LONG_-_Engineering_CDRLs.doc

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TDP ___

TM ___

Other _X_

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A00 AUTONUM \* Arabic

2. Title Of Data Item

SETR PowerPoint Presentation

3. Subtitle

4. Authority (Data Acquisition document no.)

See Block 16

5. Contract Reference

Engineering SOW, Paragraph 3.10.1-3.10.5

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

See Block 16

9. Dist Statement Requirement

A

10. Frequency

See Block 16

12. Date of First Submission

See Block 16 14.

Distribution

8. APP Code

N/A

11. As Of Date

N/A

13. Date of Subsequent Submission

N/A

16. Remarks

Block 4: Presentation is to be in MS PowerPoint format and is to include:

1. A title slide with the SETR name, program name (Liquid Oxygen/Nitrogen Generator), model number, date, and Contractor name.

2. An agenda slide outlining the contents of the presentation.

3. A brief summary of previous meetings’ discussions and action items.

4. One slide to address each of the SETR’s entrance and exit criteria.

5. Slides for any additional information that will be shared at the meeting to include where applicable, but not limited to: Deficiency Reports, design change updates, problems/issues identified, and potential risks.

Block 7: Submittal for final approval/payment of this CDRL should be included with the final Systems Engineering Technical Review presentation.

Block 9: The first page of the PowerPoint presentation shall contain distribution statement A

Block 10 & 12: Electronic submittals are to be made 15 days prior to each SETR. Additionally, one hard copy is to be provided at the SETR for each Government SETR attendee. A list of Government attendees will be made available 5 days prior to each SETR.

1 Each

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

10 October 2012 I. Approved By

J. Date

DD FORM 1423, AUG 96

Previous Edition May be Used.

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other _X_

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A00 AUTONUM \* Arabic

2. Title Of Data Item

Technical Interchange Meeting Agenda

3. Subtitle

4. Authority (Data Acquisition document no.)

5. Contract Reference

Engineering SOW, Paragraph 3.11

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

LT

9. Dist Statement Requirement

A

10. Frequency

ASREQ

12. Date of First Submission

See Block 16 14.

8. APP Code

N/A

11. As Of Date

N/A

13. Date of Subsequent Submission

N/A

16. Remarks

Block 4: The agenda should, at a minimum, include the planned date and discussion topics of the TIM. Contractor format is accepted.

Block 7: Submittal for final approval/payment of this CDRL should be presented after the SVR/PRR is closed out by the Government.

Block 12: Submission is to be 5 days prior to each TIM.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

16 May 2012 I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other _X_

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A00 AUTONUM \* Arabic

2. Title Of Data Item

Technical Interchange Meeting Minutes

3. Subtitle

4. Authority (Data Acquisition document no.)

DI-ADMN-81250A

5. Contract Reference

Engineering SOW, Paragraph 3.11

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

See Block 16

9. Dist Statement Requirement

A

10. Frequency

ASREQ

12. Date of First Submission

See Block 16 14.

8. APP Code

N/A

11. As Of Date

N/A

13. Date of Subsequent Submission

N/A

16. Remarks

Block 4: The “Title Page” mentioned in Block 10, part a of DI-ADMN-81250A may be reduced to a simple heading instead of an entire separate page. Additionally, Block 10, part a, subparts 3 and 4 may be eliminated.

Block 7: Submittal for final approval/payment of this CDRL should be presented after the SVR/PRR is closed out by the Government.

Block 12: Submission is to be 5 days after each TIM.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TDP _X_

TM ___

Other ___

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A00 AUTONUM \* Arabic

2. Title Of Data Item

System Safety Hazard Analysis

3. Subtitle

4. Authority (Data Acquisition document no.)

DI-SAFT-80101B

5. Contract Reference

Engineering SOW, Paragraph 3.2.1

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

DD

9. Dist Statement Requirement

A

10. Frequency

TWO/R

12. Date of First Submission

See Block 16 14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

See Block 16

16. Remarks

Block 8 & 13: Government comments will be provided no later than 15 days after receipt.

Block 4: Content requirements IAW MIL-STD-882 Appendix A and DI-SAFT-80101B Paragraphs 10.2.3. Risk Assessment must include rationale for Severity and Probability.

Block 12: First Official submittal due 30 days before the Preliminary Design Review. Government has 15 days to review and comment. Revision due 10 days prior to the Preliminary Design Review.

Block 13: Second Official submittal due 30 days before the Critical Design Review. Government has 15 days to review and comment. Revision due 10 days prior to the Critical Design Review.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

17 January 2013 I. Approved By

J. Date

17 January 2013

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other _X_

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A00 AUTONUM \* Arabic

2. Title Of Data Item

Hazardous Materials Management Program (HMMP) Plan

3. Subtitle

4. Authority (Data Acquisition document no.)

DI-MGMT-81398

5. Contract Reference

Engineering SOW, Paragraph 3.4.2

6. Requiring Office

NAWCADLKE 4.3.4.2

7. DD 250 REQ

DD

9. Dist Statement Requirement

A

10. Frequency

ONE/R

12. Date of First Submission

45 DAC

14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

N/A

16. Remarks

Block 4: NAS 411 used as guidance. Contractor format is acceptable. NAS 411 tailoring: Paragraphs 4.3.6 and 4.3.8 are not required. Paragraph 4.3.4 may be limited to NAVAIR Targeted Chemicals per System Performance Specification paragraph 3.3.1.3.

Block 8: Government has 30 days to review and provide comments or approval. Contractor has 30 days after receipt of Government comments to resubmit.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

10 September 2012 I. Approved By

J. Date

5 February 2013

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other _X_

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A00 AUTONUM \* Arabic

2. Title Of Data Item

Hazardous Materials Management Program (HMMP) Report

3. Subtitle

4. Authority (Data Acquisition document no.)

DI-MISC-81397

5. Contract Reference

Engineering SOW, Paragraph 3.4.3

6. Requiring Office

NAWCADLKE 4.3.4.2

7. DD 250 REQ

DD

9. Dist Statement Requirement

A

10. Frequency

See Block 16

12. Date of First Submission

See Block 16 14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

See Block 16

16. Remarks

Block 4: Contractor format. The report will contain a data list that identifies all hazardous material (HAZMAT) as defined in the System Specification (PMA260C21/3014), Paragraph 3.3.1.1). HAZMAT identification data will include as a minimum all information listed in Paragraph 3.4.3 of the Engineering Statement of Work (PMA260C21/3070). It is the contractor’s responsibility to obtain required information from sub-contractors, vendors and suppliers.

Block 7: Submittal for final approval/payment of this CDRL should be presented after the SVR/PRR is closed out by the Government.

Block 8: Government has 15 days to review and provide comments or approval. Contractor has 15 days after receipt of Government comments to resubmit.

Block 10, 12 & 13: Initial submission will be submitted 30 days prior to SRR-II/PDR. Second submission will be 45 days prior to CDR. Report will be maintained and updated throughout the life of the contract. As changes to parts and materials occur, update will be submitted within 15 days of change for Government approval.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TDP _ X _

TM ___

Other ___

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A00 AUTONUM \* Arabic

2. Title Of Data Item

Lithium Battery Technical Data

3. Subtitle

4. Authority (Data Acquisition document no.)

5. Contract Reference

Engineering SOW, Paragraph 3.5

6. Requiring Office

NAWCADLKE 4.3.4.2

7. DD 250 REQ

DD

9. Dist Statement Requirement

A

10. Frequency

ASREQ

12. Date of First Submission

See Block 16 14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

15 DARC

16. Remarks

Block 4: For lithium batteries not meeting the exemption criteria of NAVSEA S9310-AQ-SAF-010, the data shall include information to answer paragraphs 1.2.1.1.1, and 1.2.2.1.1 through 1.2.2.3.8 of that document. For lithium batteries that meet one of the exemption criteria of NAVSEA S9310-AQ-SAF-010, the data shall include information to answer paragraphs 1.2.1.1.1, and 1.3.2.2.1 through 1.3.2.2.4 of NAVSEA S9310-AQ-SAF-010. All submissions shall be in a numbered format that follows one-to-one with the paragraphs being answered.

Block 7: Submittal for final approval/payment of this CDRL should be presented after the SVR/PRR is closed out by the Government.

Block 8: Initial Government comments will be provided no later than 30 days after receipt. Comments from NOSSA will be provided to the Contractor within 15 days of receipt by Government. Revised data shall be submitted 30 days after receipt of comments.

Block 12: Initial submission is to be within 30 days of the decision to use a lithium battery. A separate submission shall be made for each lithium battery type used in the LONG.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other ___

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A00 AUTONUM \* Arabic

2. Title Of Data Item

Reliability and Maintainability Program Plan

3. Subtitle

Reliability and Maintainability Program Plan

4. Authority (Data Acquisition document no.)

DI-SESS-81613 (see block 16)

5. Contract Reference

Engineering SOW, Paragraph 3.6

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

LT

9. Dist Statement Requirement

A

10. Frequency

ASREQ

12. Date of First Submission

See Block 16 14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

N/A

16. Remarks

Block 4:

Use/Relationship. First sentence, delete "LCAC" references and substitute “Liquid Oxygen/Nitrogen Generator ".

Delete subparagraphs a thru f, of paragraph two in requirements and replace with the following:

a. Provide visibility into the management and organizational structure of those responsible and accountable for the conduct of R & M activities over the entire development phase.

b. Define all resources required to fully implement the R & M program.

c. Include a coordinated schedule for conducting the all R & M activities throughout the system development phase.

d. Include detailed descriptions of all R & M activities, functions, documentation, processes, and strategies required to ensure system maturation and management throughout the system development phase.

e. Document the procedures for verifying that planned activities are implemented and for both reviewing and comparing their status and outcomes.

f. Manage potential reliability risks due, for example, to new technologies or testing approaches.

g. Flow R & M allocations and appropriate inputs (e.g., operational & environmental loads) down to subcontractors and suppliers.

h. Include contingency-planning criteria and decision-making for altering plans and intensifying R & M improvement efforts.

Block 8: Government has 15 days to review and provide comments or approval. Contractor has 15 days after receipt of Government comments to resubmit.

Block 12: Submission is due 45 days prior to SRR.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

29 November 2012 I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other ___

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A00 AUTONUM \* Arabic

2. Title Of Data Item

Reliability Prediction and Documentation of Supporting Data

3. Subtitle

Reliability Prediction Report

4. Authority (Data Acquisition document no.)

DI-RELI-81497

5. Contract Reference

Engineering SOW, Paragraph 3.7

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

LT

9. Dist Statement Requirement

A

10. Frequency

ASREQ

12. Date of First Submission

See Block 16 14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

See Block 16

16. Remarks

Block 4: Tailoring of format and content is acceptable with prior approval of the Government.

Block 8: Government has 30 days to review and provide comments or approval. Contractor has 30 days after receipt of Government comments to resubmit.

Block 12: Initial submittal shall be 45 days prior to SRR-II/PDR.

Block 13: Additional submittal including detailed analysis is due 45 days prior to CDR

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other ___

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A0 AUTONUM

2. Title Of Data Item

Maintainability Predictions Report

3. Subtitle

4. Authority (Data Acquisition document no.)

DI-MNTY-81602

5. Contract Reference

Engineering SOW, Paragraph 3.8

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

LT

9. Dist Statement Requirement

A

10. Frequency

ASREQ

12. Date of First Submission

See Block 16 14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

15 DARC

16. Remarks

Block 8: Government has 15 days to review and provide comments or approval. Contractor has 30 days after receipt of Government comments to resubmit.

Block 12: Initial submittal due 30 days prior to SRR-II/PDR.

Block 13: Second submittal containing detailed analysis is due 30 days prior to CDR.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other ___

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A0 AUTONUM

2. Title Of Data Item

Component Specification Sheets

3. Subtitle

4. Authority (Data Acquisition document no.)

5. Contract Reference

System Specification, Paragraph 4.2.7

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

DD

9. Dist Statement Requirement

A

10. Frequency

See Block 16

12. Date of First Submission

See Block 16 14.

8. APP Code

N/A

11. As Of Date

N/A

13. Date of Subsequent Submission

See Block 16

16. Remarks

Block 4: Contractor format acceptable. The sheets shall, at a minimum, contain information on the operational environment for which the components are rated to work. Technical data sheets from original equipment manufacturers are acceptable.

Block 7: Submittal for final approval/payment of this CDRL should be presented after the CTR is closed out by the Government.

Block 10 & 12 & 13: Component specification sheets shall be required in accordance with the System Specification (PMA260C21/3014). Initial submission shall be made 30 days prior to CDR. If any design changes occur after the first submittal, new submittals shall be made for any new components/assemblies.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other ___

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A0 AUTONUM

2. Title Of Data Item

Requirements Traceability Matrix

3. Subtitle

4. Authority (Data Acquisition document no.)

5. Contract Reference

Engineering SOW, Paragraphs 3.10.2-3.10.5

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

DD

9. Dist Statement Requirement

A

10. Frequency

See Block 16

12. Date of First Submission

See Block 16 14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

See Block 16

16. Remarks

Block 4: The Verification Matrix shall be a grid format in MS Word (landscape orientation) or MS Excel. The matrix shall be broken into four submissions, or “levels,” with each containing information as outlined below:

Level I – Shall be three columns. The first column shall contain all requirements from the System Specification (one requirement paragraph per row) complete with the Project Unique Identifier. The second column shall contain a description of the proposed design solution for 90% of the requirements. Included in the 90% shall be oxygen and nitrogen purity, production rate, air transportability, and reliability. For example, a purity requirement may contain design information on filtering material and separation column specs. Detailed analyses shall also be provided for these five requirements showing how the design solution fulfills the requirement. These analyses shall be provided as a separate document referenced in the matrix. The third column shall provide the test level (PPT I/PPT II) at which the requirement will be verified.

Level II – Shall contain the three columns from Level I with the remaining design solution descriptions filled out. A fourth column shall be added for the verification method to be used to show compliance with the requirement (i.e. test, analyze, demonstrate, or inspect per the System Specification). Any test or analysis verification shall also contain a brief description of the verification (e.g. call out the MIL-STD test procedure; describe what data will be used for analysis).

Level III – Shall contain four columns from Level II, updated as required, with a fifth column added with a reference to the PPT I or PPT II procedure step/paragraph number wherein the requirement will be verified.

Level IV – Shall contain the five columns from Level III, updated as required, with four additional columns added. The sixth column shall contain a reference to the PPT I or PPT II report paragraph number wherein the requirement verification is given. The seventh column shall give the serial number of the PPU used for testing. The eighth column shall contain the test date(s). The ninth column shall provide the test results with a Pass/Fail indication as well as numeric results as application. Any test failures and retests shall also be shown in this level through providing the serial number/test date(s), and Pass/Fail and results for all verification attempts.

Block 7: Submittal for final approval/payment of this CDRL should be presented after the SVR/PRR is closed out by the Government.

Block 8: Government has 5 days to review and provide comments or approval. Contractor has 5 days after receipt of Government comments to resubmit.

Block 10 & 12 & 13: Submission of each level shall be 20 days prior to each SETR event as outlined in the Engineering Statement of Work (PMA260C21/3070).

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

10 January 2013 I. Approved By

J. Date

11 January 2013

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other _X_

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A0 AUTONUM \* Arabic

2. Title Of Data Item

Weekly Test Progress Report

3. Subtitle

4. Authority (Data Acquisition document no.)

5. Contract Reference

Engineering SOW, Paragraph 3.12.1.2

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

DD

9. Dist Statement Requirement

A

10. Frequency

WEEKLY

12. Date of First Submission

See Block 16 14.

8. APP Code

N/A

11. As Of Date

N/A

13. Date of Subsequent Submission

See Block 16

16. Remarks

Block 4: Contractor format acceptable. Report is to contain a list of all tests performed in the previous week (Sunday through Saturday) and a pass/fail indication for each. Additionally, an estimated % (0-100) complete is to be given for each task identified in the Government controlled test schedule along with a brief justification/calculation for each.

Block 7: Submittal for final approval/payment of this CDRL should be presented after the SVR/PRR is closed out by the Government.

Block 12 & 13: Submission is to be every Monday beginning the Monday following the start of PPT II and continuing to the end of PPT II.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

20 October 2012 I. Approved By

J. Date

22 October 2012

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other _X_

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A0 AUTONUM \* Arabic

2. Title Of Data Item

Pilot Production Test I Procedures

3. Subtitle

4. Authority (Data Acquisition document no.)

5. Contract Reference

Engineering SOW, Paragraph 3.12.1.1

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

DD

9. Dist Statement Requirement

A

10. Frequency

ONE/R

12. Date of First Submission

45 DPTT

14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

N/A

16. Remarks

Clock 4: Pilot Production Test I Procedures shall be used to prove compliance with all requirements identified as being verified by PPT I in the System Specification (PMA260C21/3014). For requirements identified as being verified through generic inspection the procedures shall identify to the test personnel what to look for and where on the generator to look for it. For requirements identified as being verified through generic analysis the procedures shall detail the data to be collected and how it is to be analyzed. For requirements verified through generic demonstration the procedures shall provide a step-by-step instruction on how to run the generator and what to look for at each step. At each step/paragraph in the procedures where a requirement is proven the Project Unique Identifier for that requirement’s paragraph in the System Specification shall be shown. Where appropriate, multiple requirements may be proven during a single instruction/step.

Block 8: Government has 10 days to review and provide comments or approval. Contractor has 15 days after receipt of Government comments to resubmit.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other _X_

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A0 AUTONUM

2. Title Of Data Item

Pilot Production Test I Report

3. Subtitle

4. Authority (Data Acquisition document no.)

5. Contract Reference

Engineering SOW, Paragraph 3.12.1.1

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

DD

9. Dist Statement Requirement

A

10. Frequency

1TIME

12. Date of First Submission

10 DATC

14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

N/A

16. Remarks

Block 4: Contractor format is acceptable. The Contractor shall track all PPT I testing and provide verification that each PPT I selected requirement is met. Any measured values or accumulated data obtained from separately prepared documents/reports should be incorporated where applicable. Additionally, information from the PPT I Report shall be inputted in the Requirements Traceability Matrix Level III (CDRL A012).

Block 8: Government has 5 days to review and provide comments or approval. Contractor has 10 days after receipt of Government comments to resubmit.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

11 October 2012 I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other _X_

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A0 AUTONUM \* Arabic

2. Title Of Data Item

First Article Qualification Test Plan

3. Subtitle

Pilot Production Test II Procedures

4. Authority (Data Acquisition document no.)

DI-NDTI-81307

5. Contract Reference

Engineering SOW, Paragraph 3.12.1.2

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

DD

9. Dist Statement Requirement

A

10. Frequency

ONE/R

12. Date of First Submission

45 DPTT

14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

N/A

16. Remarks

Block 4: Pilot Production Test II Procedures shall be used to prove compliance with all requirements identified as being verified by PPT II in the System Specification (PMA260C21/3014). In addition to the information required by DI-NDTI-81307, the PPT II Procedures shall include start and end dates for each test as well as test locations (name of laboratory/city, state) and estimated shipping times to/from each location.

For requirements identified as being verified through generic inspection the procedures shall identify to the test personnel what to look for and where on the generator to look for it. For requirements identified as being verified through generic analysis the procedures shall detail the data to be collected and how it is to be analyzed. For requirements verified through generic demonstration the procedures shall provide a step-by-step instruction on how to run the generator and what to look for at each step. At each step/paragraph in the procedures where a requirement is proven the Project Unique Identifier for that requirement’s paragraph in the System Specification shall be shown. Where appropriate, multiple requirements may be proven during a single instruction/step.

For requirements in which a specific verification test procedure is provided in the System Specification, the requirements’ Project Unique Identifier (PUID) shall be shown at the beginning of those procedural paragraphs in the PPT II Procedures.

Block 8: Government has 15 days to review and provide comments or approval. Contractor has 30 days after receipt of Government comments to resubmit.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other _X_

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A0 AUTONUM

2. Title Of Data Item

Failure Reporting, Analysis and Corrective Action System Plan

3. Subtitle

4. Authority (Data Acquisition document no.)

5. Contract Reference

Engineering SOW, Paragraph 3.12.1.3

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

LT

9. Dist Statement Requirement

A

10. Frequency

ONE/R

12. Date of First Submission

See Block 16 14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

See Block 16

16. Remarks

Block 4: Contractor shall us MIL-HDBK-2155 for guidance.

Block 8: Government has 15 days to review and provide comments or approval. Contractor has 15 days after receipt of Government comments to resubmit.

Block 12 & 13: Submission is due 30 days prior to CDR. Revisions as changes occur.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other ___

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A0 AUTONUM \* Arabic

2. Title Of Data Item

Failure Analysis and Corrective Action Report

3. Subtitle

FRACAS Report

4. Authority (Data Acquisition document no.)

DI-SESS-81315B

5. Contract Reference

Engineering SOW, Paragraph 3.12.1.3

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

LT

9. Dist Statement Requirement

A

10. Frequency

ASREQ

12. Date of First Submission

See Block 16 14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

See Block 16

16. Remarks

Block 4: Content shall be in accordance with the specified Data Item Description.

Block 8 & 13: Government has 10 days to review and provide comments or approval. Contractor has 15 days after receipt of Government comments to resubmit.

Block 12 & 13: Submittals, as required, shall begin at the start of PPT I. Initial submittal, reference paragraph 3.1 of DID (DI-SESS-81315B), is due 24 hours after failure. All information contained within DID, including paragraph 3.1 and 3.2, are due 15 days after the failure. All reports shall be made available at SVR/PRR for review. Submission of reports shall continue with production units until the end of the contract period.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, 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:

TM ___

Other _X_

D. System/Item

Liquid Oxygen/Nitrogen Generator E. Contract/PR No.

TBD

F. Contractor

TBD

1. Data Item No.

A0 AUTONUM

2. Title Of Data Item

DR Resolution Report

3. Subtitle

4. Authority (Data Acquisition document no.)

Contractor format is acceptable

5. Contract Reference

Engineering SOW, Paragraph 3.12.1.5

6. Requiring Office

NAVAIR ENG

7. DD 250 REQ

LT

9. Dist Statement Requirement

A

10. Frequency

ASREQ

12. Date of First Submission

5 days after receipt of a DR 14.

8. APP Code

A

11. As Of Date

N/A

13. Date of Subsequent Submission

15 DARC

16. Remarks

Block 4: Reports originating from Independent Government Test Deficiency Reports (DRs) shall restate the Deficiency, Description of Deficiency, and Deficiency Classification as they appear on the DR. The Contractor shall also provide a detailed resolution derived from the Recommendation as it appears on the DR. If the Contractor feels there is a better resolution than the Recommendation, that resolution shall also be included in detail, along with a listing of pros and cons for each proposal. The Contractor shall also include a statement with explanation as to whether each proposed resolution is within the scope of the Contract and a cost estimate if the Contractor feels the resolution is out of scope.

Block 8: Government has 15 days to review and provide comments or approval. Contractor has 30 days after receipt of Government comments to resubmit.

17. Price Group

18. Estimated Total Price

G. Prepared By

H. Date

I. Approved By

J. Date

Page 1 of 1 Pages

Contract Data Requirements List

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 this burden, to Department of Defense, Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, Washington,…