Exhibits_A B _LT_AE32K-11_CDRLs_25SEP14.pdf
PDF 922 KB Posted
- Attached to
- A/E32K-11 Munitions Lifting Assembly
- Solicitation number
- N68335-14-R-0150
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CDRLs dated 9/25/2014
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| File | Type | Posted |
|---|---|---|
| N68335-14-R-0150-0005.pdf | ||
| N68335-14-R-0150-0004.pdf | ||
| N68335-14-R-0150-0003.pdf | ||
| 14-R-0150_amend_0001.doc | DOC document | |
| N68335-14-R-0150_MLA_RFP_RELEASED.pdf | ||
| Exhibits_A B _LT_AE32K-11_CDRLs_9JUN14.pdf |
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Text version
Exhibits A, B and LT, DD1423, CDRLs 25 September 2014
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
A/E32K-11
E. CONTRACT/PR NO.
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Contractor’s Configuration Management Plan
3. SUBTITLE
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-CMAN-80858B
5. CONTRACT REFERENCE
SOW Para. 3.2
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
LT
9. DIST STATEMENT
REQUIREMENT
A
10. FREQUENCY
OTIME
12. DATE OF FIRST SUBMISSION
30 DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
Draft
Final
Reg Repro
16. REMARKS
Block 4: DI-CMAN-80858 and Appendix A of MIL-STD-973 shall be used as guidance in creation of the Configuration Management Plan.
Block 14: /E means distribute in electronic format.
LKE 4.8.1.2 1/E
LKE 4.8.6.5 1/E
LKE 131821B 1/E
15. TOTAL 0 3 /E 0
17. PRICE GROUP
18. ESTIMATED TOTAL PRICE
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
DD FORM 1423, AUG 96 PREVIOUS EDITION MAY BE USED. PAGE 1 OF 26 PAGES
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.
D. SYSTEM/ITEM
A002
2. TITLE OF DATA ITEM
Conference Agenda
3. SUBTITLE
Contractor Test Review/Program Management Review
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-ADMN-81249A
5. CONTRACT REFERENCE
SOW Para. 3.2.3, 3.3.1
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
LT
OTIME
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
Block 4: Use guidance contained in the Statement of Work and also NAVAIRINST 4355.19D for planning of the review. The procurement activity will also be consulted for tailoring of topics for the review. When consulting NAVAIRINST 4355.19D, refer to the section on Test Readiness Review for applicable guidance. Topics will include at a minimum: program overview; contract and CDRL status; cost review; subcontractor management;
training; production planning and streamlining; technical issues and comments; status of previous action items;
risk procedure overview, current risks; program schedule; metrics used in production and test; staffing; test requirements, plans, and procedures; test resources (including material assets and test locations); test schedule.
Block 12: The agenda shall be submitted 30 days prior to the Contractor Test Review/Program Management Review.
LKE 131821B 1/E
LKE 4.8.6.5 1/E
NAWCPAX
4.8.6.11
1/E
15. TOTAL 0 4 /E 0
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.
D. SYSTEM/ITEM
A003
2. TITLE OF DATA ITEM
Presentation Material
3. SUBTITLE
Contractor Test Review/Program Management Review
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-ADMN-81373
5. CONTRACT REFERENCE
SOW Para. 3.2.3, 3.3.1
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
SEE BLOCK 16
ONE/R
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
See Block 16 Draft
Final
Block 4: Use guidance contained in the Statement of Work and also NAVAIRINST 4355.19D for planning of the review. The procurement activity will also be consulted for tailoring of topics for the review. When consulting NAVAIRINST 4355.19D, refer to the section on Test Readiness Review for applicable guidance. Topics will include at a minimum: program overview; contract and CDRL status; cost review; subcontractor management;
training; production planning and streamlining; technical issues and comments; status of previous action items;
risk procedure overview, current risks; program schedule; metrics used in production and test; staffing; test requirements, plans, and procedures; test resources (including material assets and test locations); test schedule.
Block 8: Government comments will be forwarded NLT 7 days after receipt.
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the document was created.
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
SHALL BE REFERRED TO COMMANDING OFFICER, NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, LAKEHURST, NJ 08733-5000.
WARNING – THIS DOCUMENT CONTAINS DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC 2751, ET SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979 (TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF
DOD DIRECTIVE 5230.25.
DESTRUCTION NOTICE. FOR UNCLASSIFIED, LIMITED DOCUMENTS, DESTROY BY ANY METHOD THAT
WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THIS DOCUMENT.
Block 12: The presentation material shall be submitted 21 days prior to the Contractor Test Review/Program Management Review.
Block 13: Final submission of the presentation material shall be 7 days prior to the Contractor Test Review/Program Management Review.
Block 14: /E means distribute in electronic format. See SOW Para. 3.1.4.
LKE 131821B 1/E
LKE 4.8.6.5 1/E
NAWCPAX
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.
D. SYSTEM/ITEM
A004
2. TITLE OF DATA ITEM
Report, Record of Meeting Minutes
3. SUBTITLE
Contractor Test Review/Program Management Review
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-ADMN-81505
5. CONTRACT REFERENCE
SOW Para. 3.2.3, 3.3.1
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
ONE/R
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
See Block 16 Draft
Final
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
(TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE
Block 12: The meeting minutes shall be submitted NLT 7 days after the Contractor Test Review/Program Management Review.
Block 13: Final submission of the meeting minutes shall be 7 days after receiving Government approval.
LKE 131821B 1/E
LKE 4.8.6.5 1/E
NAWCPAX
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.
D. SYSTEM/ITEM
A005
2. TITLE OF DATA ITEM
Conference Agenda
3. SUBTITLE
Production Readiness Review
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-ADMN-81249A
5. CONTRACT REFERENCE
SOW Para. 3.3.2
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
LT
OTIME
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
Block 4: Use guidance contained in the Statement of Work and also NAVAIRINST 4355.19D for planning of the review. The procurement activity will also be consulted for tailoring of topics for the review. When consulting NAVAIRINST 4355.19D, refer to the section on System Verification Review / Production Readiness Review for applicable guidance. Topics will include at a minimum: program overview; contract and CDRL status; cost review;
subcontractor management; training; technical issues and comments; status of previous action items; risk procedure overview, current risks; program schedule; metrics used in production and test; staffing; production planning and streamlining; production quality assurance; production layout, processes, and flow; production ramp-up; and configuration management.
Block 12: The agenda shall be submitted 30 days prior to the Production Readiness Review.
LKE 131821B 1/E
LKE 4.8.6.5 1/E
NAWCPAX
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.
D. SYSTEM/ITEM
A006
2. TITLE OF DATA ITEM
Presentation Material
3. SUBTITLE
Production Readiness Review
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-ADMN-81373
5. CONTRACT REFERENCE
SOW Para. 3.3.2
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
One/R
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
See Block 16 Draft
Final
Block 4: Use guidance contained in the Statement of Work and also NAVAIRINST 4355.19D for planning of the review. The procurement activity will also be consulted for tailoring of topics for the review. When consulting NAVAIRINST 4355.19D, refer to the section on System Verification Review / Production Readiness Review for applicable guidance. Topics will include at a minimum: program overview; contract and CDRL status; cost review;
subcontractor management; training; technical issues and comments; status of previous action items; risk procedure overview, current risks; program schedule; metrics used in production and test; staffing; production planning and streamlining; production quality assurance; production layout, processes, and flow; production ramp-up; and configuration management.
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
(TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE
Block 12: The presentation shall be submitted 21 days prior to the Production Readiness Review.
Block 13: Final submission of the presentation shall be 7 days prior to the Production Readiness Review.
LKE 131821B 1/E
LKE 4.8.6.5 1/E
NAWCPAX
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.
D. SYSTEM/ITEM
A007
2. TITLE OF DATA ITEM
Report, Record of Meeting Minutes
3. SUBTITLE
Production Readiness Review
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-ADMN-81505
5. CONTRACT REFERENCE
SOW Para. 3.3.2
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
ONE/R
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
See Block 16 Draft
Final
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
(TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE
Block 12: The meeting minutes shall be submitted NLT 7 days after Production Readiness Review.
Block 13: Final submission of the meeting minutes shall be 7 days after receiving Government approval.
LKE 131821B 1/E
LKE 4.8.6.5 1/E
NAWCPAX
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.
0011, 0104, 0204, 0304, 0404
D. SYSTEM/ITEM
A008
2. TITLE OF DATA ITEM
Engineering Change Proposal (ECP)
DI-CMAN-80639
5. CONTRACT REFERENCE
SOW Para. 3.3.3
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
LT
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
ASREQ
Draft
Final
Block 8: Approval/disapproval for a no cost ECP shall be 30 days after receipt. Approval/disapproval for a cost impact ECP shall be 90 days after receipt.
Block 9: Distribution statement to be recommended by the contractor during the preparation of the ECP. Final determination of the distribution statement to be made by the Government prior to submission of the ECP.
LKE 4.8.1.2 1/E
LKE 6.6.4.9 1/E
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.
0012, 0105, 0205, 0305, 0405
D. SYSTEM/ITEM
A009
2. TITLE OF DATA ITEM
Request for Deviation (RFD)
DI-CMAN-80640C
5. CONTRACT REFERENCE
SOW Para. 3.3.3
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
LT
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
ASREQ
Draft
Final
Block 4: Submit RFD using DD FORM 1694.
Block 8: Approval/disapproval shall be 30 days after receipt.
Block 9: Distribution statement to be recommended by the contractor during the preparation of the RFD. Final determination of the distribution statement to be made by the Government prior to submission of the RFD.
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.
0013, 0106, 0206, 0306, 0406
D. SYSTEM/ITEM
A010
2. TITLE OF DATA ITEM
Request for Waiver (RFW)
DI-SESS-81732
5. CONTRACT REFERENCE
SOW Para. 3.3.3
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
LT
ASREQ
12. DATE OF FIRST SUBMISSION
ASREQ
14. DISTRIBUTION
a. ADDRESSEE
ASREQ
Draft
Final
Block 4: Submit RFW using DD FORM 1694.
Block 8: Approval/disapproval shall be 30 days after receipt.
Block 9: Distribution statement to be recommended by the contractor during the preparation of the RFD. Final determination of the distribution statement to be made by the Government prior to submission of the RFD.
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.
D. SYSTEM/ITEM
A011
2. TITLE OF DATA ITEM
Configuration Audit Summary Report
3. SUBTITLE
Physical Configuration Audit (PCA) Report
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-CMAN-81022C
5. CONTRACT REFERENCE
SOW 3.3.4
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
ONE/R
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
See Block 16 Draft
Final
Block 4: DI-CMAN-81022C shall be used as guidance, but contractor format is acceptable.
Block 8: Government comments will be forwarded NLT 30 days after receipt.
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
(TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE
Block 12: Report to be submitted within 15 days after Physical Configuration Audit is conducted.
Block 13: Revisions due within 15 days of Government comments.
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.
D. SYSTEM/ITEM
A012
2. TITLE OF DATA ITEM
Quality Assurance Program Plan
DI-QCIC-81794
5. CONTRACT REFERENCE
SOW Para. 3.3.5.2
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
ONE/P
12. DATE OF FIRST SUBMISSION
45 DAC
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
See Block 16 Draft
Final
Block 13: Revisions shall be submitted within 15 days of Government comment. Final version shall be submitted 45 days before Production Readiness Review.
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.
D. SYSTEM/ITEM
A013
2. TITLE OF DATA ITEM
Test Procedure
3. SUBTITLE
Pilot-Production Contractor Testing
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-NDTI-80603A
5. CONTRACT REFERENCE
SOW Para 3.4.1.5
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
ONE/R
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
See Block 16 Draft
Final
Block 4: Contractor’s format is acceptable.
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
(TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE
Block 12: Test Procedure is to be submitted NLT 150 DAC or 30 days before Contractor Test Review, whichever is earlier.
Block 13: Revisions shall be submitted within 15 days of Government comment.
LKE 4.8.6.5 1/E
LKE 131821B 1/E
NAWCPAX
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.
D. SYSTEM/ITEM
A014
2. TITLE OF DATA ITEM
Qualification Test Report (QTR)
3. SUBTITLE
Pilot Production Test Report
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-QCIC-81890
5. CONTRACT REFERENCE
SOW Para. 3.4.1.6
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
ONE/R
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
See Block 16 Draft
Final
Block 4: Report shall be in contractor’s format.
Block 8: Approval/disapproval shall be within 60 days after receipt of report.
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
(TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE
Block 12: Report shall be submitted within 30 days after test completion.
Block 13: Report shall be re-submitted with revisions within 30 days after receiving Government comments.
LKE 4.8.6.5 1/E
LKE 131821B 1/E
NAWCPAX
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.
0018, 0103, 0203, 0303, 0403
D. SYSTEM/ITEM
A015
2. TITLE OF DATA ITEM
Failure Analysis and Corrective Action Report (FACAR)
DI-SESS-81927
5. CONTRACT REFERENCE
SOW Para. 3.4
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
See Block 16 Draft
Final
Block 4: Contractor’s format is acceptable. The following items are not required in the report: Date of hardware receipt from Government; reference designator; TMIS number; mission impact; conference date; lot number.
Block 8: Government comments will be forwarded within 5 days of receipt.
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
(TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE
Block10: A FACAR must be submitted for every failure that occurs during Pilot Production Testing and Production Acceptance Testing.
Block 12: A draft FACAR for a test failure must be submitted within 48 hours of a failure that consists of the Preliminary Report.
Block 13: The final FACAR for a test failure must be submitted within 5 days of failure resolution that has the Final Report.
LKE 4.8.1.2 1 /E 1/E
LKE 4.8.6.5 1 /E 1/E
DCMAO QAR 0 1/E
LKE 131821B 1 /E 1/E
NAWCPAX
1 /E 1/E
15. TOTAL 4 /E 5 /E 0
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.
0107, 0207, 0307, 0407
D. SYSTEM/ITEM
A016
2. TITLE OF DATA ITEM
Acceptance Test Report (ATR)
3. SUBTITLE
Production Acceptance Test Report
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-QCIC-81891
5. CONTRACT REFERENCE
SOW Para. 3.4.3
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
LT
See Block 16
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
(TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE
Block 10: An Acceptance Test Report will be submitted for every production unit.
Block 12: Report shall be submitted within 7 days of a production unit completing manufacture.
LKE 4.8.6.5 1/E
LKE 131821B 1/E
NAWCPAX
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.
0102, 0202, 0302, 0402
D. SYSTEM/ITEM
A017
2. TITLE OF DATA ITEM
Production Status Report
3. SUBTITLE
Production Progress Report
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-MGMT-81255
5. CONTRACT REFERENCE
SOW Para. 3.6.5.1
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
LT
MTHLY
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
Block 4: Submit progress reports using DD Form 375 and DD Form 375C. DD Form 375C will be used to explain reasons for any delays that occur. Report content should include the following when a delay has occurred or the potential for a delay has been discovered: what the actual or potential problem is, and its cause; items and quantities affected; when the delinquency started or will start; actions taken to overcome delinquency; estimated recovery date and/or proposed schedule revision.
Block 12: Report shall be submitted on the last business day of each month beginning the month release for production is given.
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.
0101, 0201, 0301, 0401
D. SYSTEM/ITEM
A018
2. TITLE OF DATA ITEM
Quality Assessment Report
DI-QCIC-81187
5. CONTRACT REFERENCE
SOW Para. 3.3.5.1
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
LT
MTHLY
12. DATE OF FIRST SUBMISSION
See Block 16
14. DISTRIBUTION
a. ADDRESSEE
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
(TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE
Block 12: Report shall be submitted on the last business day of each month beginning the month that material is first received or any other manufacturing/assembly operations begin by the contractor after release for production is given.
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
A
C. CATEGORY:
TDP ___ TM ___ Other X
D. SYSTEM/ITEM
A019
2. TITLE OF DATA ITEM
Welding Procedures
DI-MISC-80875 (See Block 16)
5. CONTRACT REFERENCE
SOW Para. 3.3.5.3
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
(See Blk 16)
ASREQ
(See Blk 16)
12. DATE OF FIRST SUBMISSION
ASREQ (See Block 16)
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A (See Blk 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ (See Block 16) Draft
Final
Reg Repro
16. REMARKS
Block 4: Data Item Description, Section 7.1 is amended to include the following:
Weld procedure IAW AWS D1.1 (Structural Steel) clause 4, AWS D1.2 (Aluminum) clause 3, AWS D1.6 (Stainless) clause 4 or other specifications as listed on the system drawings.
For the purposes of AWS welding requirements, “Owner” is defined as NAVAIR Lakehurst and “Engineer” is defined as engineering authority who resides in NAVAIR Code 4.8.6.
Block 7 and 8: The CDRL Deliverable shall be approved by a designated Government representative via a Program Management correspondence. Government has 30 days to review and provide comments or approval.
Additional review time may be required based on high volume of submittals such that the number of reviews in process exceeds ten procedures. Contractor has 45 days after receipt of Government comments to resubmit.
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
SHALL BE REFERRED TO COMMANDING OFFICER, NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, LAKEHURST, NJ 08733-5000.
WARNING – THIS DOCUMENT CONTAINS DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC 2751, ET SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979 (TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF
DOD DIRECTIVE 5230.25.
Block 10: Deliver one time for each weld application type for each contractor or subcontractor.
Block 12: Submit NLT 75 days prior to start of manufacture of items requiring welding governed by AWS welding requirements.
Block 13: Contractor must resubmit for any changes in procedure or change in weld activity location.
LKE 4.8.1.2 1/E 1/E
LKE 4.8.6.5 1/E 1/E
LKE 4.3.4.1 1/E 1/E
LKE 131821B 1/E 1/E
DCMA 1/E 1/E
15. TOTAL 5/E 5 /E 0
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
A
C. CATEGORY:
TDP ___ TM ___ Other X
D. SYSTEM/ITEM
A020
2. TITLE OF DATA ITEM
Welding Procedures Qualification Test Report
DI-MISC-80876 (See Block 16)
5. CONTRACT REFERENCE
SOW Para. 3.3.5.3
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
(See Blk 16)
ASREQ
(See Blk 16)
12. DATE OF FIRST SUBMISSION
ASREQ (See Block 16)
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A (See Blk 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ (See Block 16) Draft
Final
Reg Repro
16. REMARKS
Block 4: Data Item Description, Section 7.1 is amended to include the following:
The Weld Procedure Qualification Test Report, including all supporting material and laboratory test reports and documentation, IAW AWS D1.1 (Structural Steel) clause 4, AWS D1.2 (Aluminum) clause 3, AWS D1.6 (Stainless) clause 4 or other specifications as listed on the system drawings.
For the purposes of AWS welding requirements, “Owner” is defined as NAVAIR Lakehurst and “Engineer” is
Block 7 and 8: The CDRL Deliverable shall be approved by a designated Government representative via a
Program Management correspondence. Government has 30 days to review and provide comments or approval.
Additional review time may be required based on high volume of submittals such that the number of reviews in process exceeds ten procedures. Contractor has 45 days after receipt of Government comments to resubmit.
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
SHALL BE REFERRED TO COMMANDING OFFICER, NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, LAKEHURST, NJ 08733-5000.
WARNING – THIS DOCUMENT CONTAINS DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC 2751, ET SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979 (TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF
DOD DIRECTIVE 5230.25.
Block 10: Deliver one time for each weld application type for each contractor or subcontractor.
Block 12: Submit NLT 75 days prior to start of manufacture of items requiring welding governed by AWS welding
Block 13: Contractor must resubmit for any changes in procedure or change in weld activity location.
LKE 4.8.6.5 1/E 1/E
LKE 4.3.4.1 1/E 1/E
LKE 131821B 1/E 1/E
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
A
C. CATEGORY:
TDP ___ TM ___ Other X
D. SYSTEM/ITEM
A021
2. TITLE OF DATA ITEM
Test/Inspection Reports
3. SUBTITLE
Welder Performance Qualification Record
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-NDTI-80809 (See Block 16)
5. CONTRACT REFERENCE
SOW Para. 3.3.5.3
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
(See Blk 16)
ASREQ (See Blk 16)
12. DATE OF FIRST SUBMISSION
ASREQ (See Block 16)
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A (See Blk 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ (See Block 16) Draft
Final
Reg Repro
16. REMARKS
Block 4: Data Requirements
Welder performance qualification record IAW AWS D1.1 (Structural Steel) clause 4, AWS D1.2 (Aluminum) clause 3, AWS D1.6 (Stainless) clause 4 or other specifications as listed on the system drawings.
For the purposes of AWS welding requirements, “Owner” is defined as NAVAIR Lakehurst and “Engineer” is
Block 7 and 8: The CDRL Deliverable shall be approved by a designated Government representative via a
Program Management correspondence. Government has 30 days to review and provide comments or approval.
Contractor has 45 days after receipt of Government comments to resubmit.
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
SHALL BE REFERRED TO COMMANDING OFFICER, NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, LAKEHURST, NJ 08733-5000.
WARNING – THIS DOCUMENT CONTAINS DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC 2751, ET SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979 (TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF
DOD DIRECTIVE 5230.25.
Block 10: Submit one time for each manufacturing entity that performs welding.
Block 12: Submit NLT 75 days prior to start of manufacture of items requiring welding governed by AWS welding
LKE 4.8.6.5 1/E 1/E
LKE 4.3.4.1 1/E 1/E
LKE 131821B 1/E 1/E
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
A
C. CATEGORY:
TDP ___ TM ___ Other X
D. SYSTEM/ITEM
A022
2. TITLE OF DATA ITEM
Test/Inspection Reports
3. SUBTITLE
Level III Certification
4. AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
DI-NDTI-80809 (See Block 16)
5. CONTRACT REFERENCE
SOW Para. 3.3.5.3
6. REQUIRING OFFICE
NAWCAD LKE
7. DD 250 REQ
DD
(See Blk 16)
ASREQ (See Blk 16)
12. DATE OF FIRST SUBMISSION
ASREQ (See Block 16)
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE
A (See Blk 16)
11. AS OF DATE
N/A
13. DATE OF SUBSEQUENT
SUBMISSION
ASREQ (See Block 16) Draft
Final
Reg Repro
16. REMARKS
Block 4: Data Requirements
Level III, ASNT certification for NDT inspection personnel IAW AWS D1.1 Clause 4-Part D paragraph 6.14.6.1;
AWS D1.2 Clause 5 – Part A, paragraph 5.7.6.2; AWS D1.6 Clause 6 – Part A, paragraph 6.2.7.
For the purposes of AWS welding requirements, “Owner” is defined as NAVAIR Lakehurst and “Engineer” is
Block 7 and 8: The CDRL Deliverable shall be approved by a designated Government representative via a
Program Management correspondence. Government has 30 days to review and provide comments or approval.
Block 9: Cover page to be marked with the following statements. Where it notes ‘DATE’ insert the date the
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO DEPARTMENT OF DEFENSE AND U.S.
DOD CONTRACTORS ONLY; EXPORT CONTROLLED; DATE. OTHER REQUESTS FOR THIS DOCUMENT
SHALL BE REFERRED TO COMMANDING OFFICER, NAVAL AIR WARFARE CENTER, AIRCRAFT DIVISION, LAKEHURST, NJ 08733-5000.
WARNING – THIS DOCUMENT CONTAINS DATA WHOSE EXPORT IS RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC 2751, ET SEQ.) OR THE EXPORT ADMINISTRATION ACT OF 1979 (TITLE 50, U.S.C., APP. 2401 ET SEQ.), AS AMENDED. VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN ACCORDANCE WITH PROVISIONS OF
DOD DIRECTIVE 5230.25.
Block 12: Submit NLT 75 days prior to start of manufacture of items requiring welding governed by AWS welding
LKE 4.8.6.5 1/E 1/E
LKE 4.3.4.1 1/E 1/E
LKE 131821B 1/E 1/E
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
A
C. CATEGORY:
TDP ___ TM ___ Other X
D. SYSTEM/ITEM
A023
2. TITLE OF DATA ITEM
Test/Inspection Reports
3. SUBTITLE
NDT Written Procedures
4. AUTHORITY (DATA…
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