PERSISTENT SURVEILLANCE SYSTEMS-TETHERED
LETTER OF REQUEST CHECKLIST
1
PSS-T FMS LOR Checklist
Rev: 08 June 2018
Aerostat Checklist:
a. Select Desired Procurement
i. FMS ____
Sole Source desired? Yes / No
If so, name of source: ____________________
ii. Pseudo FMS ____
iii. Lease ____
Term of Lease (60 months maximum): ___________ months
b. Desired materiel condition: New / Refurbished
c. Production Aerostat System
Note: Partner Nation peculiar system configuration requirements may necessitate a change to the
system Joint Electronics Type Designator (e.g., AN/DSY-X(V)X) and the National Stock
Number (NSN). The configurations listed below are for planning purposes only.
Nomenclature NSN Qty
AN/DSY-1(V)1 Surveillance System, Elevated Sensor 5895-01-627-0869 ___
AN/DSY-2(V)2 Surveillance System, Elevated Sensor 5895-01-654-3641 ___
Other: ______________________________________ ___
d. Desired Initial Operating Capability date (MM/YYYY): ______________
e. Locations requiring Aerostat systems:
______________________________ ______________________________
______________________________ ______________________________
______________________________ ______________________________
______________________________ ______________________________
______________________________ ______________________________
______________________________ ______________________________
f. Operations (Select one)
i. Contractor operated. Term: _______months
ii. Interim contractor operated transitioning to Partner Nation operated
iii. Partner Nation operated
PERSISTENT SURVEILLANCE SYSTEMS-TETHERED
LETTER OF REQUEST CHECKLIST
2
PSS-T FMS LOR Checklist
Rev: 08 June 2018
g. Supply Support
i. On-Site Spares Yes / No
ii. Off-Site Spares Yes / No
iii. Repair and Return? Yes / No
iv. Direct Exchange? Yes / No
h. Packaging, Handling, Storage, and Transportation (PHS&T)
i. Purchaser’s requested shipping address:
ii. Purchaser’s shipping code:
iii. Do you plan to ship through a freight forwarder? Yes / No
Freight forwarder address:
Freight forwarder code:
i. Maintenance Planning and Management
i. Field maintenance Yes / No
ii. Sustainment Level maintenance Yes / No
iii. Sustainment for how many months? _______________
j. System Capabilities
i. EO/IR Yes / No
ii. RADAR Yes / No
iii. Wide Area Motion Imagery Yes / No
iv. Communications Relay Yes / No
v. Acoustic Detection Yes / No
vi. Other Yes / No
Specify:________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
PERSISTENT SURVEILLANCE SYSTEMS-TETHERED
LETTER OF REQUEST CHECKLIST
3
PSS-T FMS LOR Checklist
Rev: 08 June 2018
vii. Connect to external network? Yes / No
viii. Processing, exploitation, dissemination software? Yes / No
k. Technical Data (Please specify):
Specify language: _______________________________
If English, specify English Comprehension Level (ECL): __________
i. Technical Manuals Yes / No
ii. Training Manuals Yes / No
iii. Maintenance Manuals Yes / No
iv. Other Yes / No
Specify:________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
l. Logistics Management Support Yes / No
m. Facilities and Infrastructure Support Yes / No
i. Generator Power Yes / No
ii. Shore Power Yes / No
iii. Other Yes / No
Specify:________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
n. Ground Support Equipment Yes / No
i. Forklift Yes / No
ii. Man Lift Yes / No
iii. Utility Vehicle Yes / No
iv. Other Yes / No
Specify:________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
PERSISTENT SURVEILLANCE SYSTEMS-TETHERED
LETTER OF REQUEST CHECKLIST
4
PSS-T FMS LOR Checklist
Rev: 08 June 2018
o. Training Support
i. Operator Training Yes / No
ii. Maintenance Training Yes / No
iii. Instructor Training Yes / No