Exhibit_A_-_DD1423.pdf

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Attached to
Target System and Hardware Support (TSHS) Federal contract opportunity
Solicitation number
W31P4Q-16-R-0010
Issued by
Department of the Army Materiel Command Aviation and Missile Life Cycle Management Command

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Exhibit A/ CDRLs

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CONTRAIT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

Publtc reporting burden for this collection ofmformatwn is estimated to average 110 hours per response, mcludmg the t1me for rev1ewmg mstiuctions, search1ng ex1stmg data sources, gathering and mamtaming the data needed, and completmg the rev1ewmg of the collection of mformauon Send comments regardmg this burden, estimate or any other aspect of this collectiOn of mformatwn, mcluding suggestions for reducmg this burden. to Depart men I of Defense, Washmgton Headquarters Services, Dnectorate for Information and Reports, 1215 Jefferson Davis Highway, Su1te 1204. Arlington. VA 22202-4302, and to the Office of Management and Budget, Paperwm k Reduction Project (0704-0188), Washmgton, DC 20503 Please DO NOT RETURN vour form to either of these addresses Send completed form to the Government lsst.ing Contract Officer for the Contract/PR NO ltsted Block E

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

A TOP X TM OTHER

~_I'--.~c~-o~N~-'T=R~A-c=.T~/=P=R~N~'O~.~----------~F~.c=.=o~N=T=R~A~C=.T~O~R~-----------

-------r-=-2.-=T=-I=T-c-LE OF DATA ITEM 3. SUBTITLE -----

D. SYSTEM/ITEM

TSHS -Hoffman

l. DATA ITEM NO.

A001 Engineering and Technical Services Accomplishment Report ---------------L----~~=~~=~~-~~~-----

4. AllTHORITY (DATA ACQliiSlTION DOC NO.) 5. CONTRACT REFERENCE 1 6. REQliiRING OFFICE

Dl-MGMT-80061A

9. DIST

STATEMENT

REQUIRED

SOW Para 3.2 .2_._2_.6--:--:-----,-----,-=--~--c--~--~' AE-::'STRI-~11TTS-Q_l __

10. FREQ 12. DATE OF FIRST SliB 14. DJSTRIBIITION 7. DD250REQ

LT

8. APPCODE

N/A

D

AS REQ See Block 16

11. AOD -~ 13. DATE OJ< SliBSEQ SllB a. ADDRESSEE b. COPIES N/A See Block 16

1 Draft~- 1 Reg J Repro r---------------~----------------------- L----.-------------------~-----------------------r----~~~~~4 SFAE-STRI-PMITTS-Q --lCJ__ 1 jl 16. REMARKS

Contractor's format acceptable

Blocks 8. I 0, 12. & I3 Report requrred on each Sub ESM NL T 30 days after each Sub ESM awm·ded Subsequent reports for each Sub ESM reqUired NL T 15 days after EOM

Block'! DISTRIBUTION STATEMENT D Dtstnbuuon autl10nzed to !he Departmem of Defense and Ll S DoD contractors only ( Crmcal Technology) (22 May 2014) Other requests shall be referred to T argt·ts Management Offtce.Artn SFAE-STRI-PMITTS·Q, Bldg 3203. Redstone Arsenal. AL 35898 Export Conirol Wammg All techntcal documents that are determmed to contam export-controlled techmcal data shall be marked "\VARNING- Th1s document contains techmcal data whose export ts restncted by the Arms Export Control Act (T1Lle 22, l 1 S C. Sec 2751, et seq ) or the Export AdmmtstratJOn Act of I979 (T1tle 50. Ll S C App 2401 el seq), as amended Violations of Ihese export laws are subJect to severe cnmmal penalties D1ssemmate m accordance with provisions of DoD Directive 5230.25" When 1t Is technically not feasible to use the entire statement. an abbreviated markmg may be used, and a copy of the full statemem added to the "Not tee To Accompany Release of Export Controlled Data'' requtred by DoD D1recttve 5230 25

Block 14 It 1s reqUired that the mfonnatJOn be delr"¥ered vrn an electroniC data Interchange (ED I) medm via e·mail tn

M1crosoft Offtce 2007 E-Mail address for AMSTI-PMITTS-Q ts Enc I Hoffman m@matl m1l

*Electromc transmittal letter only E-ma1l address 1s yo Ianda s helue cJv@maii mil f--1-sF_A_E--'-S-TR._I ___ P_M_IT_T_S_...cQc..T*. __ ---~- 0 a-:-= I

I

I

I I _______ __

1--G--c. p=-=R::-::J!f:::~,..,-f=,=~=-~-=~=-~-1_n---,t.~/ . .;.-c...,l:-J-;,_-,,·--~~ -::en=-. =-~A..,.._T=~=-~---~-t..·--· wArP~~;~,':~·~.-- r~ :cJ~"

'----l---t

17. PRJC~rROlJP

18. ESTIMATED TOTAL PRICE

1 ~' Page I of 33 Pages

DD Form 1423-1. Jun 90 (Computer Gene1rated) Previous editions are obsolete

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item) I Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of information JS estimated to average 110 hours per response, mcludmg the time for revicwmg instructiOns, searchmg existmg data sources, gathenng and maintaining the data needed. and completmg the revtewing of the collecllon of mfonnatton Send comments regardmg this burden, est1mate or any other aspect of this collection of mformalion, mcludmg suggestiOns for reducmg thts burden, to Department of Defense, Washmgton Headquarters Services, Directorate for Information and Reports, 1215 Jefferson DaVIS Htghway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwotk Reduct ton ProJeCt (0704-0188), Washmgton, DC 20503. Please DO NOT RETURN your form to either of these addresses Send completed form to the Government lssumg Contract Officer for the Contract1PR NO listed Block E

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

A TDP X TM OTHER ---·-

:~~~~:::~s:.::E:o~~::::~n:EM~~~~~~~~~~~~~~:~~~~~~~~~~~~~~~E~-~c~o~~~T~R~A~C-T~/P~R~~N:O~.~~-~~~~~~~~:II~F:--~c~O~N~T=R=A~(::T~o:=R~~~~-~

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

Safety Assessment Report (SAR) ___l ~--~~~~~--=--~~~----_L_____ --------------------- ----,----------------------

A002

4. AliTHORITY (DATA ACQtTISITION DOC NO.) 5. CONTRACT REFERENCE I 6. REQliiRING OFFICI<

I SFAE-STRI-PMITTS-0 -Dl-SAFT-801028 SOW Para 3.2.2.1 6_8. 3.2.16 7

7. DD 250 REQ 9. DIST 10, FREQ

STATEMENT

12. DATE OF' FIRST SU-:::cB--,~-I:-c4:--. -:::cDc:-:IS:-::TRIBl:TIO'\ ___L__-------~-------

LT REQUIRED

8.APPCODE D

A

16. REMARKS

Contractor's format acceptable

Blocks 8, I 0, 12, & I J

ASGEN

II. AOD

N/A

See Block 16

13. DATE OF SllBSEQ SliB See Block 16

SAR reports on modJfJcatwns wh1ch affect the mhert~nt safety of the systems shall be preparrd a~) requ~red by app!H.:able Sub-ESM government approvalld1sapproval WJthm 30 days after rece1pt If d1sapproved. the contractor shall resubmit wtthm 30 days after recetpt of the Government comments The contractor may subm1t revlSlons to extstmg documents m l1eu of developmg ne'.lr documents

Block 9 DJSTRJBUTJON STATEMENT D Drstnbutron authonzed to the Department of Defense and ll S DoD contractors only (Crtttcal Technology) {22 May 2014) Other requests shall be referred to Targds Management Offrce,Attn SFAE-STRI-PMITTS-Q, Bldg 3203, Redstone Arsenal, AL 35898 Export Control Wammg All technrcal documents that are determmed to contam export-controlled technrcal data shall be marked "WARNING· Thrs document contams techntcal data whose export ts restrtctcd by the Arms Export Control Act (T ttle 22, L S C , Sec i751.

et seq) or the Export Admmrstrauon Act of 1979 (Trtle 50_ US C _ App 240 I et seq), as amended Yrolatrons of these export laws are subject to severe cnmmal penalttes D1ssemmate m accordance w1th pmvistons of DoD Directive 5230 25 " \\'ben 1t 1s techmcally not feas1ble to use the entire statement. an abbrev1ated markmg may be used, and a copy of the full statement added to the "Notice To Accompany Release of Export Controlled Data" requtred by DoD Dtrecttve 5230 25

Block 14. It IS reqmred that the mformat1on be dehvered vm an electromc data mterchange (ED[} med1a v1a e-mail m Mrcrosoft Office 2007 E-Mall address for AMSTI-PMITTS-Q rs Enc I Hoffman crv@mall rnrl

*Electromc transrnlttallener only E-mml address ts yo Ianda s belue Clv@mail mil

G. PREPARED B~ ',

\ }· '\() ' ( 1.._ ·- r: \, \ ! . . '-'

1•· ADDRESSEE I b. COPIES f--nratt~Fi-na_l __ _

I Reg Repro I I SFAE ST_R_I-_PM_I_TT_S-Q ______ --+---ll __ ll_l_--+-=-1----1

SFAE STRI-PMITTS-QT* I 0 0 0

17. PRIQ: GROUP

~) 1

18. ESTIMATED TOTAL PRICE I

Page :! of 33 Pages

DD Form /423-1, Jun 90 (Computer Generated) Previou.5 editions are obsolete

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collecttOn of information is estimated to average 110 hours per response, mcludmg the time for reviewmg mstructions, searching existing data sources, gathenng and maintaimng the data needed. and completmg the reviewmg, of the collection ofmfonnation Send comments regardmg this burden estimate or any other aspect of this collection of mformattOn. includmg suggestions for reducing this burden, to Department of Defense, Washmb1on Headquarters SeTVIces, Directorate for Information and Reports, 1215 Jefferson Davis Highway. Suite 1204, Arlington, VA 22202-4302, and to the Oft'1ce of Management and Budget, Paperwmk Reduction Project (0704-0188), Washington, DC 20503 Please DO NOT RETURN your form to either of these addresses Send completed form to the Government lssc,mg Contract Off1cer for the Contrac!IPR NO hsted Block E

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

A TDP X TM OTHER - - - - --

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

TSHS -Hoffman

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

A003 Technical Report-Study/Services

4. AUTHORITY (DATA ACQlliSITION DOC NO.) 5. CONTRACT REFEREI\CE 16. REQlliRING OFFi(~

DJ-MJSC-80508B SOW Para 3.2.8. I, 3.2.8.2.1, 3.2.19. 3.2.243 I SFAE-STRl-PMITTS-0

7. DD 250 REQ 9. DIST 10. FREQ ----.-l2. DATE OF FIRST SliB I 14. DISTRIBliTION

STATEMENT I

LT REQliiRED AS GEN See Block 16 i

I

8.APPCODE D 11. AOD 13. DATE OF SliBSEQ Sl'H I a. ADDRESSEE b. COPIES A N/A See Block 16 r--:--,~----

Draft . Final

-- .I Reg Repro

16. REMARKS SFAE-STRI-PMITTS-Q 1 1 1

SFAE-STRI-PMITTS-QT* 0 0 0

Contractor's fonnat acceptable

I

Blocks 8, I 0, 12. & 13 I lmtJal report due 45 days after contract award Subs·equent submJSSlons w1ll be directed by 1 ask Order Government approval/dtsapproval will be furnished wtthm 30 days after rece1pt Contractor shall resubm1t w1thm 15 day~. 1f requrred

Block 9 DISTRIBUTION STATEMENT D D1stnbut10n authoflzed to the Department of Defense and tJ S DoD contractors only (Cnucal Technology) (22 May 2014) Other requests shall be referred to Targets Management Offlce,Attn SFAE-STRl-PMITTS-Q. Bldg 3203, Redstone Arsenal. AL 35898 Export Conrro:. Wammg All technical documents that are determmed to contam export--controlled techmcal data shall be marked "\\'ARNJNG- Th1s document contams technical data whose export IS restncted by the Arms Export Control Act (T1tle 22, Ll S C , Sec 2751, et seq ) or the Export Admm1stratwn Act of 1979 (1nle 50, US C . App 2401 et seq). as amend~d V!olatlons of these export laws are subject to severe cnmmal pena1t1es D1ssemmate Ill accordance with proviSIOnS of DoD D1rectJve 5230.25" Wben It IS techmcally not feasible to use the entire statement, an abbrevmted markmg may be used, and a copy of the full statement added to the "Not1ce To Accompany Release of Export Controlled Data" requ1red by DoD DrrectJVe 5230.25

Block 14 It ts requtred that the mfonnatlon be delivered v1a an e\ectromc data mterchange (ED\) med1a vta e-mail m

Microsoft Office 2007 E-Mail address for AMSTI-PMITTS-Q IS Enc I Hoffman cJv@maJ1 m1:

*Electromc transmittal letter only E-mail address i'i yo Ianda s belue ClV@maJ! mil I I

I I I I

I I

15. TOTAL

_::_J.:J~ 1 I

G. PREPl~,ElD BY I

' I H. D~ :"f u. - \ L:~

I 11AP'rPR6YEo ~Y ,"__ I J. DATE ( \I I

, \ ( '· :,.c~ r •. ., \r• \ ;._,· I I j /_. 1~' \~: r------ i t.j -! Li I '

17. PRICE <;;ROllP 118. ESTIMATED TOTAL PRICE'.- I Page 3 of 33 Pages r..j

DD Form 1423-1, Jun 90 (Computer Generated) Previous editions are obsolete

Public reporting burden for th1s collectiOn of mformation 1s estimated to average 110 hours per response, mcludmg the lime for rev1ewmg mstructwns, searchmg existmg data sources, gathenng and mamtainmg the data needed, and completing the reviewmg of the collection of mfonnatwn Send comments regardmg this burden, est1mate or any other aspect of this collection of mformat1on, mcludmg suggestiOns for reducmg this burden, to Department of DeH:nse, Washmgton Headquarters Services, Dlfectorate for InformatiOn and Reports, 121 5 Jefferson DaviS Highway, Sullc 1204, Arlmgton, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduchon ProJect (0704-0188), Washington, DC 20503. Please DO NOT RETURN vour form to either of these addresses Send completed form to the Government lssumg Contract Officer for the ContracVPR NO hsted Block E

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

A TOP X TM OTHER

D. SVSTEM!lTEM E. CONTRACT/PR NO. F. CONTRACTOR

TSHS - Hoffman

I. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SliBTITLE

A004 Commercial Off~the-Shelf(COTS) Manual and Associated

- L_.,~

I 6. REQUIRING OFFJ~ 4. AUTHORITY (DATA ACQl'ISITION DOC NO.) 5. CONTRACT REFERENCE i

DI-TMSS-805278 SOW 3"2" 11.1 I l SFAE-STRI-PMITTS~:___

7. DD250REQ 9. DIST 10. FREQ 12. DATE OF HRST Sl!B 114. DISTRIBliTION

STATEMENT

LT REQlllRED BLOCK 16 Soo Blocl< I 6 * - --

8.APPCODE D 1 I. AOD 13. DATE OF SUBSEQ SliB a. ADDRESSEE b. COPIES N/A N/A See Block 16 I

Draft Final Reg Repro -

16. REMARKS SFAE-STRI-PMITTS-Q ~ 1 1 ------

SFAE-STRI-PMITTS-QT* 0 0 0

Blocks tO, 12, & t3

SubmiSSion will be directed by each Ta<;l-. Orde1

Block 9 DISTRIBUTION STATEMENT D D1stnbutmn authon:~..ed to the Department of Defense and L1 S DoD contractors only (Cntlcal Technology) (22 May 2014) Other requests shall be referred to Targets Management Offrce.Attn SFAE-STRI-PMITTS-Q, Bldg 3203, Redstone Arsenal, AL 35848 Expor1 Control Wammg All techmcai documents that are determmed to con tam export~cl.muolled techmca\ data shall be marked "\\' ARNII\'G · Th1<;

document contams techmcal data whose export IS restricted by the Arms Export Control Act (Title 22, USC, Sec 275 I, et seq ) or the Expor1 Admmrstratron Act of i979 (T ule 50, l' S C , App 240i et seq), as amended Y rola11ons of these export laws are subJect to severe cnmma\ penalt1es D1ssemmate m accordance w1th rrovlSions of DoD Directive 5230.25" When Jt IS techmcally not feas1ble to use 1J1e ent1re statement, an abbreviated markmg may be used, and a copy of the full statement added to the ''Not1ce To Accompany Release of Export Controlled Data" Jeqlllred by DoD Drrechve 5230 25

Block 14 It IS requ1red that the mfonnauon be delivered na an electromc data mterchange (ED!) medw v1a e-ma1l ltl

Mrcrosoft Offrce 2007 E-Marl address for AMSTI-PMITTS-Q rs Errc I Hoffman crv@marl mrl

I *Electromc transrnlttalletter only E-m all address 1~; yo Ianda s belue c1v(~mall mil

I I I I I I l I I I I

I

L.TOTAL

=h.~ I

G. P~_rJ~D ~t~ I I H. DATE i I(Al\PPROYED ~\ /" I''\, } ll (_ i Ll- \ l.'. -\ c I ~ i~~- '-·./ ( ·-' L,l _JL: ',- ,'-._)· .---~-- I I

17. PRidE GROlJP 118. ESTIMATED TOTAL PRICE ~I Page 4 of 33 Pages

Public reporting burden for this collection of mformation is estimated to average 110 hours per response, mcludmg the time for reviewmg mstructions, searchmg existing data sources, gathering and mamtammg the data needed, and completmg the reviewmg of the collectiOn of mformauon Send comments regardmg this burden, estimate or any other aspect of this collection of mformation, mcludmg suggestions for reducmg this burden, to Department of Defense, Washmgton Headquarters Servic~s. Directorate for Information and Reports, 1215 Jefferson DaviS Highway, Smte 1204, Arlington, VA 22202-4302, and to the Oftlce of Management and Budget, Paperwo1 k ReductiOn ProjeCt (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to e1ther of these addresses Send completed form to the Government lssumg Contract Oftlcer for the Contract!PR NO listed Block E

A. CONTRACT LINE ITEM NO. I :·EXHIBIT

C. CATEGORY:

TOP - X - TM

OTHER ---

I --

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

TSHS - Hoffman

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

AOOS Acceptance Test Plan

4. AUTHORITY (DATA ACQliiSITION DOC NO.) 5. CONTRACT REFERE~CE --"""T6.' REQliiRING OFFICE

DJ-QCIC-80553A SOW Para 3.2.8.1, 3.2.8.2.1 I SF AE-STRI-PMITTS-Q

7. DD 250 REQ 9. DIST 10. FREQ 12. DATE m· FIRST Sl'B 114. DISTRIBliTJON

STATEMENT

LT REQliiRED AS REQ See Block 16

8. APP CODE D 11. AOD 13. ()ATE OF SliBSEQ SliB a. ADDRESSEE b. COPIES A N/A See Block 16 r--, Draft I Final

I Reg I Repro

16. REMARKS SFAE-STRI-PMITIS-Q 1 1 I 1

I SFAE-STRI-PMITTS-QT* 0 iO iO

Blocks 8_ 10. 12. & I) I

The contractor shall deliver acceptance test plan 30 days after conuact av.ard l.Jo\emment approvaJ,dJsapproval v. 1thm I

20 DAR If disapproved, contractor resuDmJtta\s W1tJ1m ~0 DAR Update as requned I I

Block 9 DISTRIBUTION ST ATEMEI':T D Dtstn:,utJOn authonz.ed to the Department of Defe·nse and V S DoD

I contractors only (Cntlcal Technology) (22 May 2014) Other requests shall be referred to Targets Management Offlce,Attn SF AE-STRI-PMITTS-Q. Bldg 3203, Reds10ne Arsenal, AL 35898 Export Control Wammg All technical

I documents that are determmed to contam export-controlled techmcal data shall be marked "\VARNJNG- Th1s document contams techntcal data whose export 1s restricted by the Arms Export Control Act (Tit:e 22, USC, Sec 2751, et seq ) or the Export Admimstrahon Act of 1979 (T 1tle 50, U S C , App 2401 et seq) as amend'e:d V10lauons of these

I export laws are subject to severe cnmmal penalt1es D1ssemmate 111 al.':cordance wnh provlsJons of DoD DtrectJve 5230 25" When it ts techmcally not feas1b\e to use 1he entire statement. an abbrev1ated markmg may be used, and a

I copy of the full statement added to the "NotJce To Accompany Release of Export Controlled Data" requrred b: DoD Drrect1ve 5230 25 i

Block 14 It is reqUired that the mformaHon be de!Jvered vta an electromc data mterchange (ED!) medm v1a e-mail m I M1crosoft Off1ce 2007 E-Ma1l address for AMSTI-PMITTS-Q JS Enc I Hoffman c1v@mail m1l I

I I

•Eiectromc transmittal letter only E-rnatl address Is yo Ianda s belue Cl\{~>maJ! mil i I

I I 15. TOTAL IllJ 1 i G. PRE.J?A~ED BY / I H. DATE !. I. tffP~OVEJ) ~y It J.DA~

I XII. ' ,;:::;{ L..t.\._' L '--\ ,~, l\ -I c, 1 l/ - / I . . -· -- t....: ~ I i...' I'

, ~ 'L ; ./

17. PRI~E GROUP 118. ESTIMATED TOTAL PRICE

Pa~c 5 of 33 Pages

DD Form 1423-1, Jun 90 (Computer Generated) Previous editions liTe obsolete

CONTRACT DATA REQUIREMENTS LIST l Form Approved

Public reporting burden for th1s collectwn of mformat1on "est1mated to average 110 hours per response. mc1udmg the time for rev1ewmg mstructwns, searchmg ex1stmg data sources, gathering and maintammg the data needed, and completmg the rev1ewmg of the collecllon of mfonnat10n Send comments regarding th1s burden, esumate or any other aspect of this collection of mformatwn, mcludmg suggestions for reducmg this burden, to Department of Defense. Washmgton Headquarters Services, Directorate for Information and Reports, 1215 Jefferson DaVIS Highway SUite 1204, Arlmgton, VA 22202-430~, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washmgton, DC 20503. Please DO NOT RETURN your form to either of these addresses Send completed form to the Government lssumg Contract Officer for the Contract/PR NO listed Block E

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

A TDP X TM OTHER - - -- --

D. SYSTEM/ITEM r· CONTRACf/PR NO. I F. CO ... TRACTOR

TSHS - Hoffman l, DATA ITEM NO. r;TITI.EOF DATA ITEM r SllBTlTI.E

A006 est Plan

4. AUTHOR1TY (DATA ACQliJSITION DOC NO.) 5. CONTRACT REFERE'\CE - -T6.REQliiRING OFFICE

Dl-NDTI-80566A SOW Para 3.2.2.2.5, 3.2.10 4 I SF AE-STRI-PMITTS-Q

7, DD 250 REQ 9. DIST 10. FREQ 12. DATE OF FIRST SliB i 14. DISTRIBliTION

STATEMENT I

REQtiiRED

I

LT BLOCKI6 See Block 16 i --

8. APPCODE 11. AOD 13. DATE OF SliBSEQ SliB a. ADDRESSEE D I b. COPIES A N/A See Block 16 I

I Draft Final I

Reg Repro ---------

16. REMARKS SFAE-STRl-PMITTS-Q 1 1 1

SFAE-STRl-PMlTTS-QT* 0 0 0

Contractor's format acceptable

Blocks 8, 10, 12. & I)

SubmiSSIOn IS due N L T 60 days pnor to the test and all other submJsston~ ~1ll be directed by each Sub~ESI\1 Government apprcwat'dtsapproval wtthm 30 days after receipt If disapproved, the contractor shall resubrnJt wlthm30 days after recetpt of the Government comments

Block 9 DJSTR!BUTJOI\: STATEMENT 0 Dtstnbutmn authortzed to the Department of Defense and L S OoO contractors only (Cnucal Technology) (22 May 2014) Other requests shall be referred to Targets Management Ofhce,Attn SFAE-STRI-PMITTS-Q. Bldg 3203, Redstone Arsenal, AL 35898 Export Control Warnmg All techn1cal documents that are determmed to contam export~control!ed techmcal data shall be marked ''\\''ARNING ·This document contams techmcal data whose export JS restrtcted by the Arms Export Control Act (T1tle ::!2, U S C , Se<: 2751, et seq) or the Export Admmtstrat10n Act of 1979 (T1tle 50, ll S C , App 2401 et seq). as amendt~d V to latiOns of the~e export laws are subJect to severe cnmmal penalties D1ssemmate m accordance wsth provisions of DoD Drrectivc I

5230 25." When 1t IS techmcally not feasible to use the entire statement, an abbrevtated markmg may be used, and u I copy of the full statement added to the "Not>ce To Accompany Release of Export Controlled Data" requ>red by DoD !

Dtrecuve 5230 ~5 !

Block 14 It IS requtred that the mfonnauon be deltvered via an electromc data mterchange (ED!) media via e·ma1\ m

I Microsoft Off>ce 2007 E-Ma>l address for AMSTI-PMITTS-Q 15 Enc I Hoffman c>v(alma>l m>l

*Electromc transmittal letter only E~ma1l address IS yolanda s belue cJvq~.maJl mil I

I I I

-,---~ I 15. TOTAL i 1 1 1 I I

G. PR\At~D BY, I H. DATE l I.,~P~ViE9 BY: J. DATE } \(),"\(•, ( u ' 1 '-l.\'--J-'IC.:) -I'-'-}'-.. \t .\...'._ ( /" 0 ;v' \,. ( I \ -------~-

17. PRICE! GROUP

t)

118. ESTIMATED TOTAL PR1CE

Page 6 of3 3 Pages

DD Form 1423-1, Jun 90 (Computer Gene.rated) Previous editions are obsolete

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of informatwn 1s estimated to average 110 hours per response, mcludmg the time for rev1ewmg instructions, searchilg existmg data sources, gathermg and mamtaimng the data needed. and completmg the reviewmg of the collection of mformat10n Send comments regardmg this burden. estimate or any other aspect ofth1s collection of mformatwn. including suggestions for reducmg this burden, to Department of Defense, Washmgton Headquarters ServJct·s, DITectorate tor Information and Reports, 1215 Jetlerson Davis H1ghway, 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 t:ither of these addresses Send completed form to the Govemmentlssumg Contract Officer for the ContractfPR NO listed Block E

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

A TOP X TM OTHER

~D-.-SY_S_T_E_Mn---T--E-M-----------------~--------~-E·:-.-C-0--NT_R_A_C_T_/P-R---N-O~.-----------,,F-.-(-:O-N-'l-,R-A_C_T __ O_R ________ ____

TSHS - Hoffman ~l.~D~A~T~A~IT~E~~~~=~N~0~.-------------,-2~.~T~IT=L~E~O~~F~D~A~l=.A~J'=rE=~~1------------------------~-3-.-S-li-B-T-IT_L_E_: ___________ ____

A007 Engineenng Change Proposal (ECP)

5. CONTRACT REFERENCE l6, REQliiRING OFFIC'E

SOW Para 3.2.4.1.5, 3.211.8 ___ SF AE-STRI-PMITTS-Q

4. AliTHORITY (DATA ACQl11SITION DOC NO.)

DI-CMAN-80639C

7. DD250REQ 9. DIST

STATEMENT

REQliiRED

10. FREQ 12. DATE OF FIRST SliB -r4. DISTRIBl'TION -----

LT See Block 16 ]

D 8. APPCODE

A

ASGEN

11. AOD

N/A

13. Di\TE OF SliBSEQ SlJBr·. ADDRESSEE See Block 16 ~-------

1 uran 1_ Final I Reg Repro 1-------___l-------- _________ __J_ ___________________ t--------------1----,----"'-'r....:..:,_...:..;

I SFAE-STRI-PMITIS-Q 1 j 1 1 16. REMARKS

Blocks 8, 10, 12. & 13

As requtred to docLUnent the product basel me submit 30 days after contractor complet1on Government approval/disapproval w1thm 30 days after rece1pt If disapproved, contractor resubmmals w1thm 30 DAR

Block 9 DlSTRIBL!TlO~ STATEMENl D OJstnbut1on author1zed to the Department of Defense and L S DoD contractors only (Cnt1cal Technology) {:22 May 2014) Other requests shall be referred to Targets Management Offtce,Attn SFAE-STRI-PMITTS-Q, Bldg 3203, Redstone Arsenal. AL 35898 Export Control Wammg Alliechnrcal documents that are determmed to con tam export-controlled techmcal data shall be marked "WARN! NG- Th1s document contams techmcal data whose export ts re~.tncted by the Arms Export Control Act (Title 22, ll S C, Sec 2751, et seq ) or the Export Admtmstratton Ac1 of 1979 (T•tle 50, U S C , A pp 240 I et seq), as amended V 10lattons of these export laws are subject to severe cnrnmal penalties D1ssemmatc m accordance v.1th prO\lSions of DoD D1rectn .. e 5230 :25" When It IS techmcally not feasible to use the entire statement, an abbre\'lated markmg may be used, and a copy of the full statement added to the "Notice To Accompany Release of Export Controlled Data" required by DoD Directive 5230 25

Block 14 It ts required that the mfonnat1on be delivered v1a an e\ectromc data mterchange (EDl) media v1a e·ma1l tn

Microsoft Offtce ;o07 E-Mail address for AMSTI-PMITTS-Q ts Errc I Hoffman Cl\@marl mrl

*Electromc transmittal letter only E·ma1l address IS yo Ianda s belue tlv@mad mll

17. PR~CE GROllP 118. ESTIMATED TOTAL PRICE

DD Form 1423-1, Jun 90 (Computer Genetated) Previous editions are obsolete

~RI-PMITTS-QT* --- 0 I 0 0

I I

15, TOTAL J,;.J. 1

I u.,u c

Page 7 of33 Pages

Public reportmg burden for this collection of mformauon is esttmated to average II 0 hours per response, mcludmg the time for revtewmg mstructions, searchmg extstmg data sources, gathenng and mamtamtng the data needed, and completmg the reviewmg of the collectJon of mformauon Send comments regardmg thts burden estimate or any other aspect of this collection of mformatton, mcludmg suggest tons for reducmg thts burden, to Department of Defense, Washmb>lon Headquarters Servtces, Directorate for 1nformatJOn and Reports, 1215 Jefferson Davts Htghwa), Sutte 1204, Arhngton, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduct;on Ptoject (0704-0188), Washington, DC 20503 Please DO NOT RETURN your form to etthcr of these addresses Send completed form to the Government lssumg Contract Officer for the Contract!PR NO listed Block E

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

A TOP X TM OTHER - - -~ --

D. SYSTEM/ITEM

i

E. CONTRACT/PR NO. F. CONTRACTOR

TSHS - Hoffman

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

A008 Request for Devtations (RFD)

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE I 6. REQUIRING OFFil~

Dl-CMAN-80640C SOW Para 3.2.11.8 I SFAE-STRI-PMITTS-Q

9. DIST

- ]14. OISTRIBVTION

7. DD 250 REQ 10. FREQ 12. DATE OF FIRST SliB

STATEME"'T i LT REQUIRED ASGEN See Block 16

8.APPCODE D 11. AOD 13. DATE OF SliBSEQ SliB a. AHDRESSEE -F!'"--A N/A See Block 16 ----- ' Final i Reg Repro

16. REMARKS SFAE-STRI·PMITTS-Q l1 J 1 1 ..

SFAE-STRI·PMITTS-QT* LQ__ 0 0

Blocks 8, I 0. 12, & I 3

As requ1red to document the product basel me submit 30 days after contractor completiOn Govt:rnment I approvalldtsapproval w1thm 30 days after rece1pt If disapproved, contractor resubmmals v.tthm JO DAR

Block 9 DISTRIBUTION STATEMENT D D1stnbut10n authonzed to the Department of Defense and LJ S DoD contractors only (Cnttcal Technology) (22 May 2014) Other requests shall be referred to Targets Management Office,Attn SFAE-STRI-PMITTS-Q, Bldg 3203, Redstone Arsenal, AL 35898 Export Control Wammg All techmcal documents that are determmed to contam export-controlled techmcal data shall be marked "\VARNING- Th1s document contams techmcal data whose export ts re~.tncted by the Arms Export lontrQ\ Act (TJtk 22. L' S C Sec 275 L et seq) or the Expon AdmmJstratJon Act of 1979 (T1tle 50. USC. App 2401 et seq). as amended VJOlattons of these export laws are subJect to severe cnmmal penalues D1ssemmate m accordance with prov1S10ns of DoD Dtrecuve 5230 25 ~ When It IS techmcally not feasible to use the enure statement, an abbrevmted mark mg may be used, and a copy of the full statement added to the "'!'\ouce To Accompany Release of Export Controlled Da!a" reqtlired by DoD DirectiVe 5230 25

Block 14 It ts requ1red that the mfonnauon he delivered v1a an e\ectromc data !llterchange (ED\) med1a \Ia e-mailm I Microsoft Office 2007 E-Mail address for AMSTI-PMITTS-Q IS E11C I Hoffman Civ@maii md

I *Electromc transmtttalletter on\)' E-m ad address IS yolanda s belue nv@mad mll I I

I

I i i

I I I I lS.TOTAl TC 1 I

I G. PRE{~R~n BY: I H. DATE I

I. .AlrP~VE1D 'y r . I J. DATE , -

. ~ I' \'< _(' \... ; ~ i L{ - 'c /'":....~- ! :._;-; L! -l. (. jl \,'"'... ',\--~ .... '~ ,_ 1 '.,

17. PRICE\ GROUP

lJ

118. ESTJMATED TOTAL PRICE I Page 8 of 33 Pages

DD Form 1423-1, Jun 90 (Computer Genemted) Previous editions are obsolete

CONTRAIT DATA REQUIREMENTS LIST I Form Approved (1 Data lteml OMB No. 0704-0188

Public reporting burden for this collectiOn ofmformat1on 1s est1mated to average 1' 0 hours per response. includmg the umc for rev1ewing mstruct10ns, searchmg eX!stmg data sources, gathermg and mamtammg the data needed, and completmg the rev1ewing of the collecuon of mformat10n Send comments regardmg this burden. esllmate or any other aspect of this collection of mformatJon. includmg suggest1ons for reducmg this burden. to Department of Defense. Washmgton Headquarters Serv1ces, D1rectorate for Informauon and Reports, 1215 Jefferson Dav1s H1ghway, Suite 1204, Arlington. VA 22202-4302, and to the Office of Management and Budget, Paperwo1 k Reducl!on Project (0704-0188), Washington, DC 20503 Please DO NOT RETURN your form to e1ther of these addresses. Send completed form to the Government lssumg Contract Officer for the Contract/PR NO hsted Block E

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

A TDP X TM OTHER - -· - --

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

TSHS - Hoffman

- j 3. SIIBTITLE

1. DATA ITEM NO. 2. TITLE Of' DATA ITEM

A009 Request for Waiver (RFW)

4. AliTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFEREJ\CE ~ ~ REQl'IRIN<; OFFICE-

DI-CMAN-80641B SOW Para 3 2. 11.8 I· AI -STRI-PMITTS-Q

7. DD 250 REQ 9. DIST 10. J<'REQ 12. DATE OF FIRST SliB I

14. DISTRIBl'TION ------------

STATEMENT

LT REQllfRED ASGEN Sec Block 16 I'

13. DATE OF SliBSEQ SliB I a. ADDRESSEE

S.APPCODE D 11. AOD I b.COPIES A N/A See Blod 16

I f--,------

Draft i Final

I Reg Repro --

16. REMARKS SFAE-STRI-PM\TIS-0 1 1 1

SFAE-STRI-PMITTS-QT* 0 I o 0--

Blocks 8, l 0. 12, & 13 I

As requ1red to document the product basel me subm1t 30 days afte1 contractOT completion Government I l approval 1d1sapprova! \'>lthm 30 days after rece1pt If disapproved contractor resubmmals w thm 30 DAR

Block 9 DlSTRIBl!TlON STATEMENT D DtstnbutJOn authonzed to the Department of Defe:nse and U S DoD contractors only (CntTcal Technology! (22 May 2014) Other requests shall be referred to Targ1~ts Management OffTce,Attn SFAE·STRl-PMITTS-Q. Bldg 3203, Redstone Arsenal, AL 35898 Export Contro·i Wammg All techmcal documents that are determmed to con tam export-cor.trolle.d tedmJcal data shall be marked "VV ARNING . Th1s document contams techmcal data whose export IS restncted by the Arms Export Control Ac1 (Ttt'le 22, U S C , Sec ~75!, et seq ) or the Export Admm!Stratwn Act of 1979 (T1tle SO. U S C , App 2401 et seq). as ameni<ed VTolallons of these export laws are subject to severe cnmmal penalttes D1ssemmate m accordance wah provisions of DoD Directive 5230 25" When It ts techmcally not feasible to use the entire statement, an abbreviated markmg may be used, and a copy of the full statement added to the "Notice To Accompany Release of Expon Controlled Dc1ta" requtred by DoD Drrect1ve 5230.25

Block 14 It IS requtred that the mformation be del1-..ered v1a an elecoonic data mterchange , EDI) media "1a e-ma1l m M1crosoft Off1ce 2007 E-Mml address for AMSTI .. PMITTS-Q IS Enc I Hoftn1a11 c1v@maTI m1 1

I •Electromc transmlttal letter only E-ma1l add1ess 1~. yolanda s belue C\\rg;mall mll I

I

I

I l I

I

115. TOTAL =r~ 1

G. PRE~trBY, _; ~ ~:~> l I H. DATE; ' . .., ,~ j I(i\PPFROVED ~y / ;_ I J. DATE

I I ,! , \n , \ , .. '~ ... / '--1 - \ \.. .• -- 1 ... ~ I l, f,.,j/ _ _- I ! i \ . ---- l1 _I U- •, I •

17. PRICE GROUP 118. ESTIMATED TOTAL PRJ CE

Page 9 of 33 Pa~s

DD Form 1423-1, Jun 90 (Computer Gene.rated) Previous editions are obsolete

CONTRA1CT DATA REQUIREMENTS LIST I Form Approved

Public reportmg burden for this collectiOn of mformation is estimated to average II 0 hours per response. mcludmg the lime for reviewmg Instructions, searchmg ex1stmg data sources, gathenng and mamtammg the data needed, and completmg the rev1ewmg of the collection of mformatwn Send comments regardmg this burden, estimate or any other aspect of this collection of information, mcludmg suggestiOns for reducmg this burden, to Department of Defense, Washmb'1on Headquarters Services, Directorate for Information 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 (jovemment lssumg Contract Officer for the Contract/PR NO listed Block E

A. CONTRACT LINE ITEM !\0. B. EXHIBIT C. CATEGORY:

A TDP X TM OTHER - - - --

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

TS\-IS - Hoffman

13. Sl'RTITU 1. DATA ITEM NO. 2. TITLE OF DATA ITEM

AOJO Notice of Revision (NOR) -~ REQlllRING OFFICE--4. AllTHORITY (DATA ACQlliSITION DOC NO.) 5. CONTRACT REFERE'\'CE

DI-CMAN-80642C SOW Para 3.2.1 1.8 ! SFAE-STRI-PMITTS-Q

7. DD 250 REQ 9. DIST 10. FREQ 12. DATE OF FIRST SUB 14. DISTRIBFT'IO!\

STATEMENT

LT REQliiRED ASGEN See Block 16

I

8.APPCODE D 11. AOD 13. DATE OF SliBSEQ SUB a. ADDRESSEE b. COPIES A N/A See Block 16

Draft I Final ----

I [ Reg I Repro

16. REMARKS S FAE-STR 1- PM ITTS-Q 1 I 1

I

SFAE-STRI-PMITTS-QT* 0 0 LQ_

Blocks 8, I 0, 12, & 13

I

As required to document the product base! me submit 30 day~ after contractor completion Government approval/dtsapproval wtthm 30 days after recetpt If disapproved, contractor resubmJttals w1thm JO DAR

Block 9 DISTRIBUTION STATEMENT D D1stnhuoon authonzcd to the Department of Defense and U S DoD contractors only (CntJcal Technology) (22 May 20\.t::.) Other requests shall be referred to Targets Management Office,Attn SFAE-STRI-PMITTS-Q. Bldg 3203, Redstone Arsenal. AL 35898 Export Control \'iammg All techmcal documents that are determmed to contatn export-controlled techmcal data shall be marked ''\A/ ARNING - Th1s document contams techmca! data whose export 1s re~.tncted by the Arms Export Control Act (Tttk 22, USC, Sec 2751, et seq) or the Export Admmrstrat10n Act of 1979 (Tille 50, USC, App 2401 et seq), as amend,,d Vrolauons of these export laws are subJect to severe cnrnmal penalties D1ssemmate m accordance wtth prov1stons of DoD Drrectn.e

5230.25 " \Vhen 1t JS techmcally not feas1ble to use the ent1re statement, an abbreviated markmg may be used, and a copy of the full statement added to the "Nollce To Accompany Release of Export Con!rolled Data" requrred by DoD Directrve 5230 25

Block 14 It 1s reqUired that the mformat10n be delivered v1a an e!ectromc data mterchange (EO!) med1a v1a e-mail m Mrcrosoft Offrce 2007 E-Mail address for AMSTI-PMITTS-Q rs Errc I Hoffman c<V@mail mil

*Eiectromc transmittal Jetter only E-matl address 1s yo]anda s belue <:1\@mail m1l

15. TOTAL -----C:~l 1

G. PR~Pj\~J<:D BY, r H. DATE I TJ,PPROV!j;D BYr .. , J. DATE

I,_). ',\'() ... ,·j,-, 1.:.~ I/..._ '-""' I '--l./y--/C .I ~ '-/>-~ \ ) \~ -- ! -. - / 1.. : "-,

17. PRICE GROliP 118. ESTIMATED TOTAL PRICE I Page lO of33 Pages \.I

Public reporting burden for this collectron of mformation is estrmated to average II 0 hours per response. mcludmg the ttme for revrewmg Instructions, searchmg exrstmg data sources, gathcnng and maintarmng the date. needed, and completmg the reviewing of the collection of mformatton Send comments regardmg thts burden, estimate or any other aspect of this collection of mformatron, mcludmg suggest tons for reducmg thrs burden, to Department of Defense. Washmgton Headquarters Servrces, Dr rectorate for Information and Reports, 1215 Jefferson Davis Highway, Sutte 1204, Arlington. VA 22202-4302, and to the Offrce of Management and Budget, Paperwork Reductron Project (0704-0188), Washington, DC 20503 Please DO NOT RETURN your form to etther of these addresses Send completed form to the Government lssumg Contract Officer for the Contract'PR NO listed Block E

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

A TOP X TM OTHER - - - - --

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

TSHS - Hoffman

l. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. Sl!BTITLE

AO!l Engmeering Serv1ces Memorandum (ESM)

4. AUTHORITY (DATA ACQlliSITION DOC NO.) 5. CONTRACT REFERE."iCI<: -----~-i6.REQUIRING OFFICE-- I

Dl-MISC-80748 SOW Para 3.2.2. 3.2.2.2.3 ______ L:: AE-STRl-PMlHS-Q

7. DD 250 REQ 9. DIST 10. FREQ 12. DATE OF FIRST SliB I 14. DISTRIBl!TION

STATEMENT

I

LT REQt'IRED ASREQ See Block 16

13. DATE OF StiBSEQ SliB a. ADDRESSEE b. COPIES

8.APPCODE D 11. AOD

A N/A See Block 16

I Draft Final

---~---_____L Reg Repro

16. REMARKS SFAE-STRI-PMITIS-Q 1 1 1

SFAE-STRI-PMITIS-QT* I 0 0 0

Blocks 8. I 0, 12, & 13

ESM shall be submtned wJthm I 0 days of request Government approval/d1sapproval will be furmshed wlthm 30 days after recetpt of ESM Contractor shall resubmit w1thm 15 days, 1f requtred

Block 9 DISTRIBUTION STATEMENT D DtstnbutJOn authonzed to the Department of Deft::nse and U S DoD contractors onlv (Cntical Technology) (22 May 2014) Other requests shall be referred to 1 arg~~ts Management Office,Attn SFAE-STRI-PMITTS-Q, Bldg 3203, Redstone Arsenal, AL 35898 Export Control Warnmg All techmcal documents that are determmed to contam export-controlled techmcal data shall be marked "\\iARNING- Th1s document contams techmcal data whose export IS restricted by the Arms Export Control Act {T1tJe 22, USC, Sec 2751, et seq ) or the Export Admmistratwn Act of 1979 (Title 50, lJ S C , App 2401 et seq) as amenoed V!olal!ons of these export laws are subject to severe crtrnmal penalt1es D1ssemmate m accordance w1th provlsJons of DoD Dlfecove 5230 25" When It ts techmcally not feas1ble to use the ent1re statement. an abbrevmted markmg may be used, and a i cop)' of the full statement added to the "Notice To Accompany Release of Export Controlled D<::ta" reqlllred by DoD

: Dlfectlve 5230 25 I I

Block 14 It ts reqUired that the mfonnatton be delivered v1a an elc~ctromc data mterchange (ED\) med1a v1a e·ma1llfl

I M1crosoft Office 2007 E-Mail address for AMSTI-PMITTS-Q 1s lnc I Hoffman cJV@maii m1l

*Eiectromc transmlttalletter only E-mail address IS yo Ianda s belue ctv@matl mil I

I I i I i I i I I i i

I

15. TOTAL

I 1 E 1

G.P~r~DIJY i H.DATE v~~P~OV~D, 8\/ J. DATE

- r '/1 / j' /\ .-} ~~ j j '. ' ~-1'-l IC' . ' \.j \_/1 ~ -. , . -- L;l ·-I y- t<-.,___, -,

17. PRJ~E GROliP l18. ESTIMATED TOTAL PRICE 0 Page 11 of33 Pages

CONTRA1IT DATA REQUIREMENTS LIST

(1 Data Item) I Form Approved

OMB No. 0704-0188

Public reporting burden for this collection of informatiOn ts esttmated to average 110 hours per response, mcludmg the ttme for revtewmg mstructJOns, searchmg extsttng data sources, gathering and mamtaimng the data needed, and completmg the reviewmg of the collectton of mformat10n Send comments regardmg this burden, estimate or any other aspect of this collection of mformatton, inc1udmg suggestions for reducmg this burden, to Department of Defense, Washmgton Headquarters Servtc es, Directorate for Information and Reports, 1215 Jefferson Davis Htghway, Suite 1204, Arlmgton, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reductton Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to etther of these addresses Send completed form to the (]ovemment lssumg Contract Officer for the Contract/PR NO listed Block E

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

A TDP _X_ TM _ OTHER_

---rE. coN_~=rRA-c=T=-,=r-=R--::N-,-,c'::->._,___ _____ ~ IF,-. c-:-:·-=o-=-N=T=R:--A--=c=T=-=o=-=R=----·----

TSHS -Hoffman __l_ • 1--l.-D_A_T_A_IT--:E:c:-M----:-N-=-o-.------·---,-2.,--.-T-IT-LE OF DATA ITEM 3. Sl1BTITLE --

D. SYSTEM/ITEM

AO 12 Test/Inspection Report 1--4.-A_U_T_H_O_R_l_T_\_' (_D_A_T_A_A_C=-.Q--l-11--:-S-11-'1-,0._lN_DOC NO.) 5. CONT_R_A_C-,1·-.--R-EF_E_R_E_N_C-.1·:-· _________ c___ ___ f 6. REQl'IRING OFFI-~

Dl-NDTI-80809B

7. DD 250 REQ 9. DIST 10. FREQ

STATEMENT

LT REQllTRED BLOCK 16

S.APPCODE D II. AOD

A N/A

SOW Para 3.2.2.2.5. 3.2 10 4

---'J2: DATE OF FIRST SliB

See Block 16

13. DATE OF SliBSEQ SllB See Block 16

I SFAE-STRI-PMITTS-Q

--,-,--~~~-L_-----------i 14. DISTRIBlTION

I

I a. ADDRESSEE

I

I b.COPJES --

Draft 1 Final -t---'---.-----1 / Reg Repro

~--------------~--------__l ______________ L_ ______________________ -+----~----~~--------~--~~~~~~

16. REMARKS SFAE-STRI-PMITIS-Q 1 l1 1

Contractor's format acceptable

Blocks 8, 10. 12, & 13

Reports shall be submmed wtthm 30 davs of completion of testmg Government approval·dtsappt oval v.1thm 20 days ot recetpt Resubmmals wtthm 14 days. 1f requ1red

Block 9 Dl STRIBUTION STATEMENT D DJstnbullon authonzed to the Departmenl of Defense and U S DoD contractors only (Cnucal Technology) (22 May 2014) Other requests shall be referred to Targets Managemen1 Offlce,Attn SFAE-STRI-PMITTS-Q, Bldg 3203, Redstone Arsenal, AL 35898 Expon Control Wammg All techmcal documents that are determmed to contam expon-controlled techmcal data shall be marked "\VARNING- ThJS document contains techntcal data whose export JS restncted by the Arms Export Control Act (Tllle 2:2, L1 S C , Sec 27 51.

et seq ) or the Export AdmmJStratJOn Act of 1979 (Title 50, L S C , Apr 2401 et seq), as amended \'Jolat>ons of these export laws are subject to severe cnmmal penalt1es D1sserntnate m accordance With provJSJons of DoD DlfectJ\e 5230 25 ~When 11 ts technJcall~ not feas1ble to use the entJre statement, an abbrev1ated markmg may be used. and a copy of the full statement added to the "NotiCe To A.: company Release of Export Controlled Da1 a" reqUired by DoD DtrectJve 5230 25

Block 14 It IS reqmred that the mfonnatJon be deilvt:red v1a an electromc data mterchange (ED!) med1a v1a e-mail m t-.1Jcrosoft Office 2007 E-Ma>l address for AMSTI-PMlTTS-Q 1s Em I Hoffman c>v@mail mrl

*Electromc transmJttallener only E-mail address IS yo Ianda s helue cJv@rnaJI rnd

SF AE -STR 1- PM ITTS-QT * -------"i_O ___ ,_O __ __l_0 __ ---1

I 15. TOTAL I~ 1

~G~.=pu~P=A~R=w~=B=y-,-~--.----~~.I~H~.~D-A~T=E~L-!_-_-1 ,-•. -.-_-,1,;-~~,r:_~~-~~~V=_~~~~~~~=D-/~=~~y---~---_---- iiJ.D~~~-!' .. ··., U'\l(l'AA.t! !;:,.;, {;,_,( '-1- _-L '....... - I'- - -.

17. PRICEfROliP 118. ESTIMATED TOTAL PRICE I Page 12 of33 Pages

Public reporting burden for this collection of mformatwn is estimated to average II 0 hours per response, mcludmg the time for rev1ewmg mstruct1ons, searchmg existing data sources, gathenng and mamtammg the data needed, and completmg the rev1ewmg of the collection of informatiOn Send comments regardmg th1s burden estimate or any other aspect of th1s collectwn of mformatJon, mcludmg suggestions for reducing th1s burden, to Department of Defense, Washmgton Headquarters Serv1c•:s, Directorate for Information and Reports, 1215 Jefferson Davis Highway, Sui\e 1204, Arlington, V,A, 22202-4302. and to the 0!11ce of Management and Budget, Paperwork Reduct1on Project (0704-0188), Washmgton, DC 20503 Please DO NOT RETURN your form to either of these addresses Send completed form to the Government lssumg Contract Officer for the Contract/PR NO listed Block E

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

A TDP X TM OTHER - - - ~-

D. SYSTEM/ITEM

I

E. CONTRACT/PR NO. F. CONTRACTOR

TSHS - Hoffman

l. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. Sl!BTITLE

AOI3 Contractor's Configuanon Management Plan

4. AliTHORITY (DATA ACQVISITION DOC !\0.) 5. CONTRACT REFERENCE ~=~ REQUIRIN<; OFFI<:E -

Dl-CJ\1AN-80858B SOW Para 3.2. II. I AE-STRI-PMITTS-0

7. DD 250 REQ 9. DIST 10. FREQ 12. DATE OF FIRST SliB

I

14. DISTRIBl 1TION --

STATEMENT

LT REQUIRED ASGEN See Block 16

I -~---8. APPCODE D 11. AOD 13. DATE OF SliBSEQ Sl:B a. ADDRESSEE PIES

A N/A See Block 16 ~-

: Final i Reg Repro

16. REMARKS SFAE-STRI-PMITIS-Q I 1 1 1

SFAE-STRI-PMITIS-QT* !o 0 0

Blocks 8, 10, 12, & D I

Contractor's fonnat acceptable I I

Plan shall be submitted 60 days after contract award Government approvaVdJsaproval v. 1thm 30 DAR If drsapproved, I contractor resubm1ttals w1thm 30 DAR The contractor may submit revisions to ex1stmg documents m lieu of I developmg ne-w documents I

Block 9 DISTRIBL1TION STATEMENT D D1stnbuuon authonzed to the Department of Defense and L' S DoD contractors only (Cntlcal Technology) (2:2 May 201.::.) Other requests shall be referred to Targets Management Off1ce.Attn SFAE·STRI·PMJTTS-Q, Bldg 320~. Redstone Arsenal. AL 35898 Export Control Wammg All techn1cal documents that are determmed to con tam export·control\ed techmcal data shall be marked "WARNING - Th1s document contams techmcal data whose export 1s re~;tncted by the Arms Export Control Act (Title 22, US(', Sec 2751.

et seq) or the Export Admtmstratwn Act of 1979 (T ttle 50, LJ S C , App 2401 et seq), as amended V10\atJons of these export laws are subject to severe cnmmal penalties D1ssemmate m accordance w1th plOVISJons of DoD Directive

5230.25 ~When 1t IS techmcally not feas1ble to use t1e enure statement. an abbrev1ated markmg rnay be used, and a copy of the full statement added to the "Nouce To Accompany Release of Export Con:rolled Data" requrred hy DoD Drrectrve 5230.25

Block 14 It IS requ1red that the mfonnat1on be del1vered-.. 1a an electrontc data mterchange (ED I} med1a vw e-ma11 m Mrcrosoft Office 2007 E·Ma1l address tor AMSTI-PMITTS-Q 1s Ertc I Hoffman Cl\(~'mall mil

*Electromc transm1ttallener only E·matl address IS yolanda s belue clv(~:mall md

15. TOTAL ·:c:Tl 1

• J.DAk-G. P~EPt~ED B)'

1 H. DATE l! APfPRpVE9 B\f !

1 ' \ 1L\\'Jr. ~;...')! ,1 j_.,_( : y --JLJ -I"- \ J.....-4: -l ,..::, -J'- ''··-- I Lt ... j\... i f~.

17. PRicy: GROVP .J

~ 18. ESTIMATED TOTAL PRICE I Page 13 of33 Pages

{1 Data Item) OMB No. 0704··0188

Public reporting burden for th1s collection of mformauon IS estimated to average II 0 hours per response, mcludmg the time for reviewing mstructions, searchmg ex1stmg data sources, gathering and mamtainmg the data needed, and completmg the reviewmg of the collectiOn of mformat10n Send comments regardmg this burden. estimate or any other aspect ofth1s collection ofmformat1on. mcluding suggestions for reducmg this burden, to Department of Defense, Washmgton Headquarters ServiCt'S, Directorate for Information and Reports, 1215 Jefferson Dav1s H1ghway, Suite 1204, Arlington. VA 22202-4302, and to the Off1ce of Management and Budget, Paperwork ReductiOn Project (0704-0188), Washmgton, DC 20503 Please DO NOT RETURN your form to either of these addresses Send completed form to the Government lssumg Contract Officer for the Contract/PR NO ltsted Block E

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

A TOP X TM OTHER - - -- -- --D. SYSTEM/ITEM E. CONTRACT/PR ]'1;0. F. CONTRACTOR

TSHS -Hoffman

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

A014 Training Materials

__L ___ l6. REQlliRIM; OFFICE 4. AUTHORITY (DATA ACQliiSITION DOC NO.) 5. CONTRACT REFEREI\CE

DI-ILSS-80872 SOW Para 3.2.6.2 I SFAE-STRI-PMITTS-Q

7. DD250 REQ

0 DIST ~;-;--f 10. FREQ

12. DATE OF FIRST SliB ~4. DISTRIBliTION

STATEMENT I

LT REQl1JRED AS REQ See Block 16 I

8. APP CODE D 11. AOD

--~-DATE OF SliBSEQ SUB I a. ADDRESSEE -- b. COJ•IES --

N!A N/A See Block 16 I f----- I Draft Final

_____j_ i Reg Repro

16. REMARKS

I ~:~~:~~:::;~:~~:~T*

0 1 1 0 0 0

Blocks 10, 12, & \3

I Trammg rnatenals shall be dehvered 14 days pnor to trammg of equipment I

Block 9 DISTRJBUT!ON STATEMENT D D1stnbut10n authoriZed to the Department of Defense and L S DoD I contractors only (Cnttcal Technology) (2:: May 2014) Other requests shall he refCrred to Targets Management I

Offtce,Attn SFAE-STRI-PMITTS-Q, Bldg 3203, R<:dstone Arsenal, AL 35898 Expot1 Control Wammg All techmral I documents that are determmed to contam export-controlled techn1ca\ data shall be marked ''WARNING- Th1s i document contams techmcal data whose export 1s restncted by the Arms Export Control Act (Tltlt :2, L' S C, Sec ~75 \ I et seq ) or the Export Admm1strat10n Act of 1979 (T nle 50, L1 S C , A pp i40 l et seq). a<; amended V 1olat10ns of these I export laws are subject to severe cnmmal penalties D1ssemmate m accordance w1th prO'.lSJOns of DoD Dnectlve 5230 25 " \\'hen tt 1s techmcally not feastble to use the entire statement. an abbrevmted markmg may be used, and a copy of the full statement added to the "Not1ce To Accompany Release of Export Controlled Data" requ1red by DoD Drrechve 5230 25

Block 14 It ts requ1red that the mformatton be del!v(~red vm an electromc data mterchange (ED I) media v1a e-mail Ill

M !Crosoft Off1ce 2007 E-Mail address for AMSTI-PMITTS-Q IS Er1c I Hoffman c1v@mali m1

*Electromc transm1ttal letter only E-ma1l address 1s yo Ianda s be\ue clv@mml mtl

I I I i I

I

I 15. TOTAL -----=r:: 1 1 I

I G. PREJM,.~ED B)' ' I H. DATE i I. ArPrRO~El) B\ /

Vt...:

. J. DAfE

\ ~~~.\;,"; • ! ,) ' /'\; I \j , \\..\ -/C ; ~) ~j 1./ l r"- .___-·- -- i '' 1 i'

'--\ I '• ' . '

17. PR1q

E GROUP 118. ESTIMATED TOTAL PRICE -- I Page 14 of 33 Pages

DD Form /423-1, Jun 90 (Computer Generated) Previous editions are obsolete

Form Approved OMB No. 0704-0188

Pub he reporting burden for this collcctwn of information is est1mated to average II 0 hours per response, mcluding the nme for rev1ewmg mstructJOns, search,ng ex1sting data sources, gathenng and maintaming the data needed, and completmg the reviewing of the collectiOn of mformatton Send comments regardmg this burden, est1mate or any other aspect of this collect10n of mformat1on, includmg suggestions for reducmg tins burden. to Department of Defense, Washmgton Headquarters Serv1ces. D1rectorate for Information and Reports, 1215 Jefferson Davis Highway, Su1te 1204, Arhngton, Y A 22202-4302, and to the Off1ce of Management and Budget, PaperwoJ k Reduct1on Project (0704-0188), Washmgton, DC 20503. Please DO NOT RETURN your form to e1ther of these addresses Send completed form to the Government Issuing Contract Officer for the Contract/PR NO listed Block E

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

A TDP X TM OTHER

~D-.S~Y~S~T~E~M~/I~T~EM~----------------~-------.-E-.~C~O-NT-~R-A-C~T~~~R~N~O~.L-----------~f-.C~.O~N=T=R-A~C=T~O~R~-----------

TSHS - Hoffman

1. DATA ITEM NO. 2. TITLE OF DATA ITEM I J. SliBTITLE

AOIS Performance and Cost Report ~

4. AlJTHORITY (DATA ACQliiSJTION DOC NO.) 5. CONTRAClc,c R=-=E=-=F=E=-=R:-:::Ec:::cN:-:cC=E---------- 1 6: REQlJIRING OFF!~ i SOW Para 3.2.5.1, 3.2.9 .J..:FAE-STRl-PMITTS-0

12. DATE OF FIRST Sll=-8--,~-1-:--4:-. =-Dc:-:IS=T=-=R:-::1-::-8-.:-l':-=T-=-Io=-N::-:- ------------

DI-FNCL-80912

7. DD 250 REQ 9.DIST

STATEMENT

LT REQllJRED

S.APPCODE D

N/A

16. REMARKS

Blocks to. 12. & 13

SubmisSIOns wlll be d1rected by Tasl.. Order

10. FREQ

BLOCK16

11. AOD

NIA

Sec Block 16

13. DATE OF SliBSEQ Sl'B See Block 16

Block…

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