNTY_____

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

T56 Engine Repair N68335-14-R-0001 TBD

A010 Logbooks and Records, Aircraft and Aeronautical Equipment Maintenance Record Submission

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

DI-MNTY-81067 (See 16) PWS, Para 3.3.8.1 AIR-6.7.3.2

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

REQUIRED

D (See 16) ASREQ ASREQ b. COPIES

16. REMARKS ACO 0 1 0

BLOCK 4: Contractor format acceptable.

BLOCKS 10, 12 & 13: Submit a copy of the AESR, MSR, ASR, SRC, and/or HER card to AIR-6.8.4.3 and to the T56 ISSC Jacksonville, FL upon completion of every T56 Series

III Propulsion System and/or module. Report shall be submitted electronically via email.

PMA-231 0 0 1

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 10 of 13 Pages

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:

0X10 A TDP ________ TM ______ OTHER___QCIC_____

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

T56 Engine Repair N68335-14-R-0001 TBD

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

A011 Quality Deficiency Report Product Quality Deficiency

Report/Resolution

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

DI-QCIC-80736 (See 16) PWS, Para 4.2 AIR-6.7.3.2

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

REQUIRED

D (See 16) (See 16) (See 16) b. COPIES

16. REMARKS ACO 0 1 0

BLOCK 4: Contractor format acceptable.

Plan must include methods and intervals for inspections.

BLOCK 10: Submit upon receipt of PQDR/QDR.

BLOCK 11: 5 days after receipt of PQDR/QDR.

BLOCK 12: Last day of previous month.

BLOCK 13: 10th day of each month until PQDR/QDR is closed.

PMA-231 0 0 1

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 11 of 13 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 co llection 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:

0X10 A TDP ________ TM ______ OTHER___MGMT_____

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

T56 Engine Repair N68335-14-R-0001 TBD

A012 Technical Directive Compliance Reports

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-80224A (See 16) PWS, Para 6.1.3 AIR-6.7.3.2

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

REQUIRED

D (See 16)

ASREQ ASREQ b. COPIES

Repro

16. REMARKS ACO 0 1 0

BLOCK 4: Contractor format acceptable. Report shall comply with NAVAIR 00-25-300.

Report shall include:

Module Type

Module Serial Code

Technical Directives Code

Technical Directive Number (include amendment numbers)

Organization Code

Incorporation Date

Compliance Status

Manhours required for incorporation.

BLOCKS 12 & 13: Reports shall be submitted electronically via email as required.

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 12 of 13 Pages

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:

0X10 A TDP ________ TM ______ OTHER X MGMT_____

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

T56 Engine Repair N68335-14-R-0001 TBD

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

A013 Engineering Change Proposal (ECP)/Value Engineering Change

Proposal (VECP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE, 6. REQUIRING OFFICE 18. ESTIMATED

DI-CMAN-80639C AIR-6.7.3.2

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

REQUIRED

D (See 16)

ASREQ ASREQ b. COPIES

Repro

16. REMARKS ACO 0 1 0

BLOCK 4: Format and content. The Engineering Change Proposal (ECP) shall be prepared in contractor format. .

The ECP content shall include, where applicable, the following information:

a. the change priority, change classification, and change justification

b. a complete description of the change to be made and the need for that change

c. complete listing of other configuration items impacted by the proposed change and a description of the impact on those CIs.

d. proposed changes to documents controlled by the government.

e. proposed serial (or lot) number effectivities of units to be produced in, or retrofitted to, the proposed configuration.

f. recommendation about the way a retrofit should be accomplished.

g. impacts to any logistics support elements (such as software, manuals, spares, tools, and similar) being utilized by government personnel in support of the product.

h. impacts to the operational use of the product

i. complete estimated life-cycle cost impact of the proposed change

j. milestones relating to the processing and implementation of the engineering change

BLOCKS 12 & 13: Reports shall be submitted electronically via email as required.

05 August 2014

DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 13 of 14 Pages

INSTRUCTIONS FOR COMPLETING DD FORM 1423

(See DoD 5010.12-M for detailed instructions.)

FOR GOVERNMENT PERSONNEL

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 Subpart 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 contract 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 addressees 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.

FOR THE CONTRACTOR

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 should normally be shown on the DD Form 1423 at no cost.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.

These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required.

The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423-1 (BACK), Feb 2001 Page 14 of 14 Pages

File details come from the government source that posted it. Updated Nov 14, 2017.