00533850 CDRLS.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 thus burden estimate or any other aspect of this collection o f 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 the ContracUPR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TCP TM OTHER

TMSS

D. SYSTEMIITEM E. CONTRACT/PR NO. F. CONTRACTOR

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

EQUIPMENT TECHNICAL MANUAL (SANITIZED)

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

DI-TMSS-81675 PER CONTRACT PURCHASING ACTIVITY

7 OD 2SOREQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION

REQUIRED

DD ONE/R SEE BLOCK 16

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

SUBMISSION

N/A NIA N/A

16. REMARKS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 2/27/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 - Certificatfon/Data Report documentation shall be attached in the Wide Area Worldlow (YJAWF) e-Buslness Suite.

Upon submission in WAWF send email notifications to:

PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding materia1 and will not be accomplished prior to shipment of material.

Document No.: 0053-3850

G. PREPARED BY H.DATE I. APPROVED BY

/sl Derek Dunlap 2/27/2020 /s/ Malvin Dolnog

DD FORM 1423-1, JUN 90 (EG)

14. DISTRIBUTION

a. ADDRESSEE

N4523A

15. Total

Page b.COPIES

DRAFT FINAi.

Reg Rep, 0 1

J. DATE

2/27/2020 of 2

1 0

Pages

11. r,t111;:1

GIIIOUP

1LIU11MAn:D

TOTAL.PMCI!

0002AA A

A001

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 thus burden estimate or any other aspect of this collection o f 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 comoleted form to the Government lssuinq Contractino Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TOP TM OTHER

SESS

D. SYSTEMIITEM E. CONTRACT/PR NO. F. CONTRACTOR

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

WARRANTY PERFORMANCE REPORT WARRANTY DOCUMENTATION

4. AUTHORITY (Data Acqu/5/lion Document No.) 5. CONTRACT REFERENCE &. REQUIRING OFFICE

DI-SESS-81639A PER CONTRACT PURCHASING ACTIVITY

7 DD250 REQ 9. DIST STATEMENT 10 FREQUENCY 12 DATE OF FIRST SUBMISSION 14, DISTRIBUTION

REQUIRED

DD ONEIR SEE BLOCK 16 b COPIES

8. Af'P CODE D 11 AS OF DATE 13 DATE OF SUBSEQUENT a. ADDRESSEE DRA" FINAi.

SUBMISSION

NIA N/A NIA Rev Ropr

16 REMARKS

Block 4 • Tailored to allow vendor to provide only 3.1.1 (a, c, d, e), 3.1.2 (a, b, c, d, e, f, g, h, j, k, I, m).

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 2/27/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12 • Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) a-Business Suite.

Upon submission in WAWF send email notifications to:

PSNS.WAWFQACertifications FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Document No.: 0053-3850

G. PREPARED BY H.DATE I. APPROVED BY

Is/ Derek Dunlap 2/27/2020 Isl Malvin Dolnog

DD FORM 1423-1, JUN 90 (EG)

N4523A l5 TOIII

Page

0 1

J.DATE

2/27/2020 of 2

1 D

Pages

0. '1111;:I

GIIIOUP

11.UTlMATlD TOTALPftlCI

0002AB B

B001