Exhibit_A_-_Contract_Data_Requirements_List_(CDRL).pdf

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AMMUNITION AND NUCLEAR ORDNANCE BOXES, PACKAGES AND SPECIAL CONTAINERS
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Exhibit A - Contract Data Requirements List (CDRL)

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1. DATA ITEM NO. 17. PRICE

GROUP

A001

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 1 0

Page: 1 of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

SUBMIT WRITTEN PROCEDURES FOR APPROVAL 60 DAYS PRIOR TO FAT OR PRODUCTION OF FAT IS

NOT REQUIRED. WRITTEN PROCEDURES SHOULD BE SENT ELECTRONICALLY TO

DONNA.S.PONCE.CIV@MAIL.MIL, BRANDON.M.GARNICA.CIV@MAIL.MIL AND

USARMY.RIA.ARDEC.MBX.RI-CORROSION-TEAM@MAIL.MIL. ALLOW 14 DAYS FOR APPROVAL/

DISAPPROVAL THE CONTRACTOR SHALL RESUBMIT WITH GOVERNMENT REVISIONS WITHIN 10 DAYS.

CONTRACTOR FORMAT IS ACCEPTABLE USING A PC COMPATIBLE FORMAT (I.E. PDF, RICH TEXT

FORMAT (RTF), OR WORD FILE).

CONTRACTOR SHALL SUBMIT COATED PANELS PER PARA 3.2.2 WHICH INCLUDES THREE PANLES WITH

PHOSPHATE ONLY, THREE PANELS WITH PHOSPHATE AND PRIMER, AND THREE PANELS WITH

PHOSPHATE, PRIMER AND TOP COAT. PANELS SHOULD BE SENT TO U.S. ARMY ARDEC, ATTN: JOE

MENKE, 3055 RODMAN AVENUE, BLDG 62 2ND FLOOR RDAR-MEF-W, ROCK ISLAND, IL 61299

A N/A Reg Repro N/A

16. REMARKS RDAR-MEE-W

N/A

ONE/R ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80603A TT-C-490, TYPE 1, PARAS 3.2.1, 3.2.2; 52.246-4561 RDAR-MEE-W

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

2. TITLE OF DATA ITEM 3. SUBTITLE

TEST PROCEDURE-PHOSPHATE COATING PRE-PRODUCTION PROCEDURE

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

Form Approved OMB No. 0704-0188

18. ESTIMATED

TOTAL PRICE

XX

8. APP CODE

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

CONTRACTORS SHALL SUBMIT OPSEC PLAN 30 CALENDAR DAYS AFTER THE CONTRACTING OFFICER

PROVIDES THE LIST OF KNOWN CRITICAL INFORMATION/THREAT INFORMATION. ALLOW 10

CALENDAR DAYS REQUIRED FOR GOVERNMENT REVIEW AND APPROVAL. IF REVISIONS ARE

REQUIRED, RESUBMIT 10 CALENDAR DAYS AFTER RECEIPT OF GOVERNMENT COMMENTS. SUBMIT

ELECTRONICALLY TO USARMY.RIA.JMC.MBX.OPSEC-FC@MAIL.MIL, DONNA.S.PONCE.CIV@MAIL.MIL, AND BRANDON.M.GARNICA.CIV@MAIL.MIL.

ANNUAL SELF-ASSESSMENT AND CHECKLIST ARE DUE ON THE ANNIVERSARY OF THE CONTRACT

AWARD DATE.

CO**

A ASREQ Reg Repro

ASREQ**

16. REMARKS AMSJM-FP/G2

D

ONE/R ASREQ*

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80934C PADDS Clause HS7001, FAR 42.203-4501 AMSJM-FP/G2

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

2. TITLE OF DATA ITEM 3. SUBTITLE

Operations Security (OPSEC) Plan OPSEC Program

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A00

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 0 0

0 0 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

DD FORM 1692 SHALL BE SUBMITTED ELECTRONICALLY TO USARMY.RIA.ARDEC.MBX.ARDEC-ECP- INPUT@MAIL.MIL; DONNA.S.PONCE.CIV@MAIL.MIL AND BRANDON.M.GARNICA.CIV@MAIL.MIL. DD

FORM 1692 IS LOCATED AT HTTP://WWW.DTIC.MIL/WHS/DIRECTIVES/INFOMGT/FORMS/.

*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY THE DOD CONFIGURATION

CONTROL AUTHORITY.

DISTRIBUTION

N/A N/A Reg Repro

ASREQ

16. REMARKS SEE ADDRESS CODE

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80639D SECTION C, FAR 45.248-4502 RDAR-EIS-PD

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

2. TITLE OF DATA ITEM 3. SUBTITLE

ENGINEERING CHANGE PROPOSAL (ECP)

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A00

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 0 0

0 0 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

DD FORM 1694 SHALL BE SUBMITTED ELECTRONICALLY TO USARMY.RIA.ARDEC.MBX.ARDEC-ECP- INPUT@MAIL.MIL; DONNA.S.PONCE.CIV@MAIL.MIL AND BRANDON.M.GARNICA.CIV@MAIL.MIL. DD

FOR 1694 LOCATED AT HTTP://WWW.DTIC.MIL/WHS/DIRECTIVES/INFOMGT/FORMS/.

*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY THE DOD CONFIGURATION

CONTROL AUTHORITY.

DISTRIBUTION

N/A N/A Reg Repro

ASREQ

16. REMARKS SEE ADDRESS CODE

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80640D SECTION C, FAR 52.248-4502 RDAR-EIS-PD

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

2. TITLE OF DATA ITEM 3. SUBTITLE

REQUEST FOR VARIANCE (RFV)

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A00

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 0 0

0 0 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

DD FORM 1695 SHALL BE SUBMITTED ELECTRONICALLY TO USARMY.RIA.ARDEC.MBX.ARDEC-ECP- INPUT@MAIL.MIL; DONNA.S.PONCE.CIV@MAIL.MIL AND BRANDON.M.GARNICA.CIV@MAIL.MIL. DD

FOR 1695 LOCATED AT HTTP://WWW.DTIC.MIL/WHS/DIRECTIVES/INFOMGT/FORMS/.

*DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY THE DOD CONFIGURATION

CONTROL AUTHORITY.

DISTRIBUTION

N/A N/A Reg Repro

ASREQ

16. REMARKS SEE ADDRESS CODE

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-80642D SECTION C, FAR 45.248-4502 RDAR-EIS-PD

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

2. TITLE OF DATA ITEM 3. SUBTITLE

NOTICE OF REVISION (NOR)

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A00

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 1 0

0 1 0

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

QAR

RDAR-EIQ-MD

PCO

A N/A Reg Repro

ASREQ

16. REMARKS AMSJM-QAP

N/A

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-QCIC-81960 Contract Section E MSE Clause, FAR 52.246-4018 AMSJM-QAP

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

2. TITLE OF DATA ITEM 3. SUBTITLE

Measurement System Evaluation (MSE) - Measurement and Inspection Equipment System Design Documentation for Acceptance of Product

Measurement System Evaluation (MSE)/AIE

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

Form Approved OMB No. 0704-0188

THE CONTRACTOR SHALL NOTIFY THE RESPONSIBLE GOVERNMENT TECHNICAL AGENCY A MINIMUM OF 30 CALENDAR DAYS PRIOR TO ACCEPTANCE (PROVE OUT) TESTING. THE CONTRACTOR SHALL

SUBMIT A COMPLETED MSE PACKAGE NO LATER THAN 120 CALENDAR DAYS AFTER CONTRACT

AWARD AND NO LATER THAN 60 CALENDAR DAYS PRIOR TO FAT (IF FAT REQURED). APPROVAL OF

MSE IS REQUIRED PRIOR TO FAT. THE GOVERNMENT WILL FURNISH DISPOSITION WITHIN 45

CALENDAR DAYS OF FINAL MSE PACKAGE RECEIPT. IF FURTHUR REVISIONS ARE NECESSARY, THE

CONTRACTOR SHALL HAVE 30 CALENDAR DAYS TO GENERATE THEM AND THE GOVERNMENT SHALL

HAVE 30 CALENDAR DAYS TO REVIEW AND RESPOND TO THEM. IF CONTRACTOR REVISES A

PREVIOUSLY GOVERNMENT ACCEPTED MSE FOR THIS CONTRACT, THE REVISED MSE MUST BE

SUBMITTED TO THE GOVERNMENT FOR REVIEW AND APPROVAL. APPROVAL MUST BE GRANTED

BEFORE MSE IS USED FOR ACCEPTANCE OF PRODUCT. THE GOVERNMENT WILL RESPOND WITHIN 30

CALENDAR DAYS. SUBMIT ELECTRONICALLY TO JACOB.R.THOMS.CIV@MAIL.MIL,

DONNA.S.PONCE.CIV@MAIL.MIL AND BRANDON.M.GARNICA.CIV@MAIL.MIL. *AN MSE REVIEW

GUIDE IS AVAILABLE TO ASSIST CONTRACTORS ON THE ARDEC PUBLIC WEBSITE IN THE APPLICATION OF THE MSE CLAUSE. THE MSE REVIEW GUIDE’S CONTENET, IN ITS ENTIRETY, IS PROVIDED SOLELY

FOR REFERENCE AND GUIDANCE PURPOSES ONLY – IT IS NOT, NOR IS IT INTEDED TO BE,

CONTRACTUALLY BINDING. ACCORDINGLY, THE INFORMATION CONTAINED WITHIN THE MSE

REVIEW GUIDE IS EXPRESSLY NOT, NOR SHALL IT BE CONSTRUED TO BE, INCORPORATED EITHER DIRECTLY OR BY REFERENCE INTO THE TERMS OF THE MSE CLAUSE ITSELF NOR INTO THE TERMS AND

CONDITIONS OF ANY UNDERLYING CONTRACT WHICH CONTAINS THE MSE CLAUSE.

A00

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 1 0

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

30 DAYS AFTER AWARD. ALLOW 14 WORKING DAYS FOR

GOVERNMENT REVIEW. ONCE APPROVED THIS PLAN SHALL BE USED THROUGHOUT THE LIFE OF

THE CONTRACT. ANY CHANGES TO THE PLAN SHALL BE SUBMITTED FOR GOVERNMENT REVIEW

AND APPROVAL PRIOR TO IMPLEMENTATION. DATA SHALL BE SUBMITTED ELECTRONICALLY TO

JACOB.R.THOMS.CIV@MAIL.MIL, , DONNA.S.PONCE.CIV@MAIL.MIL

AND BRANDON.M.GARNICA.CIV@MAIL.MIL

QAR

PCO

A N/A Reg Repro

ASREQ

16. REMARKS AMSJM-QAP

N/A

ASREQ 30DAC

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI- SECTION E AMSJM-QAP

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

2. TITLE OF DATA ITEM 3. SUBTITLE

QA SYSTEM/PROGRAM PLAN

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A00

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 1 0

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

PCCI PLANS SHALL BE SUBMITTED AND APPROVED PRIOR TO THE FIRST ARTICLE TEST (FAT). THE CONTRACTOR SHALL SUBMIT INITIAL PCCI NO LATER THAN 60 DAYS AFTER CONTRACT AWARD. THE GOVERNMENT WILL RESPOND WITHIN 30 DAYS OF INITIAL SUBMISSION. IF FURTHER REVISIONS ARE

NECESSARY, THE CONTRACTOR SHALL HAVE 15 DAYS TO GENERATE THEM AND THE GOVERNMENT

SHALL HAVE 15 DAYS TO REVIEW AND RESPOND TO THEM. THE ACCEPTED PCCI SHALL BE AVAILABLE

60 DAYS PRIOR TO THE FAT OR START OF PRODUCTION IF A FAT IS NOT REQUIRED. IF THE

CONTRACTOR REVISES A PREVIOUSLY GOVERNMENT ACCEPTED PCCI, THE REVISED PCCI MUST BE

SUBMITTED TO THE GOVERNMENT FOR ACCEPTANCE BEFORE IT BEING RELEASED FOR USE. THE

GOVERNMENT WILL RESPOND WITHIN 10 WORKING DAYS.

A PCCI REVIEW GUIDE IS AVAILABLE TO ASSIST CONTRACTORS ON THE AUTOMATED ACQUISITION INFORMATION SYSTEM (AAIS) WEBSITE IN THE APPLICATION OF THE PCCI CLAUSE AT HTTP:// WWW.ARDEC.ARMY.MIL/ORGANIZATIONS/QESA/_FILES/PCCI_REVIEW_GUIDE_REV-1.PDF. THE PCCI REVIEW GUIDE'S CONTENT, IN ITS ENTIRETY, IS PROVIDED SOLELY FOR REFERENCE AND GUIDANCE PURPOSES ONLY- IT IS NOT, NOR IS IT INTENDED TO BE, CONTRACTUALLY BINDING. ACCORDINGLY, THE INFORMATION CONTAINED WITHIN THE PCCI REVIEW GUIDE IS EXPRESSLY NOT, NOR SHALL IT BE CONSTRUED TO BE, INCORPORATED EITHER DIRECTLY OR BY REFERENCE INTO THE TERMS OF THE PCCI

CLAUSE ITSELF NOR INTO THE TERMS AND CONDITIONS OF ANY UNDERLYING CONTRACT WHICH

CONTAINS THE PCCI CLAUSE. SUBMIT ELECTRONICALLY TO JACOB.R.THOMS.CIV@MAIL.MIL,

DONNA.S.PONCE.CIV@MAIL.MIL, AND BRANDON.M.GARNICA.CIV@MAIL.MIL

QAR

PCO

A N/A Reg Repro

ASREQ

16. REMARKS AMSJM-QAP

N/A

ASREQ 60DAC

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-80004A SECTION E, FAR 52.246-4017 AMSJM-QAP

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

2. TITLE OF DATA ITEM 3. SUBTITLE

MANAGEMENT PLAN Process Capability Control and Improvement Plan (PCCI)

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A0

18. ESTIMATED

TOTAL PRICE

XX

8. APP CODE

0 1 0

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

THE CONTRACTOR SHALL SUBMIT ITS FIRST ARTICLE QUALIFICATION PLAN AND PROCEDURES 60 DAYS PRIOR TO FAT. DISPOSITION OF THE PLAN SHALL BE PROVIDED 30 DAYS AFTER RECEIPT BY THE PCO.

RESUBMITTALS (IF REQUIRED) SHALL BE SENT WITHIN 10 DAYS AFTER GOVERNMENT DISPOSITION. PCO APPROVAL OF THE FAT QUALIFICATION TEST PLAN SHALL BE OBTAINED PRIOR TO FAT. THE PLAN SHALL INCLUDE ALL VERIFICATIONS BY EXAMINATIONS, ANALYSES, DEMONSTRATIONS OR TESTS NEEDED TO

MEET ALL REQUIREMENTS OF PRIME ITEM SPECIFICATION AND TDPS. CONTRACTOR FORMAT IS

ACCEPTABLE, SAMPLE AVAILABLE UPON REQUEST. SUBMIT ELECTRONICALLY TO

JACOB.R.THOMS.CIV@MAIL.MIL, DONNA.S.PONCE.CIV@MAIL.MIL, AND

BRANDON.M.GARNICA.CIV@MAIL.MIL IN MICROSOFT OFFICE FORMAT ONLY.

PCO

QAR

A N/A Reg Repro

ASREQ

16. REMARKS AMSJM-QAP

D

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-81307A Section E AMSJM-QAP

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

2. TITLE OF DATA ITEM 3. SUBTITLE

First Article Qualification Test Plan and Procedures

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A01

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 1 0

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

INCLUDING, BUT NOT LIMITED TO: ANY LOT ACCEPTANCE TEST (LAT) FAILURES, DISCOVERY OF ITEM DEFECTS DURING PRODUCTION OR DURING ITEM INSPECTIONS, OR ANY QMS AUDIT FINDINGS THE CONTRACTOR SHALL SUBMIT A FACAR. **CONTRACTOR MUST SUBMIT WITHIN 7 CALENDAR DAYS OF

EACH FAILURE. COMMENTS/APPROVAL/DISAPPROVAL WILL BE SUBMITTED WITHIN 30 CALENDAR

DAYS AFTER RECEIPT BY GOVERNMENT. FINAL SHALL BE SUBMITTED WITHIN 15 CALENDAR DAYS

AFTER RECEIPT OF GOVERNMENT'S COMMENTS. SUBMIT ELECTRONICALLY TO

JACOB.R.THOMS.CIV@MAIL.MIL, DONNA.S.PONCE.CIV@MAIL.MIL, AND

BRANDON.M.GARNICA.CIV@MAIL.MIL. CONTRACTOR FORMAT IS ACCEPTABLE.

AMSJM-QAP

PCO

A* N/A Reg Repro

ASREQ**

16. REMARKS QAR

D

ASREQ ASREQ**

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SESS-81315B Section E, FAR 52.246-4553 AMSJM-QAP

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

2. TITLE OF DATA ITEM 3. SUBTITLE

FAILURE ANALYSIS AND CORRECTIVE ACTION REPORT (FACAR)

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A01

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

THE CONTRACTOR SHALL SUBMIT THE FAT REPORT WITHIN 10 DAYS AFTER COMPLETION OF THE FAT.

THE FAT REPORT SHALL BE SUBMITTED JACOB.R.THOMS.CIV@MAIL.MIL,

DONNA.S.PONCE.CIV@MAIL.MIL, AND BRANDON.M.GARNICA.CIV@MAIL.MIL. THE GOVERNMENT

REQUIRES 45 DAYS FOR REVIEW/APPROVAL AFTER RECEIPT.

QAR

A N/A Reg Repro N/A

16. REMARKS AMSJM-QAP

N/A

ASREQ ASREQ

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-NDTI-80809B SECTION E AMSJM-QAP

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

2. TITLE OF DATA ITEM 3. SUBTITLE

TEST/INSPECTION REPORT FIRST ARTICLE ACCEPTANCE TEST REPORT

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A0

18. ESTIMATED

TOTAL PRICE

NO

8. APP CODE

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY

ALL OF THE REPORTING REQUIREMENTS FOR CRITICAL PATHS SHALL BE REPORTED WITHIN 30 DAYS

AFTER CONTRACT AWARD. ALLOW 15 DAYS FOR GOVERNMENT REVIEW AND APPROVAL. SUBMIT

REVISIONS WITHIN 15 DAYS OF GOVERNMENT REVIEW. CONTRACTOR FORMAT IS ACCEPTABLE, BUT SHALL USE MICROSOFT OFFICE PROJECT 2003 OR LATER TO DEVELOP THE IMS. CONTRACTOR SHALL

SUBMIT TO SHALL JACOB.R.THOMS.CIV@MAIL.MIL,

DONNA.S.PONCE.CIV@MAIL.MIL AND BRANDON.M.GARNICA.CIV@MAIL.MIL.

AMSJM-QAP

J. DATE

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

16. REMARKS QAR

N/A

ASREQ 30DAC

a. ADDRESSEE

A N/A

ASREQ

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

Reg Repro

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-MGMT-81861A Contract Section E AMSJM-QAP

Integrated Program Management Report (IPMR) Integrated Master Schedule

TDP____________ TM____________ OTHER____________

F. CONTRACTORD. SYSTEM/ITEM E. CONTRACT / PR NO.

2. TITLE OF DATA ITEM 3. SUBTITLE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

A0

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 1 0

0 1 0

Page: of DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PD 29/2016

THE PROCESS MAPS SHALL IDENTIFY THE POINTS WITHIN THE PROCESS WHERE DEFECTS ON CRITICAL CHARACTERISTICS COULD BE GENERATED AND HOW THE CONTRACTOR IS INSPECTING THE CRITICAL

CHARACTERISTICS. DRAFT PROCESS MAPS ARE DUE NLT 30 DAYS AFTER CONTRACT AWARD TO

INCLUDE ALL CONFIGURATIONS ON CONTRACT, FINAL DUE 60 DAYS AFTER CONTRACT AWARD. IF CONTRACTOR’S PROCESS IS REVISED AFTER APPROVAL, UPDATES TO THE FINAL PROCESS MAP WITH

CHANGES HIGHLIGHTED SHALL BE PRESENTED TO THE GOVERNMENT FOR APPROVAL PRIOR TO

INITIATION OF PRODUCTION UNDER THE NEW PROCESS. SUBMIT ELECTRONICALLY TO

JACOB.R.THOMS.CIV@MAIL.MIL, DONNA.S.PONCE.CIV@MAIL.MIL AND

BRANDON.M.GARNICA.CIV@MAIL.MIL.

QAR

A AWARD Reg Repro

60DAC

16. REMARKS AMSJM-QAP

NO

ASREQ 30DAC

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-SAFT-80970A NOT 1 AMSJM-QAP

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

2. TITLE OF DATA ITEM 3. SUBTITLE

Critical Safety Item, Characteristic and Critical Defect Report Process Maps

TDP____________ TM____________ OTHER____________

F. CONTRACTOR

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

1. DATA ITEM NO.

17. PRICE

GROUP

A014

18. ESTIMATED

TOTAL PRICE

LT

8. APP CODE

0 1 0

0 1 0

0 2 0

Page: 14 of 15DD Form 1423-1, FEB 2001 Previous editions may be used.

15. TOTAL

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

K. Mosher for SDMO, RDAR-EIS-PDA 6/29/2016

*30 DAYS PRIOR TO FIRST ARTICLE TEST. REPORT TITLE SHALL INCLUDE ITEM NAME AND MODEL

NUMBER OF THE AMMUNITION THAT GOES INTO THE PACKAGE. IF ITEM IS A COMPONENT OF

AMMUNITION, THE AMMUNITION SYSTEM THAT THE ITEM IS USED ON SHALL ALSO BE INCLUDED.

REPORT SHALL BE SUBMITTED ELECTRONICALLY VIA E-MAIL TO YUEN.H.LAM.CIV@MAIL.MIL AND

DAVID.G.GOOD3.CIV@MAIL.MIL SAVED IN RICH TEXT FORMAT (RTF), ASCII OR PDF FORMAT.

**SUBMIT EVERY TWO (2) YEARS.

RDAR-EIL-TP (RI)

N/A N/A Reg Repro

ASREQ**

16. REMARKS RDAR-EIL-P (D)

N/A

ASREQ ASREQ*

a. ADDRESSEE

b. COPIES

11. AS OF DATE

13. DATE OF SUBSEQUENT SUBMISSION

Draft

Final

7. DD 250 REQ

9. DIST

STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

4. AUTHORITY (Data Acquisition Document

No.)

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

DI-PACK-81059A SECTION D RDAR-EIL-TP (RI)

2. TITLE OF DATA ITEM 3. SUBTITLE

PERFORMANCE ORIENTED PACKAGING TEST REPORT

TDP____________ TM____________ OTHER____________

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

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

The 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 the burden, to the Department of Defense, Executive Services Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the

Contract/PR No. listed in Block E.

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

Form Approved

CONTAINER, AMMO, METAL, PA161 T16P05K1HH

FOR GOVERNMENT PERSONNEL FOR THE CONTRACTOR

Item A. Self-explanatory.

Item B. Self-explanatory.

Item C. Mark (X) appropriate category: TDP - Technical Data Package; TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.

Item D. Enter name of system/item being acquired that data will support.

Item E. Self-explanatory (to be filled in after contract award). Item F. Self-explanatory (to be filled in after contract award). Item G. Signature of preparer of

CDRL.

Item H. Date CDRL was prepared.

Item I. Signature of CDRL approval authority.

Item J. Date CDRL was approved.

Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.

Item 2. Enter title as it appears on data acquisition document cited in Item 4.

Item 3. Enter subtitle of data item for further definition of data item (optional entry).

Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.

Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).

Item 6. Enter technical office responsible for ensuring adequacy of the data item.

Item 7. Specify requirement for inspection/acceptance of the data item by the Government.

Item 8. Specify requirement for approval of a draft before preparation of the final data item.

Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).

Item 10. Specify number of times data items are to be delivered.

Item 11. Specify as-of date of data item, when applicable.

Item 12. Specify when first submittal is required.

Item 13. Specify when subsequent submittals are required, when applicable.

Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.

Item 15. Enter total number of draft/final copies to be delivered.

Item 16. Use for additional/clarifying information for Items 1 through 15. Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.

Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data. These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required.

The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.

DD FORM 1423 (BACK)

Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.

b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.

a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.

INSTRUCTIONS FOR COMPLETING DD FORM 1423

Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.

Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.

d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.

Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.

Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.

c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.

T16P05K1HH_revA_ppi_CDRL.pdf
80603L
81059
80934a
80639
80640
80642
81960
80004B
80004P
80043
80809F
80246
80970C
81307
81315
80809B

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