CDRL Backshell 8408685_Redacted.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:

TBD A TDP ____ TM _____ OTHER X NDTI

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

BACKSHELL TBD

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A001 WRITTEN TEST REPORTS FOR BACKSHELL WRITTEN TEST REPORTS FOR BACKSHELL

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

TOTAL PRICE

DI-NDTI-80809B SOW, SEE BLK 16 N00253

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

DD REQUIRED ASREQ, SEE

BLK 16

SEE BLK 16

a. ADDRESSEE

b. COPIES

8. APP CODE

F (SEE BLK 16)

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

Draft

Final

A N/A SEE BLK 16 Reg Repro

16. REMARKS TECHNICAL POC 1 1

BLK 5: ALL WRITTEN TEST DATA IN ACCORDANCE WITH 8408685 NO REV SHALL ACCOMPANY

THE DELIVERY OF ALL UNITS. A CERTIFICATE OF CONFORMANCE WILL ALSO ACCOMPANY

EACH DELIVERY OF MATERIAL.

ALLOW 45 DAYS FOR INSPECTION AND ACCEPTANCE.

ALL TEST RESULT AND QUALITY REPORTS IN ACCORDANCE WITH 8408685 NO REV SHALL BE

INCLUDED WITH DELIVERY. SUBJECT TO REJECTION WITHOUT THE FOLLOWING REPORTS:

PER NOTE 11: PROOF THE VENDOR INSPECTCED CASTING TO THE SPECIFIED QUALITY LEVEL

AND PROVIDE OQE THAT THE REQUIREMENTS WERE MET.

BLK 9: DISTRIBUTION STATEMENT F: DISTRIBUTION AUTHORIZED TO THE NATO SEASPARROW

CONSORTIUM GOVERNMENT AGENCIES, DOD COMPONENTS, AND ESSM CONTRACTORS ONLY.

OTHER REQUESTS SHALL BE REFERRED TO PROGRAM EXECUTIVE OFFICE INTEGRATED

WARFARE SYSTEMS (PEO IWS), ATTN: PEO IWS 3L

DESTRUCTION NOTICE - FOR UNCLASSIFIED, LIMITED DOCUMENTS, DESTROY BY ANY METHOD

THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLKS 10, 12-13: TEST DATA IS TO BE DELIVERED WITH EACH SHIPMENT OF MATERIAL (SEE

CONTRACT FOR DELIVERY SCHEDULE)

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)

MAILING ADDRESS:

COMMANDER

NAVAL UNDERSEA WARFARE CENTER

DIVISION KEYPORT

610 DOWELL STREET

KEYPORT, WA 98345-7610

PCO 1 1

CONTRACT SPECIALIST 1 1

ENG NEER 1 1

15. TOTAL ▬▬▬▬► 4 4

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

2 Oct 2019

8 Oct 2019

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