0118-9626 CDRLS.pdf
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| 0118-9626 ORDERING DATA.doc | DOC document | |
| 20-Q-2064.pdf |
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CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) OMB 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 Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
MISC
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
CERTIFICATION/DATA REPORT CHEMICAL AND MECHANICAL
(PHYSICAL) PROPERTIES
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests must be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. 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.: 0118-9627
15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ Mize, Jordan E. 5/13/2020 /s/ Gilger, Frank R. 5/13/2020
DD FORM 1423-1, JUN 90 (EG)
0002AA A
A001
DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page _1___ of __1__ Pages
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, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t ion, inc luding s ug ge s t io ns f or re d uc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (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 i t 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. B. EXHIBIT C. CATEGORY
TDP ______ TM ________ OTHER___MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHIC SHOOTING SKETCHES (RSS)
4. AUTHORITY (Data Acquis ition Document No.)
DI-MISC-80678 (RSS)
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
N/A Draft Final
Reg Repro
16. REMARKS
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 10 - Submit Radiographic Shooting Sketches report unless proof of prior acceptance by NAVSEA Activity.
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. 2. TITLE OF DATA ITEM
TEST/INSPECTION REPORT
3. SUBTITLE
RADIOGRAPHIC SHOOTING SKETCHES (RSS)
PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquis ition Document No.)
DI-MISC-80678 (RSS)
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 5/13/2020. 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 Radiographic Shooting Sketches
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: 0118-9638
N4523A 0 1 0
0 1 0
15. TOTAL
0 1 0
G. PREPARED BY
/S/ Mize, Jordan E.
H. DATE
5/13/2020
I. APPROVED BY
/S/ Gilger, Frank R.
J. DATE
5/13/2020
17. PRI
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GR
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19. E
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0002AB B
B001 mailto:ddpw_wawf_group.fct@navy.mil
(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, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t ion, inc luding s ug ge s t io ns f or re d uc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (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 i t 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. B. EXHIBIT C. CATEGORY
TDP ______ TM ________ OTHER___NDTI/MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
LIQUID PENETRANT (PT) TEST PROCEDURES
REPORT
4. AUTHORITY (Data Acquis ition 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
Reg Repro
16. REMARKS
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. 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. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
LIQUID PENETRANT (PT) TEST PROCEDURES
REPORT PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquis ition 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
SEE BLOCK 16
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 5/13/2020. 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: 0118-9628
0 1 0
G. PREPARED BY
/S/ Mize, Jordan E.
H. DATE
13-May-20
5/13/2020
I. APPROVED BY
/S/Gilger, Frank R.
J. DATE
13-May-20
5/13/2020
17. PRI
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GR
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19. E
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17. PRI
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N/
A
0002AC
C
C001
(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, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t ion, inc luding s ug ge s t io ns f or re d uc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (0704- 0188). Respondents should be aware that notwithstanding any other provis ion of law, no person shall be subject to any penalty for failing to comply with a collection of information if i t 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. B. EXHIBIT C. CATEGORY
TDP ______ TM ________ OTHER___MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
LIQUID PENETRANT (PT) PERSONNEL
QUALIFICATIONS REPORT
4. AUTHORITY (Data Acquis ition Document No.)
DI-MISC-80678
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
N/A Draft Final
Reg Repro
16. REMARKS
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 4 – Tailored to allow vendor to provide only 10.2.2.
Block 10 - Submit Personnel Qualifications 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. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
LIQUID PENETRANT (PT) PERSONNEL
QUALIFICATIONS PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquis ition 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 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 4 - Tailored to allow vendor to provide only 10.2.4.
Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Personnel Qualifications 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: 0118-9629
16. TOTAL 0 1 0
G. PREPARED BY
/S/ Mize, Jordan E.
H. DATE
5/13/2020
I. APPROVED BY
/S/Gilger, Frank R.
J. DATE
5/13/2020
17. PRI
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GR
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19. E
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17. PRI
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E
0002AD D
D001
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 Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
NDTI
X
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
TEST/INSPECTION REPORT LIQUID PENETRANT (PT) TEST
REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. 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.: 0118-9630
15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ Mize, Jordan E. 5/13/2020 /s/ Gilger, Frank R. 5/13/2020
DD FORM 1423-1, JUN 90 (EG) Page 1 of 1 Pages
0002AE E
E001
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 Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
MISC
X
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
CERTIFICATION/DATA REPORT WELDABILITY CERTIFICATION
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-MISC-80678 PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
DD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 10.2.1, 10.3, 10.3.1-Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, 10.5.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area
Workflow (WAWF) e-Business Suite. 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.: 0118-9631
15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ Mize, Jordan E. 5/13/2020 /s/ Gilger, Frank R. 5/13/2020
DD FORM 1423-1, JUN 90 (EG) Page 1 of 1 Pages
0002AF F
F001
(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, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t ion, inc luding s ug ge s t io ns f or re d uc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (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 i t 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. B. EXHIBIT C. CATEGORY
TDP ______ TM ________ OTHER___MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
WELDING PERSONNEL QUALIFICATIONS
REPORT
4. AUTHORITY (Data Acquis ition Document No.)
DI-MISC-80678
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
N/A Draft
Final
Reg Repro
16. REMARKS
Block 4 – Tailored to allow vendor to provide only 10.2.2.
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 10 - Submit Personnel Qualifications unless proof of prior acceptance by NAVSEA Activity prior to performance of any welding.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any welding.
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. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
WELDING PERSONNEL QUALIFICATIONS
PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquis ition 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 5/13/2020. 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
Personnel Qualifications Report prior to performance of any welding.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any welding.
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: 0118-9632
N4523A 0 1 0
15. TOTAL
0 1 0
G. PREPARED BY
/S/ Mize, Jordan E.
H. DATE
5/13/2020
I. APPROVED BY
/S/Gilger, Frank R.
J. DATE
5/13/2020
17. PRI
CE
GR
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19. E
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17. PRI
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E
0002AG
G
G001
(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, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t ion, inc luding s ug ge s t io ns f or re d uc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (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 i t 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. B. EXHIBIT C. CATEGORY
TDP ______ TM ________ OTHER___MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
WELDING PROCEDURE QUALIFICATION TEST REPORT
3. SUBTITLE
WELDING PROCEDURE
4. AUTHORITY (Data Acquis ition Document No.)
DI-MISC-80876
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
Reg Repro
16. REMARKS
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 10 - Submit Welding Procedure Qualification Test Report unless proof of prior acceptance by NAVSEA Activity.
Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of any welding.
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. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
WELDING PROCEDURE QUALIFICATION TEST
REPORT PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquis ition 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 5/13/2020. 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
Welding Procedure Qualification Test Report prior to performance of any welding.
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: 0118-9633
N4523A 0 1 0
15. TOTAL
0 1 0
G. PREPARED BY
/S/ Mize, Jordan E.
H. DATE
5/13/2020
I. APPROVED BY
/S/Gilger, Frank R.
J. DATE
5/13/2020
17. PRI
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N/ A
0002AH H
H001
(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, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t ion, inc luding s ug ge s t io ns f or re d uc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te
(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 i t 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. B. EXHIBIT C. CATEGORY
TDP ______ TM ________ OTHER___NDTI/MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
TEST/INSPECTION REPORT
3. SUBTITLE
WELD REPAIR CERTIFICATION
4. AUTHORITY (Data Acquis ition Document No.)
DI-NDTI-80809B
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
SEE BLOCK 16
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 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 10 – Submit documentation per DI-NDTI-80809B stating weld repairs performed.
Block 12 – Certification/Data Report documentation shall be attached in the Wide Area
Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
N4523A 0 1 0
15. TOTAL 0 1 0
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATE OF COMPLIANCE
3. SUBTITLE
WELD REPAIR CERTIFICATE OF COMPLIANCE
4. AUTHORITY (Data Acquis ition Document No.)
DI-MISC-81356A
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
SEE BLOCK 16 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 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 10 - Submit Weld Repair Certificate of Compliance when No Weld Repairs were required. Stating the fact that No Weld Repairs were required.
Block 12 – Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. 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.: 0118-9634
N4523A 0 1 0
15. TOTAL 0 1 0
G. PREPARED BY
/S/ Mize, Jordan E.
H. DATE
5/13/2020
I. APPROVED BY
/S/Gilger, Frank R.
J. DATE
5/13/2020
17. PRI
CE
GR
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19. E
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N/A
0002AJ J
J001
(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, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t ion, inc luding s ug ge s t io ns f or re d uc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (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 i t 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. B. EXHIBIT C. CATEGORY
TDP ______ TM ________ OTHER___NDTI/MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHY (RT) TEST PROCEDURES REPORT
4. AUTHORITY (Data Acquis ition 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 5/13/2020. 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. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHY (RT) TEST PROCEDURES
REPORT PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquis ition 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 5/13/2020. 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: 0118-9635
N4523A 0 1 0
15. TOTAL
0 1 0
G. PREPARED BY
/S/ Mize, Jordan E.
H. DATE
5/13/2020
I. APPROVED BY
/S/Gilger, Frank R.
J. DATE
5/13/2020
17. PRI
CE
GR
OU
P
19. E
S
T
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A
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17. PRI
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N/ A
0002AK K
K001
(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, inc luding the time for reviewing instructions, searching exis ting data sources, gather ing and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any o the r as pe c t of thi s co lle c t io n of i nf or ma t ion, inc luding s ug ge s t io ns f or re d uc ing the bur de n, to the D e par tme nt o f D efe nse , Exec ut i ve Ser v ic es D ir ec to ra te (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 i t 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. B. EXHIBIT C. CATEGORY
TDP ______ TM ________ OTHER___MISC_________
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHY TEST (RT) PERSONNEL
QUALIFICATIONS REPORT
4. AUTHORITY (Data Acquis ition Document No.)
DI-MISC-80678
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
N/A Draft
Final
Reg Repro
16. REMARKS
Block 4 – Tailored to allow vendor to provide only 10.2.2.
Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 10 - Submit Personnel Qualifications 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 material shipment
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. 2. TITLE OF DATA ITEM
CERTIFICATION/DATA REPORT
3. SUBTITLE
RADIOGRAPHY TEST (RT) PERSONNEL
QUALIFICATIONS PRIOR ACCEPTANCE
4. AUTHORITY (Data Acquis ition 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 5/13/2020. 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 Personnel Qualifications 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: 0118-9636
0 1 0
G. PREPARED BY
/S/ Mize, Jordan E.
H. DATE
5/13/2020
I. APPROVED BY
/S/Gilger, Frank R.
J. DATE
5/13/2020
17. PRI
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GR
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19. E
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17. PRI
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E
0002AL L
L001
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 Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
NDTI
X
D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE
GROUP
TEST/INSPECTION REPORT RADIOGRAPHY FILM AND TEST
REPORT
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED
TOTAL PRICE
DI-NDTI-80809B PER CONTRACT PURCHASING ACTIVITY
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
SD ONE/R SEE BLOCK 16 b. COPIES
8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE DRAFT FINAL
N/A N/A N/A Reg Repr o
16. REMARKS N4523A 0 1 0
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 5/13/2020. Other U.S. requests shall be referred to COMNAVSEASYSCOM.
Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.
Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. 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.: 0118-9637
15. Total 0 1 0
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
/s/ Mize, Jordan E. 5/13/2020 /s/ Gilger, Frank R. 5/13/2020
DD FORM 1423-1, JUN 90 (EG) Page 1 of 1 Pages
0002AM M
M001
| SEE BLOCK 16 |
| N4523A |
File details come from the government source that posted it. Updated .