Annex 5-A
TEMP Cover Page Format for ACAT I and all programs on OSD DOT&E Oversight List
TEMP Cover Page Format for ACAT II programs
TEMP Cover Page Format for ACAT III programs
TEMP Cover Page Format for ACAT IV programs
TEMP Cover Page Format for Software Qualification Testing
Test And Evaluation Master Plan (Temp) Cover Pages
TEMP Cover Page Format For ACAT I
[and Other OSD T&E Oversight Programs]
TEMP NO. [Insert TEIN] REV. _____ [AS APPLICABLE]
[PROGRAM TITLE]
Acquisition Category (ACAT) _____
Program Element No. ___________
Project No. __________
_________________________________________________________________
SUBMITTED BY:
__________________________ ____________
PROGRAM MANAGER DATE
_________________________________________________________________
CONCURRENCE:
__________________________ ____________
SYSCOM COMMANDER/PEO/DRPM DATE
__________________________ ____________
COMOPTEVFOR/DIR, MCOTEA DATE
__________________________ ____________
PROGRAM/RESOURCE SPONSOR (Flag) DATE
_________________________________________________________________
APPROVED FOR NAVY or MARINE CORPS:
__________________________ ____________
CNO (N091)(Navy Sponsored) DATE
__________________________ ____________
ASN(RD&A) DATE
_________________________________________________________________
APPROVED:
__________________________ ____________
COGNIZANT OIPT LEADER DATE
__________________________ ____________
DOT&E DATE
_________________________________________________________________
Distribution is limited to U.S. Government agencies only. Other requests for this document must be referred to the Chief of Naval Operations (N091).
CLASSIFIED BY:_________________________
DECLASSIFY ON:_________________________
TEMP Cover Page Format For ACAT II Programs
TEMP NO. [Insert TEIN] REV. _____ [AS APPLICABLE]
[PROGRAM TITLE]
Acquisition Category (ACAT) II
Program Element No. ___________
Project No. __________
_________________________________________________________________
SUBMITTED BY:
___________________________ ____________
PROGRAM MANAGER DATE
_________________________________________________________________
CONCURRENCE:
___________________________ ____________
SYSCOM COMMANDER/PEO/DRPM DATE
___________________________ ____________
COMOPTEVFOR/DIR, MCOTEA DATE
___________________________ ____________
PROGRAM/RESOURCE SPONSOR (Flag) DATE
_________________________________________________________________
APPROVED:
___________________________ ____________
CNO (N091)(Navy Sponsored) DATE
___________________________ ____________
ASN(RD&A) DATE
_________________________________________________________________
Distribution is limited to U.S. Government agencies only. Other requests for this document must be referred to the Chief of Naval Operations (N091).
CLASSIFIED BY:________________________
DECLASSIFY ON:________________________
TEMP Cover Page Format For ACAT III Programs
TEMP NO. [Insert TEIN] REV. ____ [AS APPLICABLE]
[PROGRAM TITLE]
Acquisition Category (ACAT) III
Program Element No. ___________
Project No. __________
_________________________________________________________________
SUBMITTED BY:
___________________________ ____________
PROGRAM MANAGER DATE
_________________________________________________________________
CONCURRENCE:
___________________________ ____________
SYSCOM COMMANDER/PEO/DRPM DATE
(if ASN(RD&A) retains MDA)
___________________________ ____________
COMOPTEVFOR/DIR, MCOTEA DATE
___________________________ ____________
PROGRAM SPONSOR/CMC (DC,CD)(Flag) DATE
_________________________________________________________________
APPROVED:
___________________________ ____________
CNO (N091)(Navy Sponsored) DATE
___________________________ ____________
MILESTONE DECISION AUTHORITY DATE
_________________________________________________________________
Distribution is limited to U.S. Government agencies only. Other requests for this document must be referred to the Chief of Naval Operations (N091).
CLASSIFIED BY:_________________________
DECLASSIFY ON:_________________________
TEMP Cover Page Format For ACAT IV Programs
TEMP NO. [Insert TEIN] REV. ____ [AS APPLICABLE]
[PROGRAM TITLE]
Acquisition Category (ACAT) IV
Program Element No. ___________
Project No. __________
_________________________________________________________________
SUBMITTED BY:
___________________________ ____________
PROGRAM MANAGER DATE
_________________________________________________________________
CONCURRENCE:
___________________________ ____________
COMOPTEVFOR/DIR, MCOTEA DATE
[for ACAT IVT only]
_________________________________________________________________
APPROVED:
___________________________ ____________
MILESTONE DECISION AUTHORITY DATE
_________________________________________________________________
Distribution is limited to U.S. Government agencies only. Other requests for this document must be referred to the Chief of Naval Operations (N091).
CLASSIFIED BY:_________________________
DECLASSIFY ON:_________________________
TEMP Cover Page Format For
Software Qualification Testing Programs
TEMP NO. [Insert TEIN] REV. _____ [AS APPLICABLE]
SOFTWARE QUALIFICATION TESTING FOR
[PROGRAM TITLE]
Program Element No. ___________
Project No. __________
_________________________________________________________________
SUBMITTED BY:
___________________________ ____________
PROGRAM MANAGER DATE
_________________________________________________________________
CONCURRENCE:
___________________________ ____________
COMOPTEVFOR/DIR, MCOTEA DATE
___________________________ ____________
CNO (N091)/CMC (DC,CD) DATE
_________________________________________________________________
APPROVED:
___________________________ ____________
SYSCOM COMMANDER/PEO/DRPM DATE
_________________________________________________________________
Distribution is limited to U.S. Government agencies only. Other requests for this document must be referred to the Chief of Naval Operations (N091).
CLASSIFIED BY:________________________
DECLASSIFY ON:________________________
Annex 5-B
Fleet RDT&E Support Request
Request for:____ Quarter FY: ____ Date of Request: ___________
Classification: ________
TEIN: _________
Title: __________________________
Code: (your office code)
Type: (DT&E/OT&E)_____ Phase:____
TEMP Signature Date:_____________(DD-MMM-YY)
Fleet: (PAC/LANT)__________
Start Date: _____________ (DD-MMM-YY) End Date: _____________ (DD-MMM-YY)
Recommended Priority:_______ (1,2,3; DON GB, para 5.4.6.1.2)
Purpose of this phase of testing:___________________________________________
____________________________________________________________________________
____________________________________________________________________________
Support required: (use additional paragraphs if additional units are needed)
A. 1. Unit Type and Number Requested:_______________________________________
Special Equipment to be installed:____________________________________
2. Unit’s Scheduling Authority:__________________________________________
3. Test Location (OPAREA):_______________________________________________
4. Level of Support:_____________________________________________________
(not-to-interfere, concurrent, dedicated; DON GB, para 5.4.6)
5. a. Preferred Dates Start: ______ (DD-MMM-YY) End: ______ (DD-MMM-YY)
Start No Later Than: _____________ (DD-MMM-YY)
Complete No Later Than: __________ (DD-MMM-YY)
b. Number of Days on Station:______ Hours/Day:__________
c. For Aircraft: A/C Sorties:______ Hrs/Sortie:__________, and
Sorties/Day:______
d. Minimum Times between Sorties/Test Periods:________________________
6. Remarks: (See Notes)__________________________________________________
______________________________________________________________________
______________________________________________________________________
B. 1. Unit Type and Number Requested:_______________________________________
Special Equipment to be installed:____________________________________
2. Unit’s Scheduling Authority:__________________________________________
3. Test Location (OPAREA): ______________________________________________
4. Level of Support:_____________________________________________________
(not-to-interfere, concurrent, dedicated; DON GB, para 5.4.6)
5. a. Preferred Dates Start: ______ (DD-MMM-YY) End: ______ (DD-MMM-YY)
Start No Later Then: _____________ (DD-MMM-YY)
Complete No Later Then: __________ (DD-MMM-YY)
b. Number of Days on Station:______ Hours/Day:__________
c. For Aircraft: A/C Sorties:______ Hrs/Sortie:__________
Sorties/Day:______
d. Minimum Times between Sorties/Test Periods:________________________
6. Remarks: (See Notes)__________________________________________________
______________________________________________________________________
______________________________________________________________________
C. 1. Unit Type and Number Requested:_______________________________________
Special Equipment to be installed:____________________________________
2. Unit’s Scheduling Authority:__________________________________________
3. Test Location (OPAREA):_______________________________________________
4. Level of Support:_____________________________________________________
(not-to-interfere, concurrent, dedicated; DON GB, para 5.4.6)
5. a. Preferred Dates Start: ______ (DD-MMM-YY) End: ______ (DD-MMM-YY)
Start No Later Than: _____________ (DD-MMM-YY)
Complete No Later Than: __________ (DD-MMM-YY)
b. Number of Days on Station:______ Hours/Day:__________
c. For Aircraft: A/C Sorties:______ Hrs/Sortie:__________ , and
Sorties/Day:______
d. Minimum Times between Sorties/Test Periods:________________________
6. Remarks: (See Notes)__________________________________________________
______________________________________________________________________
______________________________________________________________________
(Name; Command; email; Voice and Fax Phone Numbers, DSN and Commercial)
POC:
OTD:
DT&E
Coord:
OTC:
Program Sponsor:
NOTES:
Requests should be as general as possible to allow the schedulers flexibility.
Include a list of ships that have the correct equipment configuration installed to support the tests.
Designate unique fleet personnel support requirements (e.g.: SEAL Teams, ULQ13 Van/Crew).
Service request remarks: State time required to install and remove equipment and by whom. Address the following questions:
Can it be installed pierside (drydock/SRA/ROH)?
Has equipment installation been approved? By whom?
Will installation affect unit operation or other equipment onboard?
Is any crew training required?
How many riders are required to embark (keep to a minimum)?
If more than one unit is required, state which units must work together and the minimum concurrent time.
Address impact on program if services are not filled such as:
Loss of programmed monies (specify amount).
Increased cost due to delay (specify amount).
Impact on related joint programs or operations.
Congressional and or/OSD interest or direction.
Unique factors:
Deployment schedule of test asset.
Overhaul schedule.
“One-of-a-kind” underway events required for testing.
f. Delay in projected production and cost to Navy.
Annex 5-C
Test and Evaluation Identification Number Request Format
3960
Ser
(DATE)
From: (Program Office)
To: Chief of Naval Operations (N912)
Via: (Sponsor)
Subj: REQUEST FOR TEST AND EVALUATION IDENTIFICATION NUMBER
(TEIN) ASSIGNMENT FOR (PROGRAM NAME)
Ref: (a) SECNAVINST 5000.2C
(b) Initial Capabilities Document for (Program Name) of
(Approved Date)
1. In accordance with reference (a), request a Test and Evaluation Identification Number (TEIN) be assigned to the (Program Name), (Program Element Number; Project Number).
(Add 2-3 sentences describing purpose of program) This ACAT (ACAT level) program is being developed to meet the requirements of reference (b).
2. Points of contact are:
Responsibility Name Code Telephone
Program Manager (Program Manager)
Requirements (OPNAV Sponsor)
Officer
T&E Coordinator (N912 point of contact)
3. Milestone Status: (indicate dates milestones were achieved and planned dates for future milestones)
(Program Manager Signature)
Copy to:
COMOPTEVFOR (01B6)
(Additional Office codes if necessary)
Annex 5-D
Notional Schedule of Test Phases in the Acquisition Model
EOA OA IOT&E FOT&E
Early Operational Initial Operational Follow-on
Operational Assessments Test & Evaluation Operational Test,
Assessments Combined DT/OT Combined DT/OT VCD
Operational Test
(OPEVAL)
Annex 5-E
Navy Certification of Readiness for OT Message Content
The message certifying a system's readiness for OT&E should contain the following information:
1. Name of the system
2. OT‑[phase]
3. TEMP [number]
4. TEMP approval date
5. For software testing, identify the specific release to be tested.
6. Waivers (identify criteria in SECNAVINST 5000.2C to be waived, if any; if none, state "none"). (SECNAVINST 5000.2C should be Ref A of the certification message)
7. State projected limitations that waived criteria will place on upcoming operational testing.
8. Deferrals (identify deferrals from a testing requirement directed in the TEMP; if none, state "none".). (The TEMP should be Ref B of the certification message)
9. State projected limitations that waived TEMP requirement will place on upcoming operational testing.
10. State potential waiver impact on fleet use.
11. State when waived requirement will be available for subsequent operational testing.
12. Additional remarks.
A format for the Navy Certification of Readiness for Operational Test and Evaluation message is provided on the following page.
Navy Developing Activity Certification Message Format
FM [Developing Activity (DA)]
TO CNO WASHINGTON DC//N091//
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