3.01 DD1423 A001-A010.pdf
PDF 2 MB Posted
- Attached to
- Procurement of LHD Intermediate Shaft Federal contract opportunity
- Solicitation number
- N00104-20-R-FC30
About this file
This document is a Contract Data Requirements List (CDRL) specifying ten data items required under a contract. The contract involves procurement of an LHD intermediate shaft from a shipbuilder.
The CDRL requires the following data items: monthly status reports; an inspection system program and test plan; welding procedures and qualification test reports; radiographic shooting sketches for non-destructive testing; production radiography certifications; engineering change proposals; requests for waivers from specifications; certification data reports including non-destructive testing results for all propeller shafts except for LHD-1; a first article test plan; and a first article test report. Submittal dates, review periods, and distribution requirements are identified for each data item. The Navy is the requiring activity and the Defense Contract Management Agency will perform quality assurance functions.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 3.02 Amendment 0001.docx | DOCX document | |
| 3.01 N00104-20-R-FC30 v2.pdf | ||
| 3.01 Attach 2 - SBPCD .docx | DOCX document |
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Text version
DD FORM 1423-1, FEB 2001
CONTRACT DATA REQUIREMENTS LIST
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The 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 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 (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 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. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A001 CONTRACTOR’S PROGRESS, STATUS AND
MANAGEMENT REPORT
STATUS REPORT
DI-MGMT-80227 SEE SECTION C NSWCPD 423 (N64498)
LT
A B
MNTHLY
N/A
30DAC
N/A
DCMA ACO 0 1 0
DCMA CA 0 1 0
DCMA QAR 0 1 0
NAVSUP IM 0 1 0
NAVSUP PCO 0 1 0
NSWCPD 423 0 1 0
NSWCPD 427 0 1 0
0 6 0
BLOCK 4: IN LIEU OF THE PREPARATION REQUIREMENTS SPECIFIED IN
DI-MGMT-80227, UTILIZE THE FOLLOWING FORMAT. THE REPORT SHALL BE
PROVIDED ELECTRONICALLY IN MICROSOFT EXCEL, 2003 VERSION. THE
REPORT FORMAT AND INSTRUCTIONS ARE AVAILABLE ELECTRONICALLY
FROM NAVICP OR AT http://www.dcma.mil/npp/. THE STATUS REPORT SHALL BE
SUBMITTED ELECTRONICALLY VIA ELECTRONIC MAIL ON A MONTHLY
BASIS. THE REPORT SHALL CONTAIN STATUS BASED ON THE FIRST
WORKING DAY OF THE MONTH REPORTED. ITEMS SHIPPED SHALL REMAIN
ON THE REPORT FOR ONE ADDITIONAL MONTH AND THEN DELETED.
BLOCK 10: STATUS REPORT SHALL BE SUBMITTED MONTHLY BY THE FIFTH
WORKING DAY OF EACH MONTH BY ELECTRONIC MAIL.
BLOCK 12: THE FIRST SUBMISSION SHALL BE WITHIN 30 DAYS OF CONTRACT
AWARD.
BLOCK 13: SUBSEQUENT SUBMISSIONS SHALL BE SUBMITTED MONTHLY BY
THE FIFTH WORKING DAY OF EACH MONTH.
BLOCK 14: DISTRIBUTION SHALL BE MADE BY ELECTRONIC MAIL.
ADDRESSES FOR REPORT DISTRIBUTION SHALL BE OBTAINED FROM THE
CONTRACTING OFFICER.
Adobe Professional 8.0
(1 Data Item)
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
INSTRUCTIONS FOR COMPLETING DD FORM 1423
(See DoD 5010.12-M for detailed instructions.)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423-1 (BACK), FEB 2001
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The 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 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 (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 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. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A002 INSPECTION SYSTEM PROGRAM AND TEST PLAN
DI-QCIC-81110 SEE SECTION C NSWCPD 427 (N64498)
SS
A B
ONE/R
NA
60DAC
NA
DCMA QAR 1 1 0
NSWCPD 427 0 1 0
1 2 0
BLOCK 4: PLAN SHALL INCLUDE THE CONTRACTOR’S QUALITY SYSTEM
PROCEDURES THAT MEET THE REQUIREMENTS OF ASQ-9002.
ADDITIONALLY THE CONTRACTOR SHALL SUBMIT INSPECTION AND TEST
PROCEDURES FOR THE INSPECTION AND TESTING OF PROPULSION SHAFT
PLUG OR RING GAGES, OTHER INSPECTION FIXTURES OR TOOLS, JIGS AND
OTHER SHAFT RELATED ITEMS IN ACCORDANCE WITH CONTRACT
REQUIREMENTS.
BLOCK 8: APPROVAL WILL BE BASED ON COMPLIANCE WITH CONTRACT
SPECIFICATIONS. GOVERNMENT REQUIRES 45 DAYS REVIEW TIME.
BLOCK 12: DRAFT COPY SHALL BE SUBMITTED FOR GOVERNMENT REVIEW
NO LATER THAN 60 DAYS AFTER CONTRACT AWARD. FINAL APPROVAL
COPY INCORPORATING ANY GOVERNMENT REVIEW COMMENTS SHALL BE
SUBMITTED 30 DAYS AFTER RECEIPT OF GOVERNMENT REVIEW COMMENTS.
BLOCK 13: SUBSEQUENT SUBMISSION TO BE SUBMITTED WITHIN 30 DAYS
UPON DEVELOPMENT OR REVISION OF THE QUALITY SYSTEM MANUAL OR
INSPECTION AND TEST PROCEDURES OR AFTER NOTIFICATION BY THE
GOVERNMENT THAT A NEED FOR A REVISION IS REQUIRED.
THE CONTRACTOR SHALL PROVIDE DOCUMENTATION IN ADOBE ACROBAT,
VERSION 7.0 OR LATER.
DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING
DODAACS:
INSPECT BY : S4306A
SHIP TO: N64498
ACCEPT BY: S4306A
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The 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 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 (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 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. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A003 WELDING PROCEDURES AND QUALIFICATION TEST
REPORT
SEE SECTION C
DI-MISC-80876 NSWCPD 427 (N64498)
SS
A B
ONE/R
N/A
60DAC
N/A
DCMA QAR 1 1 0
0 0 0
BLOCK 4: SUBMIT COPIES OF ALL APPROVEDWELDING PROCEDURE
QUALIFICIATION TEST REPORTS OR ASSOCIATED APPROVAL LETTERS, AND
APPLICABLE QUALIFIED WELDING PROCEDURES NECESSARY TO PERFORM
PRODUCTION WELDING.
BLOCK 8: APPROVAL WILL BE BASED ON COMPLIANCE WITH CONTRACT
SPECIFICATIONS. GOVERNMENT REQUIRES 45 DAYS REVIEW TIME.
BLOCK 12: DRAFT COPY SHALL BE SUBMITTED FOR GOVERNMENT REVIEW
NO LATER THAN 60 DAYS AFTER BOA AWARD. FINAL APPROVAL COPY
INCORPORATING ANY GOVERNMENT REVIEW COMMENTS SHALL BE
SUBMITTED 30 DAYS AFTER RECEIPT OF GOVERNMENT REVIEW COMMENTS.
BLOCK 13: SUBSEQUENT SUBMISSION TO BE SUBMITTED WITHIN 30 DAYS
UPON DEVELOPMENT OR REVISION OF THE QUALITY SYSTEMMANUAL OR
INSPECTION AND TEST PROCEDURES OR AFTER NOTIFICATION BY THE
GOVERNMENT THAT A NEED FOR A REVISION IS REQUIRED.
THE CONTRACTOR SHALL PROVIDE DOCUMENTATION IN ADOBE ACROBAT,
VERSION 7.0 OR LATER IN WAWF.
DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING
DODAACS:
INSPECT BY : S4306A
SHIP TO: N64498
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The 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 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 (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 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. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A004 RADIOGRAPHIC SHOOTING SKETCHES (RSS)
DI-MISC-80678 SEE SECTION C NSWCPD (N64498)
LT
A B
ASREQ
N/A
ASREQ
N/A
DCMA QAR 0 1 0
NSWCPD 427 0 1 0
NSWCCC 611 0 1 0
NSWCPD 423 0 1 0
0 4 0
BLOCK 4: PARAGRAPHS 10.2.2, 10.2.3, 10.2.4, AND 10.3 OF DI-MISC-80678 DO
NOT APPLY.
THE CONTRACTOR SHALL SUBMIT PROOF OF GOVERNMENT APPROVED
RADIOGRAPHIC SHOOTING SKETCH (RSS), PROCEDURE, AND FILM.
RADIOGRAPHY SHALL BE IN ACCORDANCE WITH THE SAME TECHNIQUE
THAT WAS USED IN THE PREVIOUSLY APPROVED RSS AND FILM.
DEVIATIONS FROM A PREVIOUSLY APPROVED RSS, EXCEPT AS NOTED
BELOW, SHALL BE RESUBMITTED TO THE NAVSEA AUTHORIZED
REPRESTATIVE FOR APPROVAL.
. CHANGES IN SLEEVE WALL THICKNESS, AS LONG AS PENETRAMETER
REMAINS THE SAME AS APPROVED
. INNER OR OUTER DIAMETER CHANGES, AS LONG AS THE NUMBER OF
EXPOSURES USED AROUND THE CIRCUMFERENCE REMAINS THE SAME
AS APPROVED
. SOURCE TYPE; ANY SOURCE MAY BE SUBSTITUTED FOR THAT SHOWN
ON THE RSS PROVIDED THE MATERIAL THICKNESS VERSUS ENERGY
RANGES USED ARE CONSISTENT WITH THOSE RECOMMENDED BY
NAVSEA TECHNICAL PUBLICATION T9074-AS-GIB-010/271, FIGURES 1, 2,
AND 3. HOWEVER, IF THE APPROVED RSS ALLOWS 2-4T SENSITIVITY,
THIS QUALITY LEVEL DOES NOT APPLY TO THE SOURCE SUBSTITUTED IF
2-2T IS REQUIRED.
. SOURCE SIZE
. SOURCE STRENGTH (CURIES OR KV)
. SOURCE-TO-FILM DISTANCE
. PENETRAMETER OR BLOCK MATERIAL GROUP (ONLY LOWER GROUP
THAN APPROVED)
. PENETRAMETER SIZE (ONLY SMALLER THAN APPROVED)
. PENETRAMETER PLACEMENT (RELOCATING PENETRAMETERS FROM
THE PART TO A REPRESENTATIVE BLOCK OF EQUAL OR GREATER
THICKNESS, OR FROM A BLOCK TO THE PART)
. FILM SIZE, TYPE, AND QUANTITY
. TOTAL NUMBER OF EXPOSURES DUE TO LENGTH OF SHAFT SLEEVE
******(SEE CONTINUATION SHEET)**************************************
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
16. REMARKS (Continued)
DD FORM 1423-1, FEB 2001 Page of Pages
******(A004 CONTINUATION SHEET)**************************************
IF NO GOVERNMENT APPROVED RADIOGRAPHIC SHOOTING SKETCH AND PROCEDURE EXISTS OR IF DEVIATIONS OUTSIDE OF THOSE LISTED ABOVE ARE PRESENT, THE CONTRACTOR SHALL SUBMIT NEW SHOOTING SKETCH, PROCEDURES, AND FILM TO THE NAVSEA AUTHORIZED REPRESENTATIVE PRIOR TO FULL SLEEVE RADIOGRAPHY. CONTACT NAVSEA FOR RSS AND FILM
SHIPMENT ADDRESS.
BLOCK 12: RSS APPROVAL OR NEW RSS, PROCEDURES, AND FILM SHOULD BE SUBMITTED 45 DAYS PRIOR TO RADIOGRAPHY.
THE GOVERMENT REQUIRES 45 DAYS REVIEW PERIOD.
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The 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 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 (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 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. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A005 PRODUCTION RADIOGRAPHY
DI-MISC-80678 SEE SECTION C NSWCPD (N64498)
SS
A B
ASREQ
N/A
ASREQ
N/A
DCMA QAR 0 1 0
0 1 0
BLOCK 4: PARAGRAPHS 10.2.2, 10.2.3, 10.2.4, and 10.3 of
DI-MISC-80678 DO NOT APPLY.
AFTER RADIOGRAPHIC INSPECTION OF THE SLEEVE BUT PRIOR TO ITS
INSTALLATION, THE SLEEVE MANUFACTURER SHALL PROVIDE RT
CERFITICATION OF COMPLIANCE TO NAVSEA TECHNICAL PUBLICATION
T9074-AS-GIB-010/271 AND S9074-AR-GIB-010/278 TO THE CONTRACTOR. THE
SLEEVE VENDOR SHALL RETAIN RT DOCUMENTATION IN ACCORDANCE
WITH NAVSEA TECHNICAL PUBLICATION S9074-AR-GIB-010/278
REQUIREMENTS. THE CONTRACTOR SHALL SUBMIT THE RADIOGRAPHIC
SHOOTING SKETCH, PROCEDURE, FILM, AND ALL CORRESPONDING SUPPORT
DOCUMENTATION TO THE COGNIZANT DCMA QAR AT THE SLEEVE
MANUFACTURER'S FACILITY FOR VERIFICATION OF ACCOMPLISHMENT.
RADIOGRAPHY SHALL BE IN ACCORDANCE WITH THE SAME TECHNIQUE
THAT WAS USED IN THE APPROVED RSS AND FILM.
THE CONTRACTOR SHALL SUBMIT ALL RADIOGRAPHIC INSPECTION
CERTIFICATIONS.
BLOCK 12: THE CONTRACTOR SHALL SUBMIT RT CERTIFICATIONS WITHIN 15
DAYS OF RADIOGRAPHY. GOVERNMENT REQUIRES 45 DAYS TO REVIEW.
DOCUMENTS SHALL BE SUBMITTED IN WAWF UTILIZING THE FOLLOWING
DODAACS:
INSPECT BY: S4306A
SHIP TO: N64498
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The 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 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 (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 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. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A006 ENGINEERING CHANGE PROPOSAL (ECP)
DI-CMAN-80639B SEE SECTION C NSWCPD 427 (N64498)
LT
A A
ASREQ
N/A
ASREQ
N/A
DCMA QAR 1 1 0
NSWCPD 427 0 1 0
NSWCPD 423 0 1 0
NAVSUP PCO 0 1 0
0 0 0
BLOCK 4: FORMAT AND CONTENT SHALL BE IN ACCORDANCE WITH
MIL-STD-973 DATED 13 JANUARY 1995.
BLOCK 8: APPROVAL WILL BE BASED ON COMPLIANCE WITH MIL-STD-973
DATED 13 JANUARY 1995. GOVERNMENT REQUIRES 30 DAYS REVIEW TIME.
EXPS SHALL BE FORWARDED TO NSWCPD 427 FOR APPROVAL VIA DCMA
QUALITY ASSURANCE REPRESENTATIVE (QAR) FOR REVIEW OF THE
CLASSIFICATION OF THE ECP.
BLOCK 10: WHENEVER ENGINEERING CHANGES ARE REQUIRED.
BLOCK 12 AND 13: REQUESTS FOR ENGINEERING CHANGE PROPOSALS SHALL
BE SUBMITTED NO LATER THAN 30 DAYS AFTER THE NEED IS RECOGNIZED
OR JUSTIFICATION IS AVAILABLE. CONTRACTOR SHALL NOT ESTIMATE
PERPARATION PRICE ON DD FORM 1423-1 BLOCKS 17 AND 18.
SUPPORTING DATA SUCH AS DRAWINGS, SKETCHES, CALCULATIONS,
FINANCIAL ANALYSIS OR OTHER ATTACHMENTS THAT CLARIFY THE
REQUESTS FOR ENGINEERING CHANGE PROPOSAL SHALL BE INCLUDED.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item 16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data
(1 Data Item)
PREVIOUS EDITION MAY BE USED.
Form Approved OMB No. 0704-0188
The 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 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 (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 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. B. EXHIBIT C. CATEGORY:
TDP ________ TM _______ OTHER
D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE
7. DD 250 REQ
8. APP CODE
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
11. AS OF DATE
12. DATE OF FIRST SUBMISSION
13. DATE OF SUBSEQUENT
SUBMISSION
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
Draft Final
Reg Repro
15. TOTAL
16. REMARKS
17. PRICE GROUP
18. ESTIMATED
TOTAL PRICE
G. PREPARED BY H. DATE I. APPROVED BY J. DATE
Page of Pages
A007 REQUEST FOR WAIVER
DI-CMAN-80641B SEE SECTION C NSWCPD 427 (N64498)
LT
A A
ASREQ
N/A
ASREQ
N/A
DCMA QAR 1 1 0
NSWCPD 427 0 1 0
NSWCPD 423 0 1 0
NAVSUP PCO
0 0 0
BLOCK 4: THIS DATA ITEM SHALL BE SUBMITTED FOR ALL ANTICIPATED
UNREPAIRABLE AND OR OUT OF TOLERANCE CONDITIONS. FORMAT AND
CONTENT SHALL BE IN ACCORDANCE WITH MIL-STD-973, APPENDIX "E",
SHORT FORM IN LIEU OF DI-CMAN-80641B.
THE CONTRACTOR SHALL UTILIZE DD FORM 1694 FOR SUBMISSION OF ALL
REQUESTS.
DEPARTURES (WAIVERS AND DEVIATIONS) SHALL BE SUBMITTED FOR
PRE-EXISTING CONDITIONS AND DEPARTURE…
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