CDRLs A0001-A0004.pdf
PDF 351 KB Posted
- Solicitation number
- N61331-26-Q-JC23
About this file
This is a Contract Data Requirements List (DD Form 1423-1) specifying four data items required for a contract concerning Electromagnetic Interference (EMI) testing of Commercial Off-the-Shelf (COTS) Underwater Breathing Apparatus (UBA).
The four required data items are: (1) Data Item A001 – Test Plan, referenced to SOW paragraph 3.1, with initial submittal due at an agreed-upon time between the Government and Contractor, followed by Government review and approval within 5 working days, with contractor responses due within 3 working days; (2) Data Item A002 – Electromagnetic Interference Test Report, referenced to SOW paragraph 3.2, with initial submittal due 5 days after completion of testing, followed by the same 5-day and 3-day review and response timeline; (3) Data Item A003 – Technical Report (Study/Services Test Report per MIL-STD-1399), referenced to SOW paragraph 3.3, with identical submittal and review timelines as A002; and (4) Data Item A004 – Government Property Inventory Report (Monthly GFP Report), referenced to SOW paragraph 4.0 and DFARS PGI 245.103-73, with monthly submissions due no later than the 10th of each month, applicable only if the contractor has custody of Government Furnished Property. All deliverables must be submitted in Microsoft Office 2016 compatible format via email to addresses provided at contract award, with data marked in accordance with SOW paragraph 8.0. The requiring office is NSWC PCD Code E, with the form prepared and approved on 06/01/2026.
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Other files
| File | Type | Posted |
|---|---|---|
| C07 Questions and Answers SAM N6133126QJC23.pdf | ||
| C07. Clauses - Services.pdf | ||
| A04 SOW Statement OF Work.pdf | ||
| C07 Quote Template.xlsx | XLSX spreadsheet |
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Text version
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 .