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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: ADMN
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A001
REVISIONS TO EXISTING GOVERNMENT DOCUMENTS
CONOPS
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-ADMN-80925
PWS Para. 3.1.1, 3.2.1.1, 3.3.2.1, 3.4.1.1, 4.0
NAWCWD Code 470000D
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
see blk 16
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final

A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit Building Occupancy Data, test data, post operations and maintenance data throughout phase. Testing updates due at SVR. Final CONOPS updates due NLT 10 DA end of test series.

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

See Contract Clause 5252.247-9505, Technical Data and Information for distribution addresses.

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

DRRB Chairperson 140819

DD Form 1423-1, 1 Jun 1990

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A002
SCIENTIFIC AND TECHNICAL REPORTS
Air Dispersion Analysis Report

Meteorological Analysis Report

Magnetometer Analysis Report

4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MISC-80711A
PWS Para. 3.1.2.1, 3.1.2.2, 3.1.2.3, 3.1.7.3, 3.2.5.1, 3.2.5.2, 3.2.5.3, 3.3.1, 4.0
NAWCWD Code 470000D
7. DD 250 REQ
9.DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.

DISTRIBUTION

lt

see blk 16
see blk 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit at SVR.

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

See Contract Clause 5252.247-9505, Technical Data and Information for distribution addresses.

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A003
TECHNICAL REPORT – STUDY/SERVICES
Verification Opportunities Analysis Report

ICD Compliance Issue Report

Maintenance, Repair and Modification Report

4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MISC-80508B
PWS Para. 3.1.7.1, 3.3.3.1, 4.0
NAWCWD Code 470000D
7. DD 250 REQ
9.DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.

DISTRIBUTION

lt

SEE blk 16
see blk 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit Verification Opportunities Analysis Reports ASREQ throughout pre-construction and construction of facility and ICD compliance issues NLT 10 DA discovery. Submit Maintenance, Repair and Modification Solution Report at SVR.

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

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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: saft
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A004
SAFETY ASSESSMENT REPORT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-saft-80102b
PWS Para. 3.1.2.4, 3.2.5.4 , 4.0
NAWCWD Code 470000D
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
see blk 16
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit ASREQ in accordance with MIL-STD-882.

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

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A005
TEST PLANS/TEST PROCEDURES
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-SESS-81704
PWS Para. 3.1.4.1, 3.1.6.3, 3.1.7.4, 4.0
NAWCWD Code 470000D
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
see blk 16
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit NLT 10 days prior to test/inspection; submit final plans at SVR.

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

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A006
TEST/INSPECTION REPORT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-NDTI-80809B
PWS Para. 3.1.4, 3.1.5.3, 3.1.5.4, 3.1.7.2, 3.2.4, 3.2.4.1, 4.0
NAWCWD Code 470000D
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
see blk 16
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit NLT 15 DA test; final results due at SVR.

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

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A007
TASK PERFORMANCE ANALYSIS REPORT
CDAS Requirements Analysis
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-hfac-81894
PWS Para. 3.1.5.1, 4.0
NAWCWD Code 470000D
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
see blk 16
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance. Analysis to include the development of system architecture for the CDAS.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit ASREQ; submit final at SVR.

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

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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: qcic
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A008
SPECIAL INSPECTION EQUIPMENT CALIBRATION PROCEDURES
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-QCIC-810007
PWS Para. 3.1.5.5, 4.0
NAWCWD Code 470000D
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
see blk 16
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit ASREQ.

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

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A009
MAINTENANCE SUPPORT PLAN
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-ILSS-81225
PWS Para. 3.1.5.6, 3.2.2, 3.2.3, 4.0
NAWCWD Code 470000D
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
see blk 16
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit ASREQ.

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

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A00A
OPERATING PROCEDURES MANUAL
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MISC-81418
PWS Para. 3.1.6.1, 3.2.7 , 4.0
NAWCWD Code 470000D
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
see blk 16
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit ASREQ during each phase; final due at SVR.

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

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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: DRPR
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A00b
INSTALLATION CONTROL DRAWINGS
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-DRPR-81242
PWS Para. 3.1.6.2 , 4.0
NAWCWD Code 470000D
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
see blk 16
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit ASREQ; final due at SVR.

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

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A00C
CONTRACTOR’S PROGRESS, STATUS AND MANAGEMENT REPORT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-80227
PWS Para. 4.0, 5.1.5, 5.1.5.1
NAWCWD Code 470000D
7. DD 250 REQ
9.DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.

DISTRIBUTION

lt

MNTHLY
35 dac

b. COPIES

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

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
EOM +5
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

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

Code 470000D
0
1
0
Code 254100D
0
1
0
Code 400000D
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
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A00D
TRIP/TRAVEL REPORT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MISC-81943
PWS Para. 4.0, 5.1.1
NAWCWD Code 470000D
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
see blk 16
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit NLT 5 days after completion of trip.

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

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) Form Approved

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
Launch Test Capability (LTC)
N68936-13-R-0069
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A00e
SITE PREPARATION REQUIREMENTS AND INSTALLATION PLAN
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-8033A
PWS Para. 3.1.6 , 4.0
NAWCWD Code 470000D
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
see blk 16
11. AS OF DATE
13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/A
see blk 16
Reg
Repro

16. Remarks

Block 4: Contractor format is acceptable as long as DID is used for guidance.

Block 9: Use Distribution Statement D: DISTRIBUTION STATEMENT D: Distribution authorized to the Department of Defense and U.S. Department of Defense contractors only; Critical Technology determined April 2012.

Blocks 10, 12 & 13: Submit NLT 30 DAC.

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

Code 470000D
0
1
0
Code 254100D
0
LTR
ONLY

15. TOTAL

0
1
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
140819

140819

File details come from the government source that posted it. Updated .