CDRL_CA01_ECP.doc

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) FORM APPRVD 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 HWY, Suite 1204, Arlington VA, 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-01880, Washington, DC 20503. Please Do Not Return your form to either of these addresses. send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in block E.

A. Contract Line Item No.

B. Exhibit

CA

C. Category: TDP ( ) TM( ) Other ( XX )

D. System/Item

MV-22 CV-22

E. Contract/PR No.

N68335-16-D-TBD

F. Contractor

TBD

1. Data Item No.

CA01

2. Title of Data Item

Engineering Change Proposal (ECP)

3. Subtitle

N/A

4. Authority (Data ID No.)

DI-CMAN-80639C (See Blk 16)

5. Contract Reference

SOW Para. 3.4

6. Requiring Office

NAVAIR LKE Code 1327LO

7. DD 250 REQ

DD

9. Dist. Statement Req.

D

10. Frequency

AS REQ

12. Date of first submission

AS REQ

14. Distribution

See Block 16

8. APPCODE

A See Block 16 See Block 16

11. As of Date

AS REQ

13. Date of Subsequent Submission

AS REQ

16. Remarks

1327LO

V22 Data Mgmt

Block 8: Approval/disapproval shall be: 30 days after receipt for no cost ECP.

Block 9: Distribution Statement D

(DoD Instruction 5230.24 paragraph E4.2.d)

The following Distribution Statement is authorized for use on CDRL data items to be delivered under this contract.

“Distribution Statement D (DoD Instruction 5230.24 paragraph E4.2.d) Distribution authorized to Department of Defense and U.S. DoD Contractors only to be used for critical technology as determined in October, 1992. Other requests for this document shall be referred to the Naval Systems Command, PMA-275, Patuxent River, MD.”

Additionally, all printed and electronic, including digital, technical documents that are determined to contain export-controlled technical data shall be marked with the following EXPORT CONTROL WARNING:

“WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C., Sec 2751, et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.”

TOTAL

G. Prepared By Cindy J. Stransky CJStransky

H. Date

26 June 2015 I. Approved By William E. Deeley

W. E. Deeley

J. Date

26 June 2015

DD FORM 1423-1, JUN 90 PREVIOUS EDITIONS ARE OBSOLETE PAGE ( 1 ) OF ( 1)

26 August 2014