N68335-18-R-0024_CDRL's.docx

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP TM OTHER DRPR

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

N68335-18-R-0024

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Engineering Drawings

3. SUBTITLE

Revised SHIP INSTALLATION DRAWINGS (SIDS)

4. AUTHORITY (Data Acquisition Document No.)

DI-DRPR-80651

5. CONTRACT REFERENCE

SOW Para 3.1

6. REQUIRING OFFICE

PMA251

7. DD 250 REQ

SD

9. STATEMENT REQUIRED

C

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

SEE BLK 16

8. APP CODE

A

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

Block 4: Level 3 revised SIDS for the installation, revised for as built installation. DI-DRPR-80651 Description/Purpose is hereby tailored to also include “revised for as built installation Level 3 (Production) SIDS”.

Existing format applies.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative Use. Other requests for this document shall be referred to: Naval Air Warfare Center Aircraft Division Code 1.3.3.9.1, Highway 547, Lakehurst, NJ 08733.

Block 11 & 12: Contractor shall provide electronic copies NLT 1 week after completion of project.

Block 14: Electronic copies of all data submittals shall be provided and accessible via secure on-line access. Deliverables shall be submitted electronically to:

brad.shensky@navy.mil (COR); ; paul.reiff@navy.mil (TPOC)

15. TOTAL

G. PREPARED BY

PMA251 COR Brad Shensky

H. DATE

I. APPROVED BY

PMA251 DPM

J. DATE

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

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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:

TDP TM OTHER FNCL

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

Funds and Man-Hours Expenditure Report

3. SUBTITLE

Report of Actual Expenditures

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-80331A

5. CONTRACT REFERENCE

SOW PARA. 3.1.9

6. REQUIRING OFFICE

PMA251

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

30 DAC

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

Block 4: This Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative Use. Other requests for this document shall be referred to: Naval Air Warfare Center Aircraft Division Code 1.3.3.9.1, Highway 547, Lakehurst, NJ 08733.

Block 14: Electronic copies of all data submittals shall be provided and accessible via secure on-line access. Deliverables shall be submitted electronically to:

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

C001

2. TITLE OF DATA ITEM

Contractor’s Personnel Roster

3. SUBTITLE

Artisan List

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81834

5. CONTRACT REFERENCE

SOW PARA. 3.1.4

6. REQUIRING OFFICE

PMA251

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

14 DAC

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

Block 4: Contractor format is acceptable. DI-MGMT-81834 is hereby tailored to include Personnel/Artisan Certifications.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative Use. Other requests for this document shall be referred to: Naval Air Warfare Center Aircraft Division Code 1.3.3.9.1, Highway 547, Lakehurst, NJ 08733.

Block 14: Electronic copies of all data submittals shall be provided and accessible via secure on-line access. Deliverables shall be submitted electronically to:

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

C002

2. TITLE OF DATA ITEM

CONDITION FOUND REPORT

3. SUBTITLE

Condition Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81648

5. CONTRACT REFERENCE

SOW PARA 3.1.10

6. REQUIRING OFFICE

NAVAIR, Lakehurst, NJ

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative Use. Other requests for this document shall be referred to: Naval Air Warfare Center Aircraft Division Code 1.3.3.9.1, Highway 547, Lakehurst, NJ 08733.

Block 14: Electronic copies of all data submittals shall be provided and accessible via secure on-line access. Deliverables shall be submitted electronically to:

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

C003

2. TITLE OF DATA ITEM

Liaison Action Request (LAR)

3. SUBTITLE

Deviation Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81792

5. CONTRACT REFERENCE

SOW PARA 3.1.11

6. REQUIRING OFFICE

PMA251

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

See BLK 16

8. APP CODE

See BLK 16

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

Block 4: The Liaison Action Requests shall contain all of the information specified in Figure 1 of NAVSEA Technical Specification 9090-100A.

Block 8: Contractor shall provide a draft electronic copy as required. Government will review and provide comments/corrections to the contractor within 1 week after receiving draft. Contractor shall incorporate all comments/corrections into official submission within 1 week after receiving comments. Note: Draft copy is for approval only and not considered an official deliverable.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative Use. Other requests for this document shall be referred to: Naval Air Warfare Center Aircraft Division Code 1.3.3.9.1, Highway 547, Lakehurst, NJ 08733.

Block 14: Electronic copies of all data submittals shall be provided and accessible via secure on-line access. Deliverables shall be submitted electronically to:

NAVAIR

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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:

TDP TM OTHER MGMT

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

C004

Detailed Progress Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80227

5. CONTRACT REFERENCE

SOW PARA 3.1.12

6. REQUIRING OFFICE

PMA251

7. DD 250 REQ

DD

9. STATEMENT REQUIRED

C

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

ASREQ

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

Block 4: This Data Item Description (DID) contains format and content preparation instructions for the data product generated by the specific and discrete task requirement as delineated in the contract. Deviation from the authorized DID, DI-MGMT-80227, change in format is approved for delivery in any Microsoft Office application or combination.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative Use. Other requests for this document shall be referred to: Naval Air Warfare Center Aircraft Division Code 1.3.3.9.1, Highway 547, Lakehurst, NJ 08733.

Block 10, 12, 13: DI-MGMT-80227 Description/Purpose is hereby tailored to also include “Reports shall be issued at 30%, 60%, 90% completion of project and as requested”.

Block 14: Electronic copies of all data submittals shall be provided and accessible via secure on-line access. Deliverables shall be submitted electronically to:

NAVAIR

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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:

TDP TM OTHER MISC

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

D001

2. TITLE OF DATA ITEM

QUALITY ASSURANCE PROGRAM PLAN

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81794

5. CONTRACT REFERENCE

SOW PARA 3.1.4

6. REQUIRING OFFICE

PMA251

7. DD 250 REQ

DD

9. STATEMENT REQUIRED

C

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

45 DAC

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative Use. Other requests for this document shall be referred to: Naval Air Warfare Center Aircraft Division Code 1.3.3.9.1, Highway 547, Lakehurst, NJ 08733.

Block 12: Contractor shall provide Quality Assurance Program Plan (QAPP) with a copy of their approved NAVSEA 04XQ QA Program Certification letter.

Block 14: Electronic copies of all data submittals shall be provided and accessible via secure on-line access. Deliverables shall be submitted electronically to:

See Block 16

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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:

TDP TM OTHER MISC

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

D002

2. TITLE OF DATA ITEM

STATUS REPORT

3. SUBTITLE

FINAL REPORT

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A

5. CONTRACT REFERENCE

SOW PARA 3.1.13

6. REQUIRING OFFICE

PMA251

7. DD 250 REQ

DD

9. STATEMENT REQUIRED

C

10. FREQUENCY

Monthly

12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

Block 4: Contractor format is acceptable. At a minimum the report shall address a final breakdown of cost expenditures by Labor, Material, Sub-Contracts and Other Direct Costs (ODC). The report shall contain as attachments all inspection records, Quality checklists, test reports and certifications. The report shall contain a section summarizing the tasks completed and the deviations or alterations from the original task. The report shall also contain a section addressing lessons learned, both positive and negative, from the completed task. Government shall review and provide comments/corrections to the contractor within 1 week after receiving draft. Contractor shall incorporate all comments/corrections into official submission within 1 week after receiving comments.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative Use. Other requests for this document shall be referred to: Naval Air Warfare Center Aircraft Division Code 1.3.3.9.1, Highway 547, Lakehurst, NJ 08733.

Block 12: Contractor shall provide an electronic draft copy NLT 2 weeks after completion of project.

Block 14: Electronic copies of all data submittals shall be provided and accessible via secure on-line access. Deliverables shall be submitted electronically to:

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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:

TDP TM OTHER MISC

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

D003

2. TITLE OF DATA ITEM

Site Survey

3. SUBTITLE

Pre-Installation Check-Out (PICO)

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81381

5. CONTRACT REFERENCE

SOW PARA 3.2.10/3.3.8

6. REQUIRING OFFICE

PMA251

7. DD 250 REQ

DD

9. STATEMENT REQUIRED

C

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative Use. Other requests for this document shall be referred to: Naval Air Warfare Center Aircraft Division Code 1.3.3.9.1, Highway 547, Lakehurst, NJ 08733

Block 12: Pre-Installation Check-Out as per Section 3.5.5 of document TS 9090-310E: Alterations to Ships Accomplished by Alteration Installation Teams provided 14 days after check-out.

Block 14: Electronic copies of all data submittals shall be provided and accessible via secure on-line access. Deliverables shall be submitted electronically to:

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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:

TDP TM OTHER MISC

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

D004

2. TITLE OF DATA ITEM

Integrated Program Management Report (IPMR)

3. SUBTITLE

Plan of Action & Milestones (POAM)

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81861

5. CONTRACT REFERENCE

SOW PARA 3.1.14

6. REQUIRING OFFICE

PMA251

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

See BLK 16

12. DATE OF FIRST SUBMISSION

See BLK 16

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

Block 4: Provide POA&M in format as required by Naval Sea System Command Technical Specification 9090-310F (or current series) Appendices A and B.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative Use. Other requests for this document shall be referred to: Naval Air Warfare Center Aircraft Division Code 1.3.3.9.1, Highway 547, Lakehurst, NJ 08733

Block 10: The POA&M shall be updated as required in accordance with Naval Sea System Command Technical Specification 9090-310F (or current series) para 3.5.1. and submitted within one week.

Block 12: The POA&M submittal shall be in accordance with Naval Sea System Command Technical Specification 9090-310F (or current series) para 3.5.1. and submitted 14 DAC.

Block 14: Electronic copies of all data submittals shall be provided and accessible via secure on-line access. Deliverables shall be submitted electronically to:

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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

CONTRACT DATA REQUIREMENTS LIST (1 Data Item) Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. 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:

TDP TM OTHER MISC

D. SYSTEM/ITEM

E. CONTRACT/PR NO.

F. CONTRACTOR

1. DATA ITEM NO.

D005

2. TITLE OF DATA ITEM

Alteration Installation Team Quality Assurance Workbook

3. SUBTITLE

Quality Assurance Manual

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81870

5. CONTRACT REFERENCE

SOW PARA 3.1.4

6. REQUIRING OFFICE

PMA251

7. DD 250 REQ

LT

9. STATEMENT REQUIRED

C

10. FREQUENCY

1 TIME

12. DATE OF FIRST SUBMISSION

14 DAC

14. DISTRIBUTION

See BLK 16

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE

b. COPIES Draft Final Reg Repro

16. REMARKS

Block 4: Contractor format is acceptable.

Block 9: Distribution authorized to U.S. Government Agencies and their contractors for Administrative Use. Other requests for this document shall be referred to: Naval Air Warfare Center Aircraft Division Code 1.3.3.9.1, Highway 547, Lakehurst, NJ 08733

Block 14: Electronic copies of all data submittals shall be provided and accessible via secure on-line access. Deliverables shall be submitted electronically to:

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

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