Attachment (5) Contract Data Requirements Lists (CDRLs).pdf

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0

17. PRICEGROUP

18. ESTIMATED

TOTAL PRICE

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 C.CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

15. TOTAL

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

A MISC

CALIBRATION N66604-23-SIMACQ-NPT-70-0006 KEYSIGHT TECHNOLOGIES, INC.

A001

TECHNICAL REPORT - STUDY/SERVICES RECEIPT INSPECTION REPORT

DI-MISC-80508B (See Block 16) SOW PARA 4.2 NPT-70-NUWCNPT

LT

D

ASREQ (See Block 16) ASREQ

N/A N/A N/A

CODE 7012 1 0

DEVEAU, DEBRA 07/28/2022

1 1

Block 4: DI-MISC-80508B is tailored as follows: Paragraph 2(c) - Attachments shall include photographic documentation of all damage to shipping containers and damage to equipment contained therein.

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only , operational or administrative use, 26 July 2022. Other requests for this document shall be referred to Commanding Officer, Naval Undersea Warfare Center Division Newport, 1176 Howell Street, Newport, RI 02841-1708, ATTN: Metrology and Calibration Lab

Block 10: The Contractor shall submit the Technical Report, Study/Service (Receipt Inspection Report) upon receipt of damaged shipping container and/or equipment damaged in shipment to the Contractor's facility.

Block 12: The Contractor shall submit the Technical Report, Study/Service (Receipt Inspection Report) within 7 days of receipt of damaged shipping container and/or damaged equipment.

0 1 0

17. PRICEGROUP

18. ESTIMATED

TOTAL PRICE

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 C.CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

15. TOTAL

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

A QCIC

CALIBRATION N66604-23-SIMACQ-NPT-70-0006 KEYSIGHT TECHNOLOGIES, INC.

A002

ACCEPTANCE TEST REPORT (ATR) CALIBRATION REPORT

DI-QCIC-8189 SOW PARA 4.3, 4.4 NPT-70-NUWCNPT

LT

D

ASREQ (See Block 16) SEE BLK 16

N/A N/A N/A

CODE 7012 1 0

DEVEAU, DEBRA 07/28/2022

1 1

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only , operational or administrative use, 26 July 2022. Other requests for this document shall be referred to Commanding Officer, Naval Undersea Warfare Center Division Newport, 1176 Howell Street, Newport, RI 02841-1708, ATTN: Metrology and Calibration Lab

Block 10: The Contractor shall provide the original ATR (Certificate of Calibration) for each piece of equipment calibrated.

Block 12: ATR (Certificate of Calibration) is enclosed with the equipment shipped to the Government and immediately stored in the Keysight Support Portal (Infoline) after the ATR (Certificate of Calibration) is created by the calibration facility (Keysight Service Center).

Block 14: ATR (Certificate of Calibration) and Calibration Certificate/Report (Calibration Measurement Report) will be managed through the Keysight Support Portal (Infoline).

17. PRICEGROUP

18. ESTIMATED

TOTAL PRICE

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 C.CATEGORY:

TDP TM OTHER

D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR

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

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

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

a. ADDRESSEE

b. COPIES

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

SUBMISSION Draft

Final

Reg Repro

16. REMARKS

15. TOTAL

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

A QCIC

CALIBRATION N66604-23-SIMACQ-NPT-70-0006 KEYSIGHT TECHNOLOGIES, INC.

A003

CALIBRATION CERTIFICATE CALIBRATION MEASUREMENT REPORT

DI-QCIC-80798C SOW PARA 4.3, 4.4 NPT-70-NUWCNPT

LT

D

ASREQ (See Block 16) SEE BLK 16

N/A N/A N/A

CODE 7012 1 0

DEVEAU, DEBRA 07/28/2022

1 1

Block 4: DI-QCIC-80798C is tailored as follows: Paragraph 3.m - Point-by-point measurement uncertainty, and depending on calibration type, Test Uncertainty Ratio (TUR) or identification of a Probability of False Acceptance (PFA) less than or equal to 2% is provided for calibration types that include uncertainties. If the calibration measurement report type requires an uncertainty and the measurement does not meet either a TUR of greater than or equal to 4:1 or provide a PFA less than or equal to 2% and Probability of False Reject (PFR) less than or equal to 15%, it shall be annotated on the calibration report for that measurement.

Block 9: Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only , operational or administrative use, 26 July 2022. Other requests for this document shall be referred to Commanding Officer, Naval Undersea Warfare Center Division Newport, 1176 Howell Street, Newport, RI 02841-1708, ATTN: Metrology and Calibration Lab

Block 10: The Contractor shall provide a Calibration Certificate/Report (Calibration Measurement Report) for each piece of equipment calibrated/repaired.

Block 12: Calibration Certificate/Reports (Calibration Measurement Reports) are stored in the Keysight Support Portal (Infoline) immediately after the Acceptance Test Report (Certificate of Calibration) is created by the calibration facility (Keysight Service Center). Only the ATR (Certificate of Calibration) is enclosed with the equipment shipped to the Government. Calibration Certificate/ Report (Calibration Measurement Report) is available online in the Keysight Support Portal (Infoline).

Block 14: Acceptance Test Report (ATR) (Certificate of Calibration) and Calibration Certificate/Report (Calibration Measurement Report) will be managed through the Keysight Support Portal (Infoline)