53450213 CDRL.pdf
PDF 124 KB Posted
- Attached to
- NUT, PLA
- Solicitation number
- SPMYM226Q7090
About this file
Contract Data Requirements List Summary
This is a DD Form 1423-1, a federal Contract Data Requirements List specifying data deliverables for a single data item. The document identifies one contractual deliverable: a Certification Data Report for chemical and mechanical (physical) properties related to a NUT HEX component under contract line item 0004AA, with contract reference per contract and purchasing activity N4523A. The data item is governed by authority DI-MISC-82386 and document number 5345-0213.
The vendor is tailored to provide only specific requirements: actual values in accordance with procurement specifications, ensure certifications provided are traceable to material via unique markings, and comply with the distribution statement. Distribution is authorized to Department of Defense and DoD contractors only for administration and operations, effective December 29, 2025, with other U.S. requests referred to COMNAVSEASYSCOM. Certification/Data Report documentation must be submitted through the Wide Area Workflow (WAWF) e-Business Suite. Acceptance or rejection of the documentation will occur concurrently with the corresponding material shipment, not prior to shipment. The form was prepared by Derek Grein and approved by Susan Trezise on December 29, 2025. One final copy of the data report is required.
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Text version
CONTRACT OATA REQUIREMENTS UST Form Approved
(1 Oata ltem) 0MB 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 Serviees 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 0MB control number. Please do not retum your form to the above organization.
Send comcleted form to the Govemment lssuina Contractina Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:
TDP TM OTHER
MISC
D. SYSTEMIITEM E. CONTRACT/PR NO. F. CONTRACTOR
1. OATA ITEM NO. 2. TITLE OF OATA ITEM 3. SUBTITLE
CERTIFICATION DATA REPORT
4. AUTHORITY (Data Acqulsltlon Document No.) 5. CONTRACT REFERENCE
CHEMICAL AND MECHANICAL
(PHYSICAL) PROPERTIES
6. REQUIRING OFFICE
DI-MISC-82386 PER CONTRACT PURCHASING ACTIVITY
7. DD250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION
REQUIRED
DD ONE/R SEE BLOCK 16 b. COPIES
8.APP CODE D
11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE DRAFT FINAL
SUBMISSION
N/A N/A N/A Reg Repr
16. REMARKS N4523A 0 1 0
Block 4: Tailored to allow the vendor to only provide requirements: 2, 3, 4-Provide actual values IAW procurement specification, 5-Ensure certs provided are traceable to material via unique markings and 9.
Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.
Administration and operations only, effective 12/29/2025. Other U.S. requests must be referred to COMNAVSEASYSCOM.
Block 12 - Certification/Data Raport documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Raport documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.
Document No. 5345-0213
15. Tolal 0 1 0
G. PREPARED BY H.DATE l. APPROVED BY J.DATE /s/ DerekGrein 12/29/2025 /s/ Susan Trezise 12/29/2025
DD FORM 1423-1, FEB 2001
17.PRICE
GROUP
18. ESTIMATED
TOTAL PRICE
0004AA B
B001
NUT HEX
File details come from the government source that posted it. Updated .