01189639 CDRLS.pdf

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 5/8/2020. 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.: 0118-9640

15. Total 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

/s/ Mize, Jordan E. 5/8/2020 /s/ Gilger, Frank R. 5/8/2020

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 io n, i nc luding s ug ge s t io ns f or re duc 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 fai ling 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

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 5/8/2020. 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 5/8/2020. 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: 0118-9641

N4523A

0 1 0

15. TOTAL

0 1 0

G. PREPARED BY

/S/ Mize, Jordan E.

H. DATE

8-May-20

I. APPROVED BY

/S/Gilger, Frank R.

J. DATE

8-May-20

17. PRI

CE

GR

19. E S T I

17. PRI

CE

GR

19. E S T I

N/ A

0002AB B

B001

B002 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 io n, i nc luding s ug ge s t io ns f or re duc 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 fai ling 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

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 5/8/2020. 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 5/8/2020. 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: 0118-9642

N4523A

0 1 0

16. TOTAL 0 1 0

G. PREPARED BY

/S/ Mize, Jordan E.

H. DATE

5/8/2020

I. APPROVED BY

/S/Gilger, Frank R.

J. DATE

5/8/2020

17. PRI

CE

GR

19. E S T I

17. PRI

CE

GR

19. E S T I

0002AC C

C001

C002

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

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 5/8/2020. 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.: 0118-9643 15. Total 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

/s/ Mize, Jordan E. 5/8/2020 /s/ Gilger, Frank R. 5/8/2020

DD FORM 1423-1, JUN 90 (EG) Page 1 of 1 Pages

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

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 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 5/8/2020. 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.: 0118-9644 15. Total 0 1 0

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

/s/ Mize, Jordan E. 5/8/2020 /s/ Gilger, Frank R. 5/8/2020

DD FORM 1423-1, JUN 90 (EG) Page 1 of 1 Pages

0002AE E

E001

(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 io n, i nc luding s ug ge s t io ns f or re duc 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 fai ling 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

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 5/8/2020. 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 5/8/2020. 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: 0118-9645

N4523A 0 1 0

15. TOTAL 0 1 0

G. PREPARED BY

/S/ Mize, Jordan E.

H. DATE

5/8/2020

I. APPROVED BY

/S/Gilger, Frank R.

J. DATE

5/8/2020

17. PRI

CE

GR

19. E S T I

17. PRI

CE

GR

19. E S T I

0002AF

F

F001

F002

(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 io n, i nc luding s ug ge s t io ns f or re duc 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 fai ling 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

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 5/8/2020. 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 5/8/2020. 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: 0118-9646

N4523A 0 1 0

15. TOTAL 0 1 0

G. PREPARED BY

/S/ Mize, Jordan E.

H. DATE

5/8/2020

I. APPROVED BY

/S/Gilger, Frank R.

J. DATE

5/8/2020

17. PRI

CE

GR

19. E S T I

17. PRI

CE

GR

19. E S T I

N/ A

0002AG G

G001

G002

(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 io n, i nc luding s ug ge s t io ns f or re duc 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 fai ling 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

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 5/8/2020. 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 5/8/2020. 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.: 0118-9647

N4523A 0 1 0

15. TOTAL 0 1 0

G. PREPARED BY

/S/ Mize, Jordan E.

H. DATE

5/8/2020

I. APPROVED BY

/S/Gilger, Frank R.

J. DATE

5/8/2020

17. PRI

CE

GR

19. E S T I

17. PRI

CE

GR

19. E S T I

N/A

0002AH H

H001