About this file

This is a Contract Data Requirements List (CDRL) using DD Form 1423-1 that specifies four data items required for a contract involving Electromagnetic Interference (EMI) testing of Commercial Off-the-Shelf (COTS) Underwater Breathing Apparatus (UBA). The contract is managed by NSWC PCD Code E, with approval authority A. Johns from NSWC PCD Code 02T, as of June 1, 2026.

The four required data items are: (1) A001—Test Plan (DI-NTDI-80566A), due at an agreed-upon time with Government approval within 5 working days and final resubmission within 3 working days of receiving comments; (2) A002—Electromagnetic Interference Test Report (DI-EMCS-80200C), due 5 days after completion of testing with the same review and resubmission timeline; (3) A003—Technical Report Study/Services Test Report per MIL-STD-1399 (DI-MISC-80508B), also due 5 days after testing completion with identical review procedures; and (4) A004—Government Property Inventory Report (DI-MGMT-80441D), submitted monthly by the 10th of each month if the contractor has custody of Government-furnished property. All data must be marked per SOW paragraph 8.0 and submitted as Microsoft Office 2016 compatible files via email to addresses provided at award. Each data item requires one draft and one final copy, with copies distributed to NSWC PCD Code E, NSWC PCD Code 024, and for the GFP report, additionally to NSWCPCD_PP&E@us.navy.mil and NSWC PCD Code 1073.

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A04 SOW Statement OF Work.pdf PDF
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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. B. EXHIBIT C. CATEGORY:

A TDP TM OTHER

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

Electromagnetic Interference (EMI) of Cots

Underwater Breathing Apparatus (UBA)

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

A001 Test Plan

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

DI-NTDI-80566A SOW para. 3.1 NSWC PCD Code E

18 ESTIMATED

TOTAL PRICE

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

LT

REQUIRED

ONE/R SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 SEE BLK 16

Reg Repro

16. REMARKS

NSWC PCD Code E 1 1 0

Blk 4: The DID is cited for guidance as to content only. Contractor format is acceptable.

Blks 8, 10, 12,13: Initial submittal due at an agreed upon time between the Government and the Contractor. The Government will review the test plan for approval of technical content and will provide comments within 5 working days after receipt. Comments shall be addressed and the data resubmitted as final within 3 working day after receipt of comments.

Blk 9: Data shall be marked in accordance with SOW para. 8.0

Blk 14: MEDIA Requirements: Microsoft Office 2016 compatible files via e-mail. E-mail addresses will be provided at award.

LT ONLY

NSWC PCD Code 024

15. TOTAL 1 1 0

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

NSWC PCD Code E

06/01/2026

A. Johns, NSWC PCD Code 02T

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 1 of 4 Pages

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

A002 Electromagnetic Interference Test Report

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

DI-EMCS-80200C SOW para. 3.2 NSWC PCD Code E

18 ESTIMATED

TOTAL PRICE

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

LT

REQUIRED

ONE/R SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 SEE BLK 16

Reg Repro

16. REMARKS

Blks 8, 10, 12,13: Initial submittal due 5 days after completion of testing. The

Government will review the initial submittal for approval of technical content and will provide comments within 5 working days after receipt. Comments shall be addressed and the data resubmitted as final within 3 working day after receipt of comments.

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 2 of 4 Pages

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

A003 Technical Report – Study / Services Test Report (MIL-STD-1399)

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

DI-MISC-80508B SOW para. 3.3 NSWC PCD Code E

18 ESTIMATED

TOTAL PRICE

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

LT

REQUIRED

ONE/R SEE BLK 16

b. COPIES

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

SUBMISSION

a. ADDRESSEE Draft Final

A SEE BLK 16 SEE BLK 16

Reg Repro

16. REMARKS

Blks 8, 10, 12,13: Initial submittal due 5 days after completion of testing. The

Government will review the initial submittal for approval of technical content and will provide comments within 5 working days after receipt. Comments shall be addressed and the data resubmitted as final within 3 working day after receipt of comments.

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 3 of 4 Pages

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

A004 Government Property Inventory Report Monthly GFP Report

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

DI-MGMT-80441D SOW PARA 4.0

DFARS PGI 245.103 -73

18 ESTIMATED

TOTAL PRICE

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

LT

REQUIRED

MTHLY SEE BLK 16

b. COPIES

8. APP CODE SEE PWS 8.0 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Dr aft

Final

A SEE BLK 16 Reg Repro

16. REMARKS

NSWC PCD Code E3 1

Blk 4: If the Contractor has custody of GFP then this report shall be submitted. If the Contractor does not have custody of GFP no report is required. This requirement applies to the basic contract and any orders issued under the contract.

Blks 10,13: Subsequent submittals are due monthly, no later than the 10th of each month unless otherwise approved by the Government PCO.

BLKs 9,14: Same as A001. Also send copy of each report to

NSWCPCD_PP&E@us.navy.mil

NSWC PCD Code 024 1

NSWC PCD Code 1073 1

15. TOTAL 4

DD Form 1423-1, JUN 90 Previous editions are obsolete Page 4 of 4 Pages mailto:NSWCPCD_PP&E@us.navy.mil

File details come from the government source that posted it. Updated .