CDRL A001 approved.pdf

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Procurement for IM-276A/PD Dosimeters, Cases and Manuals
Solicitation number
N0016721Q0059
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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.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP _ TM _ Other NDTI

D. SYSTEM/ITEM

Battlefield Dosimeter

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

RSCS, Inc.

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

TEST / INSPECTION REPORTS

3. SUBTITLE

Battlefield Dosimeter Test Reports/Objective Quality Evidence (OQE)

4. AUTHORITY (Data Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW Section 3.b

6. REQUIRING OFFICE

SEA 04ND

7. DD 250 REQ

LT

9. DIST

STATEMENT

C (See Block

16)

10. FREQUENCY

ASREQ (See Block 16)

12. DATE OF 1ST SUBMISSION

ASREQ (See Block 16)

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A (See Block 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ (See Block 16)

Draft Final

Reg Repro

16. REMARKS

Block 8 –The Government will provide comments on the draft Battlefield Dosimeter Test Reports/Objective Quality Evidence (OQE) within 30 days of receipt. The Contractor shall incorporate comments and deliver the final Battlefield Dosimeter Test Reports/ OQE within 30 days after receipt of Government comments. The Government will accept or reject the Battlefield Dosimeter Test Reports/OQE within 45 days of final submittal.

Block 9 – Distribution Statement C: Distribution Statement C: Distribution authorized to US Government Agencies and their contractors;

Administrative/Operational Use: (DATE TBD). Other request for this document shall be referred to Naval Sea Systems Command (NAVSEA 04ND).

Blocks 10, 12 & 13 – The final Battlefield Dosimeter Test Reports/OQE shall be delivered 90 days after option exercised.

Block 14: Media Requirement: Preliminary issues shall be submitted electronically in Microsoft Word 2010 format. Final issue shall be submitted electronically in Adobe PDF format. Preliminary and final issues shall be submitted electronically as attachments to the Technical Points of Contact below:

stanley.mavrogianis@navy.mil jeancarlo.torres@navy.mil

NSWCCD Code 632 1 1 See Block 16

15. TOTAL --------- 1 1 0

G. PREPARED BY

H. DATE

19 November 2020

I. APPROVED BY

J. DATE

DD Form 1423-1, JUN 90 (EG) Previous editions are obsolete Page 1 of 1 Pages

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

nathan.liscinski Typewritten Text 20 Nov 2020

2020-11-19T14:29:21-0500
TORRES.JEANCARLO.1367807934
2020-11-20T08:21:15-0500
LISCINSKI.NATHAN.T.1381403870

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