CDRL 1423 A001_CalibrationCertificate_ProvingRing_rd.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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:

TBD A TDP________ TM _______ OTHER QCIC

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

Proving Ring N64267-21-R-XXXX Morehouse

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

GROUP

A001 CALIBRATION CERTIFICATION Calibration Report with Data

II

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

DI-QCIC-80798B

(See Block 16)

PD Paragraph: 3.3 (See Block 16)

NAWCAD BL31400 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASGEN

(See Block 16)

(See Block 16) (See Block 16)

A b. COPIES

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

SUBMISSION

a. ADDRESSEE Final

A N/A N/A Draft Reg. Repro

16. REMARKS Patrick Brannick 1 1

Block 4/5: DI-QCIC-80798B and PD paragraph 3.3 shall be used as guidance and are provided for reference. Information items in DI-QCIC-80798B that are not relevant to the procured unit do not need to be included in format. Actual calibration data should be contained in the calibration report related to the certificate.

Block 8: Calibration Report (CDRL A001 subtitle) requires government approval.

The contractor shall provide a preliminary draft of the Calibration Report of data to the Government for review, comment, and approval of the format no later than (NLT) 60 calendar days prior to initial operating capability (IOC) for each system.

IOC shall be defined as the delivery date of the initial order of system(s).

Government will provide the contractor with approval/disapproval of format including comments within 15 days of receipt of preliminary draft. Contractor shall provide a government approved final version with incorporated comments NLT 30 days prior to IOC for first system.

Block 10: Frequency of Calibration Report shall be generated for each system installed.

Block 12: Date of first submission shall be no later than (NLT) 60 calendar days prior to initial operating capability (IOC) of the first system procured.

Block 13: Date of subsequent submissions: N/A

Block 14: Submission in contractor format is acceptable. Electronic format is preferred if in a widely available commercial document format such as MS-Excel or MS Word. Electronic submission of data is also accepted on CD-ROM. Quantity and copies shall be provided in accordance with (IAW) CDRL distribution (Block 14). Addressee's POC information provided on CDRL supplemental page 2.

Block 16: This CDRL refers only to the format of the Calibration Report printed by the calibration standards, it is not intended that the contractor run actual US Navy workload for calibration.

NAWCAD BL31400

Corry Barnhouse 1 1 0

NAWCAD AA14200

Heather M. Loprano 1 1 0

NAWCAD BL31400

Copies with each unit delivered

0 1 0

15. TOTAL 3 4 0

G. PREPARED BY

H. DATE I. APPROVED BY J. DATE

P. Brannick, NAWCAD BL31400 19 May 2021 K. Bergland, NSWCCOR, MS35 CDM 14 June 2021 DD Form 1423-1 JUN 90 Previous editions are obsolete. Page 1 of 2 Pages

DD FORM 1423 (CDRL) Supplemental

BLOCK 14 ENTRY COMPLETE ADDRESS

Patrick Brannick, patrick.brannick@navy.mil Metrology and Calibration Branch

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269 Lakehurst, NJ 08733

Corry Barnhouse, corry.barnhouse@navy.mil Metrology Engineering Product Support Branch

NAWCAD METCAL AA14200

Bldg 1403 22113 Fortin Circle, Unit 7 Patuxent River, MD 20670

Heather M. Loprano, heather.loprano@navy.mil Metrology and Calibration Branch

NAWCAD BL31400

JB MDL

Highway 547, Building 120-3, Rm. 269 Lakehurst, NJ 08733

Page 2 of 2 Pages