A001 ECP 7-18-19.docx

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.

1003,2003,3003,4003,5003 B. Exhibit

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

D. System/Item PRGB Lockout E. Contract/PR No.

N68335-XX-X-XXXX

F. Contractor

TBD

1. Data Item No.

A001

2. Title of Data Item

Engineering Change Proposal (ECP)

3. Subtitle

N/A

4. Authority (Data ID No.)

DI-SESS-80639D (See Blk 16)

5. Contract Reference SOW Para. 3.3.1

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

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

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 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).

TOTAL

G. Prepared By

Joann Wright J. Wright H. Date 18 Jul. 2019 I. Approved By

Deirdre Quigley D. Quigley

J. Date 18 Jul. 2019

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

26 August 2014