CDRL DD1423 - N6660420Q8256.pdf

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items)

Form Approved OMB No. 0704-0188

Public reporting burden for this collection of information is estimated to average 220 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. B. EXHIBIT C. CATEGORY:

0001 A TDP TM OTHER SEE BLK 16

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

SAP – DCP Assessment 1300855814 Raytheon BBN Technologies

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

A001 TECHNICAL REPORT - STUDY/SERVICES N/A

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE – SEE BLK 16 6. REQUIRING OFFICE

DI-MISC-80508B SOW PARAGRAPH 4.1 NUWCDIVNPT 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED ASREQ* ASREQ* b. COPIES

8. APP CODE D* 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A N/A ASREQ* Reg Repro

16. REMARKS NUWCDIVNPT TPM 1 1 0

BLK C: CATEGORY – MISC.

BLK 9: SEE ATTACHED BLOCK 16 ADDENDUM

NUWCDIVNPT COR* 1 1 0

BLK 10/12/13: AS REQUIRED.

BLK 14a: LT TO COR ONLY.

MEDIA FORMAT: EC.

15. TOTAL 2 2 0

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

A002 Contractor’s Status Report (CSR) Contractor’s Status Report (CSR)

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

DI-MGMT-81991 SOW PARAGRAPH 5.0 NUWCDIVNPT 18 ESTIMATED

TOTAL PRICE

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

LT REQUIRED MTHLY 30DAC* b. COPIES

8. APP CODE D* 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Draft Final

A 0 MTHLY THEREAFTER Reg Repro

16. REMARKS NUWCDIVNPT TPM 1 1 0

BLK C: CATEGORY – MGMT.

BLK 9: SEE ATTACHED BLOCK 16 ADDENDUM

NUWCDIVNPT COR* 1 1 0

BLK 12: SUBMIT 30 DAYS AFTER CONTRACT (DAC) AWARD.

BLK 14a: LT TO COR ONLY.

MEDIA FORMAT: EC.

15. TOTAL 2 2 0

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

JULIE KALLFELZ 8APR2020

DD Form 1423-2, AUG 96 (EG) PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages

DD FORM 1423

CONTRACT DATA REQUIREMENTS LIST BLOCK 16 ADDENDUM

PR#1300855814

BLOCK 9: The following information is specifically included in amplification of the Block 9 Distribution Statement selected:

Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.

DISTRIBUTION STATEMENT D. Distribution authorized to the Department of Defense and U.S. DoD contractors only. Critical Technology - To protect information and technical data that advance current technology or describe new technology in an area of significant or potentially significant military application or that relate to a specific military deficiency of a potential adversary. Information of this type may be classified or unclassified; when unclassified, it is export-controlled and subject to the provisions of DoD Directive 5230.25; (9 August 2011). Other requests for this document shall be referred to Naval Undersea Warfare Center Division, Newport. (Code 8524)

The following “EXPORT CONTROL WARNING NOTICE” must be used in conjunction with DISTRIBUTION STATEMENTS identification in all CDRL Items.

WARNING - This document contains technical data whose export is restricted by the Arms Export Control Act (Title 22, U.S.C.Sec.

2751 et seq) or the Export Administration Act of 1979; as emended, Title 50, U.S.C., App 2401 et seq. Violations of these export laws are subject to severe criminal penalties, Disseminate in accordance with provisions of DoD Directive 5230.25.