Attachment 2 Contract Data Requirement List (CDRLs).pdf

CVN69 AIRCRAFT ELEVATOR #3 HYDRAULIC FLUSH SYSTEM

CONTRACT/PR NO.: N42158-TBD

23 MAR 2021

DD FORM 1423-1, Rev B. Dated APR 2017

Contract Data Requirements List (CDRL) Table of Contents

ITEM SUBTITLE

A001 PROCESS CONTROL PROCEDURE (PCP)

A002 CONDITION FOUND REPORT

A003

DEVIATION OR WAIVER REQUEST

A004 PROGRESS REPORT

A005 CERTIFICATION DATA REPORT

23 MAR 2021

DD FORM 1423-1, Rev B. Dated APR 2017

CONTRACT DATA REQUIREMENTS LIST

(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

A

C. CATEGORY

TDP TM OTHER MGMT 1

D. SYSTEM/ITEM

CVN 69- AIRCRAFT ELEVATOR #3

HYDRAULIC SYSTEM FLUSH

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A001

2. TITLE OF DATA ITEM

PROCESS CONTROL PROCEDURE (PCP)

3. SUBTITLE

PROCESS CONTROL PROCEDURE (PCP)

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT- 82131 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW, PARA 3.1

6. REQUIRING OFFICE

NNSY, C263

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D (SEE BLK 16)

10. FREQUENCY

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

(SEE BLK 16)

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (6 FEBRUARY 2018). OTHER REQUESTS SHALL BE REFERRED TO

POC AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13: REPORT SHALL BE SUBMITTED IAW NAVSEA STANDARD ITEM 009-

09, PER SOW PARA 3.1.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

POCs:

NNSY C263:Ryan Nagy

(757) 396-5227 (ryan.n.nagy@navy.mil)

Freddie Wallace 757-396-5227 (freddie.wallace@navy.mil)

NNSY C432: TO BE DETERMINED

NNSY C263 0 1 0

NNSY C432 0 1 0

15. TOTAL 0 2 0

G. PREPARED BY

R. KEVIN WILLIAMS

H. DATE

03/23/2021

I. APPROVED BY

J. DATE

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

mailto:ryan.n.nagy@navy.mil mailto:freddie.wallace@navy.mil

23 MAR 2021

DD FORM 1423-1, Rev B. Dated APR 2017

CONTRACT DATA REQUIREMENTS LIST

(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

A

C. CATEGORY

TDP TM OTHER MGMT 1

D. SYSTEM/ITEM

CVN 69- AIRCRAFT ELEVATOR #3

HYDRAULIC SYSTEM FLUSH

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A002

2. TITLE OF DATA ITEM

CONDITION FOUND REPORT

3. SUBTITLE

CONDITION FOUND REPORT

DI-MGMT-81648 (SEE BLK 16)

SOW, PARA 3.3

6. REQUIRING OFFICE

NNSY, C263

7. DD 250 REQ

LT

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (6 FEBRUARY 2018). OTHER REQUESTS SHALL BE REFERRED TO

POC AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13: REPORT SHALL BE SUBMITTED WITHIN 2 BUSINESS DAYS OF

DISCOVERY OF CONDITION FOUND AND WHEN SPECIFIED IN SOW.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

POCs:

NNSY C263:Ryan Nagy

(757) 396-5227 (ryan.n.nagy@navy.mil)

Freddie Wallace

H. DATE

03//23/2021

18. ESTIMATED

TOTAL PRICE

23 MAR 2021

DD FORM 1423-1, Rev B. Dated APR 2017

CONTRACT DATA REQUIREMENTS LIST

(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

A

C. CATEGORY

TDP TM OTHER MGMT 1

D. SYSTEM/ITEM

CVN 69- AIRCRAFT ELEVATOR #3

HYDRAULIC SYSTEM FLUSH

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A003

2. TITLE OF DATA ITEM

REQUEST FOR TECHNICAL DEVIATION OF SHIPYARD

STANDARD WORK ITEM REQUIREMENT(S)

3. SUBTITLE

DEVIATION OR WAIVER REQUEST

4. AUTHORITY (Data Acquisition Doc. No)

DI-MGMT-82051 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW, PARA 3.6

6. REQUIRING OFFICE

NNSY, C263

7. DD 250 REQ

LT

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 4: TAILOR DID AS FOLLOWS: SUPERVISOR SPECIFIED IN DID PARA 2.L SHALL

BE NNSY C440 POC.

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (6 FEBRUARY 2018). OTHER REQUESTS SHALL BE REFERRED TO

POC AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13: REPORT SHALL BE SUBMITTED WITHIN 1 BUSINESS DAY OF

DISCOVERY OF DEVIATION OR WAIVER REQUIREMENT.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

POCs:

NNSY C263:Ryan Nagy

(757) 396-5227 (ryan.n.nagy@navy.mil)

Freddie Wallace

H. DATE

18. ESTIMATED

TOTAL PRICE

23 MAR 2021

DD FORM 1423-1, Rev B. Dated APR 2017

CONTRACT DATA REQUIREMENTS LIST

(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

A

C. CATEGORY

TDP TM OTHER MGMT 1

D. SYSTEM/ITEM

CVN 69- AIRCRAFT ELEVATOR #3

HYDRAULIC SYSTEM FLUSH

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A004

2. TITLE OF DATA ITEM

CONTRACTOR’S PROGRESS AND STATUS REPORT

3. SUBTITLE

PROGRESS REPORT

DI-MGMT-81928 (SEE BLK 16)

SOW, PARA 3.12

6. REQUIRING OFFICE

NNSY, C263

7. DD 250 REQ

LT

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (6 FEBRUARY 2018). OTHER REQUESTS SHALL BE REFERRED TO

POC AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13: REPORT SHALL BE SUBMITTED DAILY UNTIL WORK IS COMPLETED.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

POCs:

NNSY C263:Ryan Nagy

(757) 396-5227 (ryan.n.nagy@navy.mil)

Freddie Wallace

H. DATE

18. ESTIMATED

TOTAL PRICE

23 MAR 2021

DD FORM 1423-1, Rev B. Dated APR 2017

CONTRACT DATA REQUIREMENTS LIST

(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

A

C. CATEGORY

TDP TM OTHER MISC 1

D. SYSTEM/ITEM

CVN 69- AIRCRAFT ELEVATOR #3

HYDRAULIC SYSTEM FLUSH

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A005

2. TITLE OF DATA ITEM

CERTIFICATION/ DATA REPORT

3. SUBTITLE

CERTIFICATION/ DATA REPORT

DI-MISC-80678 (SEE BLK 16)

SOW, PARA 3.14

6. REQUIRING OFFICE

NNSY, C263

7. DD 250 REQ

LT

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (6 FEBRUARY 2018). OTHER REQUESTS SHALL BE REFERRED TO

POC AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13: REPORTS IAW PARAGRAPH 3.1 OF SOW SHALL BE SUBMITTED

ONE (1) TIME WITHIN ONE (2) DAYS AFTER RESULTS ARE KNOWN.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

POCs:

NNSY C263:Ryan Nagy

(757) 396-5227 (ryan.n.nagy@navy.mil)

Freddie Wallace

H. DATE

18. ESTIMATED

TOTAL PRICE

23 MAR 2021

DD FORM 1423-1, Rev B. Dated APR 2017