CDRL A003 Approved.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.

TBD

B. EXHIBIT

A

C. CATEGORY:

TDP __ TM Other MGMT

D. SYSTEM/ITEM

Accident Dosimeter

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Activity, Validation and Verification Report

3. SUBTITLE

Accident Dosimeter IUID Marking Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81804A (See Blk 16)

5. CONTRACT REFERENCE

SOW Section 3.11.1

6. REQUIRING OFFICE

NAVSEA 04ND

7. DD 250 REQ

LT

9. DIST

STATEMENT

C (See Blk 16)

10. FREQUENCY

ASREQ (See BLK 16)

12. DATE OF 1ST SUBMISSION

ASREQ (See BLK 16)

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A (See BLK 16)

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ (See BLK 16)

Draft Final

Reg Repro

16. REMARKS

Block 4: The following sections are not associated with the work to be performed under this contract and shall not be incorporated into the IUID Marking Report.

4.10 4.11 4.14 4.15 4.16 5-First and second paragraphs do not apply.

Block 8: The Government will provide comments on the draft IUID Marking Plan within 30 days of receipt of draft. The Contractor shall incorporate comments and deliver the final IUID Marking Plan within 10 days after receipt of comments. The Government will accept or reject the IUID Marking Plan within 15 days of final submittal.

Block 9: 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).

Block 10, 12, 13: The final IUID Marking Plan shall be delivered 90 days after contract award.

Block 14: Media Requirement: Preliminary issues shall be submitted electronically in Microsoft Word 2010 through newer versions format. Final issue shall be submitted electronically in Adobe PDF and Microsoft Word format. Preliminary and final issues shall be submitted electronically as attachments to:

Stanley Mavrogianis - stanley.mavrogianis@navy.mil Adrienne Capil - adrienne.capil@navy.mil

NSWCCD Code 632 1 1 0

See Block 16

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

G. PREPARED BY I. APPROVED BY J. DATE

DD Form 1423-1, JUN 90 (EG) Previous editions are obsolete Page _1_ of _1_ Pages

18. ESTIMATED

TOTAL PRICE

17. PRICE

GROUP

H. DATE

11-25-20 nathan.liscinski Typewritten Text 25 Nov 2020