CDRLs A001-A014.pdf

PDF 10 MB Posted Nov 12, 2021

Attached to: M51A4N 20MM Plastic Dummy Cartridge
Solicitation number: N00174-21-R-0097
Issued by: Department of the Navy Naval Sea Systems Command

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CONTRACT DATA REQUIREMENTS SEQUENCE LIST

CARTRIDGE, 20MM PLASTIC DUMMY, M51A4N

ADL 53711-8563566 REV A

DODIC AA20 NSN 1305-01-448-9275

CONTRACT: TBD

DESIGNATED TECHNICAL ACTIVITY: NSWC IHD PICATINNY, G2 [NAVSEA]

POC: J. PACCIORETTI, G21 OSGA AEA

E-MAIL: JAMES.PACCIORETTI@NAVY.MIL

PHONE: COMMERCIAL: 973-975-8164

# DATA ITEM TITLE CONTRACT REF DID

1 A001 FIRST ARTICLE TEST PLAN (FATP)

SOW PARA

3.2.1

DI-NDTI-80603A

2 A002

FIRST ARTICLE TEST REPORT

(FATR)

SOW PARA

3.2.6

DI-NDTI-80809B

3 A003 LOT ACCEPTANCE TEST PLAN (LATP)

SOW PARA

3.3.1

DI-NDTI-80603A

4 A004

LOT ACCEPTANCE TEST REPORT

(LATR)

SOW PARA

3.3.2

DI-NDTI-80809B

5 A005

MEASUREMENT SYSTEM EVALUATION

(MSE)

SOW PARA 3.4

INCL. SUB-

PARAGRAPHS

DI-QCIC-81960

6 A006 AMMUNITION DATA CARD

SOW PARA

3.5.1

DI-MISC-80043B

7 A007

FAILURE ANALYSIS AND CORRECTIVE

ACTION REPORT (FACAR)(NAVY)

SOW PARA 4.1 DI-SESS-81927

8 A008

ENGINEERING CHANGE PROPOSAL

(ECP)

SOW PARA

4.5.4, 4.5.5

DI-SESS-80639E

9 A009 NOTICE OF REVISION (NOR)

SOW PARA

4.5.4, 4.5.6

DI-SESS-80642E

10 A010 REQUEST FOR VARIANCE (RFV)

SOW PARA

4.5.7, 4.5.8

DI-SESS-80640E

11 A011 QUALITY DEFICIENCY REPORT

SOW PARA

4.7.1

DI-QCIC-80736

12 A012

GOVERNMENT FURNISHED MATERIEL

(GFM) CONSUMPTION REPORT

SOW PARA

4.7.2

DI-MGMT-80438B

13 A013

INTEGRATED MASTER SCHEDULE

(IMS)

SOW PARA 4.9 DI-MGMT-81861B

14 A014 ACCIDENT/INCIDENT REPORT SOW PARA 4.10 DI-SAFT-81563

mailto:JAMES.PACCIORETTI@NAVY.MIL

CONTRACT DATA REQUIREMENTS SEQUENCE LIST

CARTRIDGE, 20MM PLASTIC DUMMY, M51A4N

ADL 53711-8563566 REV A

DODIC AA20 NSN 1305-01-448-9275

CONTRACT: TBD

CDRL ADRESSEE LIST

ORGANIZATION(BLK 14) NAME EMAIL PHONE

NSWC IHD G21 AEA James Paccioretti nswc_iheodtd_osg.fct@navy.mil 973-975-8164

NSWC IHD G21 CM Anthony Mortola usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil

973-724-6358

NSWC IHD GP Jeff Rozanski jeffrey.rozanski@navy.mil 973-724-9250

NSWCDD E33 Seth Rinaldi

Ruby Clancy seth.rinaldi@navy.mil ruby.clancy2@navy.mil

540-653-1362

540-284-7259

NSWC CORONA MS21 Ryan Marcroft

Jesse Mendiola ryan.marcroft@navy.mil isai.mendiola@navy.mil

951-393-4732

951-393-3617

PCO TBD TBD TBD

mailto:nswc_iheodtd_osg.fct@navy.mil mailto:usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil mailto:usn.pica.peo-ammo.mbx.nswc-ihd-g2-cfg-mgt@mail.mil mailto:jeffrey.rozanski@navy.mil mailto:seth.rinaldi@navy.mil mailto:ruby.clancy2@navy.mil mailto:ryan.marcroft@navy.mil mailto:isai.mendiola@navy.mil

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

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 and Communications 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:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A013

DI-MGMT-81861B* SOW Para 4.9 NSWC IHD G2

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

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

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

A014

DI-SAFT-81563 SOW Para 4.10 NSWC IHD G2

	2021-02-24T15:20:08-0500
LAUBACH.ANGELA.G.1388324623

Text1: TBD
Text2: TBD
	2021-02-24T13:41:30-0500
CLARK.SELENA.MARIE.1265125073

Text3: 24/2/2021
Text4: 24/2/2021
Text5: Selena Clark
Text6: Angela Laubach
	2021-02-24T13:44:45-0500
CLARK.SELENA.MARIE.1265125073

	2021-02-24T15:22:21-0500
LAUBACH.ANGELA.G.1388324623

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A009 Blk 16: Blk 8: The Government will provide approval/comments on submitted NOR within 45 calendar days of receipt.

Blk 9: Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD Contractors Only; Critical Technology, Export Controlled; MMM YYYY. Other requests for this document shall be referred to PEO IWS 3C, Naval Gunnery Project Office, 2450 Crystal Drive, Suite 1200, Arlington, Virginia 22202.

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 (Title 50, U.S.C., App. 2401 et seq.), as amended. Violations of these export laws are subject to severe criminal penalties. Disseminate in accordance with provisions of DoD Directive 5230.25.

Blk 10, 12, 13: NORs shall be submitted whenever required, with CDRL A008 Engineering Change Proposal (ECP). Subsequent submission shall only be required if, for any reason, the documentation is revised. The Government will have 45 calendar days to review. Unless otherwise specified, the contractor shall submit revisions within 15 calendar days of receipt of Government review.

Blk 14: Any submission or transmittal of unclassified but other than unlimited distribution data performed under this contract shall be via the DoD Safe Access File Exchange (SAFE) system located at https://safe.apps.mil or secure email system providing secured, but unclassified, transmittance. Drop-off requests shall be submitted to NSWC IHEODTD G21 AEA.

See attached Distribution List for addressee details.

A010 Blk 16: Blk 8: The Government will provide approval/comments on submitted RFV within 45 calendar days of receipt.

Blk 10, 12, 13: RFVs shall be submitted whenever required. Subsequent submission shall only be required if, for any reason, the documentation is revised. The Government will have 45 calendar days to review. Unless otherwise specified, the contractor shall submit revisions within 15 calendar days of receipt of Government review.

See attached Distribution List for addressee details.

A008 Blk 16: Blk 8: The Government will provide approval/comments on submitted ECP within 45 calendar days of receipt.

Blks 10, 12, 13: ECPs shall be submitted whenever required, with CDRL A009 Notice of Revision (NOR). Subsequent submission shall only be required if, for any reason, the documentation is revised. The Government will have 45 calendar days to review. Unless otherwise specified, the contractor shall submit revisions within 15 calendar days of receipt of Government review.

See attached Distribution List for addressee details.

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File details come from the government source that posted it. Updated Nov 12, 2021.