M121_Test_Plan_CDRL_A001.docx

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Chaparral Missile Class V Components
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W31P4Q15R0163
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M121 ROCKET MOTOR TEST PLAN

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NAVAIRINST 5200.39

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 220 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 the Contract/PR No. listed in BLOCK E.

A. CONTRACT LINE ITEM NO.
B. EXHIBIT
C. CATEGORY:
A
TDP TM OTHER X
D. SYSTEM / ITEM
E. CONTRACT / PR NO.
F. CONTRACTOR
M121 Rocket Motor
W31P4Q-15-R-XXXX

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Test Plan

3. SUBTITLE

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

NSP

4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE
6. REQUIRING OFFICE
DI-NDTI-80566A
SOW, Para 4.1.2
AMSAM-SAT-MS
7. DD 250 REQ
9. DIST STATEMENTREQUIRED
10. FREQUENCY
12. DATE OF FIRST SUBMISSION
14.DISTRIBUTION

LT

F

As Required
As Required

b. COPIES

8. APP CODE

11. AS OF DATE
13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE

Draft Final

A

N/A
N/A
Reg
Repro
16. REMARKS
AMSAM-SAT-MS
0
1
0

Block 4: Content specified in section 4 Content is not required, but shall be used as a guideline.

BLK 8 and 13: Government will approve/disapprove within 30 working days of receipt. If disapproved, the contractor shall resubmit within 10 working days after receipt of the Government’s comments.

BLK 9: Distribution Statement F: Further dissemination only as directed by Commander, US Army Aviation and Missile Command ATTN: AMSAM-SAT-MS, Redstone Arsenal, AL 35898-5000 or Higher DoD Authority. Date of Determination: 03 Feb 2011.

BLK 12: 45 days prior to the start of test conduct.

BLK 14: Submissions shall be transmitted as agreed by the USG and the contractor.

Other: Submissions shall be in Microsoft Word or Adobe Acrobat. Contractor format is acceptable.

15. TOTAL
0
1
0
H. DATE
I. APPROVED BY
J. DATE

DD Form 1423-2, Feb 01 Previous editions are obsolete Page 1 of 1 Page

Enclosure (9)

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