CDRL A001_Scientific and Technical Report Summary.pdf

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Laboratory Analysis of Breathing Air Boxes
Solicitation number
N0016726Q1098
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This is a Contract Data Requirements List (CDRL) form (DD Form 1423-1) specifying a single data deliverable for the Respirator Program contract with the Naval Surface Warfare Center, Carderock Division (NSWCCD).

The required data item is a Scientific and Technical Report Summary (Data Item No. A001) with no subtitle, submitted under contract authorization DI-MISC-80048. The contractor must perform work in accordance with the Statement of Work (SOW) and the most current Defense Information Data Repository (DIDR) entry per the Quick Search database at https://quicksearch.dla.mil/qsSearch.aspx. The distribution statement is approved for public release with unlimited distribution. Submissions are required quarterly and within two days after receipt of sampling media, with all reports delivered electronically to the contract Technical Point of Contact (TPOC) in Adobe PDF or Microsoft Word format. The form indicates one copy is required for the final submission and provides spaces for signature approval from the preparing and approving officials, including digitally signed entries from contracting personnel.

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N0016726Q1098 CSS.pdf PDF
DI-MISC-80048.pdf PDF

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CONTRACT DATA REQUIREMENTS LIST (CDRL)

(1 Data Item) 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 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 17. PRICE GROUP

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

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

a. ADDRESSEE

b. COPIES

8. APP CODE

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

Reg Repro

16. REMARKS

15. TOTAL ▬▬▬▬►

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

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page of Pages

A CONTRACT LINE ITEM NO: 001
B EXHIBIT: A
D SYSTEMITEM: Respirator Program
E CONTRACTPR NO: TBD
F CONTRACTOR: TBD
1 DATA ITEM NO: A001
2 TITLE OF DATA ITEM: Scientific and Technical Report Summary
3 SUBTITLE: N/A
17 PRICE GROUP:
4 AUTHORITY Data Acquisition Document No: DI-MISC-80048
5 CONTRACT REFERENCE: See blk 16
6 REQUIRING OFFICE: NSWCCD
7 DD 250 REQ: N/A
8 APP CODE: N/A
9 DIST STATEMENT REQUIRED: A(See blk 16)
10 FREQUENCY: See blk 16
12 DATE OF FIRST SUBMISSION: See blk 16
11 AS OF DATE: See blk 16
H DATE:
a ADDRESSEE16 REMARKS: TPOC
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Reg16 REMARKS: 1
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Draft15 TOTAL:
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J DATE:
18 ESTIMATED TOTAL PRICE:
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Pages:
Page: 1
2026-04-15T13:20:32-0400
GARREN.MARY.KATHRYN.1599608989
2024-02-06T16:10:46-0500
DEMPSEY.MICHAEL.PATRICK.1556387156
13 DATE IF SUBSEQUENT SUBM: See blk 16
Remarks: The contractor shall perform in accordance with the SOW and the most updated DID per

https://quicksearch.dla.mil/qsSearch.aspx

Block 9 - DISTRIBUTION STATEMENT A. Approved for public release, distribution is unlimited.

Block 10, 11 and 12 - Quarterly and within two days after receipt of sampling media.

Block 14 - Submission Formats and Instructions: All reports shall be electronically provided to the contract Technical Point of Contact (TPOC). The report shall be provided in Adobe PDF or Microsoft Word.

C CATEGORY TDP TM OTHER: MISC
TM:
TDP:

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