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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: misc
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
a001
TECHNICAL REPORT – STUDY/SERVICES
System Documentation
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
di-misc-80508b
3.14.1
NAWCWD Code 45P300E
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

n/a
see blk 16
Reg
Repro

Block 16: Remarks

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

Block 9: Distribution Statement D: Distribution is authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 29 January 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division (Code 45P300E), 575 I Ave Suite 1, Point Mugu, CA 93042-5049.

Blocks 10, 12 & 13 Initial submittal shall be with delivery of end item.

Block 14: Report shall be submitted 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. Additional distribution will be provided by individual task orders.

Code 45P300E
0
1
0

Code 254300E

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
150309

DRRB Chairperson 150309

DD Form 1423-1, 1 Jun 90

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: MCCR
D. SYSTEM/ITEM
E. CONTRACT/PR NO.
F. CONTRACTOR
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
a002
COMPUTER SOFTWARE PRODUCT END ITEMS
Source Code and Support Tools
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
di-MCCR-80700
3.19.1
NAWCWD Code 45P300E
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

b. COPIES

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

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

n/a
see blk 16
Reg
Repro

Block 16: Remarks

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

Block 9: Distribution Statement D: Distribution is authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 29 January 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division (Code 45P300E), 575 I Ave Suite 1, Point Mugu, CA 93042-5049.

Blocks 12 & 13: Initial submittal due 15 DA completion of source code. Submit updates as changes occur.

Block 14: Shall be submitted 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 45P300E
0
1
0

Code 254300E

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
150309

150309

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
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A003
ACCEPTANCE TEST PLAN
Factory Acceptance Test Procedures
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
di-misc-80508b
3.23.1, 3.23.2, 3.23.3
NAWCWD Code 45P300E
7. DD 250 REQ
9.DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.

DISTRIBUTION

lt
SEE BLK
See Blk 16
60 DPTT

b. COPIES

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

SUBMISSION

a. ADDRESSEE
Draft
Final

a

n/a
see blk 16
Reg
Repro

Block 16: Remarks

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

Block 9: Distribution Statement D: Distribution is authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 29 January 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division (Code 45000E), 575 I Ave Suite 1, Point Mugu, CA 93042-5049.

Blocks 10, 12 and 13: Submission shall be as described in each individual Task Order.

Block 14: Data shall be submitted 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. Additional distribution will be provided by individual delivery/task orders.

Code 45P300E
0
1
0

Code 254300E

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
150309

150309

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
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
a004
TECHNICAL REPORT – STUDY/SERVICES
List of Repairable Items
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
di-misc-80508b
3.6.2.1
NAWCWD Code 45P300E
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

n/a
see blk 16
Reg
Repro

Block 16: Remarks

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

Block 9: Distribution Statement D: Distribution is authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 29 January 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division (Code 45P300E), 575 I Ave Suite 1, Point Mugu, CA 93042-5049.

Blocks 10, 12 and 13: Submission shall be as described in each individual Task Order.

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 45P300E
0
1
0

Code 254300E

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
150309

150309

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
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
a005
TECHNICAL REPORT – STUDY/SERVICES
Trouble Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
di-misc-80508b
3.6.2.2, 3.6.2.3, 3.6.2.4
NAWCWD Code 45P300E
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

n/a
see blk 16
Reg
Repro

Block 16: Remarks

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

Block 9: Distribution Statement D: Distribution is authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 29 January 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division (Code 45P300E), 575 I Ave Suite 1, Point Mugu, CA 93042-5049.

Blocks 10, 12 and 13: Submission shall be as described in each individual Task Order.

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 45P300E
0
1
0

Code 254300E

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
150309

150309

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
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
a006
TECHNICAL REPORT – STUDY/SERVICES
Repair Procedures
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
di-misc-80508b
3.6.2.6, 3.8.1
NAWCWD Code 45P300E
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

n/a
see blk 16
Reg
Repro

Block 16: Remarks

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

Block 9: Distribution Statement D: Distribution is authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 29 January 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division (Code 45P300E), 575 I Ave Suite 1, Point Mugu, CA 93042-5049.

Blocks 10, 12 and 13: Submission shall be as described in each individual Task Order.

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 45P300E
0
1
0

Code 254300E

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
150309

150309

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
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A007
TRIP/TRAVEL REPORT
Trip Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MISC-81943
5.4.1, 5.4.2, 5.4.3
NAWCWD 45P300E
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

Block 16 Remarks

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

Block 9: Distribution Statement D: Distribution is authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 29 January 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division (Code 45000E), 575 I Ave Suite 1, Point Mugu, CA 93042-5049.

Blocks 12 and 13: Trip report shall be delivered not later than 10 working days after completion of each meeting.

Block 14: Report shall be submitted 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. Additional distribution will be provided by individual task orders.

Code 45P300E
0
1
0

Code 254300E

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
150309

150309

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
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
a008
TECHNICAL REPORT – STUDY/SERVICES
Configuration and Data Management
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
di-misc-80508b
3.6.5
NAWCWD Code 45P300E
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

n/a
see blk 16
Reg
Repro

Block 16: Remarks

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

Block 9: Distribution Statement D: Distribution is authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 29 January 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division (Code 45000E), 575 I Ave Suite 1, Point Mugu, CA 93042-5049.

Blocks 10, 12 and 13: Submission shall be as described in each individual Task Order.

Block 14: Report shall be submitted 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. Additional distribution will be provided by individual task orders.

Code 45P300E
0
1
0

Code 254300E

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
150309

150309

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
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
a009
TECHNICAL REPORT – STUDY/SERVICES
Training Materials
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
di-misc-80508b
3.7
NAWCWD Code 45P300E
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

n/a
see blk 16
Reg
Repro

Block 16: Remarks

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

Block 9: Distribution Statement D: Distribution is authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 29 January 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division (Code 45000E), 575 I Ave Suite 1, Point Mugu, CA 93042-5049.

Blocks 10, 12 and 13: Submission shall be as described in each individual Task Order.

Block 14: Report shall be submitted 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. Additional distribution will be provided by individual task orders.

Code 45P300E
0
1
0

Code 254300E

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
150309

150309

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
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A00A
CONTRACTOR’S PROGRESS, STATUS, AND MANAGEMENT REPORT
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-80227
3.6.6.1 & 6.0.1
NAWCWD Code 45P300E
7. DD 250 REQ
9.DISD—MGMT-80227T STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.

DISTRIBUTION

LT
SEE BLK
MTHLY
45 DAC

b. COPIES

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

SUBMISSION

a. ADDRESSEE
Draft
Final

N/A

N/a
EOM + 15
Reg
Repro

16: Remarks

Block 16: Remarks

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

Block 9: Distribution Statement D: Distribution is authorized to the Department of Defense and U.S. DoD contractors only; Administrative or Operational Use; 29 January 2015. Other requests shall be referred to Naval Air Warfare Center Weapons Division (Code 45000E), 575 I Ave Suite 1, Point Mugu, CA 93042-5049.

Block 14: Report shall be submitted 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. Additional distribution will be provided by individual task orders.

Code 45P300E
0
1
0
Code 254300E
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
150309

150309

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
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A00B
OPERATIONS SECURITY (OPSEC) PLAN
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-80934C
5.1
NAWCWD Code 744000D
7. DD 250 REQ
9.DIST STATEMENT REQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.

DISTRIBUTION

LT
SEE BLK
one/r
90 DAC

b. COPIES

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

SUBMISSION

a. ADDRESSEE
Draft
Final

A

N/A
SEE BLK 16
Reg
Repro

Block 16 Remarks

Block 4: Delete references to DI-MGMT-80934A. Instead use the definition of sensitive information given in Public Law 100-235 use National Security Decision Directive (NSDD) 298 for the concept of Operations Security.

Block 9: Distribution Statement B: Distribution authorized to U.S. Government agencies only. Proprietary Information, 21 Feb 2003. Other requests for this document shall be referred to Naval Air Warfare Center, Weapons Division, 7.4.4, 1 Administration Circle, China Lake, CA 93555-6100.

Block 12 & 13: Preliminary draft OPSEC Plan due 90 DA contract award in MS Word 6.0 (or later) on Compact Disc and hard copy to Commander, NAWCWD ATTN: 7.4.4, M/S 1301, 1 Administration Circle, China Lake, CA 93555-6100. Final plan due 45 DA Government approval (NAWCWD 7.4.4) OF DRAFT. (Revisions as required after approval of final plan only to comply with Government Data Protection Policy Documents revision.)

Block 14: Report shall be submitted 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.

NAWCWD OPSEC OFFICE, 7.4.4
1
1
0
Code 45P300E
0
1
0
Code 254300E
0
LTR
ONLY

15. TOTAL

1
2
0
G. PREPARED BY
H. DATE
I. APPROVED BY
J. DATE
Naval Air Warfare Center, Weapons Division, China Lake, CA 93555-6100
150309

150309

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
EW SITE
N68936-14-R-0122
AAI
1. DATA ITEM NO.
2. TITLE OF DATA ITEM
3. SUBTITLE
A00C
INCURRED COST AND PROGRESS REPORTING FOR SERVICES
Invoice Support Report
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-MGMT-81864
252.232-9529 and SOW Para: 3.6.6.2
NAVAIRWD Code 45P300E
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

Block 16 Remarks

Block 4: Tailored Content Requirements

(DID Requirements Paragraph 1): Reports shall be submitted electronically, Data Tables shall be consistent with Contract Attachment 6 and submitted in MS Excel format. (DID Requirements Paragraph 3): The report content shall be in accordance with the references included in Block 5.

Block 9: Distribution Statement E: Distribution authorized to DoD components only, Contractor Proprietary information included, 28 June 2013. Other requests shall be referred to Naval Air Warfare Center Weapons Division (Code 45P300E), 575 I Ave Suite 1, Point Mugu, CA 93042-5049.

Blocks 10, 12 & 13: At a minimum, submit jointly with the invoice.

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

Code 45P300E
0
1
0
Code 254300E
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
150309

150309

DD Form 1423-1, 1 Jun 9090

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