A03 Exhibit A Contract Data Requirements List.docx
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Contract Data Requirements List for the Horizontal/Vertical Situation Indicator Overhaul Effort
A descriptive list of the deliverable data items associated with the repair contract for the Horizontal Situation Indicator (HSI) ID-2278B/A, NSN: 6605-01-316-2748 and the Vertical Situation Indicator (VSI) ID-2277A/A, NSN: 6610-01-155-8315 assets is below.
| Data Item |
| Title |
| Document |
| Applicability |
| A001 |
| Technical Report/Study Services |
| DI-MISC-80508B |
| 2.1.4 |
| A002 |
| Foreign Influence Report |
| DI-MISC-80508B |
| 2.2 |
| A003 |
| Operations Security (OPSEC) Plan |
| DI-MGMT-80934C |
| 2.2.2 |
| A004 |
| Report, Record of Meeting/Minutes |
| DI-ADMN-81505 |
| 2.4.1 |
| A005 |
| Status Report |
| DI-MGMT-80368A |
| 2.4.3 |
| A006 |
| Engineering Change Proposal (ECP) |
| DI-SESS-80639D |
| 4.1.4.1.1 |
| A007 |
| Test and Inspection Report |
| DI-NDTI-80809B |
| 4.2 |
| A008 |
| Government Furnished Equipment Repair Status Report |
| DI-ILSS-80620 |
| 4.3.4,2 |
| A009 |
| Acceptance Test Report |
| DI-QCIC-81891 |
| 4.5.2, 7.3 |
| A010 |
| Quality Assurance Program Plan |
| DI-QCIC-81794A |
| 7.1 |
| A011 |
| Diminishing Manufacturing Sources and Material Shortages (DMSMS) Management Plan |
| DI-MGMT-81948 |
| 9.2.2 |
| A012 |
| Obsolescence Alert Notice |
| DI-MGMT-81941 |
| 9.3 |
| A013 |
| DMSMS Implementation Plan |
| DI-MGMT-81949 |
| 9.4 |
| A014 |
| Contract Government Furnished Material (GFM) Requisition and Inventory Report |
| DI-MGMT-82128 |
| 11.4.1 |
| A015 |
| Government Property Inventory Report |
| DI-MGMT-80441D |
| 4.2.1.2, 11.4.7 |
| A016 |
| Performance and Cost Report |
| DI-FNCL-80912A |
| 4.3.4.2 |
| A017 |
| Notice of Revision (NOR) |
| DI-SESS-80642E |
| 4.1.4.1.2 |
| A018 |
| Specification Change Notice (SCN) |
| DI-SESS-80643E |
| 4.1.4.1.3 |
| A019 |
| Request for Variance (RFV) |
| DI-SESS-80640E |
| 4.1.4.1.5 |
The data items are listed individually on the following pages. Signature approval of all the data items is given collectively below.
| Prepared by: | Bonnie Kolaya |
| Engineer, Avionics Branch | |
| CCDC C5ISR Center - PRD |
| Reviewed by: | Kate McDevitt |
| Chief, Avionics Branch | |
| CCDC C5ISR Center - PRD |
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item) Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A001 |
| Technical Report/Study Services |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80508B |
| PWS para. 2.1.4 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| ASREQ |
| SEE ITEM 16 |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Draft Final
Reg
Repro
16. REMARKS:
BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 2.1.4.
BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Administrative/Operational Use), (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.
BLK 14: Reports shall be submitted via electronic mail to the Government COR. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
FCDD-ISP-AB
AMEL-LCE-TN
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/16/2020 Kate McDevitt
Chief, Avionics Branch, CCDC C51SR
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A002 |
| Foreign Influence Report |
| Technical Report-Study/Services |
| 4 AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MISC-80508B |
| PWS para. 2.2 |
| AMEL-SEC-OPS |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| ASREQ |
| SEE ITEM 16 |
b. COPIES
SECT. B
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 1 13. DATE OF SUBSEQUENT |
SEE ITEM 16
a. ADDRESSEE
Final
16. REMARKS:
BLK 4: Format shall be contractor format and electronically delivered.
Provide responses to the following, with supporting documentation:
1. Do any foreign person(s), directly or indirectly, own or have subscribed 5% or more of your organization’s stock or total capital commitment?
2. Does your organization directly or indirectly through subsidiaries and affiliates, own 10% or more of any foreign interest?
3. Do any non-US citizens serve in a decision-making capacity for your organization (e.g., board of directors, general partners, trustees or senior management officials) or control the direction of organizational activities?
4. Does anyone that serves in a decision-making capacity for your organization hold any position with or serve as consultants for any foreign entity?
5. Does your organization have any contracts, agreements, understandings, or arrangements with a foreign entity?
6. Does your organization have any indebtedness, liabilities or obligations to foreign entities?
Alternatively, provide Standard Form 328 Certificate Pertaining to Foreign Interests OMB No. 0704-0579 if your organization has completed one.
BLK 7: Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLKS 12 and 13: Submit once and modified if there are any changes over the contract period of performance.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
AMEL-SEC-OPS
COR
KO
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/16/2020 Kate McDevitt
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A003 |
| OPSEC Plan |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-80934C |
| PWS para. 2.2.2 |
| AMEL-SEC-OPS |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| ASREQ |
| SEE ITEM 16 |
b. COPIES
SECT. B
| 8. APP CODE |
| D |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
SEE ITEM 16
16. REMARKS:
BLK 4: Format shall be contractor format and electronically delivered.
BLK 7: Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLKS 12 and 13: Submit once and modified if there are any changes over the contract period of performance.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
AMEL-SEC-OPS
COR
KO
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/16/2020 Kate McDevitt
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A004 |
| Report, Record of Meeting/Minutes |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-ADMN-81505 |
| PWS para. 2.4.1 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| ASREQ |
| SEE ITEM 16 |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
16. REMARKS:
BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 2.4.1.
BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Administrative/Operational Use), (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.
BLK 12: Draft submission is due five business days after conclusion of meeting, with five business days for comment by attendees prior to delivery of the final submission.
BLK 14: Reports shall be submitted via electronic mail to the Government COR. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/16/2020 Kate McDevitt
CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A005 |
| Status Report |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-80368A |
| PWS para. 2.4.3 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| SEMI-ANNUAL |
| 30 DAC |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 1 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
16. REMARKS:
BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 2.4.3.
BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Administrative/Operational Use) (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.
BLK 12: The Government requires 30 days to review and provide comments. The contractor has 15 days to incorporate Government comments and resubmit the report, if needed.
BLK 14: Reports shall be submitted via electronic mail to the Government COR. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/16/2020 Kate McDevitt
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A006 |
| Engineering Change Proposal (ECP) |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-SESS-80639D |
| PWS para. 4.1.4.1.1 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| ASREQ |
| SEE ITEM 16 |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 1 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
16. REMARKS:
BLK 4: The contractor shall prepare and submit an ECP for Government review or notification IAW the PWS section for Configuration Management (Para 4.1.4) when there is a change as defined by PWS para 4.1.3.1 or departure from a contractual baseline.
Format shall be IAW this Data Item Description and PWS para. 4.1.4.1.1. Data delivery description for content of ECP (via DD Form 1692) shall be IAW EIA-649-1 and EIA-649.
The ECP shall be submitted for Government review or notification IAW para 4.1.4 within 5 working days of contractor approval and prior to presentation for acceptance, but not later than 30 days, of any such product.
BLK 7: Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
CMO
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/26/2020 Kate McDevitt
CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A007 |
| Test and Inspection Report |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-NDTI-80809B |
| PWS para. 4.2 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| ASREQ |
| SEE ITEM 16 |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 1 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
16. REMARKS:
BLK 4: Format shall be IAW this Data Item Description and PWS para. 4.2. The contractor shall use the T&I process to discover units fault(s), cause of failure and determine repair categorization. The report shall include the following:
A statement of the problem, cause of failure Test results Proposed repair categorization Repair recommendation Repair turn-around timeframe Estimated cost
BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLK 12: The contractor shall submit the T&I report within 15 days of T&I completion. The Government requires 30 days to review and provide comments. The contractor has 15 days to incorporate Government comments and resubmit the report, if needed.
BLK 14: Reports shall be submitted via electronic mail to the Government COR. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/26/2020 Kate McDevitt
CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A008 |
| Government Furnished Equipment Repair Status Report |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-ILSS-80620 |
| PWS para. 4.3.4.2 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| MONTHLY |
| SEE ITEM 16 |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 1 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
16. REMARKS:
BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 4.3.4.2. Reference MIL-HDBK-2155 for incorporation of FRACAS data.
BLK 7: The Letter of Transmittal shall be annotated to reflect if additional submittals are to be furnished or if this is the final submittal of data. The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLK 12: The contractor shall submit the initial Repair Status Report within 15 days after repair completion. The Government requires 30 days to review and provide comments. The contractor has 15 days to incorporate Government comments and resubmit the report, if needed.
BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/26/2020 Kate McDevitt
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A009 |
| Acceptance Test Report |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-QCIC-81891 |
| PWS para. 4.5.2, 7.3 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| ASREQ |
| SEE ITEM 16 |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
16. REMARKS:
BLK 4: Format shall be IAW this Data Item Description and PWS para. 4.5.2, 7.3.
BLK 7: The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Administrative/Operational Use), (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.
BLK 12: Initial test units shall be made available for Government inspection 60 days after receipt of assets. Acceptance test report shall be submitted within 30 days from test completion.
BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment or the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/26/2020 Kate McDevitt
CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A010 |
| Quality Assurance Program Plan (QAPP) |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-QCIC-81794A |
| PWS para. 7.1 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| INITIAL |
| 10 DAC |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 1 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
16. REMARKS:
BLK 4: Format shall be in accordance with this Data Item Description and para. 7.1.
BLK 7: The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Administrative/Operational Use), (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.
BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/16/2020 Kate McDevitt
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A011 |
| DMSMS Management Plan |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-81948 |
| PWS para. 9.2.2 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| ASREQ |
| SEE ITEM 16 |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
SEE ITEM 16
16. REMARKS:
BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 9.2.2.
BLK 7: The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Administrative/Operational Use), (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.
BLK 12: Submit once and modified if there are any changes over the contract period of performance
BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
07/13/2020 Kate McDevitt
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A012 |
| Obsolescence Alert Notice |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-81941 |
| PWS para. 9.3 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
ASREQ
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
16. REMARKS:
BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 9.3.
BLK 7: The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Administrative/Operational Use), (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.
BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/16/2020 Kate McDevitt
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A013 |
| DMSMS Implementation Plan |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-81849 |
| PWS para. 9.4 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| SEE ITEM 16 |
| SEE ITEM 16 |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 1 13. DATE OF SUBSEQUENT |
SEE ITEM 16
a. ADDRESSEE
Final
16. REMARKS:
BLK 4: Format shall be in accordance with this Data Item Description and PWS para. 9.4.
BLK 7: The Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLK 9: DISTRIBUTION STATEMENT B. Distribution authorized to U.S. Government agencies (Administrative/Operational Use), (Date of Contract Award). Other requests for this document shall be referred to the contracting officer.
BLK 10, 12, 13: Reports shall be provided upon initial identification of issue, approval of issue solution and implementation of approved solution.
BLK 14: Reports shall be submitted via electronic mail through the Government contracting officer to the Government engineer. Documents shall be in Microsoft 97 or higher. Contractor format is acceptable.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/16/2020 Kate McDevitt
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A014 |
| Contract Government Furnished Material (GFM) Requisition and Inventory Report |
| TAV-C |
| 4 AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-82128 |
| PWS para. 11.4.1 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| QRTLY |
| 30 DAC |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 1 13. DATE OF SUBSEQUENT |
SEE ITEM 16
a. ADDRESSEE
Final
16. REMARKS:
BLK 4: The contractor must provide a consumption report in accordance with Data Item Description DI-MGMT-82128. Contractor shall provide a report electronically in .xls or .xlsx format.
BLK 7: Letter of Transmittal shall be used only for this data item; do not combine other data item submittals with this requirement.
BLKS 12 and 13: Initial submission shall be provided 30 days after contract/task order award. Subsequent submissions shall be provided prior to the end of the first month of each ensuing fiscal quarter during contract period of performance.
BLK 14 - Report shall be sent to the COR.
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 Administration Act of 1979 (Title 50, U.S.C, App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.
DESTRUCTION NOTICE: Destroy by any method that will prevent disclosure of contents or reconstruction of the document.
If the CDRL Data Deliverable is priced and is not NSP (Not Separately Priced), then an electronic DD Form 250 will be required via the Wide Area Workflow website in order for the contractor to receive payment for the data deliverable (see section G of the Contract). E-mail notification is required with any electronic submission.
COR
15. TOTAL
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
Bonnie Kolaya
FCDD-ISP-AB
CCDC C51SR Engineer
06/16/2020 Kate McDevitt
CONTRACT DATA REQUIREMENTS LIST
Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA. 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Government Issuing Contracting Officer for Contract/PR No. listed in Block E.
| A. CONTRACT LINE ITEM NO. |
| B. EXHIBIT |
| C. CATEGORY: |
TDP TM OTHER X
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
Aircraft Situation Indicator Overhaul
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A015 |
| Government Property Inventory Report |
| TAV-C |
| 4 . AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED TOTAL PRICE
| DI-MGMT-80441D |
| PWS para. 4.2.1.2, 11.4.7 |
| FCDD-ISP-AB |
INSERT
| 7. DD 250 REQ | |
| 9.DIST STATEMENT REQUIRED | |
| 10. FREQUENCY | |
| 12. DATE OF FIRST SUBMISSION | |
| 14. | DISTRIBUTION |
IN
LT
| ANNUAL |
| SEE ITEM 16 |
b. COPIES
SECT. B
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 1 13. DATE OF SUBSEQUENT |
SUBMISSION
a. ADDRESSEE
Final
SEE ITEM I6
16. REMARKS:
BLK 4: Format shall be in accordance with this Data Item Description and PWS paragraphs 4.2.1.2 and 11.4.7.
Contractors must provide to the COR a physical inventory plan demonstrating how the contractor will achieve a 100% physical inventory count of all material in the contractor’s custody over the shorter of the length of period of performance or 1 calendar year from the start of the period of performance.
Contractor shall provide a report electronically in .xls or .xlsx format on an annual basis.
Inventory records are subject to verification by the government. Contractor must maintain record of physical inventory counts performed to be provided in the event of an inspection. Notification of inspection will be coordinated through the Government Property Administrator or COR.
BLK 7: Letter of Transmittal shall be used only…
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