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26. APPROVER'S ADJUDICATION:

DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION

Disclaimer: Approval of this form does not constitute a change under the "Changes" clause or other provisions contained elsewhere in the contract.

CONTRACT INFORMATION

1. CONTRACT NUMBER: 2. DO or TO #: 3. CLIN #: 4. CONTRACTOR SERIAL #:

5. TITLE OF DATA ITEM:

6. DATA ITEM #: 7. BLOCK 14 DISTRIBUTION:

CONTRACTOR INFORMATION

8. CONTRACTOR:

9. POC NAME: 10. POC TITLE:

11. POC PHONE: 12. POC EMAIL:

GOVERNMENT REVIEW INFORMATION

13. SUBMITTED TO: 14. DATA ITEM DUE DATE:

15. PERIODIC SUBMISSION? 16. FINAL SUBMISSION? 17. GOVERNMENT REVIEW PERIOD:

YES NO YES NO 30 days 45 days 60 days Other

FIRST ENDORSEMENT

18. DATE RECEIVED: 19. GOVERNMENT SERIAL #:

20. REVIEWER'S RECOMMENDATION

ACCEPT. No resubmission required.

ACCEPT CONDITIONALLY. Incorporate the attached comments and resubmit the data item as instructed in this block.

REJECT. Incorporate the attached comments and resubmit the data item as instructed in this block.

INSTRUCTIONS:

Change pages are sufficient for correction. are not sufficient for correction.

Resubmit item within days with the next scheduled submission

21. REVIEWER'S NAME: 22. REVIEWER'S TITLE:

23. REVIEWER'S CODE: 24. REVIEWER'S SIGNATURE:

SECOND ENDORSEMENT

25. DATE RECEIVED:

27. APPROVER'S NAME: 28. APPROVER'S TITLE:

29. APPROVER'S CODE: 30. APPROVER'S SIGNATURE:

NAWCTSD 4330/60 (1/2023) Page 1 of 2

ACCEPTED. No resubmission required.

ACCEPTED CONDITIONALLY. Incorporate the attached comments and resubmit the data item as instructed in this block.

REJECTED. Incorporate the attached comments and resubmit the data item as instructed in this block.

INSTRUCTIONS: Resubmit item within days with next scheduled submission

DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION

31. COMMENTS:

NAWCTSD 4330/60 (1/2023) Page 2 of 2

1 CONTRACT NUMBER:
2 DO or TO:
3 CLIN:
4 CONTRACTOR SERIAL:
5 TITLE OF DATA ITEM:
6 DATA ITEM:
7 BLOCK 14 DISTRIBUTION:
8 CONTRACTOR:
9 POC NAME:
10 POC TITLE:
11 POC PHONE:
12 POC EMAIL:
13 SUBMITTED TO:
19 GOVERNMENT SERIAL:
31 COMMENTS:
14 DATA ITEM DUE DATE:
15 PERIODIC SUBMISSION: Off
16 FINAL SUBMISSION: Off
20 REVIEWER'S RECOMMENDATION: Off
18 DATE RECEIVED:
20 REVIEWER'S RECOMMENDATION REJECT: Off
20 REVIEWER'S RECOMMENDATION REJECT INSTRUCTIONS: Off
20 REVIEWER'S RECOMMENDATION REJECT INSTRUCTIONS WITHIN XX DAYS:
25 DATE RECEIVED:
26 APPROVER'S ADJUDICATION: Off
26 APPROVER'S ADJUDICATION REJECT INSTRUCTIONS: Off
26 APPROVER'S ADJUDICATION REJECT INSTRUCTIONS WITHIN XX DAYS:
21 REVIEWER'S NAME:
23 REVIEWER'S CODE:
27 APPROVER'S NAME:
29 APPROVER'S CODE:
28 APPROVER'S TITLE:
22 REVIEWER'S TITLE:
17 GOVERNMENT REVIEW PERIOD: Off
17 GOVERNMENT REVIEW PERIOD Other Days:

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