C-CDRL.docx

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SDV Non Audible Comm Units- Small Business Set Aside
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CONTRACT DATA REQUIREMENTS LIST

(2 Data Items) 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

SDV Non-Audible Communication Units

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

17. PRICE GROUP

A001
Test/Inspection Report
Test/Inspection Report
4.AUTHORITY (Data Acquisition Document No.)
5.CONTRACT REFERENCE
6.REQUIRING OFFICE
DI-NDTI-80809B
SOW PARA 3.2
NSWC PCD CODE 1072
18ESTIMATED
TOTAL PRICE
7.DD 250 REQ
9.DIST STATEMENT
10.FREQUENCY
12.DATE OF FIRST SUBMISSION
14.DISTRIBUTION
LT
REQUIRED
OTIME
SEE BLK 16

b. COPIES

8.APP CODE
N/A
11.AS OF DATE
13.DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
Draft
Final

N

Reg
Repro
16.REMARKS
NSWC PCD Code 1072
0
1
0

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

Provide test and inspection results per NAVSEA Drawing 8436876 Revision A

Blk 9: Data shall be marked in accordance with SOW paragraph 8.0

Blk 12: Submit with the finished components.

Blk 14: Submit in Micorsoft Office 2016 compatible files via email. Email addresses will be provided at award

LT ONLY :

NSWC PCD Code 024

15.TOTAL
0
1
0
1.DATA ITEM NO.
2.TITLE OF DATA ITEM
3.SUBTITLE

17. PRICE GROUP

A002
Certificate of Compliance
Certificate of Conformance
4.AUTHORITY (Data Acquisition Document No.)
5.CONTRACT REFERENCE
6.REQUIRING OFFICE
DI-MISC-81356A
SOW PARA 3.2
NSWC PCD CODE 1072
18ESTIMATED
TOTAL PRICE
7.DD 250 REQ
9.DIST STATEMENT
10.FREQUENCY
12.DATE OF FIRST SUBMISSION
14.DISTRIBUTION
LT
REQUIRED
OTIME
SEE BLK 16

b. COPIES

8.APP CODE
N/A
11.AS OF DATE
13.DATE OF SUBSEQUENT
SUBMISSION
a. ADDRESSEE
Draft
Final

N

Reg
Repro
16.REMARKS
NSWC PCD Code 1072
0
1
0

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

Certification is that the delivered end product conforms 100% to the requirements of the NAVSEA Drawing 8436876 Revision A and the requirments of this order and is 100% operational at delivery.

Blk 12: Submit with the finished components.

Blks 9,14 – Same as A001

LT ONLY :

NSWC PCD Code 024

15. TOTAL

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

NSWC PC Code 1072

08/17/2021

W.T. Sawyer, NSWC PC Code 0213

08/17/2021

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