B08 - Exhibit B - CDRL - M116A1.pdf

PDF 2 MB Posted

Attached to
M115A2 Ground Burst Projectile Simulator and M116A1 Hand Grenade Simulator Federal contract opportunity
Solicitation number
W52P1J-20-R-0005
Issued by
Department of the Army Materiel Command Joint Munitions Command

About this file

This is a sources sought notice from the U.S. Army Contracting Command-Rock Island regarding the M115A2 Ground Burst Projectile Simulator and M116A1 Hand Grenade Simulator. The notice provides information on the simulators and requests responses from interested parties by April 30th. Specifically, the M115A2 simulator consists of an initiator, safety fuse, whistle composition, and black powder/aluminum mixture housed in a cardboard tube measuring 6 inches by 1.75 inches. The M116A1 simulator uses similar components in a 4 inch by 1.5 inch cardboard tube. The notice requests interested sources provide their capabilities, production capacity, and minimum procurement quantities. Respondents should indicate if they meet the NAICS code 325920 size standard of 750 employees and be registered in SAM. The Army will use responses to develop an acquisition strategy for these simulators.

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G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

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

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

QA CDRL Distribution block - IPT members list Distribution with specific contact information will be provided at Post Award

PQM – Product Quality Manager

PCO – Procuring Contracting Officer

CS – Contract Specialist

QAR – Quality Assurance Representative

PO or PM – Project Officer or Project Manager

AQE – Army Quality Engineer

APO - Army Lead Engineer (Project Officer)

DA – Design Agent (NAVSEA)

PL – Project Lead (NAVAIR)

NQA – Navy Quality Assurance

ME – Material Engineer (NAVAIR)

PE – Program Engineer (Air Force)

AEA – Acquisition Engineering Agent (NAVSEA) GE – Gage Engineer

Production Manager, JMC - Production Manager, Joint Munitions Command

MCEA – Marine Corp Engineering Activity

CDM – Configuration/Data Management (NAVAIR)

WARP - Worldwide Ammunition-Data Repository Program

SAFE - Safe Access File Exchange

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.

of

Distro List
Instructions
number:
TDP:
TM:
E CONTRACTPR NO:
F CONTRACTOR:
17:
18:
H DATE:
Draft15 TOTAL: 0
Repro15 TOTAL: 0
J DATE:
CCCP OTHER: MGMT
CCCP CDRL #:
CCCP TITLE OF DATA ITEM: Critical Characteristics Control Plan (CCCP)
CCCP SUBTITLE: N/A
CCCP CONTRACT REFERENCE: Section: E
CCCP DD 250: LT
CCCP FREQUENCY: ANNLY
CCCP DATE OF FIRST SUBMISSION: 120DAC
CCCP DATE OF SUBSEQUENT SUBMISSION: ASREQ
CCCP Remarks: BLK 12: Critical Characteristics Control Plan (CCCP) shall be submitted no later than 120 calendar days after contract award. Government shall provide response within 45 calendar days of initial submission. Disposition of the CCCP will be provided by the procuring contracting officer (PCO). If further revisions are necessary, the contractor shall have 15 calendar days to provide revisions and the Government shall provide a response within 15 calendar days. The CCCP shall be approved prior to first article test (FAT), if FAT is required, or the initiation of production.

BLK 13: Submit updates/revisions for review and approval prior to implementation. Government shall provide a response within 15 calendar days of receipt and contractor shall response to any comments within 15 calendar days.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

Specific email addresses for the distribution list will be provided after contract award.

A CCCP Review Guide is available to assist Contractors on the Public Website (http://www.ardec.army.mil/organizations/QESA/) in the application of the CCCP requirement. The CCCP 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 CCCP Review Guide is expressly not, nor shall it be construed to be, incorporated either directly or by reference into the terms of the CCCP requirement itself nor into the terms and conditions of any underlying contract which contains the CCCP requirement.

CPOA OTHER: MGMT
CPOA CDRL #:
CPOA TITLE OF DATA ITEM: Critical Plan Of Action (CPOA)
CPOA 3 SUBTITLE: N/A
CPOA Authority: DI-MGMT-81996 (Current Revision)
CPOA 5 CONTRACT REFERENCE: ANNLY
CPOA DD 250: LT
CPOA 10 FREQUENCY: ASREQ
CPOA 12 DATE OF FIRST SUBMISSION: ASREQ
CPOA 13 DATE OF SUBSEQUENT SUBMISSION: ASREQ
CPOA Remarks: BLK 10: Contractor may voluntarily submit a CPOA for all critical characteristics as specified in the critical characteristic requirement. If contractor chooses to utilize the CPOA, it shall be updated and resubmitted on an annual basis from the date that the CPOA is approved.

BLK 12: Contractor shall submit the CPOA for approval prior to use. The Government requires 45 calendar days for review. Disposition of the CPOA will be provided through the procuring contracting officer (PCO). CPOA shall be approved prior to implementation. If further revisions are necessary, the contractor shall provide revision within 15 calendar days and the Government will provide disposition within 15 calendar days of receipt.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

Specific email addresses for the distribution list will be provided after contract award.

A CPOA Review Guide is available to assist Contractors on the ARDEC Public Website (http://www.ardec.army.mil/organizations/QESA/) in the application of the CPOA requirement. The CPOA 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 CPOA Review Guide is expressly not, nor shall it be construed to be, incorporated either directly or by reference into the terms of the CPOA requirement itself nor into the terms and conditions of any underlying contract which contains the CPOA requirement.

CICL 1 OTHER: MGMT
CICL 1 CDRL #:
CICL 1 Authority: DI-MGMT-81988 (Current Revision)
CICL 1 2 TITLE OF DATA ITEM: Critical Item Characteristics List
CICL 1 3 SUBTITLE: N/A
CICL 1 5 CONTRACT REFERENCE: Section: E
CICL 1 6 REQUIRING OFFICE: AMJM-QA
CICL 1 DD 250: LT
CICL 1 10 FREQUENCY: ONE/R
CICL 1 12 DATE OF FIRST SUBMISSION: 120DAC
CICL 1 13 DATE OF SUBSEQUENT SUBMISSION: ASREQ
CICL 1 Remarks: BLK 10/12: If applicable, the CICL shall be submitted no later than 120 calendar days after contract award. The Government shall provide a response within 45 calendar days of initial submission. If further revisions are necessary, the contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. if

applicable, the CICL shall be approved prior to first article test (FAT), if FAT is required, or prior to initiation of production. Disposition will be provided by the procuring contracting officer (PCO).

BLK 13: Submit updates/revisions for review and approval prior to implementation.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

Specific email addresses for the distribution list will be provided after contract award.

CICL 2 OTHER: SAFT
CICL 2 CDRL #:
CICL 2 Authority: DI-SAFT-81985 (Current Revision)
CICL 2 TITLE OF DATA ITEM: Notification of Critical Non-Conformance Report
CICL 2 SUBTITLE: N/A
CICL 2 5 CONTRACT REFERENCE: Section: E
CICL 2REQUIRING OFFICE: AMJM-QA
CICL 2 DD 250: LT
CICL 2 STATEMENT REQUIRED: N/A
CICL 2 10 FREQUENCY: ONE/R
CICL 2 12 DATE OF FIRST SUBMISSION: SEE BLK 16
CICL 2 DATE OF SUBSEQUENT SUBMISSION: SEE BLK 16
CICL 2 RegRow1: 1
CICL 2 RegRow2: 1
CICL 2 Remarks: BLK 10: Whenever a Critical Defect occurs.

BLKS 8, 12 & 13:

Unless otherwise approved by the PCO, Notification of the occurrence of any critical defects shall be made to the Government within 24 hours of the event.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

Specific email addresses for the distribution list will be provided after contract award.

CICL 2 RegRow3:
CICL 2 RegRow4:
CICL 2 RegRow5:
CCCPRegRow2: 1
CCCPRegRow3:
CCCPRegRow4:
CCCPRegRow5:
CCCPRegRow1: 1
QPP Remarks: BLK 12: Quality Program Plan (QPP) shall be submitted no later than 150 calendar days after contract award. The Government shall provide response within 30 calendar days of initial submission. If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. Approval is required prior to first article test (FAT), if FAT is required, or prior to initiation of production. Disposition will be provided by the Procuring Contracting Officer (PCO).

BLK 13: Submit updates/revisions for review and approval prior to implementation.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

Specific email addresses for the distribution list will be provided after contract award.

QPP OTHER: MISC
QPP SUBTITLE: N/A
QPP TITLE OF DATA ITEM: Quality Program Plan (QPP)
QPP Authority: DI-QCIC-81722 (Current Revision)
QPP CONTRACT REFERENCE: Section: E
QPP REQUIRING OFFICE: AMJM-QA
QPP DD 250: LT
QPP App Code: A
QPP 9 DIST STATEMENT REQUIRED: B
QPP FREQUENCY: ONE/R
QPP DATE OF FIRST SUBMISSION: 150DAC
QPP DATE OF SUBSEQUENT SUBMISSION: ASREQ
QPP RegRow1: 1
QPP RegRow2: 1
QPP RegRow3: 1
QPP RegRow4:
QPP RegRow5:
FATP OTHER: NDTI
FATP CDRL #:
FATP TITLE OF DATA ITEM: First Article Qualification Test Plan and Procedure
FATP SUBTITLE: N/A
FATP Authority: DI-NDTI-81307 (Current Revision)
FATP CONTRACT REFERENCE: Section: E
FATP DD 250: LT
FATP DIST STATEMENT REQUIRED: B
FATP FREQUENCY: ASREQ
FATP DATE OF FIRST SUBMISSION: 120DAC
FATP App Code: A
FATP AS OF DATE: N/A
FATP DATE OF SUBSEQUENT SUBMISSION: ASREQ
FATP RegRow1: 1
FATP RegRow2: 1
FATP Remarks: BLK 12: First Article Test Plans shall be submitted no later than 120 calendar days after contract award. Government shall provide response within 30 calendar days of initial submission. If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days.

Disposition will be provided by the procuring contracting officer (PCO). Approval of the plan shall be obtained prior to FAT.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

Specific email addresses for the distribution list will be provided after contract award.

FATP RegRow3: 1
FATP RegRow4:
FATP RegRow5:
FATP Reg15 TOTAL: 3
FATR OTHER: NDTI
FATR CDRL #:
FATR TITLE OF DATA ITEM: Test/Inspection Reports
FATR SUBTITLE: First Article Test Report (FATR)
FATR Authority: DI-NDTI-80809 (Current Revision)
FATR DD 250: XX
FATR DIST STATEMENT REQUIRED: B
FATR FREQUENCY: ASREQ
FATR DATE OF FIRST SUBMISSION: 270DAC
FATR App Code: A
FATR AS OF DATE: N/A
FATR DATE OF SUBSEQUENT SUBMISSION: ASREQ
FATR RegRow1: 1
FATR RegRow2: 1
FATR Remarks: BLK 12: The First Article Test report shall be submitted with QAR findings on DD Form 1222. The FATR shall be submitted 270 calendar days after contract award and no later than 30 calendar days after completion of the FAT. The Government requires 30 calendar days for review. Disposition of the FAT report will be provided through the Procuring Contracting Officer.

If further revisions are necessary, the Contractor shall have 15 calendar days to provide revisions and the Government shall provide response within 15 calendar days. PCO approval of the FATR shall be obtained prior to start of production.

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

Specific email addresses for the distribution list will be provided after contract award.

FATR RegRow3:
FATR RegRow4:
FATR RegRow5:
FATR Reg15 TOTAL: 2
LATR OTHER: NDTI
LATR CDRL #:
LATR SUBTITLE: Lot Acceptance Test Report
LATR Authority: DI-NDTI-80809 (Current Revision)
LATR REQUIRING OFFICE: AMJM-QA
LATR DD 250: NO
LATR DIST STATEMENT REQUIRED: B
LATR FREQUENCY: ASREQ
LATR DATE OF FIRST SUBMISSION: 30DATC
LATR App Code: N/A
LATR AS OF DATE: N/A
LATR RegRow1: 1
LATR RegRow2: 1
LATR Remarks: BLK 10/12: Lot Acceptance Test Reports (LATRs) shall be submitted for each lot and contain conformance testing results IAW the item specification and MIL-STD-1916.

LATRs shall be submitted 30 calendar days after completion of LAT.

BLK 14: LATRs shall be submitted by accessing the worldwide ammunition data card repository program which is located on the munitions history program website at https://mhp.redstone.army.mil/.

LATR RegRow3:
LATR RegRow4:
LATR RegRow5:
LATR Reg15 TOTAL: 2
FACAR OTHER: SESS
FACAR DID:
FACAR TITLE OF DATA ITEM: Failure Summary and Analysis Report
FACAR SUBTITLE: N/A
FACAR Authority: DI-SESS-80255 (Current Revision)
FACAR CONTRACT REFERENCE: Section: E
FACAR REQUIRING OFFICE: AMJM-QA
FACAR DD 250: LT
FACAR DIST STATEMENT REQUIRED: B
FACAR FREQUENCY: ASREQ
FACAR DATE OF FIRST SUBMISSION: ASREQ
FACAR App Code: A
FACAR AS OF DATE: N/A
FACAR DATE OF SUBSEQUENT SUBMISSION: ASREQ
FACAR RegRow1: 1
FACAR RegRow2: 1
FACAR Remarks: BLK 10/12/13: Contractor shall notify the the addressee list in block 14 via email within 24 hours after the occurrence of a failure during acceptance testing, including but not limited to, any failures during FAT/LAT and any destructive/nondestructive test failures. Formal submittal shall be no later than 10 calendar days after reported failure. Final report shall be submitted no later than 30 calendar days after determining/conducting root cause/failure

analysis.

The Government will provide a response within 15 calendar days of initial submission. If further revisions are necessary, the contractor shall have 15 calendar days to provide revisions. Disposition will be provided by the procuring contracting officer (PCO).

BLK 14: Submit via email or SAFE https://safe.apps.mil/

When sending by email, the email subject line shall include the Data Item No., Title of Data Item and Subtitle. This information is found in Blocks 1, 2 and 3 of the CDRL.

Specific email addresses for the distribution list will be provided after contract award.

FACAR RegRow3:
FACAR RegRow4:
FACAR RegRow5:
FACAR Reg15 TOTAL: 2
LA OTHER: MGMT
LA CDRL #:
LA Authority: DI-MGMT-81978 (Current Revision)
LA TITLE OF DATA ITEM: Acceptance Description Sheets
LA SUBTITLE: Loading Authorizations and Description Sheets
LA CONTRACT REFERENCE: Section: E
LA 6 REQUIRING OFFICE: AMJM-QA
LA DD 250: NO
LA DIST STATEMENT REQUIRED: B
LA App Code: A
LA AS OF DATE: N/A
LA DATE OF SUBSEQUENT SUBMISSION: ASREQ
LA RegRow1: 1
LA RegRow2:
LA Remarks: BLK 12: Loading authorizations, Propellant description sheets and/or description sheets for chemicals and explosives shall be submitted for each lot or batch processed and shall be loaded into WARP at the time of acceptance.

BLK 14: Electronic submissions are made by accessing the Worldwide Ammunition Data Card Repository Program (WARP) housing the Description Sheets and Loading Authorizations modules which are located on the Munitions History Program (MHP) website at https://mhpwarp.redstone.army.mil/

This requirement is in addition to the distribution requirements called out in the specification and contract.

Advisory note: The first energetic description sheet submitted in the WARP system will undergo a Government review.

LA RegRow3:
LA RegRow4:
LA Reg15 TOTAL: 1
QPP(CDRL#):
QPP System:
QPP DID:
11 QPP AS OF DATE: N/A
QPP Exhibit:
A CCCP 0(CDRL#):
CCCP Exhibit:
CCCP System:
E CCCP CONTRACTPR NO:
F CCCP CONTRACTOR:
CCCP Authority: DI-MGMT-81986 (Current Revision)
6 CCCP REQUIRING OFFICE: AMJM-QA
CCCP App Code: A
9 CCCP DIST STATEMENT REQUIRED: B
11 CCCP AS OF DATE: N/A
A CPOA 0(CDRL#):
CPOA Exhibit:
CPOA System:
E CPOA CONTRACTPR NO:
F CPOA CONTRACTOR:
6 CPOA REQUIRING OFFICE: AMJM-QA
CPOA App Code: A
9 CPOA DIST STATEMENT REQUIRED: B
11 CPOA AS OF DATE: N/A
CICL A0(CDRL#):
CICL Exhibit:
CICL System:
E CICL CONTRACTPR NO:
F CICL CONTRACTOR:
CICL App Code: A
9 CICL DIST STATEMENT REQUIRED: B
11 CICL AS OF DATE: N/A
Notification A0(CDRL#):

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