C08.0a Attachment 01 CDRLS.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved (1 Data Item) 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

MISC X

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

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

GROUP

TECHNICAL DATA PACKAGE DRAWINGS

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SESS-80776B SEE BLOCK 16 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

DD ONE SEE BLOCK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr o

16. REMARKS N4523A 0 1 0

BLOCK 5: PARAGRAPH 5.2.2 AND TECHNICAL EX 2 IN PERFORMANCE

WORK STATEMENT (PWS)

BLOCK12: PDF OF DRAWINGS SHALL BE ATTACHED IN THE WIDE AREA

WORKFLOW (WAWF) E-BUSINESS SUITE AND A PDF EMAIL SHALL BE SENT

TO THE TPOC clark.c.cagle.civ@us.navy.mil AND ALTERNATE david.a.helland.civ@us.navy.mil WITHIN 24HRS OF COMPLETION AND PRIOR TO

RETURN/SHIPMENT OF MATERIAL TO PUGET SOUND NAVAL SHIPYARD.

Document No.: 3024-0180

15. Total 0

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

/s/ DAVID HELLAND 3/29/2023 /s/ Richard Hawkins 2/17/23

DD FORM 1423-1, FEB 2001

Page 1 of 1 Pages mailto:clark.c.cagle.civ@us.navy.mil

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

REPAIRABLE ITEM INSPECTION REPORT INITIAL INSPECTION CONDITION

REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-PSSS-80386A SEE BLOCK 16 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

DD ONE SEE BLOCK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr

PARAGRAPH 3a, 3e, 3h IN DI-PSSS-80386A SHALL BE IF APPLICABLE

BLOCK 5: PARAGRAPH 5.2.1 AND TECHNICAL EX 2 IN PERFORMANCE WORK

STATEMENT (PWS)

BLOCK 12: DOCUMENTATION IN PARAGRAPH 3 IN DI-PSSS-80386A SHALL BE

ATTACHED IN THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE AND

A PDF EMAIL SHALL BE SENT TO THE TPOC clark.c.cagle.civ@us.navy.mil AND ALTERNATE david.a.helland.civ@us.navy.mil WITHIN 24HRS OF COMPLETION

OF INITIAL INSPECTION DO NO PERFORM RECOMMENDED REPAIRS UNTIL

KO APPROVAL RECEIVED.

/s/ David Helland 2/9/2023 /s/ Richard Hawkins 2/17/23

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

PAINT PRESERVATION FINAL CONDITION REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-MISC-82120 SEE BLOCK 16 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

DD ONE SEE BLOCK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr

REMOVE SAMPLE FIGURES 1,2,3,4,5,7,8,9 OF DI-MISC-82120.

BLOCK 5: PARAGRAPH 5.2.4 AND TECHNICAL EX 2 IN PERFORMANCE

WORK STATEMENT (PWS)

BLOCK12: DOCUMENTS SHALL BE ATTACHED IN THE WIDE AREA

WORKFLOW (WAWF) E-BUSINESS SUITE AND

A PDF EMAIL SHALL BE SENT TO THE TPOC clark.c.cagle.civ@us.navy.mil AND ALTERNATE david.a.helland.civ@us.navy.mil WITHIN 24HRS OF COMPLETION

AND PRIOR TO RETURN/SHIPMENT OF MATERIAL TO PUGET SOUND NAVAL

SHIPYARD

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

TEST PROCEDURE FINAL CONDITION REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-NDTI-80603A SEE BLOCK 16 PURCHASING ACTIVITY

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

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

DD ONE SEE BLOCK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE DRAFT FINAL

N/A N/A N/A Reg Repr

REMOVE PARAGRAPH 3.2.6, 3.2.8 OF DI-NDTI-80603A.

BLOCK 5: PARAGRAPH 5.2.5 AND TECHNICAL EX 2 IN PERFORMANCE

WORK STATEMENT (PWS)

BLOCK12: DOCUMENTS 3.2 AND 3.2.7 OF DI-NDTI-80603A SHALL BE

ATTACHED IN THE WIDE AREA WORKFLOW (WAWF) E-BUSINESS SUITE AND

A PDF EMAIL SHALL BE SENT TO THE TPOC clark.c.cagle.civ@us.navy.mil AND ALTERNATE david.a.helland.civ@us.navy.mil WITHIN 24HRS OF COMPLETION

AND PRIOR TO RETURN/SHIPMENT OF MATERIAL TO PUGET SOUND NAVAL

SHIPYARD