Contract_Data_Requirement_List_DD1423.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved ( 1 Data Item} OMB No. 0704··0188 l 'ho public reporting burden for this colloction of information. is o&tima tod to average l 10 hours per response, including tha time fo1 roviuwing instructions, stHU<:hing exisliny data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any otht'1 aspect of this colloction of information, including suggo~tions for reducing tht> burden, to tho Dopanmont a t Dcfcm!lo, Execut ive Sorvieos Diroct<>rnto 10704-0188). Rospondonts should bo •ware that notwithstanding any other provision of law. no peroon shall be subject to any penalty for failing to comply with a collection of infotmation if it does l\Ot difiplay a currontly valid OMB control number. Ple1H do not tetum yout form to the above organii:t1tion. Send completed form to the Government l1suin9 Contr11<:tin9 Officer for the Contract/PR No. listed in Block E.

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

TOP TM OTHER ----- --- - . -· - --- ·- · -- ·- -·-

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

HAWK S&A Spares W3 I P4Q- 14-R-0069

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

AOOl Ammunition Data Card Ammunition Data Card

4. AUTHORITY (Oar• Acquisition /)ocumcnt No.) , 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MISC-80043 B SOW6.I AM SAM-SAT-MS

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

REQUIRED ASGEN SEE BLK 16 LT b. COPIES

B. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a . ADDRESSEE Final F SUBMISSION Draft NIA NIA SEE BLK 16 Reg Hopw

16. REMARKS /\MS/\M-SAT-MS 0 I 0

Block 9: Further dissemination only as directed by the Commander, United States Army Aviation und Missile Command, AT l'N: AMSAM-SAT-MS. Redstone Arsenal, AL 35898-5000, or higher DoD authority. Date of Determination 03 February 2011 .

Export markings arc required.

Block 10, 12 and 13: Submission shall be made as the Safely and Am1ing Devices (S&/\) arc delivered to the Govcrment IA W the contract delivery schedule.

Contractor shall use World-Wide Ammunition Data Repository Program (W /\RP) so fl ware. -

Blo1:k 14: Status Report submissions shall be made to Bobbie Jo Danids at bobbic.j.danicls l l.civ@Jmail.mil IAW BLKS 12 and 13.

EXPORT CONTROL WARNING -This document contain~ technical <lata whose export is restricted by the Arms Export Control /\ct (Tille 22, U.S.C.. Se<: 275 1. et seq.) or the Export Administration /\ct of 1979 (Title 50, Ll.S.C .. App. 2401 ct seq.). as amended. Violations of these export laws arc subject to severe criminal penalties. Disseminate in accordance with provisions or DoD Directive 5230.25.

&~-.. A-./-A I/ RD MR-SET CONCUR .I VV<.--'f

;;#Ole '~oc900~ PAGE~DI ~-r~05 s 15 Oeft.~· "' - • ti!:::"

NO. LINE ITEM DATE I~ CO'\U ·-

t .. r· 15 . TOTAL 0 I 0 G. PREPARED BY H. DATE I. Alff VED BY ,ili J. DATE v(}' ()J,.li-lJ· , 1 (_)0 i r')cv~u.J ii_/ ) t . ., , \

! I 9/3012015

/ ) / 1 L-1 ! :::, ; 1RlJ ( i !

! -;_; : ; .: f of

17. PRICE !GROUP

18. ESTl~ATEO

TOTA~ PRICE

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION ~y BE US~D.I Page I 2 Pages - - -- Adob• Pro1ess;ona1 1 o f I\ Ll ~

W31P4Q-16-R-0058

(1 Data Item) OMB No. 0704-0788

The public reporting burden for this collection of information is estimated to average 110 hours · per response, including the time for rev iewing ins tructions, searching existing data sources, gatheri ng and maintaining tho data nocdod, and comploting and reviowing tho eolloct100 of information . Send commllnt s rttgarding thi !i. burden trntimate or any other aspecc of this collection of information, including suggestions for reducing the burden, to the Department of Defens e, r:xecutive Service& Directorate (0 '/04·0188) . Respondents should be aware that notwithstanding ony other provision of law, no person shall be subject to any penalty for failin g to comply wi th a collec tio r-of information if it does not display a currently valid OMB control number . Ph.'! ilse do not return your form to the above organiiation. Send completed form to the Government l11uing Contracting Officer for the Contracti PR No. li1ted in Block E.

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

TOP TM OTHER --- - -

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

HA WK S&A Spares

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

A002 Engineering Change Proposal

4. AUTHORITY /Data Acquisition Document No .) 15. CONTRACT REFERENCE G. REQUIRING OFFICE

DI-SESS-80639D sow 6.2 AMSAM-SAT-MS ·1. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED ASREQ SEE BLK 16 LT b. COPIES

B. APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final F SUBMISSION Draft A NIA SEE BLK 16 Reg Rupro

16. REMARKS AMSAM-SAT-MS 0 1 0

Block 8: The Gowrmcnl will concur/non-concur within 30 days allcr receipt. If non-concurred. the contractor shall have 15 days to re-submit. I

Block 9: Further dissemination only as directed by the Commander. US /\rmy and Aviation Missile Command. ATTN: AMS/\M-S/\T-MS. Redstone /\rsenal, AL 35898-5000 or higher DoD authority. Dale ol' Detennination : 03 February 2011

Block JO. 12 and 13 : Submission shall be made as the ECP's arc generated in the performance of the contract.

Block 14: Status Report submissions shall be made to Bobbie Jo Daniels at hobbic._j .danielsl l.civfr]Jmail.mil IA W BLKS 12 and 13.

Other:

Export Markings arc Required.

Contractor shall use DD Form 1692. dated March 201 3

EXPORT CONTROL V-.//\RNINU - This dm:ument contains technical data whose export is restricted by the Arms Export Control /\ct (Title 22, U.S.C., Sec 2751. ct seq.) or the Export Administration /\cl of 1979 (Title 50. l!.S.C., App. 2401 ct seq.), as amended. Violations of these export laws arc subject to severe criminal penalties. Disseminate in ac.confance with provisions of DoD Directive 5230.25.

D authority.

l.\ '15. TOTAL Oi I 0

G. PREPARED BY H.DATE I. APPR0.VE0 BY UJ J.DATE

I" i i I ,.\ \\ ,. , it\--\,,Vht\J.i J--{JJ.! f .. :t ) ( }:J\fv1 t' 1~QJJ 9/30/2015 ! , iq; vi itJ I ;5 t,__..\l-· . . \ I

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY ~E USED. ,,\ Page 1 cit 2 Pa ges -- ' • Adobe f' rofessmnal 7.0

17 . PRICEfGROUP

NSP

18. ESTIMATED

TOTAL PRICE

(1 Data Item) OMB No. 0704-0188

Tho public reporting burden for this collection of information is estimated to .averago 110 hours per response, including the time for reviewing instructions, sear ching existif1g data sources, gathering and maintaining tho data fleuditd, and corr.plating and reviewing the collection of information . Sond comments regarding 1his burden estimate or any other aspect of this collection of informaticm. including suggestions for reducing the burden, to the Dopartrnent of Defense, Executive Services Directorate 10704-0188). Respondents should bo aworo that notwlthstar1ding ilnY othor provision of law, no person shall be subject to any penalty for failing to comply with a collection of informa1ion if it docs 001 di:iplay a currently valid OMB control number. Please do not rctutn your form to the above organization. Send completed form to the Government lulling Contracting Officer for tho Contract/PR No. H<t<>d In Block E.

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

TOP ---- TM - - OTHER -------- --------------- ---- · - --.----· -··

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

HA WK S&A Spares

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

A003 Request for Variance

4. AUTHORITY (Data Acquisition Documont No.I , 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80640D SOW6.3 AMSAM-SAT-MS

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

LT

REQUIRED ASGEN SEE BLK 16 b. COPIES

8. APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT a. ADDHESSEE Finat F SUBMISSION Draft A NIA SEE BLK 16 Ruy RopN

16. REMARKS AMSAM-Sl\T-MS I I 0 Block 8: The Govcrmcnt will concur/non-concur within 30 days allcr receipt. Ir non-concurred, the contractor shall have 15 days to re-submit.

Block 9: Further dissemination only as directed by the Commander, US Army Aviation and Missile Command. A TI'N: AMSAM-SAT-MS, Redstone Arsenal, AL 35898-5000 or higher DoD authority. Date of Determination: 03 February 2011

Export markings are required.

Block 10. 12 and 13 : Submission shall be made as the RFV's are generated in the performance of the contract.

Block 14: Status Report submissions shall be made to Bobbie Jo Daniels at hobbie.j.danicls.eiv(t{,mail .mil .

Other:

DDForm 1694 dated Mar :!013 shall he used.

EXPORT CONTROL WARNING -This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22. U. S.C .. Sec 2751. cl seq.) or the Export Administration Ad of 1979 (Title 50, lJ.S.C .. App. 2401 ct seq.), as amended. Violations of these ;:xport laws arc subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

1?. TOTAL I I I 0

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

~) •. ·~ ' \l \ I 9/30/2015

( I <' o/t

~ ,')fl i\., , \n I(\/' ,,, '!) 1 /\ . l.J c)) . -·' I \}!J..A ~ ~ j\._o( ALJ \ ) 1\rY l'...JYf . .) v1· · \ \ t t t...., I r /

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE \USED . ~ Page I of1 2 Pages Adobe Prolessional 7 0

17. PRICE! GROUP

NSP

18. ESTl"1ATEO

TOT A\. PRICE

l

(7 Data Item) OMB No. 0704-0188

The public reporting burden for this colloctlon of information is estima1ed to aver1ge 110 hours per rosponso, including the tirne for reviewing instructions, 5earching exi5ting data sourcos, gathering and maiintaining the da1a needed, and comploting and reiviewir\g the collettion of information. Send comments regarding this burdtm ostimate or any other aspect of this colloction of information, including suggestions for reducing the burden, to tho Department of Defer1se, Executive Services Directorate 10704·0188}. Respondent~ should ba aware that notwithstanding any other provision gf law, no person shall be subject to any ponaJty for fail ing to comply with a collection of information if it doe& not display ii currEtnlly 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:

TOP TM OTHER

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

HA WK S&A Spares W3 I P4Q-14-R-0069

1. DATA ITEM ND. 2. TITLE OF DATA ITEM 3. SUBTITLE

A004 Status Report Integrated Master Schedule

4. AUTHORITY {Data Acquisition Documont Na .I , 5 . CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-MGMT-80368A SOW 6.4 and 6.6 AMSAM-SAT-MS

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION REQUIRED ASREQ SEE BLK 16 NIA b. COPIES

8. APP CODE 11 . AS OF DATE 13. DATE OF SUBSEQUENT •·ADDRESSEE Final F SUBMISSION Draft NIA NIA SEE BLK 16 Reg Aepro

16. REMARKS AMSAM-SAT-MS I I 0

Block 9: Further dissemination only us directed by the Commander, US Army Aviation and Missile Command. A'ITN: AMSAM-SAT-MS, Redstone Arsenal, AL 35898-5000 or higher DoD authority.

Export markings are requin:d.

Block 12: Submit n:visions for Goverment approval as generated. The liovem1cnt will concur/non-concur within 30 days after receipt. If non-concurred. the contractor shall have 15 days to re-submit.

Block 13: Change page to the documentation ~hall be provided with the delivery of the hardware.

Block 14: Status Report submissions shall be made to Bobbie Jo Daniels at bobbic.j.daniels.civ@mail.mil .

Other:

Contractor lbrnmt is acceptable.

EXPORT CONTROL WARNING - This document conta ins t.:chnical data whose export is restricted by the Arms Export Control Act Critic 22, lJ .S.C.. Sec 275 I. ct seq. ) or the Export Administration Act of 1979 (l"itlc 50. U.S .C., /\pp. 2401 ct seq.), as amended. Violations of these export laws arc subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

15. TOTAL j I I u G. PREPARED BY H. DATE I. APPjtpYED BY ~ ) J . DATE

\ ll l / i I 1~~.r -\\ 1' • i) ') ~ ' .-\ ·, ,,., ( •, ' . I , -. 9/30/2015 t" . ,.l_ I t/ 15 1, ;1lJ1v·-tA-l r l \ . \1 Arv1 cJJJ!..J ( ( ,ff · / i 0 /I l . . \ DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MA'\! BE USED-..\ Page I of 2 Pag~s

Adobe Professional 7.0

17. PRICE•GROUP

NSP

18. ESTIMATED

TOTAL PRICE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collecuon of information is C!ltimatcd to ovarago 110 hours por re:sponse, including the time for review ing instn.1c1ions, searching exis ti :1g dat a sources, gathering and maifltaining tho data neoderd, and comple1ing and reviewing the collection of information . Send comme nts regarding th is burden ustimata or 1ny uth~r us pucl of this collection of information, including suggestions for reducing the burden, to tho Oopartment of D~fen~e . Executive Services DirectQrate to704-0188). Respondents should be awaro that notwithstanding uny other provision of law , no person shall be subject to any penalty for failing to c omply with a collection of information if it does not displ itV a c;uuttntlv valid OMB control number . Please do not return your form to thtt 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:

TOP ., .• _ __ _ TM OTHER - ···-·---······ ·--·-· ···- - ·- - - ---

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

HA WK S&A Spares W3 l P4Q-14-R-0069

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

AOOS Integrated Program Management Report

4 . AUTHORITY /Data Acquisition f)ocumcnt No.)

Dl-MGMT-81861 A

7 . DD 250 REO 9. DIST STATEMENT

NIA

REQUIRED

8 . APP CODE

F A

16. REMARKS

6. CONTRACT REFERENCE

sow 6.5

10. FREQUENCY

ASREQ

11. AS OF DATE

NIA

12. DATE OF FIRST SUBMISSION

SEE BLK 16

13 . DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Block 8: Submit revisions for Govcnncnt approval as generated. The Govcrmcnt will concm/non-concur within 30 days after receipt. If non-concurred, the contractor shall have 15 days to re-submit.

Block 9: Further dissemination only as din:clcd by the Commander. US Army Aviation and Missile Command./\ n'N: /\MSAM-S/\ T-MS. Redstone Arsenal. AL 35898-5000 or higher DoD authority.

Export markings are required.

Block 13: Change page to the documentation shall be provided with the delivery of the hardware.

Block 14 : Status Report submissions shall be made to Bobbie Jo Daniels at hobhie.j.danicls.civ!1/.)mail.mil .

Other:

Contractor format is acceptable.

EXPORT CONTROL WARNING - This document contains technical data whose export is restricted by the 11.rms Export Control /\cl (Title 22, ll.S.C .. Sec 2751. ct seq.) or the Export Administration /\ct of 1979 (Title 50. U.S.C .. App. 2401 ct seq .), as amended. Violations of" these export laws arc subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

DD FORM 1423-1, FEB 2001

H. DATE

913012015

PREVIOUS EDITION MttY BE USB,D.

6. REQUIRING OFFIC~

AMSAM-SAT-MS

14. DISTRIBUTION

b. COPIES a.ADDRESSEE Final Draft

Reg Reprn

AMSAM-S;\T-MS 0

Ii I 0

J. DATE I

lo/ t'-!/ 15 P<19e I ol 2 Pages

Adobe Professional 7.0

17. PRI CE GROUP

N$P

18. ESTIMATED

TOT AL PRICE