6210_0049 CDRL DI_NDTI_80809B TEST REPORT A0002 SIGNED.pdf

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This is a DD Form 1423-1, Contract Data Requirements List, a federal contracting form used to specify data delivery requirements for a contract.

The form documents a single data item requirement (A0002) for Test/Inspection Reports, specifically QOE Test Reports, under contract DEMDT-80D093 issued to the Purchasing Activity. The data item is categorized as Technical Data Package (TDP) and is marked as required with a distribution statement D, limiting distribution to Department of Defense and Department of Defense contractors only, with an effective date of July 29, 2026. Administration and operations use only is specified, with other U.S. requests to be referred to COMNAVSEASYSCOM. The submission frequency is one time, with no specific initial submission date required (N/A). The data is to be distributed to address N4523A with zero draft copies, one final copy, and zero reproduction copies. Block 12 specifies that Personnel Qualifications and Test Procedures, when ordered on a separate contract line item, shall be submitted and approved before testing unless otherwise specified in the contract. Certification and data report documentation must be attached to the Invoice/Receiving Report in the Wide Area Workflow (WAAWF) e-Business Suite and submitted to iRAPT with email notification to PSNS.WAWFQACertifications.FCM@navy.mil. The form was prepared by MCCREADY, JAMES on July 29, 2026, and approved by SHOEMAKER, COREY JAMES on the same date.

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G. PREPARED BY

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

16. REMARKS

C. CATEGORY:

TDP ________ TM _______ OTHER _________________________

Form Approved OMB No. 0704-0188

15. TOTAL

PREVIOUS EDITION MAY BE USED.DD FORM 1423-1, AUG 96 (EG) Page ____ of ____ Pages

A. CONTRACT LINE ITEM NO. B. EXHIBIT

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

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

H. DATE J. DATEI. APPROVED BY

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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. 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 address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

Designed using Perform Pro, WHS/DIOR, Aug 96

Document Number

B EXHIBIT:
TDP: X
TM:
OTHER:
E CONTRACTPR NO:
F CONTRACTOR:
2 TITLE OF DATA ITEM: TEST/INSPECTION REPORT
3 SUBTITLE: OQE TEST REPORTS
5 CONTRACT REFERENCE: PER CONTRACT
6 REQUIRING OFFICE: PURCHASING ACTIVITY
9 DIST STATEMENT REQUIRED: D
10 FREQUENCY: ONE/R
12 DATE OF FIRST SUBMISSION: SEE BLOCK 16
14 DISTRIBUTION:
11 AS OF DATE: N/A
13 DATE OF SUBSEQUENT SUBMISSION: N/A
a ADDRESSEERow1: N4523A
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17 PRICE GROUP:
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Text1:
Text2:
Text3: A0002
Text4: DI-NDTI-80809B
Text5: DD
Text6: N/A
Text7: OQE TEST REPORTS

Block 9: Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 7/29/2026. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 12: Personnel Qualifications and Test Procedures, when ordered on separate contract line item, shall be submitted and approved before testing unless otherwise specified in contract.

Block 12 - Certification/Data Report documentation shall be attached to the Invoice/Receiving Report located in Wide Area Workflow (WAWF) e-Business Suite: Invoice, Receipt, Acceptance, and Property Transfer (iRAPT). Upon submission in iRAPT send email notifications to: PSNS.WAWFQACertifications.FCM@navy.mil. Acceptance/Rejection of Certification/Data Report documentation will be accomplished with the corresponding material and will not be accomplished prior to shipment of material.

Text8: 6210-0049
2026-07-29T10:30:28-0700
MCCREADY.JAMES.B.1258026663
2026-07-29T11:57:49-0700
SHOEMAKER.COREY.JAMES.1096440045
Date11_af_date: 07/29/2026
Date12_af_date: 07/29/2026
Text13: 1
Text14: 1

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