CDRL A007- Mishap Investigation and Reporting_PACNORWEST.docx
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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: |
| B |
| TDP _____ |
| TM ___ |
| OTHER MISC |
| D. SYSTEM/ITEM |
| E. CONTRACT/PR NO. |
| F. CONTRACTOR |
PACNORWEST
| 1. DATA ITEM NO. |
| 2. TITLE OF DATA ITEM |
| 3. SUBTITLE |
17. PRICE GROUP
| A007 |
| TECHNICAL REPORT: STUDY/SERVICES |
| Mishap Investigation and Reporting |
| 4. AUTHORITY (Data Acquisition Document No.) |
| 5. CONTRACT REFERENCE |
| 6. REQUIRING OFFICE |
18. ESTIMATED
TOTAL PRICE
| DI-MISC-80508B |
| PWS PARA 9.2 |
| NAWCTSD |
| 7. DD 250 REQ |
| 9. DIST STATEMENT |
| 10. FREQUENCY |
| 12. DATE OF FIRST SUBMISSION |
| 14. DISTRIBUTION |
| LT |
| REQUIRED |
| ONE/R |
| SEE BLK 16 |
| a. ADDRESSEE |
| b. COPIES |
| 8. APP CODE |
| B |
| 11. AS OF DATE |
| 13. DATE IF SUBSEQUENT SUBM. |
| Draft |
| Final |
N/A
| N/A |
| SEE BLK 16 |
| Reg |
| Repro |
| 16. REMARKS: |
| NAWCTSD PJM |
| 1 |
| 1 |
1) BLK4: ONLY DID PARAGRAPH 2 AND 3(a) (b) APPLIES.
2) BLOCK 9: THE FOLLOWING STATEMENT SHALL BE INCLUDED IN THE DELIVERABLE:
DISTIBUTION B: DISTRIBUTION AUTHORIZED TO U.S. GOVERNMENT AGENCIES ONLY, (ADMINISTRATIVE OR OPERATIONAL USE), (01 APRIL 2021). OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO THE COMMANDING OFFICER, NAVAL AIR WARFARE CENTER, TRAINING SYSTEMS DIVISION, 12211 RESEARCH PARKWAY ORLANDO, FL 32826-3275.
3) BLOCK 12: DUE (2) WORKING DAYS AFTER INCIDENT.
4) THE GOVERNMENT WILL HAVE FIFTEEN (15) WORKING DAYS FROM RECEIPT OF SUBMISSION FOR REVIEW AND ACCEPTANCE/REJECTION OF EACH SUBMISSION.
5) BLOCK 13: SUBSEQUENT SUBMISSIONS SHALL BE DUE AS REQUIRED.
6) BLOCK 14: SUBMITTED REPORTS SHALL BE SENT VIA EMAIL. ALL APPLICABLE EMAIL ADDRESSES FOR DISTRIBUTION (BLK 14) SHALL BE ON EACH SUBMISSION. EMAIL SUBJECT LINE SHALL INCLUDE CONTRACT NUMBER, CDRL DATA ITEM NUMBER, AND PERIOD (E.G., N61340-19-C-#### B007-1 MONTH PERIOD). ALL REPORTS SHALL BE IN MICROSOFT OFFICE 2010 COMPATIBLE FORMAT. EMAIL ADDRESSES ARE PROVIDED IN THE CONTRACT SCHEDULE AND/OR THE CDRL ADDRESSEE LIST OF THE CONTRACT.
NAWCTSD PCO
| 1 |
| 1 |
NAWCTSD COR
| 1 |
| 1 |
TPOC
| 1 |
| 1 |
SWSC Site Director
| 1 |
| 1 |
| 15. TOTAL ▬▬▬▬► |
| 0 |
| 5 |
| 5 |
| G. PREPARED BY |
| H. DATE |
| I. APPROVED BY |
| J. DATE |
M. Petrow , NAWCTSD Sustainment
C. Caudill, NAWCTSD PJM
DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1
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