Exhibit_B_-_CDRL_B002_RFV_Combo_IV.docx

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) FORM APPROVED OMB No. 0704-0188

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A. Contract Line Item No.

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

D. System/Item V-22 PSE, Combo IV E. Contract/PR No.

N68335-XX-X-XXXX

F. Contractor

TBD

1. Data Item No.

B002

2. Title of Data Item Request For Variance (RFV)

3. Subtitle

N/A

4. Authority (Data ID No.)

DI–SESS-80640D (SEE BLK 16)

5. Contract Reference SOW Para 2.3.1

6. Requiring Office NAVAIR LKE Code 1327LO

7. DD 250 REQ

DD

9. Dist. Statement Req.

D

10. Frequency

ASREQ

12. Date of first submission

ASREQ

14. Distribution

SEE BLOCK 16

8. APPCODE

A

SEE BLK 16

11. As of Date

N/A

13. Date of Subsequent Submission

ASREQ

16. Remarks

- BLOCK 4: Authority (N/A) Request for Variance (RFV) shall be prepared in contractor format. The contractor shall consult ISO 9001 Quality System Handbook for guidance regarding RFV required technical content, formatting and processing.

- BLOCK 8: The government will have 15 days for review and acceptance/rejection of each submission. The contractor shall have 15 days to resubmit.

- Block 9: DISTRIBUTION STATEMENT 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.”

- BLOCK 10: Submission Frequency of RFV publication shall be ASREQ - as required during production.

- BLOCK 14: For each address code cited, see Contract Attachment # CDRL Address List for distribution emails and delivery addresses. (a). Contractor shall ensure that an electronic copy of the transmittal letter and the deliverable documents master copy will be deposited into the Government’s electronic storage drop box (V-22 Data MGMT) and notification of document drop shall be provided to: NAVAIR LKE (1.3.2.7LO).

1327LO

67612

V22 Data Mgmt

TOTAL

G. Prepared By Cindy Stransky Cindy Stransky, NAVAIR 6.7.6.1.2 H. Date 28 Nov 2016

I. Approved By William E. Deeley W. E. Deeley, NAVAIR 1.3.2.7 J. Date 28 Nov 2016

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

26 August 2014