CDRL_A002_25Q7011.pdf

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 MISC

PINTLE, CHAMBER AND VALVE TBD N/A

A002 Request for Variance Materials list

DI-SESS-80640E NOT 1 SOW, PARA 3.1.2 N00253

NO

NA

ASREQ ASREQ

NA SEE BLK 16 SEE BLK 16

PCO

TECHNICAL POC

1CONTRACT SPECIALIST

ORTA.ANDREW.NIC

HOLAS.1174120117

Digitally signed by

ORTA.ANDREW.NICHOLAS.11741

20117 Date: 2025.05.15 13:03:39 -07'00'

YOURKOSKI.JAM

IE.R.1274589899

Digitally signed by

YOURKOSKI.JAMIE.R.127458989

Date: 2025.05.16 06:00:51 -07'00'

BLK 9: Mark Controlled Unclassified Information according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012, if applicable.

A distribution statement is not required, the data to be delivered is unclassified.

If a submission of data requires a distribution statement, the Contractor shall request a distribution statement from the Procuring Contracting Officer (PCO) specified in Section G of the contract at least three (3) business days prior to when the data delivery is required to be delivered on time.

BLK 11-13: REPORT TO BE DELIVERED UPON DISCOVERY OF NEEDED

VARIANCE

BLK 14: DELIVERABLE FORMAT:

TEXT DOCUMENT: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT

WORD (.DOC)

PRESENTATION: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT

POWERPOINT (.PPT)

SPREADSHEET: MICROSOFT EXCEL (.XLS)

DISTRIBUTION ADDRESSEES AND ELECTRONIC MAILING ADDRESSES

ARE PROVIDED BELOW:

1) NUWC DIVISION KEYPORT, TECH POC, Katy Taie, Katy.B.Taie.civ@us.navy.mil

2) NUWC DIVISION KEYPORT, PCO (CONTRACTING OFFICER), TBD

3) NUWC DIVISION KEYPORT, CONTRACT SPECIALIST, SEE CONTRACT

MAILING ADDRESS:

COMMANDER

NAVAL UNDERSEA WARFARE CENTER

DIVISION KEYPORT

610 DOWELL STREET

KEYPORT, WA 98345-7610

DATA ITEM DESCRIPTION

Title: REQUEST FOR VARIANCE (RFV)

Number: DI-SESS-80640E Approval Date: 20200211

AMSC Number: N10141 Limitation: N/A

DTIC Applicable: No GIDEP Applicable: No

Preparing Activity: NM Project Number: SESS-2020-004

Applicable Forms: DD Form 1694, Request for Variance (RFV)

Use/relationship: A Request for Variance (RFV) describes a proposed departure from (a nonconformance with) approved product definition information for a limited amount of time/specified effectivity or a product found to be nonconforming with product definition information after the product has been produced by the production process.

When the RFV describes a proposed departure from approved product definition information

(i.e., pre-production), the variance shall result in a reduction in cost; indicated by enclosing the value in parentheses.

When the RFV describes a product found to be nonconforming after the product has been produced (i.e., post-production), the variance shall result in a reduction in cost; indicated by enclosing the value in parentheses.

When the nonconformance is induced or caused by the Acquirer, a reduction in cost is not required when submitting the RFV.

a. This DID contains the format, content, and intended use information for the data deliverable resulting from the work task described in EIA-649-1 and the principles of EIA-649 (Copies of these standards are available online at www.sae.org or from SAE International, 400 Commonwealth Drive, Warrendale, PA 15096-0001, Tel 877-606-7323 [inside USA and Canada] or 724-776-4970 [outside

USA]).

b. This DID supersedes DI-SESS-80640D.

c. An electronic version of DD Form 1694, Request for Variance (RFV), is available online at https://www.esd.whs.mil/dd/.

Requirements:

1. Reference Documents. The applicable issue of the documents cited herein, including their approval dates and dates of any applicable amendments, notices, and revisions, shall be as specified in the contract.

2. Format. The RFV shall be in one of the following formats:

a. DD Form 1694, Request for Variance (RFV),

b. The schema required by the Acquirer’s Integrated Digital Environment (IDE), or

DISTRIBUTION STATEMENT A. Approved for public release. Distribution is unlimited.

Source: http://assist.dla.mil -- Downloaded: 2025-07-01T18:13Z

Check the source to verify that this is the current version before use.

DI-SESS-80640E

c. The Supplier’s preferred format.

3. Content. The RFV shall contain all the information required by DD Form 1694.

End of DI-SESS-80640E

Source: http://assist.dla.mil -- Downloaded: 2025-07-01T18:13Z Check the source to verify that this is the current version before use.