CDRLS.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 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 Highway, Suite 1204, Arlington, VA. 22202- 4302, and to the Office of Management 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 Contract/PR No. listed in Block E.

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

A TDP TM OTHER: MGMT

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

AN/ALQ231(V) N68936-12-R-0084 TBD

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

A001 PROGRAM PROGRESS REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80555A SOW para 3.0, 3.6.4 NAWCWD CODE 450000E

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT See Block MTHLY 35 DAC

b. COPIES

8. APP CODE 16 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

Final

N/A

EOM EOM+5 DAYS

Reg

Repro

16. Remarks

Block 4: May be in contractor format as long as DID content is used for guidance.

BLOCK 9: Use Distribution Statement C: Distribution authorized to U.S. Government agencies and their contractors; to protect publications required for official use or for administrative or operational purposes only; 15 April 2005. Other requests for this document shall be referred to Commander: Naval Air Warfare

Center Weapons Division (Code 450000E), Point Mugu, CA 93042-

5049.

DESTRUCTION NOTICE - for unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Block 14: Shall be delivered in an electronic format agreed upon by both Government and Contractor prior to 1 st submittal.

See contract clause 5252.247-9505, Technical Data and Information for addressee email addresses.

Additional distribution will be provided by individual task orders.

NAWCWD 450000E 0 1 0

NAWCWD 41230EE 0 1 0

NAWCWD 254300E 0 1 0

15. TOTAL 0 3 0

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

Naval Air Warfare Center, Weapons Division, China Lake, CA

93555-6100

130107

DRRB Chairperson

DD Form 1423-1, 1 Jun 9090

Sandra K. Passwater

(1 Data Item)

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 Highway, Suite 1204, Arlington, VA. 22202- 4302, and to the Office of Management 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 Contract/PR No. listed in Block E.

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

A TDP TM OTHER: NDTI

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

AN/ALQ231(V) N68936-12-R-0084 TBD

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

A002 TEST PROCEDURE First Article and Modified Production hardware/assemblies

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80603A SOW para 3.1.2, 3.2.2, 3.6.2.2 NAWCWD CODE 450000E

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT See Block ONE/R SEE BLOCK 16

b. COPIES

8. APP CODE 16 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

A

N/A SEE BLOCK 16

Block 9: Use Distribution Statement C: Distribution authorized to

U.S. Government agencies and their contractors; to protect publications required for official use or for administrative or operational purposes only; 15 April 2005. Other requests for this document shall be referred to Commander: Naval Air Warfare

Blocks 12 & 13: Submit preliminary copies by letter 210 DAC.

Government has 30 days after receipt for review. Contractor has 30 DARC to resubmit with comments incorporated.

NAWCWD 450000E 3 3 0

NAWCWD 41230EE 0 LTR ONLY

NAWCWD 254300E 0 LTR ONLY

15. TOTAL 3 3 0

Naval Air Warfare Center, (1 Data Item)

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 Highway, Suite 1204, Arlington, VA. 22202- 4302, and to the Office of Management 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 Contract/PR No. listed in Block E.

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

A TDP TM OTHER: NDTI

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

AN/ALQ231(V) N68936-12-R-0084 TBD

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

A003 TEST/INSPECTION REPORT First Article Report and Modified

Production Hardware/Assemblies

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B SOW para 3.1.2, 3.2.2, 3.6.2.3 NAWCWD CODE 450000E

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT See Block ASREQ SEE BLOCK 16

b. COPIES

8. APP CODE 16 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft

N/A

Block 4: Except magnetic media shall be compatible with

Microsoft Office (Windows). Compatibility with CALS is not required. Delete 10.2.2 through 10.2.3.3, 10.2.6.1 through 10.2.6.3,

10.2.6.4.2 through 10.2.6.6 and 0.2.7.2.

publications required for official use or for administrative or operational purposes only; 15 April 2005. Other requests for this document shall be referred to Commander: Naval Air Warfare

Blocks 12 &13: Submit preliminary copies by letter 5 days after each test event DAC. Government has 15 days after receipt for review.

Contractor has 30 DARC to resubmit with comments incorporated.

NAWCWD 450000E 0 3 0

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 909

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 Highway, Suite 1204, Arlington, VA. 22202- 4302, and to the Office of Management 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 Contract/PR No. listed in Block E.

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

A TDP TM OTHER: CMAN

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

AN/ALQ231(V) N68936-12-R-0084 TBD

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

A004 ENGINEERING CHANGE PROPOSAL (ECP)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-CMAN-80639C SOW para 3.1.3, 3.2.3, 3.4.2, 3.5.2

NAWCWD CODE 450000E

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT See Block ASREQ SEE BLOCK 16

b. COPIES

8. APP CODE 16 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft publications required for official use or for administrative or operational purposes only; 15 April 2005. Other requests for this document shall be referred to Commander: Naval Air Warfare

Center Weapons Division (Code 450000E), Point Mugu, CA 93042-

5049.

DESTRUCTION NOTICE - for unclassified, limited documents, Blocks 10, 12 &13: Contractor to submit 15 DA identification of need for change. Government has 30 days after receipt for review. Contractor has

15 DARC to resubmit with comments incorporated.

15. TOTAL 0 1 0

Naval Air Warfare Center, 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 Highway, Suite 1204, Arlington, VA. 22202- 4302, and to the Office of Management 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 Contract/PR No. listed in Block E.

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

A TDP TM OTHER: CMAN

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

AN/ALQ231(V) N68936-12-R-0084 TBD

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

A005 REQUEST FOR DEVIATION (RFD)

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-CMAN-80640C SOW para 3.1.3, 3.2.3, 3.4.2, 3.5.2

NAWCWD CODE 450000E

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT See Block ASREQ SEE BLOCK 16

b. COPIES

8. APP CODE 16 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft publications required for official use or for administrative or operational purposes only; 15 April 2005. Other requests for this document shall be referred to Commander: Naval Air Warfare

Center Weapons Division (Code 450000E), Point Mugu, CA 93042-

5049.

DESTRUCTION NOTICE - for unclassified, limited documents, Blocks 10, 12 & 13: Contractor to submit 15 DA identification of need for change. Government has 30 days after receipt for review.

Contractor has 15 DARC to resubmit with comments incorporated.

15. TOTAL 0 1 0

Naval Air Warfare Center, 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 Highway, Suite 1204, Arlington, VA. 22202- 4302, and to the Office of Management 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 Contract/PR No. listed in Block E.

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

A TDP TM OTHER: NDTI MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

AN/ALQ231(V) N68936-12-R-0084 TBD

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

A006 CONFIGURATION AUDIT PLAN Physical Configuration Audit (PCA) Plan

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-81646 SOW para 3.3.1 NAWCWD CODE 450000E

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT See Block ITIME SEE BLOCK 16

b. COPIES

8. APP CODE 16 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft publications required for official use or for administrative or operational purposes only; 15 April 2005. Other requests for this document shall be referred to Commander: Naval Air Warfare

Blocks 12 & 13: Submit preliminary by letter 45 DAC. Government has 30 days after receipt for review. Contractor has 30 DARC to resubmit with comments incorporated.

NAWCWD 450000E 3 3 ONLY

NAWCWD 450000E 3 LTR ONLY

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 909

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 Highway, Suite 1204, Arlington, VA. 22202- 4302, and to the Office of Management 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 Contract/PR No. listed in Block E.

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

A TDP TM OTHER: NDTI MISC

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

AN/ALQ231(V) N68936-12-R-0084 TBD

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

A007 TECHNICAL REPORT – STUDY/SERVICES PCA Report

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80508B SOW para 3.3.1 NAWCWD CODE 450000E

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT See Block ONE/R SEE BLOCK 16

b. COPIES

8. APP CODE 16 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft publications required for official use or for administrative or operational purposes only; 15 April 2005. Other requests for this document shall be referred to Commander: Naval Air Warfare

Blocks 12 & 13: Submit preliminary copies by letter 15 days after completion of PCA. Government has 30 days after receipt for review.

Contractor has 30 DARC to resubmit with comments incorporated.

NAWCWD 450000E 3 3 0

Naval Air Warfare Center,