10290155-27948-DD1423-2 DEFECT REMOVAL AUTHORIZATION-CRITERIA CDRL DI-MISC-80678 (PRE-DELVIERABLE) 02-27-2020 10290155.doc

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.

0002AB

B. EXHIBIT

B

C. CATEGORY:

TDP

TM _______ OTHER MISC

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

DEFECT REMOVAL AUTHORIZATION

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

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16*

14.

DISTRIBUTION

8. APP CODE

A*

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

16. REMARKS

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 7.2, 10.4, 10.5 - Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 2/9/2021. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Defect Removal Authorization unless acceptable Defect Removal Criteria is provided.

Block 12 - 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

CERTIFICATION/DATA REPORT

3. SUBTITLE

DEFECT REMOVAL CRITERIA

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

D

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

SEE BLOCK 16

14.

DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT SUBMISSION

N/A

a. ADDRESSEE

Final

16. REMARKS

Block 4: Tailored to allow the vendor to only provide: 10.1, 10.2, 7.2, 10.4, 10.5 - Provide actual values IAW procurement specification. Ensure certs provided are traceable to material via unique markings, Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only. Administration and operations only, effective 2/9/2021. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Defect Removal Criteria unless Defect Removal Authorization is provided.

Block 12 - 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 no.: 10290155

G. PREPARED BY

Jessica Ray

H. DATE

2/9/2021

I. APPROVED BY

/S/ Frank Gilger

J. DATE

2/9/2021

PRICE GROUP

ESTIMATED TOTAL PRICE

PRICE GROUP

ESTIMATED TOTAL PRICE