12-R-0098_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: FNCL

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A001 FUNDS AND MAN-HOURS EXPENDITURE

REPORT

FUNDS LOE 75% STATUS

SPREADSHEET

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

DI-FNCL-80331A 5.1.1 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK BI-WE SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B SEE BLK 16 SEE BLK 16

Reg Repro

Block 16 Remarks

Block 8: Government review for format, technical content and contract compliance.

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Block 11: Each report shall include all activities for the previous 2 week period

Block 12: Due NLT 14 days after the end of the reporting cycle

Block 13: Shall be made available twice monthly

Block 14: Data shall be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Code 400000D 0 1 0 Code 254300D 0 1 0

15. TOTAL 0 2 0

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

Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100

140331

DRRB Chairperson

DD Form 1423-1, 1 Jun 90 Page 1 of 14

Sandra K. Passwater

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A002 CONTRACTOR’S PERSONNEL ROSTER EMPLOYEE LISTING, LOCATION AND

COUNT REPORT

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

DI-MGMT-81834A 5.1.2 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK MTHLY SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B EOM +5 SEE BLK 16

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Block 11: Each report shall include all activities for the previous 1 month period

Block 12: Due First submission due at start of contract

Block 13: Subsequent submissions NLT 5 DA EOM.

Block 14: Data shall be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Code 400000D 0 1 0 Code 254300D 0 LTR

ONLY

15. TOTAL 0 1 0

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 2 of 14

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: MISC

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A003 TECHNICAL REPORT-STUDY/SERVICES Phase-Out Plan

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

DI-MISC-80508B 5.1.3 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK ASREQ SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B N/A SEE BLK 16

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Block 12 & 13: Deliverable only if requested by the Contracting Officer. Draft to be delivered NLT 3 months prior to end of contract. Final to be delivered NLT 14 days after receipt of Government review comments.

Block 14: The Phase Out Plan (draft and final) shall be delivered to NAWCWD Contracting/Ordering Officer and COR (see basic contract) as an electronic file attachment to a transmitted E-mail.

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 3 of 14

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A004 OPERATIONS SECURITY (OPSEC) PLAN

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

DI-MGMT-80934C 5.1.4 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

LT SEE BLK ONE/R

SEE BLK 16

SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B N/A SEE BLK 16

contract compliance. The Government has 30 days for review and comment /approval. The contractor has 15 DARC to provide submit final data with comments incorporated.

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Blocks 10, 12, & 13: Draft OPSEC Plan due 90 days after award of contract.Final plan due 45 days after Government approval (NAWCAD 7.4.3) of draft. (Revisions as required after approval of final plan only to comply with Government Data Protection Policy Documents revision.

Block 14: Plan shall be in MS Word on Compact Disc and hard copy to: Commander, Attn: 7.4.3, B463 UNIT 10, 22514 McCoy Road, Patuxent River, MD 20670-1457. Data shall also be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Code NAWCAD 7.4.3 1 1 0 Code 254300D LTR

ONLY

1 0

Code 400000D 1 1 0

15. TOTAL 2 3 0

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 4 of 14

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: MISC

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A005 TECHNICAL REPORT STUDY/SERVICES Design Engineering and Review Reports, Chemical Analyses Reports, Physics Analyses Reports, Environmental Services Reports, Technology Support Reports, Test Reports

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

DI-MISC-80508B SEE BLK 16 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK ASREQ SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B N/A SEE BLK 16

Reg Repro

Block 16 Remarks

Block 5: SOW para. 3.1.1, 3.1.2, 3.1.3, 3.1.4, 3.1.5, 3.1.6, 3.1.8, 3.1.9, 3.1.10, 3.2.2, 3.2.3, 3.4.1, 3.4.2, 3.4.3, 5.1.5

Block 8: Government review for format, technical content and contract compliance.

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Blocks 10, 12,& 13: Submission shall be as described in each individual task order.

Block 14: Data shall be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Code 400000D 0 1 0 Code 254300D 0 LTR

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 5of 14

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: EMCS

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A006 ELECTROMAGNETIC INTERFERENCE

TEST REPORT (EMITR)

ELECTROMAGNETIC ANALYSIS

REPORT

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

DI-EMCS-80200C SOW para. 3.1.7, 5.1.6 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK SEE BLK 16 SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B SEE BLK 16 SEE BLK 16

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Blocks 10 through 13: Submission shall be as described in each individual task order.

Block 14: Data shall be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Code 400000D 0 1 0 Code 254300D 0 LTR

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 6 of 14

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A007 ENGINEERING CHANGE PROPOSAL (ECP)

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

DI-CMAN-80639C SOW para. 3.1.9, 5.1.7 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK SEE BLK 16 SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B SEE BLK 16 SEE BLK 16

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Blocks 10 through 13: Submission shall be as described in each individual task order.

Block 14: Data shall be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 7 of 14

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A008 NOTICE OF REVISION (NOR)

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

DI-CMAN-80642C SOW para. 3.1.9, 5.1.8 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK SEE BLK 16 SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B SEE BLK 16 SEE BLK 16

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Blocks 10 through 13: Submission shall be as described in each individual task order.

Block 14: Data shall be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Code 400000D 0 1 0 Code 254300D 0 LTR

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page8 of 14

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: HFAC

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A009 HUMAN ENGINEERING PROGRAM PLAN

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

DI-HFAC-81742A SOW para. 3.1.12, 5.1.9 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK SEE BLK 16 SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B SEE BLK 16 SEE BLK 16

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Blocks 10 through 13: Submission shall be as described in each individual task order.

Block 14: Data shall be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Code 400000D 0 1 0 Code 254300D 0 LTR

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 9 of 14

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A00A TEST PLAN TEST PLAN OUTLINES, AND

PERFORMANCE OJBECTIVES OF

SYSTEMS

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

DI-NDTI-80566A SEE BLK 16 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK SEE BLK 16 SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B SEE BLK 16 SEE BLK 16

Reg Repro

Block 16 Remarks

Block 5: SOW para. 3.1.7, 3.2.1, 5.1.10

Block 8: Government review for format, technical content and contract compliance.

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Blocks 10 through 13: Submission shall be as described in each individual task order.

Block 14: Data shall be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Code 400000D 0 1 0 Code 254300D 0 LTR

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 10 of 14

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: SESS

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A00B TECHNICAL DATA PACKAGE Technical engineering support data

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

DI-SESS-80776A SEE BLK 16 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK SEE BLK 16 SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B SEE BLK 16 SEE BLK 16

Reg Repro

Block 16 Remarks

Block 5: SOW para. 3.1.1, 3.1.2, 3.3.2, 5.1.11

Block 8: Government review for format, technical content and contract compliance.

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Blocks 10 through 13: Submission shall be as described in each individual task order.

Block 14: Data shall be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Code 400000D 0 1 0 Code 254300D 0 LTR

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 11 of 14

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: ILSS

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A00C TRAINING MATERIALS

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

DI-ILSS-80872 3.5, 5.1.12 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK SEE BLK 16 SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B SEE BLK 16 SEE BLK 16

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Blocks 10 through 13: Submission shall be as described in each individual task order.

Block 14: Data shall be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Code 400000D 0 1 0 Code 254300D 0 LTR

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 12 of 14

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: MISC

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A00D TECHNICAL REPORT – STUDY/SERVICES Test Facilities Studies

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

DI-MISC-80508B SEE BLK 16 NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE BLK SEE BLK 16 SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

A B SEE BLK 16 SEE BLK 16

Reg Repro

Block 16 Remarks

Block 5: SOW para. 3.1.11, 5.1.13

Block 8: Government review for format, technical content and contract compliance.

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Blocks 10 through 13: Submission shall be as described in each individual task order.

Block 14: Data shall be made available to the Government via access to password-protected web pages on the Contractor’s web site. The Contractor shall maintain and make similarly available historical past reports submitted by the Contractor. NAWCWD Contracting/Ordering Officer and COR (see basic contract) shall be advised of report availability via Email.

Code 400000D 0 1 0 Code 254300D 0 LTR

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 13 of 14

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:

TDP TM OTHER:

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

Engineering Support Services

(ESS V)

N68936-12-R-0098

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

A00E INCURRED COST AND PROGRESS

REPORTING

Invoice Support Report

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

CONTRACTOR FORMAT 4.X, 5.1.14, 5.2

NAVAIRWD CODE 400000D

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft

Final

N/A SEE BLK 16 SEE BLK 16 SEE BLK 16

Reg Repro

Block 16 Remarks

Block 4: Contract format shall include the information outlined in statement of work pargraph 5.2

Block 9: Distribution Statement B: Distribution authorized to US Government agencies only; administrative or operational use; 31 August 2000. Other requests for the document shall be referred to NAVAIR WD Code 400000D, 1 Administration Circle, China Lake Ca 93555-6100.

Blocks: 12, and 13 – Submit concurrent with invoice reviews.

Block 14: Reports shall be submitted electronically in MS Excel format

Naval Air Warfare Center, DD Form 1423-1, 1 Jun 90 Page 14 of 14