ASAP_CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average l l 0 hours per response, including the time for reviewing instructions. searching existing data sources, gathering and maintaining the data needed, and completing the reviewing of 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 and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management m1d 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TDP x OTHER - -

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

Advanced Subscale Aerial Platform I

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

AOOI

I

Engineering and Technical Services Accomplishment Report I

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE 16. REQUIRING OFFICE

DI-MGMT-80061A SOW Para 3.43.9.10 I SFAE-STRI-ITTS-QE

7. DD250REQ 9.DIST 10. FREQ

I

12. DATE OF FIRST SUB 14. DISTRIBUTI0'.'1

STATEMENT

LT REQCIRED QUARTERLY See Block 16

8. APP CODE D 11. AOD

I

13. DATE OF SUBSEQ SUB a. ADDRESSEE b. COPIES

NIA NIA See Block 16

I Draft Final

I Reg Re pro

16. REMARKS SFAE-STRl-ITIS-Q i 0 1 1

SFAE-STRl-ITIS-QT* I 0 0 I o Blocks 12 & 13

Report 1s due quarterly. Subsequent report are due 30 days after completion of a Sub-ESM

Block 9: DJSTR!BUTJON STATEMENT D. D1stnbut10n authorized to the Department of Defense and US DoD contractors only (CntJcal Technology) (09 :'-lov 2015) Other requests shall be referred to Targets Management Office.Attn. SFAE-STRl-PM!TTS-Q, Bldg. 3203. Redstone Arsenal, AL 35898. Export Control Warning. All technical documents that are deterrnmed to contain export-controlled technical data shall be marked "WARNING - This document contams techmcal data whose export 1s restricted by the Arms Export Control Act (Title 22, U S.C , Sec 275 l _ et seq.) or the Export Administration Act of 1979 (Title 50, G.S C., App. 2401 et seq), as amended Violations of these export laws are subject to severe cnmmal penalties Dissemrnate in accordance with provisions of DoD Directive 5230.25." When it is techmca!ly not feasible to use the entire statement, an abbreviated marking may be used. and a copy of the full statement added to the "Notice To Accompany Release of Export Controlled Data· requ!fed bv DoD

Directive 5230.25

Block 14

It is required that the mforrnation be delivered via an electronic data interchange (EDI) media via e-mail in either Microsoft Office 2000 - XP or Microsoft Office 2007 E-Mail address for SF AE-STRl-PMITTS-Q 1s

James.E Schw1erling.c1v@rnail mil

*Electronic transmittal letter only. E-mail address 1s yolanda s.belue.civr@ma11.mil

RDMR-SET CONCUR ilk~ #Ur,oo'z. 3[j N~THRU f#os) LOG#_NO PAGES DI

NO. LINE ITEM :3) DATE~//,

I

I I

15. TOTAL 0 1 1

G. PREll~~~i B~vi ~ f ! H. DATE I 'I.Av~V¢j~ J. DATE (; 1fl/I) {)_~ _,JJ'--'X. I tlz:~ fr., J/2\//l

17. PRICEl~J;ROUP I 18. EST{MA TED TOTAL PRICE ,/ u I Page 1 of35 Pages

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

Public reporting burden for this collection of information 1s estimated to average l l 0 hours per response, including the time for reviewing mstructions, searching existing data sources, gathering and maintaining the data needed, and completing the reviewing of 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 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TOP x OTHER - - ·--

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

Advanced Subscale Aerial Platform

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

A002 System Safety Hazard Analysis Report (SSHA)

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE r· REQUIRING OFHCE

DI-SAFT-80 IO IC SOW Para 3.6.9 SFAE-STRI-ITTS-QE

7. DD250REQ 9.DIST 10. FREQ 12. DA TE OF FIRST SUB 14. DISTRIBUTION

STATEMEl'iT

LT REQUIRED AS GEN See Block 16

8. APP CODE D 11. AOD 13. DA TE OF SUBSEQ SUB I a. ADDRESSEE I b. COPIES A NIA See Block 16 I

Draft \ Final

I Reg Re pro

16. REMARKS SFAE-STRl-ITIS-Q 1 ' 1 1

I SFAE-STRHTIS-QT' 0 i 0 0

Blocks 8, IO, 12, & 13

Initial report 1s due 45 days after contract award Government revte\v,'comment penod \VIll be 30 days Resubmission rs due 15 da\'s after Government rev1e" for final comments. Report is to be updated continuouslv throughout the contract penod, but at least quarterly

Block 9 DISTRIBUTION STATEMENT D. Distnbut10n authorized to the Department of Defense and US DoD contractors only (Critical Technology) (09 'lov 2015) Other requests shall be referred to Targets Management Office,Attn SF AE-STRI-PM!TTS-Q, Bldg. 3203. Redstone Arsenal, AL 35898 Export Control Warning. All techmcal documents that are determined to contain export-controlled techmcal data shall be marked "WARNTI-iG - This document contains techmcal data whose export is restricted by the Anns Export Control Act (Title 22. U S.C , Sec 275 I.

et seq.) or the Export Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq), as amended. Violations of these export laws are subject to severe crimmal penalties D1ssemmate in accordance with provisions of DoD Directive

5230.25 "\Vhen 1t is technically not feasible to use the entire statement, an abbreviated marking 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 is required that the mfom1ation be deh\'ered via an electromc data interchange (EDI) media via e-mail in either Microsoft Office 2000 - XP or Microsoft Office 2007 E-Mail address for SFAE-STRl-PMITTS-Q is James.E.Schw1erling.civ@mail.mil

*Electronic transmittal letter only E-mail address is yolanda.s belue c1v·'£.Ymai! mil

15. TOTAL I 1 1

I

- I

G. PREtfr~ B,~t () ' I H. DA E ,-; I I 1.AP~E11Y J. DAT~ ., I.

.lr, 1fl v 'r~ ~/t.AJ . ..J< ·. I 2'1 ~ A•-----) // z ':; 1 / ~ -- -- v

17. PRICE~j;ROUP I 18. ESTIMATED TOTAL PRICE

Page 2 of 35 Pages

Public reporting burden for this collection of information is estimated to average 110 hours per response_ includmg the time for reviewing mstructions_ searching existing data sources, gathering and maintaining the data needed, and completing the reviewing of 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 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TDP x OTHER - -- ---

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

Advanced Subscale Aerial Platform

1. DAT A ITEM NO. 2. TITLE OF DATA ITEM 3. SVBTITLE

A003 Safety Assessment Report (SAR)

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE r· REQUIRING OFFICE

Dl-SAFT-80102C SOW Para3.6.8. 3.43.6 SF AE-STRI-ITTS-QE

7. DD 250 REQ 9.DIST 10. FREQ 12. DA TE OF FIRST SUB 14. DISTRIBUTION

STATEMEl\T

LT REQVIRED AS GEN See Block 16

8. APP CODE D 11. AOD 13. DATE OF SUBSEQ SUB a. ADDRESSEE b. COPIES A NIA See Block 16

Draft Final

Reg I Re pro

16. REMARKS SFAE-STRl-ITIS-Q 1 1 I 1

SFAE-STRl-ITIS-QT* 0 0 : 0 Blocks 8, 10, 12, & 13

Initial report is due 45 days after contract award Government review/comment penod will be 30 days Resubmission 1s I due I 5 days after Government review for final comments. Report is to be updated contmuously throughout the contract period, but at least_ quarterly

Block 9. DISTRIBUTION STATEMENT D D1stnbut1on authonzed to the Department of Defense and U.S DoD contractors only (Critical Technology) (09 Nov 2015) Other requests shall be referred to Targets Management Office,Attn. SF AE-STRl-PMITTS-Q, Bldg. 3203, Redstone Arsenal. AL 35898 Export Control Warnmg All technical documents that are detenmned to contain export-controlled technical data shall be marked "W ARNI'\JG - This document contams technical data whose export is restricted by the Arms Export Control Act (Title 22, U S.C _Sec 2751.

et seq.) or the Export Administration Act of 1979 (Title 50. t; SC, App 240 I et seq)_ as amended. Violations of these export laws are subject to severe cnminal penalties. Disseminate m accordance with proYis10ns of DoD Dtrecti;e 5230.25." When it is technically not feasible to use the enttre statement, an abbreviated markmg may be used. and a copy of the full statement added to the "Notice To Accompany Release of Export Controlled Data" required bv DoD Dtrective 5230.25

Block 14

It is required that the information be delivered via an electromc data mterchange (EDI) media via e-mat! m either Microsoft Office 2000 - XP or Microsoft Office 2007 E-Mat! address for SFAE-STRI-PMITTS-Q 1s James.E.Schwierlmg.civ@mail.mil

*Electronic transmittal letter only E-mail address is yolanda s.belue.c1v@mail mil

I I

I

15. TOTAL 1 1

I

..... I G. PREP1\RED BY I ~\ H.DATE I.AP15~91y ! J. D/TE , , \ J\ Vlt '11V~'-' r: __ ~/'Lt,J'. t/zs//fr ,,, .... n I 2gj/t -- v

17. PRIC }GROUP I 18. ESTIMATED TOTAL PRICE

I

/ I Page 3 of 35 Pa2es

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 the reviewing of 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 and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management mid 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TOP x OTHER - --

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

Advanced Subscale Aerial Platform

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

A004 Health Hazard Assessment Report (HHAR)

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE r6. REQUIRI~G OFFICE

DI-SAFT-80106C SOW Para3.6.10 SF AE-S IRI-ITTS-QE

9. DIST I IO. FREQ

I

12. DATE OF FIRST SUB

I

14. DISTRIBUTIO~ 7. DD 250 REQ I

STATE:\1El'iT

I LT REQl'IRED AS GEN See Block 16

8. APP CODE D

I

11. AOD 13. DATE OF SUBSEQ SUB a. ADDRESSEE I

b. COPIES A NIA See Block 16

I Draft Final i Reg I Repro

16. REMARKS SFAE-STRl-ITIS-Q I 1 1 ! 1 SFAE-STRl-ITIS-QT* '. 0 0 i 0

Blocks 8, JO, 12, & 13

Initial report is due 45 days after contract award Government revie\v comment period will be 30 days. Resubmission is due 15 days after Government review for final comments Report 1s to be updated continuously throughout the contract I period, but at least, quarterly. I I

Block 9 DISTRIBUTION STATEMENT D D1stnbution authonzed to the Department of Defense and U.S. DoD contractors only (Cnt1cal Technology) (09 ''10; 2015) Other requests shall be reforred to Targets Management Office.Attn: SFAE-STRI-PMITTS-Q, Bldg. 3203, Redstone Arsenal, AL 35898. Export Control Warning. All technical documents that are determined to con tam export-controlled technical data shail be marked "WARNING - This document contams technical data whose export is restncted by the Anns Export Control Act (Title 22, C S.C , Sec 2751, et seq.) or the Export Administration Act of l 979 (Title 50, USC, App. 2401 et seq), as amended V1olat10ns of these export lavvs are subject to severe criminal penalties. DisseT?mate in accordance w1~h prov1s1o~s ofDoD D1rect1ve 5230.25" When it is technically not feasible to use the enhre statement, an abbreviated 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 is required that the information be delivered via an electromc data interchange (EDI) media via e-mail in either Microsoft Office 2000 - XP or Microsoft Office 2007. E-Mail address for SFAE-STRl-PMITTS-Q is

James.E Schwierling civ@mailmil I

*Electronic transmittal letter only E-mail address 1s yolanda.s.belue.civ@ma1lmil

I

15.TOTAL

I

I

I

I ~

G. PRE/'ARED BY RJ-eL;d. __ I H. DATE .· I.AP}<~D1~ J. DATE .

\/ ·, ~O/i.-.11'1 ': i/zS//? 1kC/;1_

17. PRI(:): GROUP I 18. ESTIMATED TOTAL PRICE I I Pae.e -i of 35 Pages

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 the reviewing of 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 and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management m1d 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TDP x OTHER - - ---

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

Advanced Subscale Aerial Platform

1. DAT A ITEM NO.

I

2. TITLE OF DATA ITEM 3. SUBTITLE

A005 Technical Report-Study/Services I

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE [6· REQUIRING OFHCE

DI-MISC-805088 SOW Para 3.25, .3 27, 330.1 SF AE-STRl-ITTS-QE

7. DD250REQ 9.DIST 10. FREQ 12. DA TE OF FIRST SUB 14. DISTRIBUTION

STATEMENT

LT REQURED AS GEN See Block 16

8. APP CODE D 11. AOD 13. DA TE OF SUBSEQ SUB a. ADDRESSEE b. COPIES A NIA See Block 16

Draft Final

Reg Re pro

16. REMARKS SFAE-STRl-ITIS-Q 1 1 1 SFAE-STRl-ITIS-QT* 0 0 0

Contractor format acceptable

Blocks 10, 12. & 13

Report due as designated m statement of\\ork (SOW). Government rev1ew 1comment period will be 30 days Resubmission is due 15 days after Government review for final comments

Block 9 DISTRJBUTION STATEMENT D. D1stnbut1on authonzed to the Department of Defense and US DoD contractors only (Cntical Technology) ( 09 \lov 2015). Other requests shall be referred to Targets Management Office,Attn SF AE-STRI-PMITTS-Q, Bldg. 3203, Redstone Arsenal. AL 35898 Export Control Wmning All technical documents that are determined to contam export-controlled technical data shall be marked "WARNING - This document contams techmcal data whose export is restricted by the Arms Export Control Ac! (Title 22. C.S.C . Sec 2751.

et seq.) or the Export Administrat10n Act of 1979 (Title 50. U.S.C, App 2401 et seq), as amended. Violat10ns of these export laws are subject to severe criminal penalties. Disseminate in accordance with prov1s10ns of DoD Direct1ve 5230.25." When 1t is technically not feasible to use the entire statement. an abbreviated marking 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 is reqmred that the information be delivered via an electronic data interchange (EDIJ media nae-mail m either Microsoft Office 2000 - XP or Microsoft Office 2007 E-Mail address for SFAE-STRl-PMITTS-Q is Jam es .E. Sch\\ ierling. civ@}mail.mil

*Electronic transmittal letter only. E-mail address 1s volanda.s.belue civ@mail mil

15. TOTAL 1 1

I

G. PREP •jD B~ ~1u

H.DATE I.AP~EPZ,Y J. DATE

JI.~ 'ill f,, A .,,,/1.,,,/1 ~..,,,., r I JS'!/::. l ''(),~'\, ',\:,, ., -- - "

17. PRIQ GROUP I 18. ESTIMATED TOTAL PRICE 0

' Pm~e 5 of35 Pages

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 the reviewing of 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 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 ta 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 OTHER - - ---

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

Advanced Subscale Aerial Platform

I. DAT A ITEM NO. I 2. TITLE OF DAT A ITEM 3. SUBTITLE

A006 I Commercial Off-the-Shelf (COTS) Manual and Associated

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE ['· RCQUIRING OFFICE

DI-TMSS-80527C SOW Para-.: 3.29. 3.43.9.11 1_!, •I Sf AE-STRI-ITTS-QE

7. DD 250 REQ 9. DIST IO. FREQ 12. DATE OF FIRST SUB 14. DISTRIBUTION

STATEMENT

LT REQUIRED AS GEN See Block 16

8.APPCODE D 11. AOD 13. DATE OF SUBSEQ SUB a. ADDRESSEE b. COPIES

A ~/A See Block 16 Draft I Final

I Reg Re pro I

16. REMARKS SFAE-STRl-ITIS-Q 1 I i 1

SFAE-STRl-ITIS-QT* 0 I o 0

Blocks 10, 12 & 13

Submission will be d1rected with option exercise and or Sub-ESM. Government review comment period will be 30 days. Resubmission 1s due 15 days after Government revte\\ for final comments.

Block 9 D!STRIBGTION STATEMENT D Distribution authonzed to the Department of Defense and U S DoD contractors only (Cnt1cal Technology) (09 Nov 2015) Other requests shall be referred to Targets Management Office.Attn SFAE-STRI-PMITTS-Q. Bldg 3203. Redstone Arsenal, AL 35898 Export Control Warmng. All techmcal documents that are determined to con tam export-controlled technical data shall be marked "WARNING - Tim document contams techmcal data whose export 1s restncted by the Anns Export Control Act (Title 22. U.S.C, Sec 27 51.

et seq.) or the Export Administrat10n Act of 1979 (Title 50. U.S C., App 2401 et seq). as amended Violatwns of these export Jaws are subject to severe criminal penalties. D1ssemmate m accordance with provisions ofDoD Drrect1ve 5230 25 "When it is technically not feasible to use the enttre statement, an abbreviated marking 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 is required that the mformation be delivered via an electronic data interchange (EDI) media via e-matl in either Microsoft Office 2000 - XP or Microsoft Office 2007 E-Matl address for SFAE-STRI-PMITTS-Q is James.E.Schwierling.civ@mail.m1l

*Electronic transmittal letter only E-matl address 1s yolanda s.belue.c1v@matl mil

15. TOTAL ------r 1 i 1

I

/I i I G. PREPA~.E,D BY ' H.DAT , l.AP~E1~ J. DATE i, I

\. 1v11:,,,...:;,,, J-\<,; .Clt · I Zf/ 'le· I I z__f{ //fr'

17. PRICE {)ROUP 118. ESTIMATED TOTAL PRICE (J

Page 6 of 3 5 Pages

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

Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing rnstructions, searching existing data sources, gathering and maintaining the data needed, and completing the reviewing of 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 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TOP x OTHER - -

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

Advanced Subscale Aerial Platform

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

A007 Test Plan

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE r- REQUIRING OFFICE

DI-NDTI-80566A SOW Para 3. I. I. 3.13. 3.1.4. 3.18,3.19, 3.22. 3.43.9.9 SF AE-STRl-PMITTS-Q

7. DD 250 REQ 9. DIST 10. FREQ 12. DATE OF FIRST SUB 14. DISTRIBUTI0'.'1

STATEMENT

LT REQt;IRED BLOCK 16 See Block 16

8. APP CODE D 11. AOD 13. DATE OF St:BSEQ SUB a. ADDRESSEE I

b. COPIES

A I NIA See Block 16

I I Draft Final

Reg Re pro

16. REMARKS SFAE-STRl-ITIS-Q I 1 1 1

SFAE-STRl-ITIS-QT* 0 0 0 Blocks 10. 12.& 13

Test Plan shall be submitted m draft form 180 days before testing and final shall be submitted 60 days before testing Government approval/disapproval within 3 0 days. subsequent submissions \Vi thin 15 days after review. if required

Block 9. DISTRIBUTION STATEMENT D. D1stribut1on authorized to the Department of Defense and U.S DoD contractors only (Critical Technology) (09 Nov 2015) Other requests shall be referred to Targets Management Office.Attn. SFAE-STRl-PMITTS-Q, Bldg. 3203, Redstone Arsenal, AL 35898 Export Control Warning All techmcal documents that are determined to contam export-controlled techmcal data shall be marked "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.SC., Sec 2751, et seq) or the Export Administration Act of 1979 (Title 50, l1 SC.. App. 2401 et seq), as amended. Violations of these export la\Vs are subject to severe cnmmal penalties Disseminate in accordance with prons1ons ofDoD Directive 5230.25." When it is technically not feasible to use the entire statement, an abbreviated marking may be used, and a copy of the full statement added to the "Notice To Accompany Release of Export Controlled Data" requ!fed by DoD Directive 5230 25

Block 14

It is required that the mformat1on be delivered via an electronic data interchange (EDI) media via e-mail m either Microsoft Office 2000 - XP or Microsoft Office 2007 E-Mail address for SFAE-STRI-PM!TTS-Q is James.E Schwierhng.civ@mail.mil

*Electronic transmittal letter onlv. E-mail address 1s yolanda.s.belue.civ@mail.mil

15. TOTAL

I

1 I 1 I 1 I I

I ~ I

G. PREPARED BY I H.DA~ I. A7!1ZFY// I J. D1~'-E

\ >., iri .\/1r%.'~ c~-;;;x-C. .. L<_ I z S // l'. .. ~ ........ / 7_JiJ/b , ___ .., ,_

17. PRIC:~ GROUP 118. ESTIMATED TOT AL PRICE Cl I Page

7 of35 Pages L

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 l l 0 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing the reviewing of 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 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TDP X OTHER ---

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

Advanced Subscale Aerial Platform

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

A008 Test Procedure

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

SOW Para 3.1.1, 3.1.5, 3 20. 3.23, 3.43.9.9

LT

8. APP CODE

A

16. REMARKS

Blocks 10. 12. & 13

9. DIST

ST A TE:\1El\T REQllIRED

D

10. FREQ 12. DATE OF FIRST SUB

BLOCK16 See Block 16

II. AOD 13. DATE OF SUBSEQ SUB

NIA

I

See Block 16

Test procedure shall be submitted in draft form 150 days before testing and final shall be submitted 60 days before testing. Government approval· disapproval within 30 days. subsequent subm1ss1ons within 15 days after review. if reqmred

Block 9 DISTRIBUTION STATEMENT D Distnbution authonzed to the Department of Defense and U.S DoD contractors only (Cnt1cal Technology) (09 Nov 2015) Other requests shall be referred to Targets Management Office,Attn. SFAE-STRI-PMITTS-Q, Bldg. 3203. Redstone Arsenal, AL 35898 Export Control Warnmg All technical documents that are determined to contain export-controlled techmcal data shall be marked "W ARNfNG - This document contams technical data whose export is restricted by the Arms Export Control Act (Title 22, CS C , Sec 2751.

et seq.) or the Export Administration Act of 1979 (Title 50. U.SC. App 2401 et seq), as amended. Violations of these export laws are subject to severe criminal penalties D1ssemmate m accordance with prov1s1ons ofDoD Direct1ve 5230.25." When 1t 1s techmcally not feasible to use the entire statement, an abbreviated marking may be used, and a copy of the full statement added to the "Nonce To Accompany Release of Export Controlled Data" required bv DoD Directive 5230.25

Block 14

It is required that the mformat1on be delivered via an electronic data mterchange (EDI) medrn nae-mail m either Microsoft Office 2000 - XP or Microsoft Office 2007 E-Mail address for SFAE-STRI-PMITTS-Q 1s James.E Schw1erling.civ@mail.m1l I

*Electronic transmittal letter only E-mail address1syolanda.s.belue.c1v@ma11.mil

G. PREPARED BY

\ , i \ fl , , N"

14. DISTRIBUTION

a. ADDRESSEE

SFAE-STRl-ITIS-Q

SFAE-STRl-ITIS-QT*

i. 15. TOTAL

I /J

118. ESTIMATED TOT AL PRICE ()

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

b. COPIES

Draft I Final

I Reg Re pro

1 i 1 1

0 0 0

I

I

J. DATE

;/7$/L

Page 8 of 35 Pages

Form Approved

OMB No. 0704-0188

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 the reviewing of 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 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TDP X OTHER

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

Advanced Subscale Aerial Platform I

1. DAT A ITEM NO. 2. TITLE OF DATA ITEM 3. Sl'BTITLE

A009 Engineering Change Proposal (ECP)

I6. REQUIRING OFFICE

DI-SESS-80639D SOW Para 3.14.10. 3.43.9.9 SF AE-STRI-ITTS-Q 1--~~~~~~~~~,--:c~-::-:c=-~~~~~~~~~~-.~~~~~~~~~~~~~-.-~~~~~~~~~~

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

7. DD 250 REQ 9. DIST 10. FREQ 112. DATE OF FIRST SUB 14. DISTRIBUTION

ST A TE:VIE~T

LT REQURED BLOCK 16 1 See Block 16 i

8. APP CODE D 11. AOD 113. DATE OF SUBSEQ SUB a. ADDRESSEE b. COPIES

Draft Final

A NIA

See Block 16

Reg Re pro

16. REMARKS

Blocks 8. IO, 12. & 13

As reqmred to document the product baseline. Submit 30 days after contractor completIOn. Government approval disapproval within 30 days after receipt. If disapproved. contractor resubm1ttals withm 30 DAR.

Block 9 DISTRJBCTION STATEMENT D. Distribution authonzed to the Department of Defense and CS. DoD contractors only (Cnt1cal Technology) (09 Nov 2015) Other requests shall be referred to Targets Management Office.Attn SFAE-STRI-PMITTS-Q, Bldg. 3203. Redstone Arsenal. AL 35898 Export Control Warning All techmcal documents that are determined to contain export-controlled techmcal data shall be marked "WARNING - This document contains technical data whose export 1s restricted by the Arms Export Control Act (Title 22, U.S C., Sec 2i5 l.

et seq.) or the Export Administration Act of 1979 (Title 50, C S.C., App. 2401 et seq). as amended. Violations of these export laws are subject to severe criminal penalties Disseminate in accordance with provisions ofDoD DirectJ\e 5230 25." \V'hen it is technically not feasible to use the entire statement, an abbreviated marking may be used_ and a copy of the full statement added to the "Notice To Accompany Release of Export Controlled Data" requ!fed bv DoD Dlfect1ve 5230 25

Block 14

It is required that the infom1ation be dehvered via an electronic data interchange (ED! I media via e-marl 10 either Microsoft Office 2000 - XP or Microsoft Office 2007. E-Mail address for SFAE-STRI-PMITTS-Q 1s

J3ITies.E.Schwierling.civ@mail.mil

*Electronic transmittal letter only. E-ma!I address 1s yolanda s.belue.c1v@mail.mr1

I

'H.DAT~

I // 7Sll L

G. PREP AR.ED BY,

\ , I t:1 vv:Y ,,,_

17. PRIC~GROUP

118. ESTIMATED TOTAL PRICE

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

SFAE-STRl-ITIS-Q

SFAE-STRl-ITIS-QT*

I

, 15. TOTAL

1 1

0 0

1 i 1 I

J. DAJE

112~//{

I

Page 9 of35 Pages

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 maintainmg the data needed, and completing the reviewing of 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 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TOP x OTHER - - ---

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

Advanced Subscale Aerial Platform

1. DAT A ITEM NO. 2. TITLE OF DAT A ITEM 3. SLBTITLE

AOIO Request for Variance (RFV)

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE r· REQUIRING OFFICE

Dl-SESS-806400 SOW Para3.4.10 SFAE-STRI-ITTS-Q

7. DD 250 REQ 9.DIST 10. FREQ 12. DA TE OF FIRST SUB 14. DISTRIBGTION

STATEMENT

NO REQVIRED ASREQ See Block 16

8.APPCODE D 11. AOD 13. DATE OF St;BSEQ SUB a. ADDRESSEE I b. COPIES A NIA See Block 16

I Draft ! Final

I I Reg Re pro

16. REMARKS SFAE-STRl-ITIS-Q I 1 I 1 1

I

SFAE-STRl-ITIS-QT* I 0 0 0 Blocks 8, IO. 12, & 13

As required to document the product baseline Submit 30 days after contractor complet10n Government approval disapproval within 30 days after receipt If disapproved, contractor resubm1ttals within 30 DAR

Block 9 DISTRIBUTION STATEMENT D Distr1but1on authorized to the Department of Defense and US DoD contractors only (Critical Technology) (09 Nov 2015) Other requests shall be referred to Targets Management Office.Attn: SF AE-STRI-PMITTS-Q, Bldg. 3203. Redstone Arsenal, AL 35898 Export Control Warning All techmcal documents that are determined to contain export-controlled technical data shall be marked "WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U S.C Sec 275 I.

et seq.) or the Export Admmistration Act of 1979 (Title 50, USC. App. 240! et seq). as amended. Violations of these export laws are subject to severe cnminal penalties Disseminate in accordance with provisions of DoD Directive 5230.25" When it is technically 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 Export Controlled Data" required by DoD Directive 5230 25.

Block 14

It is required that the informat10n be delivered via an electronic data interchange (EDI) media via e-ma!l m either Microsoft Office 2000 - XP or Microsoft Office 2007. E-Ma!l address for SF/uo-STRI-PMITTS-Q 1s James.E.Schw1erlmg civ@ma1l.mil

'Electronic transmittal letter only. E-mail address is yolanda s.belue.civ@mail.mr!

15. TOTAL I 1 I 1

I

/""} I G. PREPA~E,D BY . ·------.-:> H.DATE I. APPR,QYEDr,,,. ~ ~~ J. DATE l"'--z //2';, /Jt, // 2$//t--l-tdn ~v 'J\. !-) _;.

oz. , ____ "

17. PRIC~yROUP I 18. ESTIMATED TOTAL PRICE v I Page I 0 of 35 Pages

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 the reviewing of 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 and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington. VA 22202-4302, and to the Office of Management imd 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TOP x OTHER - - ---

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

I

Advanced Subscale Aerial Platform

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

AOll Notice of Revision (NOR)

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-806420 SOW Para34.IO SFAE-STRI-ITTS-Q

7. DD 250 REQ 9. DIST 10.FREQ 12. DATE OF FIRST SUB 14. DISTRIBUTION

STATH1ENT

LT REQURED ASGE~ See Block 16

8.APPCODE D 11. AOD 13. DATE OF SUBSEQ SUB a. ADDRESSEE I

b. COPIES

A NIA See Block 16

I I Draft Final

I I Reg Re pro

16. REMARKS SFAE-STRl-ITIS-Q i 1 1 1

SFAE-STRl-ITIS-QT* I 0 0 0

Blocks 8, IO. 12, & 13

As required to document the product baseline. Submit 30 davs after contractor completion Government approval.' disapproval within 30 days after receipt If disapproved, contractor resubmittals within 30 DAR

Block 9· DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and US DoD contractors only (Critical Technology) (09 Nov 2015) Other requests shall be referred to Targets Management Office.Attn SFAE-STRI-PMITTS-Q, Bldg 3203, Redstone Arsenal, AL 35898. Export Control Wammg All technical documents that are determined to contain export-controlled technical data shall be marked "WARNING - This document contains technical data whose export 1s restricted by the Arms Export Control Act (Title 22. U.SC. Sec 2751.

et seq) or the Export Admmistrat10n Act of 1979 (Title 50, U.S C., App 2401 et seq), as amended. Violations of these export laws are subject to severe cnmmal penalties. Disseminate m accordance with provisions of DoD Directive 5230 25." When it is technically not feasible to use the entire statement, an abbreviated marking 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 is required that the inforrnat10n be delivered via an electromc data interchange (EDI) media via e-mail m either Microsoft Office 2000 - XP or Microsoft Office 2007. E-Mail address for SFAE-STRI-PMITTS-Q 1s JamesESchw1erling civ@mail.mif

*Electronic transmittal letter only. E-mail address is volanda s.belue.c1v@ma1l.mll

15. TOTAL

I

1 1 l 1

.A I

G. PREL ~~D ~:' ' 'J ji H. DATE 1.AP~t.'joY J. DATE [,,......._ //75',// &

A,,~..._.. l/2'6/ll ,(.n ,,1,,L, I)..{ /V~ r /

17. PRiq GROUP 118. ESTIMATED TOTAL PRICE ~ I Page 11 of 35 Pages

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 the n:viewing of 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 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TOP x OTHER - ---

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

Advanced Subscale Aerial Platform

1. DAT A ITEM NO. 2. TITLE OF DAT A ITEM 3. St:BTITLE

A012 Engineering Services Memorandum (ESM)

4. AUTHORITY (DA TA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE e REQUIRl1'G OFFICE

DI-MISC-807 48 SOW Para 3.43. l. 3.43.9.1. 3.43.9.3 SF AE-STRI-P\1ITTS-Q

7. DD 250 REQ 9. DIST 10. FREQ 12. DATE OF FIRST SUB 14. DISTRIBUTION

STATEME:\'T

LT REQUIRED BLOCK16 See Block 16

8. APP CODE D 11. AOD 13. DA TE OF SUBSEQ SUB a. ADDRESSEE I b. COPIES A N/A See Block 16

I

Draft 1 Final

Reg I Repro

16. REMARKS I SFAE-STRl-IITS-Q I 1 1 i 1

I

SFAE-STRJ-IITS-QT* 0 0 I D

Blocks 8, IO, 12, & 13 I

I ESM shall be subrrntted within I 0 days of request Government approvaLd1sapproval wrll be furnished withrn 30 days after receipt of ESM. Contractor shall resubmit wrthrn 1 5 days. if requrred

Block 9. DISTRI3CTION STATEMENT D Drstribution authonzed to the Department of Defense and C S DoD contractors only (Critical Technology) (09 Nov 2015) Other requests shall be referred to Targets Management Office,Attn. SFAE-STRI-PMITTS-Q, Bldg. 3203. Redstone Arsenal. AL 35898. Export Control Warning. All technrcal documents that are determined to contain export-controlled technrcal data shall be marked "W AR'.\:ING - TlllS document contains technical data whose export 1s restricted by the Arms Export Control Act (Title 22. U SC , Sec 2751, et seq.) or the Export Admrnrstration Act of 1979 (Title 50, l!.S.C, App 2401 et seq). as amended Violations of these export laws are sub3ect to severe cnmrnal penaltres. D1ssemmate rn accordance with provisions of DoD Drrective 5230 25 " When it is technrcally not feasible to use the entire statement. an abbreviated marking may be used. and a copy of the full statement added to the "Notrce To Accompany Release of Export Controlled Data" requrred bv DoD I Directive 5230 25 i

Block 14:

It is required that the rnfonnation be delrvered \la an electronic data rnterchange (EDI) media \la e-mail rn erther ~ Microsoft Office 2000 - XP or Microsoft Office 2007 E-Marl address for SFAE-STRI-PMITTS-Q is

James E Schwierlrng.c1v@mailmil

*Electronic transmittal letter only E-mail address 1s yolanda s belue.civ@mail mrl

I

15.TOTAL

I 1 1 i

I /I

G. PREPARED BY, r·\ H.DATh I.AP~ff~ J. DATE l ,- l ('j .'1,:,, Jo.. k~)J,"-'<_ i 2-~ Ill: I/ ?S Ill:

17. PRIC~ GROUP 118. ESTIMATED TOT AL PRICE " / I Page 12 of35 Pages

CONTRACT DATA REQUIREMENTS LIST I Form Approved

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 the reviewing of 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 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 Contract Officer for the Contract/PR NO listed Block E

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

A TDP x OTHER - - ---

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

Advanced Subscale Aerial Platform I

1. DATA ITEM NO. 2. TITLE OF DATA ITEM I 3. SLBTITLE

I

A013 Test/Inspection Report I

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-NDTI-808098 SOW Para 3. I.!, 3.1.6. 3.21, 3.24, 3.43.9.9 SFAE-STRI-PMITTS-Q

7. DD 250 REQ 9.DIST 10. FREQ 12. DATE OF FIRST SUB 14. DISTRIBUTION

ST A TE:VIENT

LT REQt:IRED BLOCK 16 See Block 16

8.APP CODE D 11. AOD 13. DATE OF SUBSEQ St:B a. ADDRESSEE b. COPIES NIA NIA See Block 16

Draft Final

Reg I Repro

16. REMARKS SFAE-STRl-ITIS-Q 0 1 I 1 SFAE-STRl-ITIS-QT* 0 0 I o

Blocks 10_ 12. & 13

[mtial quick look 30 days followmg test. Final due 60 days after test

Block 9 O[STRIBUTION STATEMENT D. Distnbution authorized to the Depanment of Defense and US DoD contractors only (Critical Technology) (09 Nov 2015) Other requests shall be referred to Targets Management Office, Attn SF AE-STRI-PMITTS-Q, Bldg. 3203, Redstone Arsenal. AL 35898. Export Control Warning. All technical documents that are determined to contain expon-controlled technical data shall be marked "WARNING - This document contams technical data whose export 1s restncted by the Arms Export Control Act (Tnle 22, USC, Sec 275L et seq.) or the Export Adm1mstration Act of 1979 (Title 50, U S.C., App 2401 et seq). as amended Y10lations of these export laws are subject to severe cnminal penalties. Disseminate m accordance with prov1s10ns of DoD D1rect1ve

5230.25 " When it is technically not feasible to use the entire statement, an abbreviated marking may be used, and a

I copy of the full statement added to the "Nottce To Accompany Release of Export Controlled Data" required by DoD

Directive 5230 .25

Block 14

It is required that the information be delivered via an electronic data interchange (EDI) medta via e-mail m enher Microsoft Office 2000 - XP or Microsoft Office 2007 E-Mail address for SFAE-STRI-PMITTS-Q ts

James E.Schwierlmg.civ'.i'Jmail.mil

*Electromc transmittal letter only E-mail address is yolanda.s belue.civ@mail mil

15. TOTAL 0 i 1 i

/I i i G. PREP1~~ED B,Y ...----:J , H.DATE I.APP~~ i J. DATE l-1 ;:.~·~(l,1,1t--.J{.\ •t>- -;> (_,(.;.--..: I ZS'/!!.? I /1l-;'/,1r_-

118. ESTIMATED TOTAL PRICE ti

I

17. PRIC:J JGROUP

Page 13 of 35 Pages

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 the reviewing of 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 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 Contract Officer for the Contract/PR NO listed Block E.

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

A TDP x OTHER - - --

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

Advanced Subscale Aerial Platform !

1. DAT A ITEM ~O. 2. TITLE OF DAT A ITEM 3. SUBTITLE

A014 Supplier's Configuarion !\!1anagement Plan i

I

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

Dl-SESS-80858C SOW Para 3.14.2 SF AE-STRI-ITTS-Q

7. DD 250 REQ 9. DIST 10. FREQ 12. DA TE OF FIRST SUB 114. DISTRIBUTION

STATEMENT

LT REQUIRED BLOCK 16 See Block 16

8. APP CODE D 11. A.OD ! 13. DATE OF SUBSEQ SUB a. ADDRESSEE i b. COPIES A l\/A

I Sec Block 16 I

I Draft Final

I

Reg I Repro I :

16. REMARKS SFAE-STRl-ITIS-Q I 1 1 I 1

Contractor's format acceptable

Blocks 8. 10. 12, & 13

Plan shall be submitted 60 days after contract award. Government approval!d1sapprmal mthin 30 DAR. If disapproved. contractor resubmittals within 30 DAR. The contractor may submit revisions to existing documents in lieu of develop mg new documents.

Block 9 DISTRIBUTIOI' STATEMENT D Distribution authonzed to the Department of Defense and US. DoD contractors only (Critical Technology) (09 Nov 2015). Other requests shall be referred to Targets Management Office.Attn SF AE-STRI-PMITTS-Q, Bldg. 3203, Redstone Arsenal, AL 35898. Export Control Warning. All techmcal documents that are determined to contain export-controlled technical data shall be marked "WARNING - This document contams technical data whose export is restncted by the Arms Export Control Act (Title 22, USC, Sec 2751, et seq.) or the Export Admmistration Act of 1979 (Title 50, U.S.C., App 240! et seq). as amended Violations of these export laws are subject to severe criminal penalties D1ssemmate m accordance with prov1s1ons of DoD Directive 5230.25." When 1t is techmcally not feasible to use the entire statement, an abbreviated markmg mav 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 is required that the information be delivered via an electronic data interchange (EDI) media via e-mail in e1the1 Microsoft Office 2000 - XP or Microsoft Office 2007 E-Mail address for SFAE-STR!-PMITTS-Q 1s Jamcs.E.Schwierling.civ@mail.mil

*Electromc transmittal letter only. E-mail address 1s yolanda s.beluc civ@mad mil

15. TOTAL

I

1 1 I

G. PRl tRl~~:.~} ~ -;--., H. DAT~/ . _ I.AP~Dr~ J. D TE ts~ JoL(_ I 2~ I/~ I ~ ?_g//l,

17. PRI~~ GROUP I 18. ESTIMATED TOTAL PRICE

I {I I Page 14 of35 Pages \ -

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 maintainmg the data needed, and completing the reviewing of 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 ofDetense, Washington 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. Papernork 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 Contract Officer for the ContracUPR NO listed Block E

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

A TOP x OTHER - ---

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

Advanced Subscale Aerial Platform

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

A015 Training Materials i i

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE r· REQUIRING OFFICE

DI-ILSS-80872 SOW Para 3.30.1 SFAE-S TRI-PMITTS-Q

7. DD 250 REQ 9.DIST 10. FREQ 12. DATE OF FIRST SUB 14. DISTRIBUTION

STATEMEl'iT

LT REQURED BLOCK 16 See Block 16

8. APP CODE D 11. AOD 13. DATE OF SUBSEQ SUB a. ADDRESSEE b. COPIES NIA NIA See Block 16

Draft I Final i i Reg i Re pro

16. REMARKS

I

SFAE-STRl-ITIS-Q 0 I 1 1 SFAE-STRl-ITIS-QT* i 0 I 0 0

Blocks 10, 12_ & 13

Training materials shall be delivered 14 days pnor to trammg of equipment

Block 9 DISTRIBUTION STATEMENT D Distribut10n authorized to the Department of Defense and U S DoD contractors only (Critical Technology) (09 '.'lov 2015) Other requests shall be referred to Targets Management Office,Attn. SFAE-STRI-PMITTS-Q, Bldg. 3203, Redstone Arsenal, AL 35898 Export Control Warning. All technrcal documents that are determmed to contam export-controlled technrcal data shall be marked "WARNING - This document contains technreal data whose export 1s restncted by the Arms Export Control Act (Title 22, USC, Sec 2751, et seq) or the Export Admmistration Act of 1979 (Title 50, USC, App 2401 et seq), as amended. Violat10ns of these export laws are subject to severe crimmal penalties. Disseminate m accordance with provisions ofDoD Dlfective 5230.25." When it is technically not feasible to use the entire statement, an abbreviated marking may be used, and a copy of the full statement added to the "Notice To Accompany Release of Export Controlled Data" requ1red by DoD Directive 5230.25

Block 14 i It is reqmred that the mformation be delivered via an electronic data interchange (EDI) media via e-mail m either I

Microsoft Office 2000 - XP or Microsoft Office 2007 E-Mail address for SFAE-STRI-PMITTS-Q 1s James E.Sehwierling c1v@ma1I mil

*Electrornc transmittal letter only E-mail address is yolanda s belue.c1v·t1Jma1lmil

15. TOTAL I 0 1 I 1

I

I - I I

G. PREPL~ ~?(}~,,~ -·-;/ I : H.DA/? // l.APP~D~~ J.