1.04_M363_26NB015 CDRLs V3.1pdf-REDACTED.pdf

A. CONTRACT LINE ITEM NO.

D. SYSTEM/ITEM

Impulse, Cartridge

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

B. EXHIBIT C. CATEGORY:

A □ TOP □ TM IRI OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

N00104-26-N-B015

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

MGMT

NIA

AOOl Obsolescence Ale1t Notice Obsolescence Ale1t Notice

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81941

5. CONTRACT REFERENCE

See Block 16

6. REQUIRING OFFICE

NSWCIHD,JP

7. DD 250 REQ

DD

9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

8.APP CODE

NIA

16. REMARKS

REQUIRED

See Block 16

See Block 16 11.AS OFDATE

NIA

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Block 5. Contract Reference SECTION C - Section C - Description and Specifications, paragraph 3.

1-- -- - - - -��- - - - ---t b.COPIES

a. ADDRESSEE Final Draft 1---

---1

Reg Repro

See Block 16 0 0

Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only 1----------1---+---+----

(Proprietary Infom1ation) (Date of Detennination*). Other requests shall be refen·ed to

Commanding Officer or Technical Director, NSWC Indian Head Division.

*NOTE: Date of determination is defined as the date of contract award.

WARNING - This document contains technical data whose expo,t is restricted by the Arms

Expo,t Control Act (Section 2751 of Title 22, United States Code) or the Expo,t Control

Refom1 Act of 2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code).

Violations of these export laws are subject to severe criminal penalties. Disseminate .in accordance with provisions of DoD Directive 5230.25 and DoD Instmction 2040.02.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstmction of the document.

Note: The destmction notice shall be placed on each page of the document. Destmction of any documents shall only occur after following the requirements of SECTION H -

MAINTENANCE OF DATA of the contract.

Block 10. To be submitted no more than one submission under contract per unique, affected subject part number(s).

Blocks 12 and 13 - Due within 60 days of discovery. No submission required if no new discoveries have occtm·ed.

Block 14. Distribution Addresses:

N00174

CAD/PAD Jo.int Program Office

NSWCIHD

Attn: Code JP via E21 *

*See Section H - Administrative Points of Contact, paragraph 2 for email distribution.

Cognizant DCMA (Indicated .in Block 6 of SF26)

I. APPROVED BY

15.TOTAL

(E26 DMS)

0 0

17. PRICE GROUP

NIA

18. ESTIMATED

TOTAL PRICE

NSP

DD FORM 1423, FEB 2024 UNCLASSIFIED

PREVIOUS EDITION MAY BE USED.

D. SYSTEM/ITEM

Impulse, Cartridge

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

B. EXHIBIT C. CATEGORY:

A □ TOP □ TM IRI OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

N00104-26-N-B015

1. DATA ITEM NO. 2. illLE OF DATA ITEM 3. SUBTITLE A002 Failme Summary and Analysis Repo1t

SESS

NIA

LATFAR

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80255B

5. CONTRACT REFERENCE

See Block 16

6. REQUIRING OFFICE

NSWC IHD, E21

9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION7. DD 250 REQ

LT

REQUIRED

See Block 16 1-- -- - - - -��- - - - ---t

8.APP CODE

NIA

16. REMARKS

See Block 16 11.AS OFDATE

NIA

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Block 5. Contract Reference Section E - Production Lot Test Samples (NSWC !HD), paragraph 9c.

b.COPIES

a. ADDRESSEE Final Draft 1---

---1

Reg Repro

See Block 16 0 0

Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD Components only 1----------1---+----+----

(Test and Evaluation) (Date ofDetel'lllination•). Other requests shall be referred to

Commanding Officer or Technical Director, NSWC Indian Head Division.

"'NOTE: Date of detel'lllination is defined as the date of contract award.

WARNING - This document contains technical data whose expo,t is restricted by the Arms

Expo,t Control Act (Section 2751 of Title 22, United States Code) or the Expo,t Control

Refom1 Act of2018 (Chapter 58 Sections 4801-4852 of Title 50, United States Code).

Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions ofDoD Directive 5230.25 and DoD Instmction 2040.02.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstmction of the document.

Note: The destmction notice shall be placed on each page of the document. Destmction of any documents shall only occur after following the requirements of SECTION H -

MAINTENANCE OF DATA of the contract.

Block 10. Frequency- Is detel'lllined by the number of Lot Acceptance Test (LAT) or First

Aiticle failures.

Blocks 12. Date of first submission - Ai1 preliniinary repo,t is due no later than 15 days after notification of lot failure. A final report is due 30 days after notification oflot faihu·e.

Block 13 - Date of Subsequent Submission- NL T 15 days after failure analysis completion of second failed lot and beyond.

Block 14. Distribution Addresses:

N00174

CAD/PAD Joint Program Office

NSWC IHD

Attn: Code JP via E21"'

•see Section H - Administrative Points of Contact, paragraph 2 for email distribution.

Cognizant DCMA (Indicated in Block 6 of SF26)

G. PREPARED BY H. SIGNATURE I. APPROVED BY

15.TOTAL

(E26 DMS)

0 0

17. PRICE GROUP

NIA

18. ESTIMATED

TOTAL PRICE

NSP

DD FORM 1423, FEB 2024 UNCLASSIFIED

D. SYSTEM/ITEM

Impulse, Cartridge

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

B. EXHIBIT C. CATEGORY:

A □ TOP □ TM IRI OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

N00104-26-N-B015

QCIC

NIA

1. DATA ITEM NO. 2. illLE OF DATA ITEM 3. SUBTITLE A003

4. AUTHORITY (Data Acquisition Document No.)

DI-QCIC-80553A

7. DD 250 REQ 9. DIST STATEMENT

LT

REQUIRED

Acceptance Test Plan

5. CONTRACT REFERENCE

See Block 16

Radiographic Test Technique (RTT)

6. REQUIRING OFFICE

NSWC IHD, E21

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

See Block 16 See Block 16 b.COPIES

8.APP CODE See Block 16 11.AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

NIA NIA

SUBMISSION

See Block 16

16. REMARKS

Block 5. Contract Reference Section E - CAD/PAD Inspection and Acceptance, paragraph Sa for x-rays.

See Block 16

Draft Reg Repro

0 1 0

Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only 1----------1---+----+----

(Test & Evaluation) (Date of Determination•). Other requests shall be referred to

Commanding Officer or Technical Director, NSWC Indian Head Division.

•NOTE: Date of determination is defined as the date of contract award.

WARNING - This document contains technical data whose expo,t is restricted by the Arms

Expo,t Control Act (Section 2751 of Title 22, United States Code) or the Expo,t Control

Refom1 Act of2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these expo1t laws are subject to severe criminal penalties. Disseminate in accordance with the provisions ofDoD Directive 5230.25.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Note: The destruction notice shall be placed on each page of the document. Destruction of any document shall only occur after following the requirements of SECTION H -

MAINTENANCE OF DATA of the contract.

Block 10. Once per contract per line item being procured.

Blocks 12 & 13. Shall be submitted 45 days prior to submission of first article test (FAT) or lot 1----------1---+----+----acceptance test (LAT) samples.

Block 14. Distribution Addresses:

N00174

CADIP AD Department

NSWC IHD

Attn: Code E21 •

•see Section H - Administrative Points of Contact, paragraph 2 for email distribution

Cognizant DCMA (Indicated in Block 6 of SF26)

15.TOTAL

I. APPROVED BY

(E26 DMS)

0 0

17. PRICE GROUP

NIA

18. ESTIMATED

TOTAL PRICE

NSP

DD FORM 1423, FEB 2024 UNCLASSIFIED

D. SYSTEM/ITEM

Impulse, Cartridge

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

B. EXHIBIT C. CATEGORY:

A □ TOP □ TM IRI OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

N00104-26-NB015

NDTI

NIA

1. DATA ITEM NO. 2. illLE OF DATA ITEM 3. SUBTITLE A004

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

7. DD 250 REQ 9. DIST STATEMENT

DD

REQUIRED

Test/Inspection Repo1t

5. CONTRACT REFERENCE

See Block 16

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

See Block 16 See Block 16

Radiographic Report and Film

6. REQUIRING OFFICE

NSWC IHD, E21

14. DISTRIBUTION

b.COPIES

8.APP CODE See Block 16 11.AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final

NIA NIA

SUBMISSION Draft

See Block 16 Reg Repro

16. REMARKS See Block 16 0 1 0

Block 5. Contract Reference Section E - CAD/PAD Inspection and Acceptance, paragraph 16.

Note: Digital x-rays shall be submitted via CD fom1at.

Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only 1----------1--+---+---t (Test & Evaluation) (Date ofDetemiination•). Other requests shall be referred to Commanding Officer or Technical Director, NSWC Indian Head Division.

•NOTE: Date of detemiination is defined as the date of contract award.

WARNING - This document contains technical data whose expo,t is restricted by the Amis Expo,t Control Act (Section 2751 of Title 22, United States Code) or the Expo,t Control

Refom1 Act of2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these expo1t laws are subject to severe criminal penalties. Disseminate in accordance with the provisions ofDoD Directive 5230.25.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Note: The destruction notice shall be placed on each page of the document with the exception of the radiographs (x-ray or n-ray). Destmction of any document shall only occur after following the requirements of SECTION H - MAINTENANCE OF DATA of the contract.

Block 10. Frequency - One repo,t for each production or first article lot that is produced.

Blocks 12 & 13. Due 20 days prior to submission of lot acceptance (LAT) samples or first a,ticle test (FAT) samples, for NSWC !HD testing, or 20 days prior to LAT, for contractor testing, for every lot on the contract.

Block 14. Distribution Addresses:

N00174 CADIP AD Department

NSWC IHD

Attn: Code E21 •

•see Section H - Administrative Points of Contact, paragraph 2 for email distribution

Cognizant DCMA (Indicated in Block 6 of SF26)

I. APPROVED BY

15.TOTAL

(E26 DMS)

0 0

17. PRICE GROUP

NIA

18. ESTIMATED

TOTAL PRICE

NSP

DD FORM 1423, FEB 2024 UNCLASSIFIED

D. SYSTEM/ITEM

Impulse, Cartridge

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

B. EXHIBIT C. CATEGORY:

A □ TOP □ TM IRI OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

N00104-26-N-B015

1. DATA ITEM NO. 2. illLE OF DATA ITEM 3. SUBTITLE AOOS Failme Summary and Analysis Repo1t

SESS

NIA

FAT FAR

4. AUTHORITY (Data Acquisition Document No.)

DI-SESS-80255B

5. CONTRACT REFERENCE

See Block 16

6. REQUIRING OFFICE

NSWCIHD, E21

9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION 7. DD 250 REQ

LT

REQUIRED

See Block 16 f-- -- - - - - -�- - - - - ----1

8.APP CODE

NIA

16. REMARKS

See Block 16 11.AS OFDATE

NIA

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Block 5. Contract Reference SECTION E- CAD/PAD INSPECTION AND ACCEPTANCE paragraph

22.

Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD Components only (Test and

Evaluation) (Date of Determination*). Other requests shall be referred to Commanding Officer or

Technical Director, NSWC Indian Head Division.

*NOTE: Date of determination is defined as the date of contract award.

WARNING - This document contains technical data whose export is restricted by the Arms

Export Control Act (Section 2751 of Title 22, United States Code) or the Export Control

Reform Act of20!8 (Chapter 58 Sections 4801-4852 of Title 50, United States Code).

Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions ofDoD Directive 5230.25 and DoD Instruction 2040.02.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Note: The destruction notice shall be placed on each page of the document. Destruction of any documents shall only occur after following the requirements of SECTION H -

MAINTENANCE OF DATA of the contract.

Block 10. Frequency- Is determined by the number of Lot Acceptance Test (LAT) or First

Article failures.

Blocks 12. Date of fa-st submission - An preliminary report is due no later than 15 days after notification of lot failure. A final report is due 30 days after notification of lot failure.

Block 13 - Date of Subsequent Submission- NL T 15 days after failure analysis completion of second failed lot and beyond.

Block 14. Distribution Addresses:

N00!74

CAD/PAD Department

NSWCIHD

Attn: Code E21 *

N00!04

Commander

NAVSUP Weapons Systems Support

Attn: Code N772*

*See Section H - Administrative Points of Contact, paragraphs I and 2 for email distribution.

Cognizant DCMA (Indicated in Block 6 of SF26)

I. APPROVED BY

a. ADDRESSEE

See Block 16

15.TOTAL

(E26 DMS)

b.COPIES

Final Draft 1---�----1

Reg Repro

0 0

0 0

17. PRICE GROUP

NIA

18. ESTIMATED

TOTAL PRICE

NSP

DD FORM 1423, FEB 2024 UNCLASSIFIED

D. SYSTEM/ITEM

Impulse, Cartridge

UNCLASSIFIED

CONTRACT DATA REQUIREMENTS LIST

B. EXHIBIT C. CATEGORY:

A □ TOP □ TM IRI OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

N00104-26-N-B015

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

MISC

NIA

A006 Ammunition Data Card FAT/LAT ADC

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80043B

5. CONTRACT REFERENCE

See Block 16

6. REQUIRING OFFICE

NSWC IHD, E21

7. DD 250 REQ

SD

9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

8.APP CODE

NIA

16. REMARKS

REQUIRED

See Block 16

See Block 16 11.AS OFDATE

NIA

See Block 16

13. DATE OF SUBSEQUENT

SUBMISSION

See Block 16

Block 5. Contract Reference Section E - CAD/PAD Ammunition Data Cards (ADC) and

Material Inspection and Receiving Repo1t, paragraph 1.

1-- -- - - - -��- - - - ---t b.COPIES

a. ADDRESSEE Final Draft

1---

---1

Reg Repro

See Block 16 0 0

Block 9. DISTRIBUTION STATEMENT E. Distribution authorized to DoD components only 1----------1---+----+----

(CTI) (Date of Determination•). Other requests shall be referred to Co=ding Officer or

Technical Director, NSWC Indian Head Division.

*NOTE: Date of determination is defined as the date of contract award.

WARNING - This document contains technical data whose expo,t is restricted by the Arms

Expo,t Control Act (Section 2751 of Title 22, United States Code) or the Expo,t Control

Refom1 Act of2018 (Chapter 58 Sections 4801 et seq.), as amended. Violations of these expo1t laws are subject to severe criminal penalties. Disseminate in accordance with the provisions ofDoD Directive 5230.25.

DESTRUCTION NOTICE. Destroy by any method that will prevent disclosure of contents or reconstruction of the document.

Note: The destruction notice shall be placed on each page of the document. Destruction of any document shall only occur after following the requirements of SECTION H -

MAINTENANCE OF DATA of the contract.

Block 10. Once for each production and/or first article lot on the contract.

Blocks 12 & 13. A provisionally accepted (PA-status) ADC is due 20 days prior to submission 1----------1---+----+----oflot acceptance test (LAT) samples or first a,ticle test (FAT) samples, for NSWC !HD testing, or 20 days prior of LAT/FAT, for contractor testing, for each and eve,y lot on the contract.

Block 14. Distribution Addresses:

N00174

CADIP AD Department

NSWC IHD

Attn: Code E21 *

*See Section H - Administrative Points of Contact, paragraph 2 for email distribution

Cognizant DCMA (Indicated in Block 6 of SF26)

I. APPROVED BY

15.TOTAL

(E26 DMS)

0 0

17. PRICE GROUP

NIA

18. ESTIMATED

TOTAL PRICE

NSP

DD FORM 1423, FEB 2024 UNCLASSIFIED