CDRL A0001 Data Acquisition Application -Copy 1 for posting_Redacted.pdf

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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/PR NO. F. CONTRACTOR

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

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

0001 A

X-IPSC

EM MEASEUREMENTS & ENG. TBD TBD

A001 COMPUTER SOFTWARE PRODUCT DATA ACQ. AUTO. AP

DI-IPSC-81488 SOW PARA. 3.1 NSWC DAHLGREN, B55

DD

A D (SEE BLK 16)

ASREQ

N/A

(SEE BLK 16)

(SEE BLK 16)

TPOC 1 1 0

SEE BLK 16

1 1 0

BLK 8: APPROVAL OF TECHNICAL CONTENT. GOVERNMENT HAS 10

DAYS FROM RECEIPT TO REVIEW, COMMENT AND APPROVE OR

DISAPPROVE. THE CONTRACTOR HAS 10 DAYS TO SUBMIT

REVISIONS. IF THE GOVERNMENT DOES NOT SUBMIT REVISION

REQUESTS WITHIN 10 DAYS, THE DELIVERY IS APPROVED.

BLK 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY

(ADMINISTRATIVE OR OPERATIONAL USE, JUNE 2020). OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NAVAL

SURFACE WARFARE CENTER, DAHLGREN DIVISION, CODE B55, 15493

MARPLE ROAD, SUITE 156, DAHLGREN, VIRGINIA 22448-5162.

BLKS 10,12,13: FIRST AND SUBSEQUENT SUBMISSIONS ARE DUE

AFTER COMPLETION OF SUCCESSFUL DEBUGGING ACCEPTANCE

TESTING.

BLK 14: ELECTRONIC MEDIA: SUBMIT IN A FORMAT COMPLIANT

WITH THE SOFTWARE AS DETERMINED BY THE GOVERNMENT. FILES

TO BE DELIVERED BY EMAIL OR DIGITAL VIDEO/VERSATILE DISC

(DVD) AND SUBMITTED TO THE TECHNICAL POINT OF CONTACT

IDENTIFIED IN SOW PARA. 7.0.

11 JUN 20

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