Exhibit - A Technical Requirements Document SPRBL 1-21-R-0019.pdf

Attachment 0001 SPRBRL1-21-R-0019 Page 1 of 18 Issue: May 14, 2021

TECHNICAL REQUIREMENTS

PROCUREMENT OF AN/ARW-88 GUARDRAIL MODERNIZATION SPARE

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TABLE OF CONTENTS

APPLICABLE DOCUMENTS

CONFIGURATION BASELINE

PACKAGING

CONTRACT DATA REQUIREMENT LIST (CDRL) DD 1423-1

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APPLICABLE DOCUMENTS

Military Handbooks (MIL-

HDBK)

MIL-HDBK-61A Configuration Management Guidance MIL-HDBK-1785 System Security Engineering Program Management

Requirements Military Standards (MIL-

STD)

MIL-STD-130N(1) Standard Practice for Identification Marking of U.S. Military Property, w/Change 1

MIL-STD-882E Standard Practice for System Safety MIL-STD-2073-1E(1) Standard Practice for Military Packaging; w/Change 1 MIL-STD-129R(1) Military Marking for Shipment and Storage; w/Change 1 MIL-STD-973 Configuration Management MIL-STD-810F Department of Defense Test Method Standards for

Environmental Engineering Considerations and Laboratory Testing

MIL-STD-461G Requirements for the Control of Electromagnetic Interference Characteristics of Subsystems and Equipment

Commercial Documents ISPM-15 Regulation of Wood Packaging Material in International

Trade (2009) ANSI/ISO/ASQ Q9001-2008 American National Standard, Quality Management Systems

Requirements ASTM-D3951-15 Standard Practice for Commercial Packaging (2015) – DoD

Adopted Security Documents Dated June 03, 2015 Security Classification Guide (SCG) for the Project Manger

Aerial Common Sensor (PM ACS) Other Documents DI-MISC-80711A Scientific and Technical Reports DI-MGMT-81948 DMSMS Management Plan DI-MGMT-82274 DMSMS Alerts DI-QCIC-81891 Acceptance Test Report DI-SESS-80858D Supplier’s Configuration Management Plan DI-NDTI-80603A Test Procedure AG00000601 CECOM LCMC Special Packaging Instruction (SPI) D0006819 Rev OR Precision Frequency Reference (PFR) Specification

Description of Action: The Communication-Electronics Command (CECOM), Integrated Logistics Support Center (ILSC), Intelligence, Electronic Warfare & Sensors (IEW&S) Directorate requires a new 10-year indefinite delivery/indefinite quantity (IDIQ) supply contract through Defense Logistics Agency (DLA) acquisition. The contract will include Firm-Fixed-

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Price (FFP) contract line item numbers (CLINs) and range quantity pricing may be requested.

The contract is for the acquisition of spare parts to support the AN/ARW-88 GUARDRAIL

MODERNIZATION.

The appropriation utilized for this effort will be Army Working Capital Funds (AWCF). The period of performance for this contract is 10 years from the date of execution. Individual task orders may have performance periods exceeding this 10 year ordering period.

Description of Supplies/Services: The spare parts being procured under this contract are part of the Guardrail/Common Sensor Modernization system. Guardrail systems have been fielded and the CECOM ILSC is required to provide spare parts. Contractor must be able to prove that the parts to be delivered will enable the Guardrail system to satisfy the requirement in the U.S.

Government's specification. Contractor must be able to fulfill orders upon contract award, with production lead time allowed for long lead materials and production ramp-up.

Contractor must also resolve diminishing manufacturing sources and material shortages or obsolescence issues. This requirement is for non-commercial parts, and no Government- Furnished Equipment (GFE) or Government-Furnished Property (GFP) will be provided to sources to execute the contract. Reverse engineering is not applicable to this effort.

The items listed in Table 1, when delivered to the U. S. Government (USG), shall meet all form, fit, function and interface requirements necessary for each item to successfully operate when used with or in the Guardrail Modernization/Guardrail Common Sensor System, AN/ARW-88 and in accordance with each item’s functional, physical and performance attributes, including all design requirements specified in the configuration baseline paragraph below.

CONFIGURATION BASELINE

The Contractor’s Item Part Number (IPN), as defined by the Contractor’s specifications, drawings, etc, at the time of award of this contract, shall form the Configuration Baseline for this acquisition. All hardware shall be supplied from new production and shall be the latest configuration at time of production.

Northrop Grumman Corporation (NGC), Airborne C4ISR Division (Cage 8X374, DUNS 611869926) is the Guardrail Original Equipment Manufacturer (OEM). As the OEM, and the sole owner of the complete technical data package (TDP) and the proprietary software source code, NGC shall be responsible for managing applicable Configuration Baseline (CB) for the listed Configuration Item (CI)/Computer Software Configuration Item (CSCI). Additionally, NGC shall be responsible for Program Management Controls, Subcontract Administration, and Supplier/Sub-tiers & Supply Chain Management. The Contractor shall comply with DFARS 252.246-7007 to detect and avoid the use of counterfeit parts in items delivered to the Government under this contract. The Government reserves the right to review and evaluate the Contractor’s counterfeit electronic part detection and avoidance policies and procedures at any time during the execution of this contract. The applicable Configuration Baselines (CB), for the listed Configuration Item (CI) and/or Computer Software Configuration Item (CSCI), are as listed in the Table 1 below.

Table 1

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Item No.

NSN (CB) Nomenclature (CI/CSCI) OEM Part No. (CB)

1 6625015828539 ASSY,PRECISION FREQUENCY REFERENCE (PFR) P0008732

Obsolescence/Diminishing Manufacturing Sources-Material Shortages Requirements

The Contractor shall be responsible for managing Obsolescence/Diminishing Manufacturing Sources-Material Shortages (DMSMS) to include identify, resolve and implement a solution for all obsolescence issues occurring during the period of performance of this contract for the AN/ARW-88 GUARDRAIL MODERNIZATION SPARE PARTS. This proactive obsolescence management responsibility includes obsolescence risk analysis, and an ongoing review and identification of actual and potential obsolescence issues, including to obsolescence of components, assemblies, sub-assemblies, piece parts, and material (hereafter referred to for purposes of this section only as "parts and/or material"). Any configuration changes due to obsolescence shall be approved in accordance with (IAW) the Configuration Management requirements of this technical requirement document.

The following tasks shall be performed as part of this DMSMS Program.

a) Notification: The Contractor shall provide the USG an early warning identification/notification for Parts & Material that become obsolete within 30 days of contractor’s knowledge of Parts & Material obsolescence.

b) Source Data: The Contractor shall develop source data that will enable the identification, forecasting, and management of parts & material obsolescence impacts and mitigations by the USG. The Contractor shall develop the source data from sources such as the preferred parts list, bill of materials, vendor surveys, inspections, etc. The DMSMS source data shall be delivered IAW DI-MGMT-81948 (CDRL A001).

c) Analysis of Solutions: The Contractor shall analyze alternative solutions that would mitigate the Obsolescence/DMSMS event. Alternative solutions may consist of one or a combination of the following:

• Form-Fit-Function Replacements for Parts and/or Material

• Qualified Alternate Sources

• Last time buy & hardware quantity by contractor or sub-tier supplier

• Engineering Change Proposal (ECP) and/or Modification Work Orders (MWO)

Developments

d) Reporting: The Contractor shall submit a contracts letter identifying recommendation on quantity of hardware to be purchased to mitigate the DMSMS issue for USG approval 90 days prior to decision needing to be made. Based on USG approval, contractor shall purchase the parts. The Contractor shall provide a status of DMSMS inventory on-hand.

The Contractor shall prepare and submit the DMSMS Report to include implementation of alternative solutions IAW DI-MISC-80711A (CDRL A002).

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e) Status Brief: The Contractor shall address the status of this effort during each quarterly (every 90 calendar days) Production Status teleconference. The quarterly obsolescence status brief will include affected items (by part and/or drawing number), recommended form-fit-function replacement (by part and/or drawing number), unit procurement cost, non-recurring engineering cost, procurement lead time, and status.

PART REVISIONS

N/A

CHEMICAL AGENT RESISTANT COATING (CARC)

IAW OEM’s Part Specifications & Drawings.

PAINT COLORS

IAW OEM’s Part Specifications & Drawings.

PACKAGING

Wood Packing Material:

Wood Packing is applicable. Wood packing material includes pallets. See DLAD 52.247-9012 Requirements for Treatment of Wood Packaging Material (WPM).

Wood Packaging Material (WPM) shall meet the requirements below;

Wood packaging material includes but is not limited to pallets, skids, load boards, pallet collars, wooden boxes, reels, dunnage, crates, frames and cleats. This requirement excludes materials that have undergone a manufacturing process, such as corrugated fiberboard, plywood, particle board, veneer, and oriented strand board (OSB).

All WPM shall meet the requirements of the International Standards for Phytosanitary Measures (ISPM) Number 15, “Regulation of Wood Packaging Material in International Trade”. DoD shipments inside and outside of the United States shall meet the requirements of ISPM 15 whenever WPM is used to ship DoD cargo.

All WPM shall comply with the official quality control program for heat treatment (HT) or kiln dried heat treatment (KD HT) IAW American Lumber Standard Committee (ALSC), Incorporated, Wood Packaging Material Program and WPM Enforcement Regulations (see http://www.alsc.org/).

All WPM shall include certification/quality markings IAW the ALSC standard. Markings shall be placed in an unobstructed area that will be readily visible to inspectors. Pallet markings shall be applied to the stringer or block on diagonally opposite sides of the pallet and be contrasting and clearly visible. All containers shall be marked on a side other than the top or bottom, contrasting and clearly visible. All dunnage used in configuring and/or securing the load shall also comply with ISPM 15 and be marked with an ASLC approved DUNNAGE stamp.

http://www.alsc.org/

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Packaging:

Military packaging shall be IAW CECOM LCMC Special Packaging Instruction (SPI) No.

AG00000601 for all “circuit card assembly” NSNs in Table 1. Level of Preservation (LOP):

Military, Level of Pack (LPK): B, Quantity Unit Pack (QUP): 001.

The remaining NSNs listed in the Table 1 shall be packaged/packed IAW ASTM D 3951-10, Standard Practice for Commercial Packaging. Level of Protection: Commercial, Level of Pack (LPK): Commercial, Quantity Unit Pack (QUP): 001. These supplies may need Military Packaging IAW MIL-STD-2073-1E(1), Standard Practice for Military Packaging; w/change 1, depending on the destination and intended use. Packaging requirements will be provided with the delivery order.

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DS7029 - DS7033 LEGEND

Qty Quantity Prot Req Protection Required PKG-REF Packaging Reference (Military/Federal Specification or Standard) SPI Special Packaging Instruction LPK Level of Packing QUP Quantity per Unit Pack ICQ Intermediate Container Quantity Pkg Reqmt Codes Packaging Requirement Codes when PKG-REF cites MIL-STD-2073 The below codes are for special markings:

PC Project Code WG Warranty/Guarantee SL Shelf Life BC Bar Code FMS Foreign Military Sales

DS7029 - DS7033

NSN

Prot Req PKG-REF or SPI LPK QUP ICQ

Special Markings

Pkg J. J J J J J J J J J Reqmt I. II. III. IV. V. VI. VII. VII.a IX X Codes (MP) (CD) (PM) (WM) (CD) (CT) (UC) (IC) (PK) (SM) 6625-01-582- 8539 Military MIL-STD-2073-1E B 001 - 32 1 00 GH 00 00 BV O A 03 0 6625-01-582- 8539 Military

ASTM D 3951-15

(DoD adopted) Commercial 001 - n/a n/a n/a n/a n/a n/a n/a n/a n/a/ n/a n/a

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ITEM MARKING

Marking shall be in accordance with MIL-STD-129R(1) w/change 1 and MIL-STD-130N(1) w/change 1. When applicable, Radio Frequency Identification (RFID) Requirements shall be in accordance with the Section “F” clause, DFARS 252.211-7006/PADDS No. FA60002, of the contract.

Part Number Marking:

Each item delivered under contract, along with each assembly, sub assembly, and module, shall be legibly marked with the appropriate part number, contract number and manufacturer’s identification. Hardware such as screws, nuts, bolts, etc., need not be marked. The marking shall become permanently part of the item after it is applied, and can be applied using rubber stamp with permanent characteristics, etc. The marking shall not interfere with proper operation of the item, and shall have no deleterious effect on the item.

Any item deemed unsuitable for marking as outlined herein shall be identified to the Contracting Officer for resolution as to marking requirement. This requirement may be entirely met by existing marking requirements contained within the drawings or specifications cited in this contract.

NSN Marking:

In addition to the marking required by paragraph above, each item listed on contract, shall be identified with its Government assigned NSN. The intent of this requirement is to ensure that using personnel can identify the circuit card or assembly when it is removed from its assembly, and when it is received from stock as a spare part.

Serial Number Marking:

Any item or subassembly which contains a serialization requirement shall have serial numbers applied to each item in the place provided (generally on a nameplate/serial number plate).

The contractor shall maintain an accurate, current list of serial numbers for all manufactured items under this contract. Dates of manufacture, substitutions, shop changes, etc. shall be included on this list. The list shall be available for inspection by the PCO or government representative at any time during the life of the contract and for a period of 3 years following the completion of the contract.

Additional Requirements for Handling, Storage, Preservation, Packaging, and Shipping:

The contractor shall establish/maintain procedures for handling, storage, preservation, packaging, and shipping to protect the quality of products and prevent damage, loss, deterioration, degradation or substitution of products.

The contractor shall utilize the ruggedized shipping containers associated with each LRU/SRU for all shipping and storage activities unless directed by the USG. If the material is received without a ruggedized shipping container, contractor shall notify the CECOM ILSC Item Manager for further direction.

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Contractor is solely responsible for controlling, handling, maintaining, and packaging, to protect the quality of the materials and to prevent damage from loss, deterioration, and degradation of products pending repair, shipment, and storage.

Failure to comply with these requirements may result in refusal, destruction, or treatment of materials at the point of entry. The Government reserves the right to recoup from the contractor any remediation costs incurred by the Government.

CONTRACT DATA REQUIREMENT LIST (CDRL) DD 1423-1

CDRL List

CDRL

Data Line No.

DID Identification Title

A001 DI-MGMT- 81948 DMSMS Management Plan A002 DI-MGMT- 82274 DMSMS Alerts A003 DI-SESS- 80858D Supplier’s Configuration Management Plan A004 DI-MISC- 80711A Scientific and Technical Reports A005 DI-NDTI- 80603A Test Procedure A006 DI-QCIC- 81891 Acceptance Test Report

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DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages

Designed using Perform Pro, WHS/DIOR, Aug 96

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY:

TDP X TM OTHER

D. SYSTEM/ITEM

Precision Frequency Reference

E. CONTRACT/PR NO.

SPRBL 1-21-R-0019

F. CONTRACTOR

Northrop Grumman Systems Corporation

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Diminishing Manufacturing Sources and Material Shortages (DMSMS) Management Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81948

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

AMEL-LCW-SA

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

30DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

BLOCK 16

Draft

Final

Reg Repro

16. REMARKS

Draft to be submitted 30 DAC. Government comments or draft approval will occur 30 days after receipt or 15 days after the contract start of work meeting whichever occurs later. The DMSMS program processes shall be continually reviewed by the contractor and recommended improvements to the management plan shall be proposed at the next OWG meeting. Changes to the plan deemed by the contractor as critical need not wait for the next OWG. Revisions will be submitted as required. Government comments or revision approval will occur within 15 days after receipt.

Submit electronically in Microsoft Word (unless otherwise approved by the government).

See PWS Appendix B:

COR 0 1 0

ILSC IM 0 1 0

PRD ENG 0 1 0

CS 0 1 0

15. TOTAL 0 4 0

G. PREPARED BY H. DATE

04/23/2021

I. APPROVED BY J. DATE

18. ESTIMATED

TOTAL

PRICE

17. PRICE GROUP

NSP

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

C. CATEGORY:

TDP X TM OTHER

D. SYSTEM/ITEM

Precision Frequency Reference

E. CONTRACT/PR NO.

SPRBL 1-21-R-0019

F. CONTRACTOR

A002

DMSMS Life Cycle Management Data

DMSMS Alerts

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-82274

7. DD 250 REQ

LT

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

11. AS OF DATE

13. DATE OF SUBSEQUENT

Submit within 15 calendar days of discovering the DMSMS Issue.

The DMSMS Alert will provide the following data elements from Table 1 of DI- MGMT-82274: Data Elements 1-3, 11, 17-19, 44-50 & 52-53.

Attachment 0001 SPRBRL1-21-R-0019 Page 14 of 18

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page of Pages

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP TM OTHER X

D. SYSTEM/ITEM

Precision Frequency Reference (PFR)

E. CONTRACT/PR NO.

SPRBL 1-21-R-0019

F. CONTRACTOR

A003

Supplier’s Configuration Management Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80858D

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

AMEL-LCW-SA

7. DD 250 REQ

DD

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

occurs later.

Changes to the plan deemed by the contractor as critical need not wait for the next OWG. Revisions will be submitted as required. Government comments or revision approval will occur within 15 days after receipt.

Submit electronically in Microsoft Word (unless otherwise approved by the

15. TOTAL 4

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

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

C. CATEGORY:

TDP TM X OTHER

D. SYSTEM/ITEM

Precision Frequency Reference

E. CONTRACT/PR NO.

SPRBL 1-21-R-0019

F. CONTRACTOR

A004

Scientific and Technical Reports

Contractor Technical Support/Engineering Services Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80711A

7. DD 250 REQ

DD

E

ASREQ

12. DATE OF FIRST SUBMISSION

SEE ITEM 16

8. APP CODE

A

11. AS OF DATE 13. DATE OF SUBSEQUENT

SEE ITEM 16

Block 14: Provide deliverables as requested by the Government in searchable format of Microsoft Office (Word, Excel, PowerPoint), Adobe Acrobat, Rich Text, text, or other format authorized by the PCO. Submit the deliverables via electronic mail (preferred), FTP, SharePoint, Compact Disk (CD), Digital Video Disk (DVD), or other means, with concurrence of the requiring office.

4/23/2020

4/23/2020

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP TM OTHER X

D. SYSTEM/ITEM

Precision Frequency Reference (PFR)

E. CONTRACT/PR NO.

SPBRL 1-21-R-0019

F. CONTRACTOR

A005

Test Procedure

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80603A

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

AMEL-LCW-SA

7. DD 250 REQ

DD

ASREQ

12. DATE OF FIRST SUBMISSION

8. APP CODE

A occurs later.

Changes to the plan deemed by the contractor as critical need not wait for the next OWG. Revisions will be submitted as required. Government comments or revision approval will occur within 15 days after receipt.

Attachment 0001 SPRBRL1-21-R-0019 Page 17 of 18

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The 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 the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP TM OTHER X

D. SYSTEM/ITEM

Precision Frequency Reference (PFR)

E. CONTRACT/PR NO.

SPBRL 1-21-R-0019

F. CONTRACTOR

A006

Acceptance Test Report

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-81891

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

AMEL-LCW-SA

7. DD 250 REQ

DD

ASREQ

12. DATE OF FIRST SUBMISSION

ASREQ

8. APP CODE

A

Contractor format.

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END OF DOCUMENT