COTS_PAR_Exhibit_A001_-_H003.pdf

CONTRACT DA1A REQ~liREMENTS LIST 1 Data ttem

Form A~woved OMB No. 04-0188

Public reporting burden for this collection of Information Is estimated to avera9e 110 hours per response, including the time for reviewing instructions. searching existing data sources, gatheri~ and maintaming the data needed and completing and reviewing the collection of Information. Send comments regarding this bu en estimate or any other aspect of this collection of Information, including subgest1ons for reducing thiS burden, to Department of Defense, Washington Headquarters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis ~hway, Suite 1204, Arli~ton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (07 -0188), Washington, D 20503. Please DO NOT RETURN eur form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. isted m Block E.

A. CONTRACT UNE ITt:M NO B EXHIBIT IC CATEGORY

0006 A EMCS

0_ SYSTEM/ITEM E CONTRACTIPR NO F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO 2 TITLE OF DATA ITEM 3. SUBTITLE

A001 Spectrum Certification Spectral Characteristics Frequency Certification Data Data

4 AUTHORm lData Acqursitian Documen1 No.) 5. CONTRACT REFERENCE 6 REQUIRING OFFICE

H RICE GROUP

DI-EMCS-81827 SOW, para 2.4 PMA-213 7 DD250 9. DIST STATEMENT 10 FREQUENCY 12 DATE OF FIRST 14 DISTRIBunON '" TIMATED "Q REQUIRED ONCE SUBMISSION b COPIES ro ALPRICE

DD SEE BLOCK 16

a. ADDRESSEE F1nal B APf'CODE D 11 AS OF DATE 13_ DATE OF SUBSEQUENT

A N/A SUBMISSION -,., """ SEE BLOCK 16

16. REMARKS PMA213H1 I I 0 BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor shall have 15 calendar days to AIR2.5.2 Ia 0 In incorporate Government comments. Subsequent Government DCMA I II 0 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 Buildint 2110 48488 ammill Road Patuxent River, MD 20670

/7 4 15. TOTAL

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H DATE I APPROVED BY J. DATE

Scott Po 5/28/2015 Janice Zilch

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CONTRACT DA\A REQ~\IREMENTS LIST

1 Data Item

Form A~woved OMB No. 04-0166

Public reporting burden for this collection of mformation is estimated to avera~e 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathenng and maintaming 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, includin~ su~gestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for lnforma 10n perations and Reports, 1215 Jefferson Davis 7[hway, Suite 1204, Arlin~n, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (07 0188), Washington, D 20503. Please DO NOT RETURN your form to either of these addresses. Send completed fonn to the Government Issuing Contracting Officer for the ContraciiPR No. Listed in Block E.

A CONTRACT LINE ITEM NO B. EXHIBIT I c. CATEGORY

0006 A EMCS

0 SYSTEM/ITEM E. CONTRACT!PR NO. F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 OATA ITEM NO. 2 TITLE OF DATA ITEM 3 SUBTlTLE

A002 Electromagnetic ~n{~iro?~ental Effects (E3) HERO/HERP/HERF Analysis Verification Reoort E3V3 Reoort

4 AUTHORITY (Qata Acquis3'(~ Oocumenl No.)

) 5. CONTRACT REFERENCE 5. REQUIRING OFFICE " RICE GROUP

DI-EMCS-81542B See Block 16 SOW Para. 2.4 PMA-213 7 DD 250 9. DIST STATEMENT 1 0. FREQUENCY 12 DATE OF FIRST 14. DISTRIBUTION " STIMATED

'" REQUIRED ONCE SUBMISSION b. COPIES TO ALPRICE

DD SEE BLOCK 16 a. ADDRESSEE RM' a.APPCODE D 11 ASOFDATE 13. DATE OF SUBSEQUENT

A N/A SUBMISSION

,., """ N/A

16 REMARKS PMA213H1 I I 0 Block 4: Only paragraph 3.2.i of DI-EMCS-815428 applies.

AIR 2.5.2 " () ()

BLOCK 8: The Government will have 30 calendar days for review DCMA-ACO 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

I I 0 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

15 TOTAL

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H OATE I APPROVEO BY J. OATE

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DDFORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. C 'v

CONTRACT DA1~ REQ~IREMENTS LIST

Form A~_woved OMB No. 04-0188

Public reporting burden for this collection of information is estimated to avera!,le 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 col!ection of Information. Send comments regarding this burden estimate or any other aspect of this collection of information, includinQ su~geslions for reducing this burden, to Department of Defense, Washington Headquarters SeNices, Directorate for Information perations and Reports, 1215 Jefferson Davis ~hway, Suite 1204, Arlinton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (07 .0188), Washington, 0 20503. Please DO NOT RETURN :r_our form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. isted in Block E

A_ CONTRACT LINE IITM NO B EXHIBIT C CATEGORY

0006 A EMCS

0. SYSTEM/ITEM E CONTRACTIPR NO F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA IITM NO 2_ TIRE OF DATA ITEM 3 SUBTITLE

A003 Electromagnetic Environmental Effects (E3) E3 Verification report Verification Report

" RICE GROUP

4_ AUTHORITY (OataAcqu1Si(~ OociJmen!No.)

) 5. CONTRACT REFERENCE 6. REQUIRING OFfiCE

Dl-EMCS-81542B See Block 16 sow Para. 2.5.5 PMA-213

7 OD250 9. DIST STAITMENT 10. FREQUENCY 12 DATE OF FIRST 14. DISTRIBUTION ,. 1II

MATED

"' REQUIRED ONCE SUBMISSION

b COPIES m PRICE

DD SEE BLOCK 16

a ADDRESSEE Final

B APPCODE D 11 AS OF DATE 13. DATE OF SUBSEQUENT

A N/A SUBMISSION

'"' '" '~· N/A

16_ REMARKS

PMA213H1 I I b BLOCK 4: All paragraphs except 3.2.i applies.

AIR 2.5.2 Q 0 0

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

DCMA I I 0

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

/l J/1/ 15 TOTAL

G ""~ HOm

I. APPROVED BY J DATE

Scott Pota 5/28/2015 Janice Zilch

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CONTRACT DA1A REQ~liREMENTS LIST

Form A~.Woved OMB No. 04-0188

Pu~lic .re~rtlng burden for this collecti_on of information is estif!!ated to av~ra!;le: 110 hours per response, including the time _for rev1ewmg mstructlons, searching existing data sources, gathenna and ma1nta1nmg the data needed and completing and reviewing the collection of information. Send comments regarding th1s bur en estimate or any other aspect of this collection of information, including su~gestions for reducing thts burden, to Department of Defense, Washington Headquarters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlin8ton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, 0 20503. Please DO NOT RETURN eur form to either of these addresses. Send completed fonn to the Government IssUing Contracting Officer for the Contract/PR No. lsted in Block E.

"-CONTRACT LINE ITEM NO B EXHIBIT I c. CATEGORY

0007 B SESS

0 SYSTEM/ITEM E CONTRACTIPR NO. F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO. 2 TITLE OF DATA ITEM 3. SUBTITLE

B001 Planned Maintenance S~~~e~tMS) Maintenance Index Page (MIP) Maintenance Index Paae MIP

4 AUTHORITY (Data Acquisition Ooc:ument No) 5 CONTRACT REFERENCE 5. REQUIRING OFFICE " RICE GROUP

DI-SESS-80992A SOW Para: 2. 7.1 PMA-213 7 DD250 9. DIST STATEMENT 10_ FREQUENCY 12. DATE OF FIRST 14 DISTRIBUTION " STIMATEO "Q REQUIRED ONCE SUBMISStON b COPIES TO ALPRICE DO See Block 16 a ADDRESSEE Final

B APPCOOE D 11 AS OF DATE 13 DATE OF SUBSEQUENT

A N/A SUBMISSION Dran '"

See Block 16 16 REMARKS PMA213H1 I I 0 BLOCK 8: The Government will have 25 calendar days for review and comment. The Contractor will have 15 calendar days to AIR 2.5.2 0 0 0 incorporate Government comments. Subsequent Government DCMA ) I 0 approvalldisapproval 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 Manaler Building 21 0 48488 Gammill Road Patuxent River, MD 20670

/' /7/ 15. TOTAL

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H DATE I APPROVED BY J DATE

Scott Potas - 5/28/2015 J{~i2u~ DO FORM 1!2:>-1, FfB 2001 ~EVIOUS EDITION MAY BE USED G u

CONTRACT DA"~A REQ~11REMENTS LIST

Form A~.woved OMB No. 04-0188

Public reporting burden for this collection of information is estimated to averaQe 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 thls collection of information, including su~gestions for reduc1ng this burden, to Department of Defense, Washington Head~uarters SeNices, Directorate for Information perat!ons and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlln8ton, V 22202-4302 and to the Office of Management and Budget. Paperwork Reduction Project (0704-0168), Washington, 0 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. Usted 1n Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT IC CATEGORY

0007 8 SESS

D SYSTEM/rTEM E CONTRACTIPR NO F. CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATAITEMNO 2 TITI.E OF DATA ITEM 3. SUBTITI.E

8002 Planned Maintenance System (~~1S) C\ Mai~~nance Requirements Card Maintenance Reauirements Card MRC MRC

4 AlJTHORITY (Data AcqursJiion IJOCumefll No.) 5. CONTRACT REFERENCE 6 REQUIRING OFFICE

H RICE GROUP

DI-SESS-80991A SOW Para: 2.7.1 PMA-213

7 DD250 9 DIST STATEMENT 10 FREQUENCY 12 DATE OF FIRST 14 DISTRIBUTION

" STIMATED

"' REQUIRED ONCE SUBMISSION b. COPIES TO AL PRICE

DO See Block 16 a ADDRESSEE Final

8. APPCODE D 11 AS OF DATE 1~ DATE OF SUBSEQUENT

A N/A SUBMISSION

N/A 16 REMARKS PMA213H1 I I 0 BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to AIR2.5.2 0 0 0 incorporate Government comments. Subsequent Government DCMA I I 0 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

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I APPROVED BY J DATE

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CONTRACT DATA.--~

HS LIST 1 Form Approved OMB No. bi04w0188

________ " 10hoursperresponse,includingthetlmefor '!!:and I!ISI~ming the -~ala need~-~~~ CDf!!PI~ting f".1 re• '

Public reporting burden for this collection of information is reviewing instructions, searching existing data sources, ga the collection of information. Send comments regarding th1~ ina suggestions for reducing this burden, to C -c.-· Operations and Reports, 1215 Jefferson uavis HI' nt and Budget, Paperwork Reduction Proje< toeith"e, ;_ Send completed form to 1 Block E.

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....... i:tllmly Objectives (LO) data shall include information re1atea 10 the design of training courses. Only paragraph 2.3 of DI SI;SS-81521 B applies.

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' o I • lo I I I I 0 comment. The Contractor will have 15 calendar days to incorporate Block 8; The Government will have 30 calendar days for review and I I I 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

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H. DATE

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CONTRACT DA\t REQ~liREMENTS LIST

Form A~woved OMB No. 04-0188

Public reporting burden for this collection of information is estimated to avera9e 110 hours per response, induding the time for reviewing instructions, searching existing data sources, gathering and maintaming 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, includ1ng su~gestions for reducing this burden, to Department of Defense, Washington Head~uarters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis 7j2_hway, Suite 1204, Arlin8ton, V 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (07 0188), Washington, D 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContractiPR No. Listed in Block: E.

A CONTRACT LINE ITEM NO B. EXHIBIT If CATEGORY

0007 B SESS

D. SYSTEM/ITEM E CONTRACTIPR NO F. CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO 2. TITLE OF DATA ITEM 3. SUBTITLE

B004 lnterac~i(~ Computer Aided Provisioning System ICAPS Data Exchan~e

" RICE GROUP

4 AUTHORITY (Data AQrcton Document S)) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-ALSS-81545 See Blk 16 SOW Para 4. PMA-213

7 DO 250 9 DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14 DISTR!BUTION

!fd STIMATEO

'>0 REQUIRED ONCE SUBMISSION

b. COPIES ALPRICE DO See Block 16 a. ADDRESSEE Fonal

B AP?CODE D 11 AS OF DATE 13 DATEOFSUBSECUENT

A N/A SUBMISSION Repro N/A ~·

16. REMARKS PMA213H1 I I 0 Block 4: MS Excel format is required.

AIR2.5.2 0 0 " BLOCK 6: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to incorporate Government comments. Subsequent Government

DCMA I I ()

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

/7 '/1/ 15. TOTAL

G'""",~ H DATE I APPROVED BY 'Mrr

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CONTRACT DA1f' REQ~liREMENTS LIST

Form A~.J{oved OMS No. 04-0188

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 su~estions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information peratlons and Reports, 1215 Jefferson Davis Hrijhway, Suite 1204, Arlln8ton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (07 ..0188), Washington, D 20503. Please DO NOT RETURN eur form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ConlractJPR No. isted in Block E A CONTRACT LINE ITEM NO B EXHIBIT If· CATEGORY 0007 8 SESS

D. SYSTEM/ITEM E CONTRACTIPR NO F. CONTRACTOR

PAR COTS N66335-14-P1-PMA-213-0141

t DATA ITEM NO 2. TITLE OF DATA ITEM 3. SUBTin.E

8005 Source Data for forcasting Diminishin~ Diminishing Manufacturing Sources Manufa~)ring Sources and Material hortages

" ICE GROUP DMSMS

4. AUTHORITY (Data ACquisition D<>eumenl No ) 5 CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-61656 SOW Para: 4.2 PMA-213

" TIMATEO

7 OD 250 9. OIST STATEMENT 10 FREQUENCY 12. DATE OF FIRST 14 DISTR:IBUTION m' LPRICE

'>0 REQUIRED ONCE SUBMISSION

b COPIES LT See Block 16

a. ADDRESSEE F1nal

B APPCODE D 11 AS OF DATE 13 DATE OF SUBSEQUENT

NIA NIA SUBMISSION

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16. REMARKS

PMA213H1 0 I 6 BLOCKS 11, 12, & 13: All documents must be completed and delivered to the Government 90 calendar days after TRR. AIR 2.5.2 0 6 0

BLOCK 14: All data shall be delivered on CD/DVD to the below DCMA 0 I 6 address.

BLOCK 14 Address:

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

/1/ t5 TOTAL

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I APPROVED BY J. DATE

Scott Potas 'it 5/28/2015 Janice Zilch

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CONTRACT DATA REQUIREMENTS LIST Form Aooroveu 1 Data Item OMB No. b704-01 ~~

Public reporting burden for this collection of information is estimated to ave~e 110 hours per response, including the ti ling instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewl:

·lleclion of information. Send comments regarding this burden estimate or any other aspect of this collection of informatio1., including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Dav1s Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704..()188), Washington, DC 20503. Please DO NOT RETURN your form

Ito either of these addresses. Send completed fonn to the Government Issuing Contracting Officer for the Contract/PR No. llste( Block E.

A CONTRACT UNE ITEM NO. B EXHIBIT C CATEGORY

Inn J7 B SESS "~v~T"""T"" "CONTRACT/PRNO F c.:_:: .. _. ___ ..

I N68335-14-P1-PMA-213-0141

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12: Submission due 90 calendar days after contract

I 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

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CONTRACT DATA REQUIREMENTS LIST 1 Form., (1 Data Item) OMB No.

. _ is collection of information is estimated to average 110 hours per l ,_;iewing instructions, searching existing data sources. aatherina and mail the collection of information. Send comments reaardi:

~d ing the t1me for 19 and reviev ina suggestions for reducing this burden, to Department of Defense, Washi··~•u•• n""'u"1u.,,,.,,, ~"· ··--· -··--·-·-·- ·-· on Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302 and to the Office of

_ nent 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 ContraCVPR No. Usted in Block E.

A CONTRACT LINE ITEM NO

B EXHIBIT - IF>s

PAR COTS IN6a33sC.T1:.P1.PMA-213-0141 --······-·-··

1 DATA ITEM NO. 12. TITLE OF DATA ITEM 3 SUBTITLE

C001 ITrainiiia-Conduct Suooort Document TrainiilQ Lesson Plan

4. AUTHORITY (Da\aAcqu;siticm D<>CtJmentNo.) 15. CONTRACT REFERENCE 6. REQUIRING OFFICE I J I Dt-PSSS-61523C I SOW Para: 3.2 ouA .,~., 11 RICE GRouP 7 00250 9.DISTSTATEMENT l10 ~1

REQ REQUI ~:;

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BLOCK 4: Only paragrpah 2.2 of DI-PSSS-61523C applies.

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

a ADDRESSEE 1nal

Draft I Reg 1 Repro

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BLOCKS 1 O, 11, 12, & 13: Submission due 30 calendar days prior to I I

TRR.

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

.LOCK 14

\laval Air Traffic Management Systems Program Office Jata Manager 3uilding 2110 "8488 Gammill Road ·atuxent River, MD 20670

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Scott Potas 5/28/2015

I APPROVED BY

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18 §STIMATED

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CONTRACT DA\~ REQ~IREMENTS LIST

Form A~.p,roved OMB No. 04-0168

Public reporting burden for this collection of information Is estimated to average 110 hours per response, mcluding the time for reviewing instructions, searching existing data sources, gathenng 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 lnformatlon, Including subgestions for reducing this burden, to Department of Defense, Washington Headquarters SeiVices, Directorate for Information peratlons and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlin8ton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D 20503. Please DO NOT RETURN eur form to either of these addresses. Send completed form to the Government lsswng Contracting Officer for the Contract!PR No. isted in Block E A. CONTRACT LINE ITEM NO 9 EXHIBIT If· CATEGORY 0008 c PS

D. SYSTEM/ITEM E CONTRACTIPR NO. F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO. I~ TlTLE OF DATA ITEM 3 SUBTITLE

C002 Train ina Conduct Suooort Document Trainee Guide

4. AUTHORITY (OataAequt•rtion OO>CUment No.) I~ CONTRACT REFERENCE 6 REQUIRINGOFFICE

DI-PSSS-81523C sow Para: 3.2 PMA-213 "' ICE GROUP

7 DO 250 9 DIST STATEMENT 10. FREQUENCY 12 OATEOFFIRST 14. DISTRIBUTION

"a REQUIRED ONCE SUBMISSION b. COPIES DD See Block 16 '" TIMATED

a. ADDRESSEE Final m< LPRICE

8 APPCODE D 11 ASOFOATE 13. DATE OF SUBSEQUENT

A N/A SUBMISSION

,., '·~ N/A

16 REMARKS

PMA213H1 I I 0 BLOCK 4: Only paragrpah 2.3 of DI-PSSS-81523C applies.

AIR 2.5.2 0 0 0

BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to

DCMA I I 0

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

A. 15 TOTAL G oe<OAA!t/f "~~ I APPROVED BY J OATE

Scott Potas 5/28/2015

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CONTRACT DATA.-~--· •JTS LIST r-orm AnnrnvP.cl OMBNo. (1 Data Item)

I Public reporting burden for this collection of information is estimated to average 110 hours per response. including the til reviewing mstructions, searching existing data sources, gathering and maintaining the data needed and completing and rev1ew1 the collection of information_ Send comments regarding this burden estimate or any other aspect of this collection of informatiOio, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Opera!J_ons and Reports, 1215 Jefferson Davis Highwav. Suite 1204. Arlinoton. VA 22202-4302 and to the Qffi, 1:1udget, Paperwork Reduction Project (0704...0188), WashingtOn, DC" 20503. Please DO NOT RETURN your form addresses. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in '" """"' Block E.

A. CONT

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A APPcooE jo f11A$DFDATE

12 DATE OF Fll

SUBMISSION

See Block 16 a. ADDRESSEE 'lnal I I TOTj\L PRICE

I See Block 16 IS-e~~"Bt~~k 16 Draft I Reg. I Rapro

16 REMARKS

BLOCK4

I AIR 2.5.2

Only paragrpah 2.4 of DI-PSSS-81523C applies. I I I I 0 loTo T<J locMA 1 l1 lo 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 Governme aooroval/disaoproval will occur no later than 15 calendar ' lays after l-------l--1-+--n )f 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

148488 Gammill Road Patuxent River, MD 20670

15 TOTAL I I I

H DATE I APPROVED BY J DATE

5/28/2015 Janice Zilch a!Jc:z,;

00 FORM 1~3--1: FEB 20J1 PREVIOUS EOlTION 'MAY BE USED ( I u

CONTRACT DA1~ REQ~iREMENTS LIST

Form A~.Woved OMS No. 04~0188

Public reporting burden for thiS collection of mfonnation IS estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and mamtammg the data needed and completing and reviewmg 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 ~hway, Suite 1204, Artinton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (07 0188), Washington, D 20503. Please DO NOT RETURN eur form to e1ther of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContractiPR No. isted in Block E.

A CONTRACT LINE ITEM NO_ B. EXHIBIT If CATEGORY

0009 D MISC

0. SYSTEM/ITEM E. CONTRACTIPR NO. F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO 2. TITLE OF DATA ITEM 3 SUBTITlE

0001 Guide to the General Style and Format of U.S. Technical Manuals for DoN and Navy Work Packa_ge Technical Manuals DAF

"' ICE GROUP

4 AUTHORITY (Data Acqrt;lo5 )menl No ) 5_ CONTRACT REFERENCE 6. REQUIRING OFFICE

MIL-HDBK-3001 AS sow Para: 4.1 PMA-213

7 DO 250 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST 14 DISTRIBUTION

'"' TIMATED

'" REQUIRED ONCE SUBMISSION

b. COPIES W' PRICE

DD See Block 16 a ADDRESSEE Final a APPCODE D 11 ASOFDATE 13. DATE OF SUBSEQUENT

A N/A SUBMISSION

See Block 16 16 REMARKS PMA213H1 I I 0 BLOCK 8: The Government will have 25 calendar days for review and comment. The Contractor will have 15 calendar days to AIR 2.5.2 0 0 • incorporate Government comments. Subsequent Government DCMA approval/disapproval will occur no later than 15 calendar days after I I • 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 Buildin~ 2110 48488 ammill Road Patuxent River, MD 20670

/1 _...,, 15. TOTAL

G '"'"'~ "~re I. APPROVED BY J DATE

Scott Potas ~ 5/28/2015 Janice Zilch

L0~ti.u-

OOFORM 1423--1 FEB 2001 ~'2-JIOUS EDITION MAY BE USED L J

CONTRACT DA~A REQ~IREMENTS LIST

Form A~fcroved OMB No. 04-0188

Public reporting burden for this collection of information Is estimated to averaQe 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaming 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 SeiVices, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlin8ton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, D 20503. Please DO NOT RETURN eur form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContractfPR No. isted in Block E

A_ CONTRACT UNE ITEM NO B EXHIBIT IC CATEGORY

0009 0 MISC

0 SYSTEM/ITEM E CONTRACTIPR NO F. CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1_ DATA ITEM NO 2 TITLEOFOATAITEM 3. SUBTITLE

0002 Technical Report- Study/Services Fac~\ies Requirements Document

FRO

4 AUTHORITY jData Acquisition Document No.) 5. CONTRACT REFERENCE a REQUIRING OFFICE " RICE GROUP

01-MISC-605066 SOW. oara 6. PMA-213 7 00~50 9 DIST STATEMENT 10_ FREQUENCY 12. DATE OF FIRST 14 DISTRIBUTION " SnMATED 'eo REQUIRED ONCE SUBMISSION b COPIES TO AJ.. PRICE

DD 90DAC

a ADDRESSEE Final

6. APPCODE D 11 AS OF DATE 13 DATE OF SUBSEQUENT

A NIA SUBMISSION '" '"

NIA

16. REMARKS

PMA213H1 I I 0 BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to AIR 2.5.2 0 0 6 incorporate Government comments. Subsequent Government DCMA I II 0 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

/J //l/ 15 TOTAL

Ge><e~ "'"" I APPROVED BY J DATE

Scott Potas 5/28/2015 Janice Zilch

(\ \:2_ 1 I z:A---- DO FORM 1423-1 fEB 2001 PREVlOUS EDITION MAY BE USED l u

CONTRACT DA\f REQ~IREMENTS LIST 1 Data Item

Form A~-Woved OMS No. 04-0188

Pubtlc reporting burden for this collection of information is estimated to avera9e 110 hours per response, Including the time for revieWing Instructions, searching existing data sources, gathering and maintaming 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, includin~ subgestions for reducing this burden, to Department of Defense, Washington Headquarters SeiVices, Directorate for lnfonnat1on perations and Reports, 1215 Jefferson Davis ~hway, Suite 1204, Ar1in~ton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (07 0168), Washington, D 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

1020,1021,2020,2021,3020, D MISC

3021,4020,4021,5020,5021, 6020 6021 7020 7021

D. SYSTEMIITEM E CONTRACTIPR NO. F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO I~ Tln.EOFOATAITEM 3 SUBTITLE

0003 Technical Report- Study/Services Site Survey Report 17 PRICE GROUP

; 4 AUTHORilY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6_ REQUIRING OFFICE

DI-MISC-80508B SOW, Para 6. PMA-213

18. ESTIMATED

! 7 00250 9 DIST STATEMENT 10_ FREQUENCY 12 !lATE OF FIRST 14 DISTRIBUTION TOTAL PRICE

"a REQUIRED ASREQ SUBMISSION

DD See Block 16

I>. COPIES

a ADDRESSEE F1nal a APPCODE D 11 AS OF DATE 13 DATE OF SUBSEQUENT

A N/A SUBMISSION

··~ N/A ~' "" ' 16 REMARKS PMA213H1 j ) 0 BLOCK 8: The Government will have 15 calendar days for review i and comment. The Contractor will have 5 calendar days to AIR2.5.2 In D v incorporate Government comments. Subsequent Government DCMA I I 0 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 46466 Gammill Road Patuxent River, MD 20670

15_ TOTAL

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

Sco~Tm~ ~ 5/26/2015 Janice Zilch

/ J vJ

~RM 1423--1. FEB 2001 PREVIOUS EDITION MAY BE USED

CONTRACT DA\f REQ~IREMENTS LIST

Form A~.woved OMB No. 04-0188

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, gatherinr9 and maintaming the data needed and completing and reviewing the collection of mformation. Send comments regarding this bu en estimate or any other aspect of this collection of information, including su~gestions for reducing this burden, to De¥jrtment of Defense, Washington Head~arters SeNices, Directorate for Information perations and Reports, 1215 Jefferson avis ~ay, Suite 1204, ArlinJton, V 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (07 0188}, Washington, D 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContractJPR No. Usted in Blocll E

A. CONTRACT LINE ITEM NO. B. EXHIBIT C CATEGORY

1020,1021,2020,2021,3020, D MISC

3021,4020,4021,5020,5021, 6020 6021 7020 7021

0. SYSTEM/ITEM E CONTRACTIPR NO F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO I~· TITLE OF DATA ITEM 3 SUBffiLE

0003 Technical ReOort- Studv/Services Site Survev Reoort 17 PRICE GROUP

4 AUTHORITY (Data Acqu1sili0n Document No ) 5. C~~; REFERENCE 6 REQUIRING OFFICE

01-MISC-805088 SOW ara 6. PMA-213

18. ESTIMATED

7 00250 9 OIST STATEMENT 10 FREQUENCY 12 DATE OF FIRST 14 DISTRIBUTION TOTAL PRICE

"' REQUIRED ASREQ SUBMISSION b. COPIES DD See Block 16 a ADDRESSEE Final

8 APPCOOE D 11 ASOFOATE 13 DATE OF SUBSEQUENT

A N/A SUBMISSION ~ ..

N/A '" '"'

16 REMARKS PMA213H1 J ) 0 BLOCK 8: The Government will have 15 calendar days for review and comment. The Contractor will have 5 calendar days to AIR2.5.2 In D v incorporate Government comments. Subsequent Government approval/disapproval will occur no later than 5 calendar days after

DCMA I I 0

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 48468 Gammill Road Patuxent River, MD 20670

15. TOTAL

s~H~~] &J~

H DATE I APPROVED BY J DATE

5/28/2015 Janice Zilch

~RM 1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED

Form A~.p,roved OMB No. 04-0188

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 completmg and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of mformation, including su~gestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis HJlhway, Suite 1204, Arlin8ton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (07 -0188), Washington, 0 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContractJPR No. Usted in Block E.

A. CONTRACT LINE ITEM NO B EXHIBIT C. CATEGORY

0009 D MISC

0 SYSTEM/ITEM E CONTRACTIPR NO F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO 2 TITLE OF DATA ITEM 3 SUBTITLE

0004 Department Of Defense Standard Practice: Technical Manuals for DA Technical Manual Preparation

" ICE GROUP

4 AUTHORITY (OataAcquB{3) Documeru No.) 5 CONTRACT REFERENCE 6 REQUIRING OFFICE

MIL-STD-400518 3 SOW Para: 4.1 PMA-213 7 DO 250 S. OIST STATEMENT 10. FREQUENCY 12 DATE OF FIRST 14 DISTRIBUTION " f.'l~ATEO "a REQUIRED ONCE SUBMISSION b COPIES '" PRICE DD See Block 16 a_ ADDRESSEE Fonal

8 APPCODE D 11 AS OF DATE 13 DATE OF SUBSEQUENT

A NIA SUBMISSION

Draft '~

See Block 16

16 REMARKS

PMA213H1 I I 0 BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to AIR2.5.2 () 0 0 incorporate Government comments. Subsequent Government DCMA I I 0 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

// 15. TOTAL

G.""""'~ H DATE I APPROVED BY J DATE

Scott Pota 512812015 Janice Zilch

A i'l.'\~~ DO FORM'T42l-1, FEB 2001 PREVIOUS EDITION MAY BE USED. L u

CONTRACT DA\f REQ~}REMENTS LIST

Form A~-Woved OMS No. 04-0188

Public reporting burden for thts collectton of information is estimated to avera9e 110 hours per response, tncluding the time for reviewing instructions, searching existing data sources, gathering and maintaming 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, Arlin~n, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reductlon Project (0704-0188), Washington, 0 20503. Please DO NOT RETURN eur form to either of these addresses. Send completed fonn to the Government Issuing Contracting Officer for the ContracVPR No. isted in Block E A. CONTRACT LINE ITEM NO S. EXHIBIT If CATEGORY

0011 E NOT I

0. SYSTEM/ITEM E CONTRACTIPR NO F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO. 2 TIT1.E OF DATA ITEM 3 SUBTITLE

E001 First Article Qualification Test Plan and Test Plan and Procedures Procedures

4 AUTHORITY (Data Acqu1Silion Documen1 NO.) 5. CONTRACT REFERENCE 6 REQUIRING OFFICE '" ICE GROUP

DI-NOTI-81307 A SOW Para: 7.1 PMA-213 7 00250 9 DIST STATEMENT 10_ FREQUENCY 12 DATE OF FIRST 14 DISTRIBUTION Vof TIMATED "a REQUIRED ONCE SUBMISSION b COPIES PRICE

DD See Block 16 a ADDRE'-SSEE F1na1

S. APPCOOE D 11 AS OF DATE 13 DATE OF SUBSEQUENT

A N/A SUBMISSION

RepnJ

N/A

16. REMARKS

PMA213H1 I I b BLOCK 8: The Government will have 30 calendar days for review and comment. The Contractor will have 15 calendar days to AIR2.5.2 0 0 (> incorporate Government comments. Subsequent Government DCMA I I 0 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

15. TOTAL

I. APPROVED BY J DATE

Scott Potas 5128/2015

Jac::~~tW_ DO FORM 11t!:(1, ~EB 2001 lJ'REVlOUS EDITION MAY BE USED L u

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

' A~;~.e'.UY.O::!;' . _ is collection of information is estimated to average 110 hours per response, including the time for

·iF!Winn in•dmrlinn" "'""rrhinn F!Yi..tinn ""'" """'r-""' nathering and maintaining the data needed and comoletina and reviewi

-·- -·-·····-··· I N68335--'1'4~'P1-PMA-213-0141 CONTRACTOR

PAR COTS

1 DATA ITEM NO 12 TIT\.E OF DATA ITEM 3 SUBTITLE

E002 Test/Inspection Report First Article l ;t Reoort

~08o9B~(Se~Bi~~Nk ~ 6)

I 5 CONTRACT REFERENCE

SOW Para 7.1 6

6 ·MQUIRING OFFII

p~

7 DO 250 9. DIST STATEMENT 10. FREQUENCY 12 DATE OF FIRST IBUTI•

'" REQUIRED See Block 16 SUBMISSION

DD See Block 16 I a ADDRESSEE B.APPCODE D 11 ASOF DATE 13. DATE OF SuSf-

A N/A SUBMISSION

See Block 16 Draft I Reg I Repro

16. REMARKS -- ------ I 0

Block 4: Documentation shall be delivered in Microsoft Office or PMA213H1

I

Adobe Acrobat compatible digital media. AIR 2.5.2 o b I Block 8: The Government will have 15 calendar days for review and DCMA I 1 0

. The Contractor will have 15 calendar days to incorporate :mt comments. Subsequent Government I I

. . lldisapproval 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

- · River, Md 20670

A /

H. DATE "'

115 TOTAL

5/28/2015

~-A uU

DATE

17 PlitiCE GROUP

TDT4.LPRICE

CONTRACT DATA REQUIREMENTS LIST 1 Form ""'""uv~u (1 Data Item) OMB No. 0704-0188

I Public reporting burden for this collection of Information is estimated to avera1,1e 110 hours per response, including the lime for •iewina Instructions. searching existing data sources, gathering and maintaining the data needed and completing and revJeY

· <;l.,.,,. ,..,.,_..,.., .. .,.., ..... , • .-~;.,., +hi" n •• ..r~.,., <>slimate or any other aspect of this collection of lnformaU Nashington Hea · 1204, Arlington, 1ington, DC 205 1ing Contracting

.an

F lrf~Os53A'(S:ecu~~k116) 1S~a~ai.·

7 00 250 9. DIST STATEMENT 10 FREQUENCY 12 14 01

REO REQUIRED ONCE SUSMI::>:"u"' DO See Block 16 a ADDRESSEE S.APPCODE D 11 '"'"~n.o.-n= 1~

A N A ' 1 s~;~s~~~k 1s

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

I AIR 2.5.2

locMA e Test Plan

'lnal

Dran l Reg I Repro

I II b oTo lo

1 It lo approval/disapproval will occur no later than 15 calendar days after incorporation of comments by the Contractor. 1-------+-f---+--1 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.

'<laval Air Traffic Management Systems Program Office ' 1ta Manager ilding 2110 8 Gammill Road

1t River, Md 20670

H_ DATE

5/2812015

I APPROVED BY

Janice Zilch

115.

-- -- PREVIOUS EDITION MAY BE USED ffo~-

J DATE

17 PRICE GROUP

18 ElmMATED

TOT.I\L.PRICE

CONTRACT DA1t REQWREMENTS LIST

Form A~.woved OMB No. 04-0188

, Public reporting burden for this collection of tnfonnation Is estimated to averaQe 110 hours per response, including the lime for reviewing instructions, searching existing data sources, gathering and maintamlng 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, includin~ su~gestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlinton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, 0 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Govemmentlssuing Contracting Officer for the Contract/PR No. Listed in Block E.

A. CONTRACT LINE ITEM NO B. EXHIBIT C CATEGORY

0014 E NDTI

0 SYSTEM!rTEM E. CONTRACTIPR NO F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO 2. TITLE OF DATA ITEM 3 SUBTITLE

E004 Test/Inspection Report Production Unit Test/Inspection Report

" ICE GROUP

4 AUTHORITY (Data Acqu~(r Oowment No.)

) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI~NDTI~B0809B See Block 16 SOW Para 7.2 PMA-213 7 00 250 9. DIST STATEMENT 10. FREQUENCY 12 DATE OF FIRST 14 DISTRIBUTION " TIMATED

'" REQUIRED See Block 16 SUBMISSION b COPIES "" PRICE LT See Block 16

a. ADDRESSEE Final

8.APPCODE D 11 ASOFDATE 13 DATE OF SUBSEQUENT

N/A N/A SUBMISSION Repro

See Block 16

16 REMARKS

PMA213H1 0 I ('} Block 4: Documentation shall be delivered in Microsoft Office or

Adobe Acrobat compatible digital media. AIR2.5.2 n (J " Blocks 1 0, 12 & 13: Submissions due concurrent with the delivery of

DCMA D I lJ 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

15 TOTAl

G'""~

H. DATE I APPROVED BY J. DATE

Scott Potas 5/28/2015 Janice Zilch e;,!Y:«I ~A DO FORM-1lr23..1. FEB 2001 PREVIOUS EDITION MAY BE USED. u

CONTRACT DA1A REQ~>IREMENTS LIST

Form A~,woved OMS No. 04-0188

Public rep9rtlng b_urden for thi~ collection of information is eslil!laled to av~ra~;~e_ 110 hours per response, includiryg the time !CJr revtewmg mstrucltons, searchmg extsting data sources, gathenng and matnlamtng the data needed and completmg and revtew1ng the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including su5gestions for reducing this burden, to Department of Defense, Washtngton Headquarters Services, Directorate for Information perations and Reports, 1215 Jefferson Davis ~hway, Suite 1204, Arlin!on, VA 22202-4302 and to the Office of Management and Budget, PapeiWorl< Reduction Project (07 0188), Washington, D 20503. Please DO NOT RETURN eur form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the ContractiPR No. isted in Block E.

A. CONTRACT LINE ITEM NO. B EXHIBIT IC CATEGORY

0015 F ADMN

D SYST€MIITEM E CONTRACT!PR NO. F CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO. 2 TITLE OF DATA ITEM 3. SUBTlTLE

F001 Information Systems Accreditation Information Assurance Accreditation Documentation Documentation

4 AUTHORITY (Data Acquis1tJon Document No.) 5 CONTRACT REFERENCE 6. REQUIRING OFFICE " RICE GROUP

DI-ADMN-80239 SOW Para: 8 PMA-213 7 DO 250 9. DIST STATEMENT 10. FREQUENCY 12 DATE OF FIRST 14. DISTRIBUTION " trMATEO

'" REQUIRED ONCE SUBMISSION

b. COPIES w PRICE

LT See Block 16

a. ADDRESSEE Fin.al

B.APPCOOE D 11 ASOFOATE 13. DATE OF SUBSEQUENT

N/A N/A SUBMISSION

,., """ N/A

18 REMARKS PMA213H1 0 I 0 BLOCKS 11, 12, & 13: Submission due 30 calendar days prior to TRR. AlR 2.5.2 0 0 0

DCMA 0 ( lJ

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

15 TOTAL

G~ "~"

I. APPROVED BY ; ~"

Scott Po 5/28/2015 Janice Zilch

(). ~2.t;u- DO FORM 1423-1.~ B 2001 PREVIOUS EDITION MAY BE USED l u

Form A~woved OMS No. 04-0168

Public reporting burden for this collection of information is estimated to average 110 hours per response. including the t1me 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 su~gestions for reducing this burden, to Debartment of Defense, Washington Headquarters Services, Directorate for Information perations and Reports, 1215 Jefferson avis Highway, Suite 1204, Arlin8ton, VA 22202-4302 and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, 0 20503. Please DO NOT RETURN your form to either of these addresses. Send completed fonn to the Government Issuing Contracting Officer for the Contrac!IPR No. Listed in Block E.

A CONTRACT LINE ITEM NO. B. EXHIBIT I~- CATEGORY

0015 F ADMN

D SYSTEWITEM E CONTRACTIPR NO F. CONTRACTOR

PAR COTS N68335-14-P1-PMA-213-0141

1 DATA ITEM NO I~ TITLE OF DATA ITEM 3 SUBTITLE

F002 Conference Agenda Meeting/Conference Aaenda 4 AUTHORITY (Data AcqUISition Document Nc.) 5 CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-ADMN-81249A sow Para 9.2 9.3 PMA-213 "' ICE GROUP

7 DD 250 II. DIST STATEMENT 10 FREQUENCY 12 DATE OF FIRST 14. DISTRIBUTION

eoa REQUIRED ASREQ SUBMISSION b. COPIES LT Ses Block 16 "' nMATED

a. ADDRESSEE Final ;o; PRICE a APPCDDE 0 11 ASOFOATE 13 DATEOFSUBSEOUENT

N/A N/A SUBMISSION

Dran '"

See Block 16

16 REMARKS

PMA213H1 0 I 0 Block 10, 12,13: Submission due 7 calendar days prior to scheduled

6 meeting. AIR2.5.2 0 0

Block 14: Document shall be submitted electronically by email to DCMA 0 I b addressees shown.

_.., /l, 15. TOTAL

Gee"~

H. DATE I APPROVED BY J DATE

Scott Potas 5/28/2015 Janice Zilch

C;/)~uU-"'I DO FORM '1423-1. FEB 2001 PREVIOUS EDITION MAY BE USED. l 0

CONTRACT DA~~ REQ~IREMENTS LIST

Form A~fcroved OMB No. 04-0188

Public reporting burden for this collection of information IS…