Att_0002_-_W15QKN-17-R-0018_Attachments_2017-07-12.pdf
PDF 2 MB Posted
- Attached to
- Solicitation - Request for Proposal (RFP)
- Solicitation number
- W52P1J15R0023
About this file
This document announces an Industry Day for a solicitation seeking proposals to manage and operate the Scranton Army Ammunition Plant, including associated production of 155mm M795 steel projectile and 120mm mortar steel shell bodies. The U.S. Army Contracting Command - Rock Island and U.S. Army Contracting Command - New Jersey, on behalf of the U.S. Army Joint Munitions Command and Project Manager for Combat Ammunition Systems, will hold the Industry Day in connection with solicitation W52P1J-15-R-0023. The announcement includes an Industry Day schedule, registration form, and hotel listings for attendees in the Scranton, PA area.
Att 0002 - W15QKN-17-R-0018 Attachments
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CONTRACT DATA REQUIREMENTS LIST
Form Approved CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
A. Contract Line Item No.
B. Exhibit
C. Category
D. System/Item.
155mm Artillery M795 Projectile Body Assembly, 120mm HE Cartridge Shell Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke Shell Body Assembly and Illumination Front and Rear, Cartridge Shell Bodies
E. Contract/PR NO. F. Contractor
1. Data Item No
A001
2. Title of Data Item:
Engineering Change Proposal (ECP)
3. Subtitle:
4. Authority (Data Acquisition Document No.)
DI-SESS-80639D
5. Contract Reference:
SOW C.3.2
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
LT
9. Dist Statement Required
D
10. Frequency
As Required
12. Date of First Submission
As Required
14. Distribution
8. APP Code
A
11. As of Date
As Required
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Reg Repro
16. REMARKS
The Government will respond within 60 calendar days of receipt. If required, revision due not later than 10 calendar days after receipt of Government comments.
Block 14 Submit electronically to:
Email addresses will be provided at Post Award
RDAR-MEM-P 1 1
RDAR-EIQ-MC 1 1
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
ESED (M795 only) 1 1
RDAR-MEM-C (M795 only) 1 1
15. TOTAL 7 7
G. PREPARED BY
Jeremy S. Heiskanen
H. DATE
03 Apr 17
I. APPROVED BY
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager Signed by: HEISKANEN.JEREMY.S.1367473408
J. DATE
DD Form 1423-1, JUN 90 previous editions are obsolete Page of Pages
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A002
Request for Variation (RFV)
DI-SESS-80640D
5. Contract Reference
SOW C.3.2
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
A Request for Variance enables the Government to determine the impact on performance, operational readiness, logistics support or other affected areas.
The Government will respond within 60 calendar days. If required, revision due within 10 calendar days of government comments.
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A003
Notice of Revision (NOR)
DI-SESS-80642D
5. Contract Reference
SOW C.3.2
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
This DID is used in conjunction with an Engineering Change Proposal (ECP), DI-SESS- 80639D.
days of Government comments.
RDAR-EIP-MC 1 1
RDAR-EIP-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A004
Contractor's Standard Operating Procedures
Phosphate Procedures and Panels
4. Authority (Data Acquisition Document No.)
DI-MGMT-81580
5. Contract Reference
SOW C.3.3.1.1.1
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
See Block 16
11. As of Date
As Required
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Procedures and coated panels shall be submitted in accordance with paragraphs 3.2.1 and
3.2.2 of TT-C-490F. A DD250 form is not required for the approval of the Phosphate Coating procedure.
Block 12: The written procedure and test panels shall be provided to the Government 60 calendar days prior to FAT, so that the Government may evaluate them.
Block 14: Submit electronically to:
Email addresses and address for panel submission will be provided at Post Award
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
120mm Smoke Shell Body Assembly
A005
First Article Qualification Test Plan and Procedures
3. Subtitle:
Process Control Documents (PCDs)
4. Authority (Data Acquisition Document No.)
DI-NDTI-81307A
5. Contract Reference
SOW C.3.3.1.1.2
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
30 days before FAT
11. As of Date
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Reg Repro
16. REMARKS
This DI is required for the 120mm Smoke Shell Body Assembly only.
PCDs for the friction weld operation and for the post-weld tempering operation shall be submitted before FAT. Government review and approval shall be required.
The Government will respond within 20 calendar days. If required, revision due within 10
RDAR-MEM-P 1
RDAR-EIQ-MC 1
RDAR-EIQ-PE 1
SFAE-AMO-CAS 1
DCMA/ACO QAR 1
15. TOTAL 5
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
155mm Artillery M795 Projectile Body Assembly
A006
Contractor's Standard Operating Procedures
Rotating Band Welding Procedure
4. Authority (Data Acquisition Document No.)
DI-MGMT-81580
5. Contract Reference
SOW C.3.3.1.1.3
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Reg Repro
16. REMARKS
This DI is required for the 155mm Artillery M795 Projectile Body Assembly only.
The Government will respond within 30 calendar days. If required, revision due within 10
Block 12: 60 calendar days prior to FAT
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A007
Test Plan
3. Subtitle:
First Article Test (FAT) Plan
3. Authority (Data Acquisition Document No.)
DI-NDTI-80566A
5. Contract Reference
SOW C.3.3.2
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
15 days prior to FAT
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Reg Repro
16. REMARKS
Contractor shall submit a test plan 15 calendar days prior to FAT. Contractor shall also provide a minimum of 15 calendar days (60 calendar days if foreign travel is required) notification to the Government PCO so that the Government may witness the FAT.
RDAR-EIQ-PE 1
SFAE-AMO-CAS 1
DCMA//ACO QAR 1
ESED (M795 only) 1
RDAR-MEM-C (M795 only) 1
15. TOTAL 7
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CONTRACT DATA REQUIREMENTS LIST Form Approved CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
A. Contract Line Item No. B. Exhibit C. Category
D. System/Item.
155mm Artillery M795 Projectile Body Assembly, 120mm HE Cartridge Shell Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
E. Contract/PR NO.
F. Contractor
1. Data Item No.
A008
Test/Inspection Report
3. Subtitle:
First Article and Lot Acceptance Test Reports
4. Authority (Data Acquisition Document No.)
DI-NDTI-80809B (tailored)
5. Contract Reference
SOW C.3.3.2, C.3.3.3, C.3.3.12.1.5,
C.3.3.12.2
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
See Block 16
14. Distribution
8. APP Code 11. As of Date
As Required
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Reg Repro
16. REMARKS
*Block 4: Do not address paragraphs 10.2.6.2, 10.2.6.3, 10.2.6.4.2, 10.2.6.5, 10.2.6.6, 10.2.7.2, and 10.2.7.3.
Lot Acceptance Test Report (LATR) shall be provided electronically in PDF file format and uploaded to the Worldwide Ammunition Repository Program (WARP) Lot Acceptance Test Report (LATR) module located on the Army Electronic Product Support (AEPS) website at :
https://mhpwarp.redstone.army.mil
LATR shall consist of the following documentation:
Material Certifications, Chemical Analysis, Mechanical Properties, Paint and Primer Certifications, Salt Spray Test Results, and all SPC, X bar and R charts collected for the lot. The contractor shall also submit a time-temperature chart(s) that is representative of projectiles/shell bodies in each heat treat batch as a part of the LATR. The chart(s) must clearly present the heat treat results in a one-page format. The time interval for temperature data collection shall be at least one temperature data point for every minute during the heat, soak and cooling operations.
One chart shall be provided for each heat treatment batch in each shell body lot.
The FAT Report shall include variables data for all gage inspections in addition to the AIE approved gage inspection results, unless otherwise previously approved by the PCO.
Block 12: FAT report shall be submitted no later than 450 calendar days after contract award.
Government will respond within 45 calendar days of receipt of report. Unless otherwise stated, contractor shall submit revisions within 10 calendar days of receipt of Government response
Block 13: LAT Report shall be uploaded into WARP and notification provided to the Government within 5 calendar days of completion of LAT. Provide Transmittal using electronic mail as notification that an LATR has been entered into the system to:
ACC-NJ-CA 1
RDAR-MEM-M 1
RDAR-EIQ-MC 1
RDAR-EIQ-PE 1
SFAE-AMO-CAS 1
DCMA//ACO QAR
ESED (M795 only)
RDAR-MEM-C (M795 only)
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager Signed by: HEISKANEN JEREMY S 1367473408
DD Form 1423-1, JUN 90 Previous editions are obsolete Page of Pages
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A009
Failure Analysis and Corrective Action Report
DI-SESS-81315B
5. Contract Reference
SOW C.3.3.2, C.3.3.3,
C.3.3.12.1.5, C.3.3.12.2, C.5.5
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
The Contractor shall submit a report no later than 30 calendar days after a failure is identified. Government will respond within 15 calendar days of receipt. If required, revision due not later than 10 calendar days after receipt of Government comments.
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA//ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A010
Certification/Data Report
3. Subtitle:
Material Certification
4. Authority (Data Acquisition Document No.)
DI-MISC-80678 Tailored
5. Contract Reference
SOW C.3.3.4
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
At FAT
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Material certification will be submitted with FAT sample. Material certification will be available for review during production and submitted as a part of the Lot Acceptance Test Report (LATR). Certificate of analysis required.
*Tailored* Do not address paragraphs 10.2.2, 10.2.3, and 10.4 of the DID.
RDAR-EIQ-PE 1
SFAE-AMO-CAS 1
DCMA/ACO QAR 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager Signed by: HEISKANEN.JEREMY.S.1367473408
Form 1423-1, JUN 90 previous editions are obsolete Page of Pages
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A011
Measurement System Evaluation (MSE) – Measurement and Inspection Equipment System Design Documentation for Acceptance of Product
3. Subtitle:
4. Authority (Data Acquisition Document No.)
DI-QCIC-81960 Tailored
5. Contract Reference
SOW C.3.3.5 and all subparagraphs
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Block 12: Provide AIE submission to the Government no later than one hundred-eighty (180) calendar days after contract award and the Measurement System Analysis (MSA) no later than ninety (90) calendar days prior to First Article Testing (if First Article Testing is required), production, and/or all acceptance of product under the contract. The Government will furnish disposition within forty-five (45) calendar days of final AIE package receipt and 45 calendar days of MSA receipt.
Block 13: If further revisions are necessary, the Contractor shall have fifteen (15) calendar days to generate and the Government shall have fifteen (15) working days to review and respond. The approved AIE shall be available for First Article Testing (if First Article Testing is required), production, and/or all acceptance of product under the contract.
If Contractor revises a previously Government accepted AIE for this contract, the revised AIE must be submitted to the Government for review and approval. Approval of the AIE and MSA must be granted prior to AIE being used for acceptance of product.
Note: Incomplete submission is considered delinquent
The Contractor shall notify the responsible Government technical agency a minimum of 30 working days prior to acceptance (prove out) testing.
Block 5: Applicable to all AIE designs that are used to perform examination and test in accordance with the item specifications.
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
15. TOTAL 6 6
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A012
Certification/Data Report
3. Subtitle:
Personnel Certification
4. Authority (Data Acquisition Document No.)
DI-MISC-80678 Tailored
SOW C.3.3.5.3
7. DD 250
As Required
12. Date of First Submission
At FAT
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Reg Repro
16. REMARKS
*Block 4: Do not address paragraphs 10.2.2, 10.2.3, and 10.4 of the DID.
Personnel certification shall be submitted with FAT sample and available for review upon request. Certifications are required for all personnel involved with Non-Destructive Testing (NDT) in accordance with NAS 410.
RDAR-EIQ-PE 1
SFAE-AMO-CAS 1
DCMA/ACO QAR 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager Signed by: HEISKANEN.JEREMY.S.1367473408
Form 1423-1, JUN 90 previous editions are obsolete Page of 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
A. Contract Line Item No. B. Exhibit C. Category
D. System/Item.
155mm Artillery M795 Projectile Body Assembly, 120mm HE Cartridge Shell Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A013
Test/Inspection Report
3. Subtitle:
Inspection Records
4. Authority (Data Acquisition Document No.)
DI-NDTI-80809B (tailored)
SOW C.3.3.8
7. DD 250
As Required
12. Date of First Submission
See Block 16
14. Distribution
8. APP Code 11. As of Date
As Required
13. Date of Subsequent Submission
See Block 16
a. Addressee b. Copies
Draft Final
Inspection records shall be submitted upon request.
*Block 4: Do not address paragraphs 10.2.6.2, 10.2.6.3, 10.2.6.4.2, 10.2.6.5, 10.2.6.6, 10.2.7.2, and 10.2.7.3.
ACC-NJ-CA 1
RDAR-MEM-M 1
RDAR-EIQ-MC 1
RDAR-EIQ-PE 1
SFAE-AMO-CAS 1
DCMA/ACO QAR
ESED (M795 only)
15. TOTAL 8
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager Signed by: HEISKANEN JEREMY S 1367473408
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A014
Data Item Descriptions (DIDs)
3. Subtitle:
Physical Configuration Audit
4. Authority (Data Acquisition Document No.)
DI-STDZ-80000C
5. Contract Reference
SOW C.3.3.10.1
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
A PCA may be required prior to FAT or at any time during production.
RDAR-EIQ-PE 1
SFAE-AMO-CAS 1
DCMA/ACO QAR 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A015
Quality Program Plan (QPP)
Quality Management System (QMS) Audit Schedule
4. Authority (Data Acquisition Document No.)
DI-QCIC-81722 Tailored
5. Contract Reference
SOW C.3.3.10.2.2
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
13. Date of Subsequent Submission
See Block 16
a. Addressee b. Copies
Draft Final
Reg Repro
16. REMARKS
Contractor’s format is acceptable.
Block 4: *Tailored* Do not use para. 3.2 – 3.6.
Block 12: Contractor shall submit the schedules of their QMS audits to the government within 90 calendar days ACA. Contractor shall also provide annual updates to the schedules.
Contractor shall provide a minimum of 15 calendar days notification to the personnel listed in Block 14 so that the Government may witness the audit.
RDAR-EIQ-PE 1
SFAE-AMO-CAS 1
DCMA/ACO QAR 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
A. Contract Line Item No. B. Exhibit C. Category
D. System/Item.
155mm Artillery M795 Projectile Body Assembly, 120mm HE Cartridge Shell Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke Shell Body Assembly and Illumination Front and Rear, Cartridge Shell Bodies
A016
Inspection/Test Report
3. Subtitle:
Quality Management System (QMS) Audit Report
4. Authority (Data Acquisition Document No.)
DI-NDTI-80809B
5. Contract Reference
SOW C.3.3.10.2.2
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
See Block 16
14. Distribution
8. APP Code 11. As of Date
As Required
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Block 12: Report shall be submitted within 15 calendar days after completion of an audit.
Email addresses will be provided at Post award
ACC-NJ-CA 1 1
RDAR-MEM-M 1 1
RDAR-EIQ-PE 1 1
RDAR-EIQ-MC 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
ESED (M795 only)
1 1
1 1
15. TOTAL 8 8
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A017
Critical Characteristic Control Plan (CCCP)
DI-MGMT-81986
5. Contract Reference
SOW C.3.3.11.2
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
See Block 16
a. Addressee b. Copies
Draft Final
The contractor shall establish, document and maintain a product specific, Critical Characteristics Control (CCC) plan that shall be submitted to and approved by the Procuring Contracting Officer (PCO) at least 120 calendar days prior to production or First Article (if FA required). Approval of CCC plan is required prior to commencing production.
Guidance for developing the CCCP can be found at http://www.ardec.army.mil/organizations/QESA/_files/CCCP_&_CPOA_Review_Guide_ Rev-A_Amd_1_UNCLASSIFIED.PDF
Block 12: Contractor shall submit 120 calendar days prior to First Article or production if FA is not applicable. Government will respond within 45 calendar days of receipt of CCC plan and any required revisions. Unless otherwise stated, contractor shall submit revisions within 10 calendar days of receipt of Government response.
Block 13: Unless otherwise specified, if CCC Plan changes after initial Government approval, Contractor shall resubmit revised plan for Government approval.
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A018
Critical Plan of Action (CPOA)
DI-MGMT-81996
5. Contract Reference
SOW C.3.3.11.2
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
See Block 16
a. Addressee b. Copies
Draft Final
Critical Plans Of Action (CPOA) is optional. Guidance for the developing and submitting the CPOA can be found in the referenced guidance located at the website links below.
Guidance for developing the CPOA can be found at http://www.ardec.army.mil/organizations/QESA/_files/CCCP_&_CPOA_Review_Guide_ Rev-A_Amd_1_UNCLASSIFIED.PDF
Block 12: Contractor shall submit prior to implementation. Government will respond within 45 calendar days of receipt of CPOA and any required revisions. Unless otherwise stated, contractor shall submit revisions within 10 calendar days of receipt of Government response.
Block 13: Unless otherwise specified, if CCCP changes after initial Government approval, Contractor shall resubmit revised CPOA for Government approval.
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A019
Interface Control Document (ICD)
Critical Characteristic Lower Level Process Maps
DI-SESS-81248B
SOW C.3.3.11.3
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
See Block 16
a. Addressee b. Copies
Draft Final
Block 4: *Tailored* Do not use paragraph 2, a, b, c, d, e.
Block 12: Contractor shall present a DRAFT Low Level Process Map 30 calendar days after contract award and when requested thereafter.
Block 13: Contractor shall submit a FINAL Low Level Process Map NLT 90 calendar days after contract award and when requested thereafter.
Guidance and sample of a generic Low Level Process Map can be found in Section J of this solicitation.
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A020
Statistical Process Control (SPC) Plan
DI-MGMT-81987
5. Contract Reference
SOW C.3.3.13
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Block 12: General/Detail sections must be submitted at least 90 calendar days prior to production or First Article (if FA required). Approval of SPC detail plan is required prior to commencing production. The government requires 30 calendar days to review the plan after receipt. Disposition of the general section, detail section, and the contractors milestones for implementation will be provided by the Contracting Officer. If required, revision due within 10 calendar days of receipt of government comments.
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A021
Management Plan
3. Subtitle:
SPC Data Submission and Briefing Charts
4. Authority (Data Acquisition Document No.)
DI-MGMT-80004A
5. Contract Reference
SOW C.3.3.13.2.3.2, C.6.5.1
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Contractor’s format is acceptable.
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
A. Contract Line Item No. B. Exhibit C. Category
D. System/Item.
155mm Artillery M795 Projectile Body Assembly, 120mm HE Cartridge Shell Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A022
Ammunition Data Cards (ADC)
DI-MISC-80043B
5. Contract Reference
SOW C.4 and all subparagraphs
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
See Block 16
a. Addressee b. Copies
Draft Final
Block 12: Input a sample card into MHP 30 calendar days prior to First Article (FA), or production if FA is not applicable, for review and approval of technical content. When submitting the sample ADC for review input the words “SAMPLE CARD ONLY” in the remarks section of the ADC.
Hard copy ADCs shall be generated from MHP and accompany each Lot, and shall be signed & dated by the representative of the Government Agency Responsible for Acceptance (GARA)usually the DCMA/ACO QAR or other government designee.
When ballistic tests at Government proving grounds are required, two hard copy ADCs generated and accompany the Lot.
*****Every avenue shall be pursued to assure an accurate ADC is produced with all the appropriate documentation included. Any unknown components, older components, off the shelf items and different lot interfix numbers (with the reason for different interfix numbers) can be annotated in the "REMARKS SECTION". This is to include any and all information that is unavailable at the time of production.
*****With the permission of the GARA older lots of ammunition that undergo the renovation processes may not contain all the required information. This unknown information can be clarified in the “REMARKS SECTION” of the ADC. When an older lot of ammunition is used and a lot number is not available for reference a detailed explanation should be documented in the “REMARKS SECTION.” Any additional special conditions that apply to the lot shall be documented in the “Remarks Section".
Block 13: Submission shall commence with the first deliverable lot and continue with each subsequent lot. ADCs shall include procurement acquisition numbers for each applicable Request for Deviation, Notice of Revision and Engineering Change Proposal listed on the card.
Submit an email Letter of Transmission (LT) notifying the Product Quality Manager identified below when a card has been entered into MHP
Block 14 Submit electronically to:
Email addresses will be provided at Post Award
RDAR-MEM-P 1 1
RDAR-EIQ-MC 1 1
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A023
Production Status Report
3. Subtitle:
Delay of Delivery and Monthly Status Reports
4. Authority (Data Acquisition Document No.)
DI-MGMT-81255
5. Contract Reference
SOW C.5.3, C.5.6
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
See Block 16
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
See Block 16
a. Addressee b. Copies
Draft Final
Delay of Delivery: The contractor shall provide a status report in case of production delays. The reports shall provide details on the problem description, schedule impacts and the proposed solution.
Monthly Status Reports: In their own format, the Contractor shall submit an end of month production status report to include (see also C.5.6 of the SOW):
- Deliveries for the current month
- Cumulative deliveries to date per CLIN
- Next month’s forecasted deliveries
- GFM or CFM Line of Balance (LOB) to include material balance at start of month, material received during month, material consumed during month and material balance at end of month
- Number of items produced are awaiting BLAT approval
- Statistical Process Control (SPC) data prepared in SOW Paragraph C.3.3.13.2.3 and all subparagraphs.
Block 10: As Required for “Delay of Delivery Reports” and Monthly for “Monthly Status Reports”
Block 12: The 15th of the month after the first month of production (e.g., first month of production is March, first submission is 15 April).
Block 13: 15th of every month for prior month’s production
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for the Contract. PR No. listed in Block E.
Body Assembly, 120mm FRP Cartridge Shell Body Assembly, 120mm Smoke
A024
Quality Deficiency Report
3. Subtitle:
Government Furnished Material (GFM)
4. Authority (Data Acquisition Document No.)
DI-QCIC-80736
5. Contract Reference
SOW C.5.4
6. Requiring Office
RDAR-EIQ-PE
7. DD 250
As Required
12. Date of First Submission
11. As of Date
As Required
13. Date of Subsequent Submission
As Required
a. Addressee b. Copies
Draft Final
Contractor shall identify and notify the government of any defective GFM.
Report shall be submitted through QAR to all addresses in Blck 14. QDR shall be submitted using the web site under the Section “PDREP Functionality/Reporting Tools/Product Quality deficiency Report (PQDR)” at the following URL:
https://www.pdrep.csd.disa.mil/pdrep_files/report_tools/rpttools.htm
RDAR-EIQ-PE 1 1
SFAE-AMO-CAS 1 1
DCMA/ACO QAR 1 1
4/3/2017
X Jeremy S. Heiskanen Jeremy S. Heiskanen Product Quality Manager
CMB 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 and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, 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.
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