0141_PARCOTS_CDRLs_06Aug15.pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED.

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

EMCS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Spectrum Certification Spectral Characteristics Data

3. SUBTITLE

Frequency Certification Data

4. AUTHORITY (Data Acquisition Document No.)

DI-EMCS-81827

5. CONTRACT REFERENCE

SOW, para 2.4

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLOCK 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

Block 12, 13: Submission of the DD Form 1494 data shall be as soon as the equipment characteristics, nomenclature and operational environments are known, but no later than 20 calendar days before TRR.

Block 14: All data shall be delivered on CD/DVD to the below address.

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

Janice Zilch

J. DATE

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

EMCS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Electromagnetic Environmental Effects (E3) Verification Report (E3V3)

3. SUBTITLE

HERO/HERP/HERF Analysis Report

4. AUTHORITY (Data Acquisition Document No.)

DI-EMCS-81542B (See Block 16)

5. CONTRACT REFERENCE

SOW Para. 2.4

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Only paragraph 3.2.i of DI-EMCS-81542B applies.

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

Block 10,12: Submission due 30 calendar days before TRR.

Block 14: All data shall be delivered on CD/DVD to the below address.

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA-ACO

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

EMCS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Electromagnetic Environmental Effects (E3) Verification Report

3. SUBTITLE

E3 Verification report

4. AUTHORITY (Data Acquisition Document No.)

DI-EMCS-81542B (See Block 16)

5. CONTRACT REFERENCE

SOW Para. 2.5.5

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

SEE BLOCK 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 4: All paragraphs except 3.2.i applies.

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will be no later than 15 calendar days after incorporation of comments by the contractor.

Block 10,12: Submission due 30 calendar days before TRR.

Block 14: All data shall be delivered on CD/DVD to the below address.

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

B

C. CATEGORY

SESS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Planned Maintenance System (PMS) Maintenance Index Page (MIP)

3. SUBTITLE

Maintenance Index Page (MIP)

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80992A

5. CONTRACT REFERENCE

SOW Para: 2.7.1

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 8: The Government will have 25 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calender days after incorporation of comments by the contractor.

BLOCKS 10, 12, & 13: Submission due 90 calendar days after TRR.

BLOCK 14: All data shall be delivered on CD/DVD to the below address.

BLOCK 14 Address:

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

B

C. CATEGORY

SESS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM

Planned Maintenance System (PMS) Maintenance Requirements Card (MRC)

3. SUBTITLE

Maintenance Requirements Card

(MRC)

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80991A

5. CONTRACT REFERENCE

SOW Para: 2.7.1

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

BLOCKS 12: Submission due 30 calendar days prior to TRR.

BLOCK 14: All data shall be delivered on CD/DVD to the below address.

BLOCK 14 Address:

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

B

C. CATEGORY

SESS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

B003

2. TITLE OF DATA ITEM

Training Program Structure Document

3. SUBTITLE

Maintenance Training Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81521B (see block 16)

5. CONTRACT REFERENCE

SOW, para 3.2

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 4: Learning Objectives (LO) data shall include information related to the design of training courses. Only paragraph 2.3 of DI- SESS-81521B applies.

Block 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

Block 12, 13: Submission due 30 calendar days before TRR.

Block 14: All data shall be delivered on CD/DVD to the below address.

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

B

C. CATEGORY

SESS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

B004

2. TITLE OF DATA ITEM

Interactive Computer Aided Provisioning System (ICAPS) Data Exchange

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ALSS-81545 (See Blk 16)

5. CONTRACT REFERENCE

SOW Para 4.

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: MS Excel format is required.

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

Block 12: Submission due 30 calendar days prior to TRR.

Block 14: All data shall be delivered on CD/DVD to the below address.

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, Md 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

B

C. CATEGORY

SESS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

B005

2. TITLE OF DATA ITEM

Source Data for forcasting Diminishing Manufacturing Sources and Material Shortages

(DMSMS)

3. SUBTITLE

Diminishing Manufacturing Sources

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81656

5. CONTRACT REFERENCE

SOW Para: 4.2

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCKS 11, 12, & 13: All documents must be completed and delivered to the Government 90 calendar days after TRR.

BLOCK 14: All data shall be delivered on CD/DVD to the below address.

BLOCK 14 Address:

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

B

C. CATEGORY

SESS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

B006

2. TITLE OF DATA ITEM

Request for Nomenclature (DD Form 61)

3. SUBTITLE

Nomenclature

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-81254B

5. CONTRACT REFERENCE

SOW Para: 4.3

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCKS 12: Submission due 90 calendar days after contract award.

BLOCK 14: All data shall be delivered on CD/DVD to the below address.

BLOCK 14 Address:

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C

C. CATEGORY

PS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

C001

2. TITLE OF DATA ITEM

Training Conduct Support Document

3. SUBTITLE

Training Lesson Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-PSSS-81523C

5. CONTRACT REFERENCE

SOW Para: 3.2

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 4: Only paragrpah 2.2 of DI-PSSS-81523C applies.

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapprove will occur no later than 15 calendar days after incorporation of comments by the contractor.

BLOCKS 10, 11, 12, & 13: Submission due 30 calendar days prior to

TRR.

BLOCK 14: All data shall be delivered on CD/DVD to the below address.

BLOCK 14 Address:

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C

C. CATEGORY

PS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

C002

2. TITLE OF DATA ITEM

Training Conduct Support Document

3. SUBTITLE

Trainee Guide

4. AUTHORITY (Data Acquisition Document No.)

DI-PSSS-81523C

5. CONTRACT REFERENCE

SOW Para: 3.2

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 4: Only paragrpah 2.3 of DI-PSSS-81523C applies.

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

BLOCKS 10, 11, 12, & 13: Submission due 30 calendar days prior to

TRR.

BLOCK 14: All data shall be delivered on CD/DVD to the below address.

BLOCK 14 Address:

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

C

C. CATEGORY

PS

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

C003

2. TITLE OF DATA ITEM

Training Conduct Support Document

3. SUBTITLE

OJT Handbook

4. AUTHORITY (Data Acquisition Document No.)

DI-PSSS-81523C

5. CONTRACT REFERENCE

SOW Para: 3.2

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 4: Only paragrpah 2.4 of DI-PSSS-81523C applies.

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

BLOCKS 10, 11, 12, & 13: Submission due to the Government 30 calendar days prior to TRR.

BLOCK 14: All data shall be delivered on CD/DVD to the below address.

BLOCK 14 Address:

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

D

C. CATEGORY

MISC

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

D001

2. TITLE OF DATA ITEM

Guide to the General Style and Format of U.S.

Navy Work Package Technical Manuals

3. SUBTITLE

Technical Manuals for DoN and

DAF

4. AUTHORITY (Data Acquisition Document No.)

MIL-HDBK-3001(AS)

5. CONTRACT REFERENCE

SOW Para: 4.1

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 8: The Government will have 25 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

BLOCKS 12, & 13: Submission due 90 calendar days after TRR.

BLOCK 14: All Data shall be delivered on CD/DVD to the below address.

BLOCK 14 Address:

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

D

C. CATEGORY

MISC

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

D002

2. TITLE OF DATA ITEM

Technical Report - Study/Services

3. SUBTITLE

Facilities Requirements Document

(FRD)

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW, para 6.

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

90DAC

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

BLOCK 10: Submission due 90 calendar days after contract award.

BLOCK 14: All data shall be delivered on CD/DVD to the below address.

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

1020, 1021, 2020, 2021, 3020, 3021, 4020, 4021, 5020, 5021, 6020, 6021, 7020, 7021

B. EXHIBIT

D

C. CATEGORY

MISC

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

D003

2. TITLE OF DATA ITEM

Technical Report - Study/Services

3. SUBTITLE

Site Survey Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW, para 6.

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 8: The Government will have 15 calendar days for review and comment. The Contractor will have 5 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 5 calendar days after incorporation of comments by the contractor.

BLOCK 10, 12: Site Survey Reports for Site Surveys ordered shall be delivered no later than 150 days after order award.

BLOCK 14: All data shall be delivered on CD/DVD to the below address.

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

D

C. CATEGORY

MISC

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

D004

2. TITLE OF DATA ITEM

Department Of Defense Standard Practice:

Technical Manual Preparation

3. SUBTITLE

Technical Manuals for DA

4. AUTHORITY (Data Acquisition Document No.)

MIL-STD-40051B(3)

5. CONTRACT REFERENCE

SOW Para: 4.1

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

BLOCKS 12, & 13: Submission due 90 calendar days after TRR.

BLOCK 14: All Data shall be delivered on CD/DVD to the below address.

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

E

C. CATEGORY

NDTI

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

E001

2. TITLE OF DATA ITEM

First Article Qualification Test Plan and Procedures

3. SUBTITLE

Test Plan and Procedures

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-81307A

5. CONTRACT REFERENCE

SOW Para: 7.1

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

BLOCKS 10, 11, 12, & 13: Submission due 60 calendar days prior to

TRR.

BLOCK 14: All data shall be delivered on CD/DVD to the below address.

BLOCK 14 Address:

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

E

C. CATEGORY

NDTI

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

E002

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

First Article Unit Test Report

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B (See Block 16)

5. CONTRACT REFERENCE

SOW Para 7.1, 8

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Documentation shall be delivered in Microsoft Office or Adobe Acrobat compatible digital media.

Block 8: The Government will have 15 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the contractor.

Blocks 10, 12 & 13: Submissions due no later than 30 days after completion of first article test.

Block 14: All data shall be delivered on CD/DVD to the below address.

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, Md 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

E

C. CATEGORY

QCIC

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

E003

2. TITLE OF DATA ITEM

Acceptance Test Plan

3. SUBTITLE

Production Acceptance Test Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-80553A (See Block 16)

5. CONTRACT REFERENCE

SOW Para 7.2

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Documentation shall be delivered in Microsoft Office or Adobe Acrobat compatible digital media.

Block 8: Government comments due 15 calendar days after submission. The Contractor shall have 15 calendar days to incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the Contractor.

Block 10,12, 13: Submission due 45 calendar days after the First Article Unit TRR.

Block 14: All data shall be delivered on CD/DVD to the below address.

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, Md 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

E

C. CATEGORY

NDTI

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

E004

2. TITLE OF DATA ITEM

Test/Inspection Report

3. SUBTITLE

Production Unit Test/Inspection Report

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B (See Block 16)

5. CONTRACT REFERENCE

SOW Para 7.2

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

See Block 16

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 4: Documentation shall be delivered in Microsoft Office or Adobe Acrobat compatible digital media.

Blocks 10, 12 & 13: Submissions due concurrent with the delivery of each production unit.

Block 14: All data shall be delivered on CD/DVD to the below address.

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, Md 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

F

C. CATEGORY

ADMN

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

F001

2. TITLE OF DATA ITEM

Information Systems Accreditation Documentation

3. SUBTITLE

Information Assurance Accreditation Documentation

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-80239

5. CONTRACT REFERENCE

SOW Para: 8

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ONCE

12. DATE OF FIRST

SUBMISSION

See Block 16

8. APP CODE

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

BLOCKS 11, 12, & 13: Submission due 30 calendar days prior to

TRR.

BLOCK 14: All data shall be delivered on CD/DVD to the below address.

BLOCK 14 Address:

Naval Air Traffic Management Systems Program Office Data Manager Building 2110 48488 Gammill Road Patuxent River, MD 20670

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

F

C. CATEGORY

ADMN

D. SYSTEM/ITEM

PAR COTS

E. CONTRACT/PR NO.

N68335-14-P1-PMA-213-0141

F. CONTRACTOR

1. DATA ITEM NO.

F002

2. TITLE OF DATA ITEM

Conference Agenda

3. SUBTITLE

Meeting/Conference Agenda

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81249A

5. CONTRACT REFERENCE

SOW Para 9.2, 9.3

6. REQUIRING OFFICE

PMA-213

7. DD 250

REQ

LT

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST

SUBMISSION

Ses Block 16

8. APP CODE

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

14. DISTRIBUTION

b. COPIES

a. ADDRESSEE Final

Draft Reg. Repro

16. REMARKS

Block 10,12,13: Submission due 7 calendar days prior to scheduled meeting.

Block 14: Document shall be submitted electronically by email to addressees shown.

PMA213H1

AIR 2.5.2

DCMA

15. TOTAL

G. PREPARED BY

Scott Potas

H. DATE

5/28/2015

I. APPROVED BY

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

F

C. CATEGORY

ADMN

D.