01129609-01149-0112-9609 DD1423-2 RADIOGRAPHY (RT) Test Procedure (Pre-Deliverable) CDRL DI-MISC-80678 2-27-2020.doc
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CONTRACT DATA REQUIREMENTS LIST
(2 Data Items) Form Approved
OMB No. 0704-0188
The public reporting burden for this collection of information is estimated to average 220 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 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.
0002AJ
B. EXHIBIT
J
C. CATEGORY
TDP ______ TM ________ OTHER___NDTI/MISC_________
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
1. DATA ITEM NO.
J001
2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHY (RT) Test Procedures REPORT
4. AUTHORITY (Data Acquisition Document No.)
DI-NDTI-80603A
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT REQUIRED
D
D
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
15DAC
14.
DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
| D |
| 11. AS OF DATE |
N/A
13. DATE OF SUBSEQUENT SUBMISSION
SEE BLOCK 16
| Draft |
| Final |
| N?AReg |
| Repro |
16. REMARKS
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 4/22/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 10 - Submit Test Procedure Report unless proof of prior acceptance by NAVSEA Activity prior to performance of any test.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to: ddpw_wawf_group.fct@navy.mil
| N4523A |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 1 |
| 0 |
1. DATA ITEM NO
J002.
2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHY (RT) TEST PROCEDUREs REPORT PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
PER CONTRACT
6. REQUIRING OFFICE
PURCHASING ACTIVITY
7. DD 250 REQ
DD
9. DIST STATEMENT REQUIRED
10. FREQUENCY
ASREQ
12. DATE OF FIRST SUBMISSION
07DAC
14.
DISTRIBUTION
| a. ADDRESSEE |
| b. COPIES |
8. APP CODE
N/A
| D |
| 11. AS OF DATE |
N/A
13. DATE OF SUBSEQUENT SUBMISSION
N/A
| Draft |
| Final |
| Reg |
| Repro |
16. REMARKS
Block 4 - Tailored to allow vendor to provide only 10.2.4.
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 4/22/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Test Procedure Report prior to performance of any test.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any test.
Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to: ddpw_wawf_group.fct@navy.mil Document number: 0112-9609
| N4523A |
| 0 |
| 1 |
| 0 |
| 15. TOTAL |
| 0 |
| 1 |
| 0 |
G. PREPARED BY
/S/Mann, Kevin
H. DATE
4/22/2020
I. APPROVED BY
/S/Gilger, Frank R.
J. DATE
4/22/2020
PRICE GROUP
ESTIMATED TOTAL PRICE
PRICE GROUP
ESTIMATED TOTAL PRICE
N/A
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