A07-RFP_W911QY_17R0017_Attachment_C_-_FoSUAS_Proucts_II_CDRLs.pdf

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 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:

A TDP TM OTHER SAFT

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

SUAS Systems and Spares

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

A001 System Safety Hazard Analysis Report (SSHAR)

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

DI-SAFT-80101C SOW para 3.2.7 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE 16 SEE 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A SEE 16 Reg Repro

16. REMARKS:

BLK 8: The Government will approve or disapprove each submittal within 30 calendar days of receipt. The contractor shall resubmit, unless otherwise directed, disapproved submittals no later than 30 calendar days after receipt of the

Government’s disposition. The contractor shall address all of the Government’s comments in their resubmission.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program

Operating Manual (NISPOM).

BLKs 10, 12 & 13: Deliver within 60 calendar days after award of each applicable

Delivery Order. Submit within 14 days of each revision.

BLK 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 1 0 1

15. TOTAL 1 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER SAFT

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

SUAS Systems and Spares

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

A002 Safety Assessment Report (SAR)

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

DI-SAFT-80102C SOW para. 3.2.7.1 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE 16 SEE 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A SEE 16 Reg Repro

16. REMARKS:

Contractor format is acceptable

Block 8: The Government will approve/disapprove within 14 calendar days of receipt. If disapproved, contractor shall resubmit with Government comments incorporated within 14 calendar days after receipt.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program

Operating Manual (NISPOM).

BLKs 10, 12 & 13: Deliver within 60 calendar days after award of each applicable

Delivery Order. Submit within 14 days of each revision.

NOTE: Updated Hazardous Tracking Log shall be submitted 3 calendar days prior to each System Safety Working Group Meeting.

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 1 0 1

15. TOTAL 1 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER SAFT

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

SUAS Systems and Spares

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

A003 Health Hazard Assessment Report (HHAR)

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

DI-SAFT-80106C SOW para. 3.2.7.3 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE 16 SEE 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A SEE 16 Reg Repro

16. REMARKS:

BLK 8: The Government will approve or disapprove each submittal within 30 calendar days of receipt. The contractor shall resubmit, unless otherwise directed, disapproved submittals no later than 30 calendar days after receipt of the

Government’s disposition. The contractor shall address all of the Government’s comments in their resubmission.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program

Operating Manual (NISPOM).

BLKs 10, 12 & 13: Deliver within 60 calendar days after award of each applicable

Delivery Order. Submit within 14 calendar days of each revision.

BLK 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 1 0 1

15. TOTAL 1 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER: MGMT

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

SUAS Systems and Spares

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

A004 Status Report

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

DI-MGMT-80368A SOW para. 3.2.3 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE 16 SEE 16 b. COPIES

8. APP CODE B 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

N/A N/A SEE 16 Reg Repro

16. REMARKS:

Block 9: Distribution Statement B: Distribution authorized to US Government

Agencies Only; Administrative or Operational Use, 3 Oct 16; other requests shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program Operating

Manual (NISPOM).

Blocks 10, 12 & 13: Submit within 30 days after award of each applicable Delivery

Order. Submit on the 5th calendar day of each month thereafter, for each applicable

Delivery Order.

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 0 0 1

15. TOTAL 0 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER MISC

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

SUAS Systems and Spares

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

A005 Technical Report - Study/Services Trip Report

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

DI-MISC-80508B SOW para. 4.1 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ SEE 16 b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

N/A C N/A SEE 16 Reg Repro

16. REMARKS:

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct

16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties.

Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial

Security Program Operating Manual (NISPOM).

Blocks 10, 12 & 13: Submit within 7 days of completion of each

Government approved trip.

Block 14: Delivery notification shall be made by email in Microsoft Office format. Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 0 0 1

15. TOTAL 0 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER MISC

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

SUAS Systems and Spares

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

A006 Technical Report - Study/Services Supporting Documentation

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

DI-MISC-80508B SOW para. 3.2.2, 3.4.9.6 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE 16 SEE 16 b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A C N/A SEE 16 Reg Repro

16. REMARKS:

BLK 8: The Government will approve or disapprove each submittal within 14 calendar days of receipt. The contractor shall resubmit, unless otherwise directed, disapproved submittals no later than 7 calendar days after receipt of the

Government’s disposition. The contractor shall address all of the Government’s comments in their resubmission.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program Operating

Manual (NISPOM).

Blocks 10, 12 & 13: Submit as defined within each applicable Delivery Order.

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 0 0 1

15. TOTAL 0 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER: QCIC

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

SUAS Systems and Spares

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

A007 Acceptance Test Plan

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

DI-QCIC-80553A SOW para. 3.3.3.2, 3.3.4 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE 16 SEE 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A SEE 16 Reg Repro

16. REMARKS:

Block 8: The Government will approve/disapprove within 14 calendar days. If disapproved, the contractor shall resubmit within 14 calendar days with

Government comments incorporated.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program

Operating Manual (NISPOM).

Blocks 10, 12 & 13: Submit in accordance with the SOW of each applicable Delivery

Order award. Revise as required and submit revisions within 14 calendar days of each revision.

Block 14: Deliv Delivery notification shall be made by email in Microsoft Office format. Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Juanita.Clarke@dcma.mil, Richard.Niner@dcma.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 1 0 1

DCMA 1 0 1

15. TOTAL 2 0 2

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER SESS

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

SUAS Systems and Spares

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

A008 Engineering Change Proposal (ECP)

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

DI-SESS-80639D SOW para. 3.4.4 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ ASREQ b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A ASREQ Reg Repro

16. REMARKS:

Block 8: The Government will approve/disapprove within 14 calendar days of receipt. If disapproved, contractor shall resubmit within 14 calendar days with

Government comments incorporated.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25. Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the

National Industrial Security Program Operating Manual (NISPOM).

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Juanita.Clarke@dcma.mil, Richard.Niner@dcma.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 1 0 1

DCMA 1 0 1

15. TOTAL 2 0 2

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

mailto:Kris.Lizaso@dcma.mil NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER TMSS

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

SUAS Systems and Spares

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

A009 Commercial Off-the-Shelf (COTS) Manual and

Associated Supplemental Data

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

DI-TMSS-80527C SOW para. 3.4.9.3 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

LT 1TIME SEE 16 b. COPIES

8. APP CODE A 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION a. ADDRESSEE

Draft

Final

A N/A N/A Reg Repro

16. REMARKS:

Block 8: The Government will approve/disapprove within 14 calendar days of receipt. If disapproved, contractor shall resubmit within 14 calendar days with

Government comments incorporated.

Block 9: Distribution Statement A: Distribution authorized for public release; distribution is unlimited.

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties.

Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial

Security Program Operating Manual (NISPOM).

Blocks 12: Submit 30 days after Delivery Order award, unless otherwise specified in the Delivery Order SOW.

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 0 0 1

15. TOTAL 0 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER MISC

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

SUAS Systems and Spares

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

A010 Frequency Allocation Data

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

DI-MISC-81174 SOW para. 3.4.9.2 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE 16 SEE 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A ASREV Reg Repro

16. REMARKS:

Contractor format is acceptable.

Block 8: The Government will approve or disapprove each submittal within 30 calendar days of receipt. If disapproved, the contractor shall resubmit within 30 calendar days with Government comments incorporated.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program

Operating Manual (NISPOM).

Blocks 10, 12 & 13: Submit 30 days after Delivery Order award, unless otherwise specified in the Delivery Order SOW. Resubmit within 10 calendar days of each revision.

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 1 0 1

15. TOTAL 1 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER SESS

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

SUAS Systems and Spares

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

A011 Baseline Description Document

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

DI-SESS-81121A SOW para. 3.4.1 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREV SEE 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A SEE 16 Reg Repro

16. REMARKS:

Block 8: Government will approve/disapprove within 14 calendar days of receipt. If disapproved, correct and resubmit within 14 calendar days.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program Operating

Manual (NISPOM).

Blocks 10, 12 & 13: Submit within 90 days of each applicable Delivery Order award, unless otherwise specified in the Delivery Order SOW. Submit within 14 calendar days of each revision.

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Juanita.Clarke@dcma.mil, Richard.Niner@dcma.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 0 0 1

DCMA 0 0 1

15. TOTAL 0 0 2

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER SESS

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

SUAS Systems and Spares

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

A012 Interface Control Document (ICD)

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

DI-SESS-81248B SOW para. 3.4.9.1 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT SEE 16 SEE 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A ASREV Reg Repro

16. REMARKS:

Block 8: The Government will approve/disapprove within 14 calendar days. If disapproved, the contractor shall resubmit within 14 calendar days with Government comments incorporated.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct

16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties.

Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial

Security Program Operating Manual (NISPOM).

Blocks 10 and 12: Submit 30 days after Delivery Order award, unless otherwise specified in the Delivery Order SOW. Submit within 10 calendar days of each revision.

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 1 0 1

15. TOTAL 1 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER MISC

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

SUAS Systems and Spares

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

A013 Hazardous Materials Management Program

(HMMP) Report

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

DI-MISC-81397C SOW para. 3.2.7.4 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREV SEE 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A SEE 16 Reg Repro

16. REMARKS:

Contractor format is acceptable

Block 8: The Government will approve/disapprove within 14 calendar days of receipt.

If disapproved, contractor shall resubmit with Government comments/changes incorporated within 7 calendar days.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program Operating

Manual (NISPOM).

Block 12 and 13: Submit 45 days after applicable Delivery Order award, unless otherwise specified in the Delivery Order SOW. Subsequent submissions shall be submitted on the first working day of each fiscal year. Submit within 14 days of each revision.

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 1 0 1

15. TOTAL 1 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER MGMT

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

SUAS Systems and Spares

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

A014 Hazardous Material Management Program

(HMMP) Plan

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

DI-MGMT-81398C SOW para. 3.2.7.4 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREV SEE 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A SEE 16 Reg Repro

16. REMARKS:

Contractor format is acceptable

Block 8: The Government will approve/disapprove within 14 calendar days of receipt. If disapproved, contractor shall resubmit with Government comments/changes incorporated within 7 calendar days.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program Operating

Manual (NISPOM).

Blocks 12 and 13: Submit 30 days after Delivery Order award, unless otherwise specified in the Delivery Order SOW. Submit within 14 days of each revision.

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 1 0 1

15. TOTAL 1 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER IPSC

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

SUAS Systems and Spares

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

A015 Software Development Plan (SDP)

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

DI-IPSC-81427A SOW para. 3.3.10 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREV SEE 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A SEE 16 Reg Repro

16. REMARKS:

Block 8: The Government will approve/disapprove within 14 calendar days. If disapproved, the contractor shall resubmit within 14 calendar days with

Government comments incorporated.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program

Operating Manual (NISPOM).

Blocks 12 & 13: Submit within 30 calendar days after each applicable Delivery

Order award, unless otherwise specified in the Delivery Order SOW. Submit within

14 calendar days of each revision.

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topvue-UAS/FixedNav.aspx

SFAE-AV-UAS-TU 1 0 1

15. TOTAL 1 0 1

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

DD Form 1423-1, 1 Jun 90

W911QY-17-R-0017

NealJD Stamp

NealJD Stamp

NealJD Stamp

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:

A TDP TM OTHER SESS

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

SUAS Systems and Spares

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

A016 Failure Analysis and Corrective Action Report

(FACAR)

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

DI-SESS-81315B SOW para. 3.3.4.2 SFAE-AV-UAS-TU

7. DD 250 REQ 9.DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ SEE 16 b. COPIES

8. APP CODE C 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE

Draft

Final

A N/A SEE 16 Reg Repro

16. REMARKS:

Contractor format is acceptable

Block 8: The Government will approve/disapprove within 14 calendar days of receipt.

If disapproved, contractor shall resubmit with Government comments/changes incorporated within 7 calendar days.

Block 9: Distribution Statement C: Distribution authorized to US Govt agencies and their contractors; Administrative or Operational Use, 3 Oct 16; other request shall be referred to:

SUAS Product Manager

SFAE-AV-UAS-TU

PEO Aviation

Redstone Arsenal, AL 35898-5000

Export Control Act Warning – Required

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, as amended, Title 50, U.S.C., App. 2401 et seq. Violation of these export laws are subject to severe criminal penalties. Disseminate in accordance with the provisions of DoD Directive 5230.25.

Destroy by any method that will prevent disclosure of contents or reconstruction of the document in accordance with the National Industrial Security Program Operating

Manual (NISPOM).

Blocks 10, 12 & 13: Submit within 15 calendar days of each failure occurrence.

Block 14: Delivery notification shall be made by email in Microsoft Office format.

Emails shall be addressed to:

Usarmy.redstone.peo-avn.list.uas-tuas-cm@mail.mil

Kris.Lizaso@dcma.mil

Deliverables shall be uploaded to:

https://topvue.peoavn.army.mil/Topv…