LCCS 27-31 Contract Data Requirements List

CONTRACT DATA REQUIREMENTS LIST

Form Approved

OMB No. 0704-0188

(1 Data Item)

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

C. CATEGORY:

A

TDP

TM

E. CONTRACT/PR NO.

FCR

1. DATA ITEM NO.

B. EXHIBIT

OTHER

SAFT

F. CONTRACTOR

W58RGZ-26-R-0004

Longbow Limited Liability Company (LBL)

2. TITLE OF DATA ITEM

3. SUBTITLE

Critical Safety Item, Characteristic and Critical Defect Report

A001

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

7. DD 250 REQ

LT

6. REQUIRING OFFICE

1.3.5.1

DI-SAFT-80970A

AMSAM-MAV-AD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

D

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

8. APP CODE

A

SEE BLK 16

N/A

30 DAC

SEE BLK 16

16. REMARKS

BLK 8: Government response time 30 days after receipt. Contractor response time 30 days after disapproval.
BLK 9: Distribution Statement D: Distribution authorized to the Department of Defense and US DoD Contractors only (Administrative or Operational Use) (21 Nov 2014). Other requests shall be referred to Project Manager, Apache Attack Helicopter, SFAE-AV-AAH, Building 5307, Redstone Arsenal, AL 35898.

14.

DISTRIBUTION

b. COPIES

a. ADDRESSEE

Final

Draft

usarmy.redstone.
peo-avn.mbx.
apache-acqmail@
mail.mil

Reg

CCAM-ALR

Repro

Export Control Warning – See Attachment A.
BLK 10: One initial submission and subsequent submissions upon discovery of a new critical safety item (CSI) or the failure of a CSI. BLK 13: Upon discovery of a new CSI or the failure of a CSI BLK 14: The deliverable data shall be provided in a native, manipulative format if available. Submittal letters shall be addressed to the Contracting Officer, CCAMALR.