6092ZN01 DD1423 CDRL Form - Approved.pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item)

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 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. 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 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

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

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final Reg Repro

16. REMARKS

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

TBD A MISC

MICROBULK TANK N42158-6092ZN01 TBD

A001 CERTIFICATE OF COMPLIANCE CERTIFICATE OF COMPLIANCE

DI-MISC-81356 Per Contract NNSY C2305

LT

D

ASREQ* SEE BLK 16

N/A N/A SEE BLK 16

Bldg-276

Norfolk Naval Shipyard

Attn: 6092ZN01

Portsmouth, VA 23709-5000

4/1/2026

LOVE.DAVID.M.1

229663867

Digitally signed by

LOVE.DAVID.M.1229663867

Date: 2026.04.01 13:58:27 -04'00'

RIGGINS.REBEK

AH.R.1108966021

Digitally signed by

RIGGINS.REBEKAH.R.110896602

Date: 2026.06.24 23:32:34 -04'00'

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION

AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND

U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 APRIL 2026). OTHER REQUESTS

SHALL BE REFERRED TO POC AT NORFOLK NAVAL

SHIPYARD, PORTSMOUTH, VA. 23709-5000

BLK 10, 12, 13 & 14: SIGNED HARD COPY OF

CERTIFICATE OF COMPLIANCE , AS REQUIRED PER

CLAUSE INVOKED PER THIS CONTRACT, SHALL BE

FURNISHED WITH MATERIAL, PACKAGED INSIDE

SHIPPING CONTAINER.

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item)

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 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. 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 17. PRICE GROUP

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

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

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE 11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final Reg Repro

16. REMARKS

15. TOTAL

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

TBD A MISC

MICROBULK TANK N42158-6092ZN01 TBD

A002 EQUIPMENT INSTALLATION INSTRUCTIONS TECHNICAL MANUALS

DI-MISC-81321A Per Contract NNSY C2305

LT

D

ASREQ* SEE BLK 16

N/A N/A SEE BLK 16

Bldg-276

Norfolk Naval Shipyard

Attn: 6092ZN01

Portsmouth, VA 23709-5000

4/1/2026

LOVE.DAVID.M.1

229663867

Digitally signed by

LOVE.DAVID.M.1229663867

Date: 2026.04.01 14:00:13 -04'00'

RIGGINS.REBEK

AH.R.1108966021

Digitally signed by

RIGGINS.REBEKAH.R.110896602

Date: 2026.06.24 23:30:39 -04'00'

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION

AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND

U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (01 APRIL 2026). OTHER REQUESTS

SHALL BE REFERRED TO POC AT NORFOLK NAVAL

SHIPYARD, PORTSMOUTH, VA. 23709-5000

BLK 10, 12, 13 & 14: TECHNICAL MANUALS, AS

REQUIRED PER THIS CONTRACT, SHALL BE

FURNISHED WITH MATERIAL, PACKAGED INSIDE

SHIPPING CONTAINER.

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