61398335 cdrl.pdf

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Attached to
CAP SCREW
Solicitation number
SPMYM226Q7841
Issued by

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This is a Contract Data Requirements List (DD Form 1423-1) specifying a single data item requirement for a cap screw component under contract line item 0002AA, Exhibit A.

The contractor must submit a Certification Data Report documenting chemical and mechanical (physical) properties for the cap screw, identified as data item A001 under authority DI-MISC-82386. The report shall provide actual values in accordance with the procurement specification and ensure all certifications are traceable to material via unique markings. Documentation must be submitted one time only (ONE/R frequency) through the Wide Area Workflow (WAWF) e-Business Suite, with submission date and timing specified in Block 16. Acceptance or rejection of the certification documentation will be accomplished concurrent with receipt of the corresponding material and will not occur prior to shipment. The distribution statement (Distribution Statement D) restricts distribution to Department of Defense and DoD contractors only for administration and operations purposes, effective 5/21/2026, with other U.S. government requests requiring referral to COMNAVSEASYSCOM. The requirement was prepared by Wayne Booher and approved by Adam Berger on 5/21/2026. One final copy of the certification report is required, with distribution to addressee N4523A at the purchasing activity.

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CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 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

MISC

X

D. SYSTEM|ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE

GROUP

CERTIFICATION DATA REPORT CHEMICAL AND MECHANICAL

(PHYSICAL) PROPERTIES

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

TOTAL PRICE

DI-MISC-82386 PER CONTRACT PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

DD ONE/R SEE BLOCK 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

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 5/21/2026. Other U.S. requests must be referred to COMNAVSEASYSCOM.

Block 12 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Document No. 61398335

15. Total 0 1 0

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

/s/ Wayne Booher 5/21/2026 /s/ Adam Berger 5/21/2026

DD FORM 1423-1, FEB 2001

0002AA A

A001

CAP SCREW

File details come from the government source that posted it. Updated .