Exhibit_A_-_DD1423_-_Contract_Data_Requirements_List_(CDRLs).pdf

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DD FORM 1423-1, FEB 2001 PREVIOUS EDITIONS MAY BE USED Page____of____

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. 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 ____________________________

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

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

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

7. DD 250 REQ 9. DIST STATEMENT REQ’D 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13.13. DATE OF SUBSEQUENT SUBMISSION

Draft Final

Reg Repro

16. REMARKS

15. TOTAL

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

1 DATA ITEM NO: A018

2 TITLE OF DATA ITEM: Accident/Incident Report

3 SUBTITLE:

5 CONTRACT REFERENCE: C.5.3

6 REQUIRING OFFICE: SFAE-AMO-CAS

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: As Required

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: Government QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-MC

DraftRow6: 1

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:05:27-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:19:01-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SAFT-81563

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A019

2 TITLE OF DATA ITEM: Performance Oriented Packing Test Report

3 SUBTITLE: POP

5 CONTRACT REFERENCE: C.5.4

6 REQUIRING OFFICE: RDAR-EIL-P

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: As Required

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: Government QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-MC

DraftRow6: 1

RegRow6: 1

ReproRow6:

a ADDRESSEERow7: RDAR-EIL-P

DraftRow7: 1

RegRow7: 1

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL: 7

Reg15 TOTAL: 7

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Contractor format is acceptable

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:07:22-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:18:48-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-PACK-81059A

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A020

2 TITLE OF DATA ITEM: Integrated Master Schedule (IMS)

3 SUBTITLE:

5 CONTRACT REFERENCE: C.6.1

6 REQUIRING OFFICE: SFAE-AMO-CAS

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: As Required

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: Government QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-MC

DraftRow6: 1

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Contractor’s format is acceptable.

BLOCK 4: Contractor shall submit the IMS: Summary Master Schedule and Intermediate Schedules per Paragraphs 2.2, and 2.3 of DID. Other paragraphs shall be used for developing the IMS but do not require submission.

BLOCK 13: Unless otherwise specified, if the IMS changes after initial submission, Contractor shall resubmit revised plan to the Government within 10 days.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:07:11-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:18:11-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-MGMT-81650 (Tailored)

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A021

2 TITLE OF DATA ITEM: Quality Deficiency Report

3 SUBTITLE: GFM / GFP

5 CONTRACT REFERENCE: C.7

6 REQUIRING OFFICE: RDAR-EIQ-PE

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: As Required

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: Government QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-MC

DraftRow6: 1

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 15 Oct 2018

J DATE: 15 Oct 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Contractor shall identify and notify the government of any defective GFM. Report shall be submitted through QAR to all addresses in Block 14. QDR shall be submitted using the web site under the Section “PDREP Functionality/Reporting Tools/Product Quality deficiency Report (PQDR)” at the following URL:

https://www.pdrep.csd.disa.mil/pdrep_files/report_tools/rpttools.htm

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-15T10:04:15-0400

CHAMBERS.DARRIN.S.1367772740

2018-10-15T10:04:00-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-QCIC-80736

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A022

2 TITLE OF DATA ITEM: Meeting Minutes Report

3 SUBTITLE: Post Award & Integrated Program Review (IPR)

5 CONTRACT REFERENCE: C.8.1, C.8.4

6 REQUIRING OFFICE: SFAE-AMO-CAS

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: As Required

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: Government QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-MC

DraftRow6: 1

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 15 Oct 2018

J DATE: 15 Oct 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Provide in contractor’s format Meeting Minutes to the Government within 15 days after conclusion of Post Award Meeting or integrated Program Review.

BLOCK 4: Ignore paragraph 10.4

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-15T10:04:51-0400

CHAMBERS.DARRIN.S.1367772740

2018-10-15T10:04:31-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-ADMN-81505 Tailored

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A001

2 TITLE OF DATA ITEM: Engineering Change Proposal (ECP)

3 SUBTITLE:

5 CONTRACT REFERENCE: C.3.2

6 REQUIRING OFFICE: RDAR-MEM-M

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: See Block 16

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: As Required

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: Government QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-MC

DraftRow6: 1

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: The Government will respond within 45 days of receipt. Revision due not later than 10 days after receipt of Government comments.

BLOCK 9: The distribution statement will be assigned by the DOD Configuration Manager.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:10:40-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:20:42-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SESS-80639D

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A002

2 TITLE OF DATA ITEM: Notice of Revision (NOR)

3 SUBTITLE:

5 CONTRACT REFERENCE: C.3.2

6 REQUIRING OFFICE: RDAR-MEM-M

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: See Block 16

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: As Required

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: GOVERNMENT QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-PE

DraftRow6: 1

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: The government will respond within 45 calendar days of receipt. Revision due not later than 10 days after receipt of Government comments

BLOCK 9: The distribution statement will be assigned by the DOD Configuration Manager.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:09:54-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:20:54-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SESS-80642D

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A003

2 TITLE OF DATA ITEM: Request For Variation (RFV)

3 SUBTITLE:

5 CONTRACT REFERENCE: C.3.2

6 REQUIRING OFFICE: RDAR-MEM-M

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: As Required

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RADR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: GOVERNMENT QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIW-MC

DraftRow6: 1

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Request for Variation describes a proposed departure from a non-conformance with the contractually specified configuration documentation for a specific number of units or for a specified period of time. It also enables the Government to determine the impact on performance, operational readiness or other affected areas. The government will respond within 45 days. Revisions due within 15 days of government comments.

BLOCK 4: DI-CMAN-80640C is tailored; replacing Request for Deviation(RFD) with Request for Variation(RFV)

BLOCK 9: The distribution statement will be assigned by the DOD Configuration Manager.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:08:21-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:20:29-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SESS-80640D (Tailored)

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A004

2 TITLE OF DATA ITEM: Quality Program Plan (QPP)

3 SUBTITLE:

5 CONTRACT REFERENCE: C.3.3.1

6 REQUIRING OFFICE: RDAR-EIQ-PE

7 DD 250 REQ: LT

9 DIST STATEMENT REQD:

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: GOVERNMENT QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-MC

DraftRow6: 1

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Contractors format is acceptable.

BLOCK 12: Submit at least 60 days prior to FAT.

BLOCK 13: If changes occur after initial submission, submit the revised plan for approval.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:08:39-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:21:54-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-QCIC-81722

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A005

2 TITLE OF DATA ITEM: Test Plan

3 SUBTITLE:

5 CONTRACT REFERENCE: C.3.3.2.1

6 REQUIRING OFFICE: RDAR-EIQ-PE

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: Government QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-MC

DraftRow6: 1

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks:

Contractor's format is acceptable. Submit 15 days prior to FAT. Contractor shall provide a minimum of 15 days notification to the Government PCO, Product Quality Manager and DCMA QAR prior to each FAT so that the Government my witness the FAT.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:10:09-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:22:07-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-NDTI-80566A

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A006

2 TITLE OF DATA ITEM: Inspection/Test Report

3 SUBTITLE: First Article Test Report & Lot Acceptance Test

5 CONTRACT REFERENCE: C.3.3.2.1, C.3.3.2.2

6 REQUIRING OFFICE: RDAR-EIQ-PE

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: Government QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RADR-EIQ-MC

DraftRow6: 1

RegRow6: 1

ReproRow6:

a ADDRESSEERow7:

DraftRow7:

RegRow7:

ReproRow7:

a ADDRESSEERow8:

DraftRow8:

RegRow8:

ReproRow8:

a ADDRESSEERow9:

DraftRow9:

RegRow9:

ReproRow9:

a ADDRESSEERow10:

DraftRow10:

RegRow10:

ReproRow10:

a ADDRESSEERow11:

DraftRow11:

RegRow11:

ReproRow11:

a ADDRESSEERow12:

DraftRow12:

RegRow12:

ReproRow12:

a ADDRESSEERow13:

DraftRow13:

RegRow13:

ReproRow13:

a ADDRESSEERow14:

DraftRow14:

RegRow14:

ReproRow14:

a ADDRESSEERow15:

DraftRow15:

RegRow15:

ReproRow15:

a ADDRESSEERow16:

DraftRow16:

RegRow16:

ReproRow16:

a ADDRESSEERow17:

DraftRow17:

RegRow17:

ReproRow17:

a ADDRESSEERow18:

DraftRow18:

RegRow18:

ReproRow18:

a ADDRESSEERow19:

DraftRow19:

RegRow19:

ReproRow19:

a ADDRESSEERow20:

DraftRow20:

RegRow20:

ReproRow20:

a ADDRESSEERow21:

DraftRow21:

RegRow21:

ReproRow21:

a ADDRESSEERow22:

DraftRow22:

RegRow22:

ReproRow22:

a ADDRESSEERow23:

DraftRow23:

RegRow23:

ReproRow23:

a ADDRESSEERow24:

DraftRow24:

RegRow24:

ReproRow24:

a ADDRESSEERow25:

DraftRow25:

RegRow25:

ReproRow25:

a ADDRESSEERow26:

DraftRow26:

RegRow26:

ReproRow26:

Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: FAT Report and Lot Acceptance Test Report (LATR) shall be provided electronically in PDF file format and uploaded to the Worldwide Ammunition Repository Program (WARP) Lot Acceptance Test Report (LATR) module located on the Army Electronic Product Support (AEPS) website at :https://mhpwarp.redstone.army.mil

LATR shall consist of the following documentation: Material Certifications, SPC data and chart collected for the lot. The FAT Report shall include variables data for all gage inspections in addition to the AIE approved gage inspection results, unless otherwise previously approved by the PCO.

Block 4: Use paragraphs 10.1, 10.2, 10.2.1, 10.2.3.1, 10.2.3.2, 10.2.3.3, 10.2.6, 10.2.6.1, 10.2.6.3, 10.2.6.4, 10.2.6.4.1, 10.2.6.4.2, 10.2.7 and 10.2.7.1 in preparation of First Article Test Reports as required. Use paragraphs 10.1, 10.2, 10.2.1, 10.2.3.1, 10.2.3.2, 10.2.7, and 10.2.7.1 in preparation of Lot Acceptance Test Report (LATR).

BLOCK 12: FAT report shall be submitted within 3 days after approval of FAT. LAT report shall be submitted for each production lot.

BLOCK 13: LAT Report shall be uploaded into WARP and notification provided to the Government within 3 days of completion of LAT. Provide Transmittal using electronic mail as notification that an LATR has been entered into the system to:

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:08:10-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:21:30-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-NDTI-80809B (Tailored)

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A007

2 TITLE OF DATA ITEM: Certification/Data Report

3 SUBTITLE: Material Certification & Data Report

5 CONTRACT REFERENCE: C.3.3.3

6 REQUIRING OFFICE: RDAR-EIQ-PE

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: At FAT

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: Per Production Lot a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: Government QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-MC

DraftRow6: 1

RegRow6: 1

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a ADDRESSEERow7:

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a ADDRESSEERow8:

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a ADDRESSEERow13:

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a ADDRESSEERow14:

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a ADDRESSEERow15:

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Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: Material certification will be submitted at FAT. Material certification will be available for review during production and submitted as a part of the Lot Acceptance Test Report (LATR) for each production lot. Certificate of analysis (COA) required.

BLOCK 4: Do not address paragraphs 10.2.2, 10.2.3, and 10.4.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:08:30-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:21:18-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-MISC-80678 (Tailored)

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A008

2 TITLE OF DATA ITEM: MEASUREMENT SYSTEM EVALUATION (MSE)

3 SUBTITLE: Acceptance Inspection Equipment (AIE)

5 CONTRACT REFERENCE: C.3.3.4

6 REQUIRING OFFICE: RDAR-EIQ-MC

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: Government QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-MC

DraftRow6: 1

RegRow6: 1

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a ADDRESSEERow7:

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Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: The Measurement and Inspection Equipment System Design documentation for Acceptance of Product describes the Acceptance Inspection Equipment (AIE), Automated AIE (AAIE), and various measurement systems, used to meet the inspection and test requirements to deliver units and other end products that conform to contract, specification, QAP and drawing requirements. This documentation is used to evaluate the acceptability of these designs to meet contract requirements.

Submit at least 180 days prior to FAT, or production if FAT is waived. The government will respond within 60 days of receipt. Revisions are to be submitted within 10 days of government response. If documentation was approved on prior contract and no changes were made, submit only evidence of prior approval.

Note: Incomplete submission is considered delinquent

BLOCK 5: Applicable to all AIE designs that are used to perform examination and test in accordance with the item specifications. All AIE designs shall be approved prior to the First Article submission. All AIE shall be available for use at FAT.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:11:16-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:22:17-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-QCIC-81960

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A009

2 TITLE OF DATA ITEM: Failure Analysis and Corrective Action Report

3 SUBTITLE:

5 CONTRACT REFERENCE: C.3.3.6

6 REQUIRING OFFICE: RDAR-MEM-M

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: As Required

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: As Required a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a ADDRESSEERow4: Government QAR

DraftRow4: 1

RegRow4: 1

ReproRow4:

a ADDRESSEERow5: SFAE-AMO-CAS

DraftRow5: 1

RegRow5: 1

ReproRow5:

a ADDRESSEERow6: RDAR-EIQ-MC

DraftRow6: 1

RegRow6: 1

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Draft15 TOTAL: 6

Reg15 TOTAL: 6

Repro15 TOTAL:

H DATE: 06 Sept 2018

J DATE: 01 OCT 2018

A CONTRACT LINE ITEM NO:

B EXHIBIT:

TDP:

TM:

OTHER:

D SYSTEMITEM:

E CONTRACTPR NO:

F CONTRACTOR:

Pg:

Remarks: The Government will respond within 10 days of receipt. If required, revision is due no later than 5 days after receipt of Government comments.

BLOCK 14: Submit electronically. E-mail addresses for the listed offices will be provided at Contract/Post award.

2018-10-01T11:10:59-0400

CHAMBERS.DARRIN.S.1367772740

2018-09-06T15:21:07-0400

CHAMBERS.DARRIN.S.1367772740

8 APP CODE:

4 AUTHORITY Data Acquisition Document No: DI-SESS-80255A

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 the Department of Defense, Executive Services Directorate (0704-0188). 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 organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

1 DATA ITEM NO: A010

2 TITLE OF DATA ITEM: Quality Program Plan (QPP)

3 SUBTITLE: Quality Management System (QMS) Audit Schedule

5 CONTRACT REFERENCE: C.3.3.8.1

6 REQUIRING OFFICE: RADR-EIQ-PE

7 DD 250 REQ: LT

9 DIST STATEMENT REQD: A

10 FREQUENCY: As Required

12 DATE OF FIRST SUBMISSION: See Block 16

11 AS OF DATE: As Required

13 DATE OF SUBSEQUENT SUBMISSION: See Block 16 a ADDRESSEERow1: ACC-NJ-CA

DraftRow1: 1

RegRow1: 1

ReproRow1:

a ADDRESSEERow2: RDAR-MEM-M

DraftRow2: 1

RegRow2: 1

ReproRow2:

a ADDRESSEERow3: RDAR-EIQ-PE

DraftRow3: 1

RegRow3: 1

ReproRow3:

a…