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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

A TDP TM OTHER NDTI

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

Low Speed Vehicle (LSV) Maintenance and Repair Support

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

A001 Test/Inspection Report

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

DI-NDTI-80809B SOW Paragraph 3.2 NSWC PCD Code 102 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 102 0 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

Blks 8, 10, 12, 13: Estimate shall be due 3 working days inspection.

Blk 9: Data shall be marked in accordance with SOW para. 7.0

Blk 14: MEDIA Requirements: Microsoft Office 2016 compatible files via e-mail. E-mail addresses will be provided at award.

LT ONLY

NSWC PCD Code 024

15. TOTAL 1 1 0

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

NSWC PCD Code 102

09/19/2022

A. Johns, NSWC PCD Code 02T

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 4 Pages

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

A TDP TM OTHER MGMT

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

A002 Maintenance Service Report

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

DI-MGMT-80995A SOW Paragraph 3.3 NSWC PCD Code 102 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED ASREQ SEE BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 102 1 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

Blks 8, 10, 12, 13: The report shall be submitted within 3 days of service. The Government will review the initial submittal for approval of technical content and will provide comments within 5 working days after receipt. Comments shall be addressed and the data resubmitted as final within 3 working days after receipt of comments.

Blk 9: Data shall be marked in accordance with SOW para. 7.0

NSWC PCD Code 024

15. TOTAL 1 1 0

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 4 Pages

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

A TDP TM OTHER NDTI

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

A003 Technical Report – Study/Services Option Year 1 estimate

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

DI-MISC-80508B SOW Paragraph 3.4 NSWC PCD Code 102 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED ONE/R SEE BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 102 1 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

Blks 8, 10, 12, 13: Estimate shall be due no later than 5 days after receipt of updated equipment list. The Government will review the initial submittal and will provide comments within 5 working days after receipt. Comments shall be addressed and the data resubmitted as final within 3 working days after receipt of comments.

Blk 9: Data shall be marked in accordance with SOW para. 7.0

NSWC PCD Code 024 1 1

15. TOTAL 2 2 0

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 4 Pages

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 this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. 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:

A TDP TM OTHER MISC

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

A004 Technical Report – Study/Services Option Year 2 estimate

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

DI-MISC-80508B SOW Paragraph 3.5 NSWC PCD Code 102 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED ONE/R SEE BLK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 SEE BLK 16 Reg Repro

16. REMARKS NSWC PCD Code 102 1 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

Blks 8, 10, 12, 13: Estimate shall be due no later than 5 days after receipt of updated equipment list. The Government will review the initial submittal and will provide comments within 5 working days after receipt. Comments shall be addressed and the data resubmitted as final within 3 working days after receipt of comments.

Blk 9: Data shall be marked in accordance with SOW para. 7.0

NSWC PCD Code 024 1 1

15. TOTAL 2 2 0

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 4 Pages

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