Exhibit_B.pdf
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- W52P1J16B0007
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Exhibit B - PA-55 CDRLs
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1. DATA ITEM NO. 17. PRICE
GROUP
A001
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 0 0
0 0 0
Page: 1 of 12DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY THE DOD CONFIGURATION CONTROL AUTHORITY. THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1692 LOCATED AT http://www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
DISTRIBUTION
J. DATE
Michael Yerington, RDAR-EIS-PD 3/8/2016
16. REMARKS SEE ADDRESS CODE
ASREQ ASREQ
a. ADDRESSEE
N/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-SESS-80639D SECTION C RDAR-EIS-PD
ENGINEERING CHANGE PROPOSAL (ECP)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA55 Fiber Container HH5G0PPIM2
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
Form Approved OMB No. 0704-0188
0 0 0
A002
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 0 0
0 0 0
Page: 2 of 12DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY THE DOD CONFIGURATION CONTROL AUTHORITY. THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1694 LOCATED AT http://www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
DISTRIBUTION
J. DATE
Michael Yerington, RDAR-EIS-PD 3/8/2016
16. REMARKS SEE ADDRESS CODE
ASREQ ASREQ
a. ADDRESSEE
N/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-SESS-80640D SECTION C RDAR-EIS-PD
REQUEST FOR VARIANCE (RFV)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA55 Fiber Container HH5G0PPIM2
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
Form Approved
A003
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 0 0
0 0 0
Page: 3 of 12DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
DATA MUST BE IN GOVERNMENT COMPATIBLE SOFTWARE (i.e., MICROSOFT OFFICE OR PORTABLE DOCUMENT FORMAT (pdf)). *DISTRIBUTION STATEMENT WILL BE ASSIGNED AND IMPLEMENTED BY THE DOD CONFIGURATION CONTROL AUTHORITY. THE PREFERRED METHOD FOR SUBMITTAL IS DD FORM 1695 LOCATED AT http://www.dtic.mil/whs/directives/infomgt/forms/. SUBMIT ELECTRONICALLY TO usarmy.pica.rdecom-ardec.mbx.ecp-document@mail.mil; COPY FURNISH THIS
SUBMITTAL TO THE GOVERNMENT CONTRACTING OFFICE.
DISTRIBUTION
J. DATE
Michael Yerington, RDAR-EIS-PD 3/8/2016
16. REMARKS SEE ADDRESS CODE
ASREQ ASREQ
a. ADDRESSEE
N/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-SESS-80642D SECTION C RDAR-EIS-PD
NOTICE OF REVISION (NOR)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA55 Fiber Container HH5G0PPIM2
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
Form Approved
A004
18. ESTIMATED
TOTAL PRICE
DD
8. APP CODE
0 1 0
0 1 0
0 1 0
0 1 0
Page: 4 of 12DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Approval of MSE is required prior to First Article Acceptance Test (FAAT) The Contractor shall submit a completed AIE package no later than 120 calendar days after contract award and no later than 60 calendar days prior to FAAT (if FAAT is required), production, and/or all acceptance of product under the contract. The Government will furnish disposition within 45 calendar days of final AIE package receipt.
If further 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. The approved AIE shall be available for FAAT (if FAAT 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 must be granted before AIE is used for acceptance of product. The Government will respond within 30 calendar days.
The Contractor shall notify the responsible Government technical agency a minimum of 30 calendar days prior to acceptance (prove out) testing.
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 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 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. Approval of 2D barcodes is required prior to shipment of product. DATA SHALL BE SUBMITTED ELECTRONICALLY TO
JACOB.R.THOMS.CIV@MAIL.MIL.
QAR
RDAR-EIQ-MD
PCO
J. DATE
Michael Yerington, RDAR-EIS-PD 3/8/2016
16. REMARKS AMSJM-QAP
N/A
ASREQ ASREQ
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-QCIC-81960 Contract Section E MSE Clause AMSJM-QAP
Measurement System Evaluation (MSE) - Measurement and Inspection Equipment System Design Documentation for Acceptance of Product
MSE/ACCEPTANCE INSPECTION EQUIPMENT (AIE)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA55 Fiber Container HH5G0PPIM2
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
Form Approved
0 4 0
A005
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 5 of 12DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
PLAN SHALL BE SUBMITTED PRIOR TO SUBMISSION OF FIRST ARTICLE ACCEPTANCE TEST (FAAT) (IF FAAT REQUIRED) OR PRIOR TO INITIATION OF PRODUCTION. ALLOW 30 DAYS FOR GOVERNMENT
REVIEW. ONLY 3.2.E APPLIES WHERE OTHER EQUALS QUALITY SYSTEM PLAN. DATA SHALL BE
SUBMITTED ELECTRONICALLY TO JACOB.R.THOMS.CIV@MAIL.MIL.
QAR
PCO
J. DATE
Michael Yerington, RDAR-EIS-PD 3/8/2016
16. REMARKS AMSJM-QAP
N/A
ASREQ ASREQ
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-80004A SECTION E AMSJM-QAP
MANAGEMENT PLAN Quality System/Program Plan
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA55 Fiber Container HH5G0PPIM2
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
Form Approved
0 3 0
A006
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 6 of 12DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
The Contractor shall submit initial Process Control Plan (PCP) no later than sixty (60) days after contract award. The Government will respond within thirty (30) days of initial submission. If further revisions are necessary, the Contractor shall have fifteen (15) days to generate them and the Government shall have fifteen (15) days to review and respond to them. The final PCP shall be available sixty (60) days prior to the First Article Acceptance Test (FAAT), or start of production if a FAAT is not required. If a FAAT is not required, the Contractor shall submit the final PCP sixty (60) days prior to the start of production. If Contractor revises a previously Government accepted PCP, the revised PCP must be submitted to the Government for acceptance before it is 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.aschq.army.mil/ac/aais/ioc/index.htm . 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.
DATA SHALL BE SUBMITTED ELECTRONICALLY TO
JACOB.R.THOMS.CIV@MAIL.MIL.
QAR
PCO
J. DATE
Michael Yerington, RDAR-EIS-PD 3/8/2016
16. REMARKS AMSJM-QAP
N/A
ONE/R 60DAC
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-80004A SECTION E (LT ONLY)
MANAGEMENT PLAN Process Capability Control and Improvement Plan (PCCI)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA55 Fiber Container HH5G0PPIM2
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
Form Approved
A007
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
Page: 7 of 12DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
ADCS SHALL BE PREPARED IAW MIL-STD-1168C, SEC C SOW AND THIS CDRL BY ACCESSING THE WORLDWIDE AMMUNITION DATA REPOSITORY PROGRAM (WARP) which is located on the Munitions History Program (MHP) website at https://mhp.redstone.army.mil/ *HARD COPY ADCS PROVIDED WITH LOT SHIPMENTS SHALL BE GENERATED FROM THE WARP PROGRAM AND SIGNED AND DATED BY THE
GOVERNMENT AGENCY RESPONSIBLE FOR
ACCEPTANCE (GARA). **WHEN BALLISTIC TESTS ARE
REQUIRED, ONE HARD COPY GENERATED FROM THE WARP PROGRAM, SIGNED AND DATED BY THE
GARA SHALL BE SENT TO THE PROVING GROUND WITH SAMPLE SHIPMENT, PLUS AN ADDITIONAL SIGNED, HARD COPY PROVIDED TO THE PROVING GROUND BY MAIL. SUBMIT VIA THE INTERNET OR
MAIL A CD ROM.
Sample Ammo Data Cards shall be submitted into WARP system and approved prior to
FAAT.
J. DATE
Michael Yerington, RDAR-EIS-PD 3/8/2016
16. REMARKS WARP
N/A
ASREQ ASREQ
a. ADDRESSEE
N/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-MISC-80043B NOT 1 SECTION C, MIL-STD-1168C AMSJM-QAP
AMMUNITION DATA CARD Data Input (ADC)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA55 Fiber Container HH5G0PPIM2
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
Form Approved
0 1 0
A008
18. ESTIMATED
TOTAL PRICE
XX
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 8 of 12DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
FAAT PLAN SHALL BE SUBMITTED WITHIN A MINIMUM OF SIXTY (60) DAYS PRIOR TO FAAT.
DISPOSITION OF PLAN SHALL BE PROVIDED WITHIN THIRTY (30) DAYS OF RECEIPT BY THE PCO.
RESUBMITTALS (IF REQUIRED) SHALL BE SENT WITHIN TEN (10) DAYS AFTER GOVERNMENT
DISPOSITION. PCO APPROVAL OF TEST PLAN SHALL BE OBTAINED PRIOR TO FAAT. ELECTRONIC SUBMITTALS ARE ACCEPTABLE (MICROSOFT OFFICE FORMAT ONLY). DISTRIBUTION STATEMENT D, DOD USE ONLY. PLAN SHALL INCLUDE ALL VERIFICATIONS BY EXAMINATIONS, ANALYSES, DEMONSTRATIONS OR TESTS NEEDED TO MEET ALL REQUIREMENTS OF PRIME ITEM SPECIFICATION AND DLs. CONTRACTOR FORMAT ACCEPTABLE, SAMPLE AVAILABLE UPON REQUEST. Approval of FAAT plan is required prior to FAAT. SUBMIT ELECTRONICALLY TO
JACOB.R.THOMS.CIV@MAIL.MIL.
AMSJM-QAP
PCO
J. DATE
Michael Yerington, RDAR-EIS-PD 3/8/2016
16. REMARKS QAR
D
ASREQ ASREQ
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-NDTI-81307A Section E AMSJM-QAP
First Article Qualification Test Plan and Procedures First Article Acceptance Test (FAAT) Plan & Procedures
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA55 Fiber Container HH5G0PPIM2
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
Form Approved
A009
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 1 0
0 1 0
0 1 0
Page: 9 of 12DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
CONTRACTOR FORMAT ACCEPTABLE. SUBMIT FACAR WITHIN 7 CALENDAR DAYS OF EACH FAILURE.
GOVERNMENT WILL SUBMIT COMMENTS/APPROVAL/DISAPPROVAL WITHIN 30 DAYS OF RECEIPT.
SUBMIT FINAL FACAR WITHIN 15 CALENDAR DAYS AFTER RECEIPT OF GOVERNMENT'S COMMENTS.
DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE DOD AND U.S. DOD CONTRACTORS ONLY (CRITICAL TECHNOLOGY) (DATE OF CONTRACT AWARD). OTHER REQUESTS SHALL BE REFERRED
TO GOVERNMENT. WARNING - THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS
RESTRICTED BY THE ARMS EXPORT CONTROL ACT (TITLE 22, U.S.C., SEC 2751, ET SEQ) OR THE EXPORT ADMINISTRACTION ACT OF 1979, AS AMMENDED, TITLE 50, U.S.C., APP 2401 ET SEQ. VIOLATIONS OF THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DATA SHALL BE SUBMITTED
ELECTRONICALLY TO JACOB.R.THOMS.CIV@MAIL.MIL.
AMSJM-QAP
PCO
J. DATE
Michael Yerington, RDAR-EIS-PD 3/8/2016
16. REMARKS QAR
D
ASREQ ASREQ**
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-SESS-81315B Section E AMSJM-QAP
FAILURE ANALYSIS AND CORRECTIVE ACTION REPORT (FACAR)
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA55 Fiber Container HH5G0PPIM2
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
Form Approved
A010
18. ESTIMATED
TOTAL PRICE
LT
8. APP CODE
0 1 0
0 1 0
Page: 10 of 12DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
FOR SUBMISSION OF FAAT TEST REPORTS, SEE CONTRACT CLAUSES PERTAINING TO FAAT FOR
INSTRUCTIONS REGARDING SUBMISSION AND DISPOSITION OF FIRST ARTICLES. THE QAR WILL PROVIDE DISPOSITION OF PRODUCTION ACCEPTANCE TEST REPORTS. SUBMIT VIA THE INTERNET OR MAIL A CD ROM (PC FORMAT). DATA SHALL BE SUBMITTED AND APPROVED ELECTRONICALLY TO
JACOB.R.THOMS.CIV@MAIL.MIL PRIOR TO FAAT.
QAR
J. DATE
Michael Yerington, RDAR-EIS-PD 3/8/2016
16. REMARKS AMSJM-QAP
N/A
ASREQ ASREQ
a. ADDRESSEE
A N/A N/A
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-NDTI-80809B SECTION E AMSJM-QAP
TEST/INSPECTION REPORT FIRST ARTICLE ACCEPTANCE TEST (FAAT) REPORT
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO. F. CONTRACTOR
PA55 Fiber Container HH5G0PPIM2
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
Form Approved
0 2 0
18. ESTIMATED
TOTAL PRICE
NO
8. APP CODE
0 1 0
0 1 0
Page: 11 of 12
TDP____________ TM____________ OTHER____________
D. SYSTEM/ITEM E. CONTRACT / PR NO.
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
F. CONTRACTOR
Integrated Program Management Report (IPMR) Integrated Master Schedule
PA55 Fiber Container HH5G0PPIM2
2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.)
5. CONTRACT REFERENCE 6. REQUIRING OFFICE
AMSJM-QAPContract Section EDI-MGMT-81861A
7. DD 250 REQ
9. DIST
STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION
14. DISTRIBUTION
16. REMARKS
a. ADDRESSEE
A Reg Repro
b. COPIES
11. AS OF DATE
13. DATE OF SUBSEQUENT SUBMISSION
Draft
Final
ASREQ ASREQ
ASREQ
N/A
QAR
N/A
J. DATE
Michael Yerington, RDAR-EIS-PD 3/8/2016
DD Form 1423-1, FEB 2001 Previous editions may be used.
15. TOTAL
G. PREPARED BY H. DATE I. APPROVED BY
Only Format #6 and paragraph 3.7-3.7.3 applies. Delete paragraphs 2.0-3.6.11.4 and 3.8-3.8.5. Submit 30 days prior to First Article. Allow 15 days for Government review and approval. Submit revisions within 15 days of Government review. DATA SHALL BE SUBMITTED ELECTRONICALLY TO
JACOB.R.THOMS.CIV@MAIL.MIL.
AMSJM-QAP
Form Approved
0 2 0
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.
| 80639 |
| 80640 |
| 80642 |
| 81960 |
| 80004B |
| 80004P |
| 80043 |
| 81307 |
| 81315 |
| 80809B |
| 81861 |
| Instructions |
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File details come from the government source that posted it. Updated .