CDRLs_EHF Procurement.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 the 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 DC, 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:

0005 A TDP TM OTHER See Block 16

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

SUBSAFE/L1 Hardware, Engineering and Technical Services

TBD TBD

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

A001 Inspection and Test Plan Inspection System Procedures

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED DI-QCIC-81110 SOW para. 4.0 NUWCDIVNPT Code 8541 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

ONE/R See Block 16 b. COPIES

8. APP CODE D

See Block 16

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

N/A N/A N/A Drafts Reg Repro

16. REMARKS:

BLK. 9: See Addendum.

NUWC Code 8541 1

BLK C: Category is Other – QCIC

BLK 9: See BLK 16 Addendum attached.

BLK 12: 5 working days after task order award.

NSWC Philadelphia 1

15. TOTAL 0 2 0

A002 Certification Data for Non-Nuclear Level I Material NA

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-81020

SOW para 4.1 NUWCDIVNPT Code 8541 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT See Block 16 See Block 16 b. COPIES

8. APP CODE D

See Block 16

11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION

a. ADDRESSEE Final

N/A N/A N/A Drafts Reg Repro

16. Remarks:

BLK C: Category is Other - MISC

Block 10 & 12: Delivery shall be delivered 20 working days after successful completion of required conformance testing.

completion of required conformance testing.

of required conformance testing.

G. PREPARED BY:

Brian Wohler

H. DATE

10/31/2022

I. APPROVED BY

J. DATE

DD Form 1423-2, AUG 96 1059/183

Previous editions may be used of 3

Pages

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 the 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 DC, 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

SUBSAFE/L1 Hardware, Engineering and Technical Services

A003 Certification/Data Report Special Emphasis SUBSAFE/Level I

Material Certificate of Conformance

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MISC-80678

SOW Para. 4.1 NUWCDIVNPT Code 8541 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

ONE/R See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Final

N/A See block 16 N/A N/A Drafts Reg Repro

BLK C: Category is Other - MISC

BLK 10 & 12: shall be submitted prior to Government Source Inspection.

A004 N/A Test/Inspection Report

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-NDTI-80809B

SOW Paragraph 4.1 NUWCDIVNPT Code 8541 TOTAL PRICE

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Final

N/A See Block 16 N/A N/A Drafts Reg Repro

16. Remarks:

BLK C: Category is Other – NDTI

Block 10 & 12: Shall be delivered 10 working days after successful completion of required conformance testing.

Brian Wohler

H. DATE

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 the 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 DC, 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

SUBSAFE/L1 Hardware, Engineering and Technical Services

A005 Request For Variance (RFV)

N/A

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-SESS-80640E

SOW Para. 4.1 NUWCDIVNPT Code 8541 TOTAL PRICE

REQUIRED

See Block 16 See Block 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE Final

N/A See block 16 N/A N/A Drafts Reg Repro

BLK C: Category is Other - SESS

Block 10 & 12: Contractor shall deliver a report within 10 working days of identified nonconformance with requirements.

A006 N/A Contract Status Report

4. AUTHORITY (Date Acquisition Document No.) 5. CONTRACTING REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

DI-MGMT-81991

SOW Paragraph 4.2 NUWCDIVNPT Code 8541 TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT MTHLY 30 DARC b. COPIES

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

SUBMISSION

a. ADDRESSEE Final

N/A See Block 16 N/A N/A Drafts Reg Repro

16. Remarks:

BLK C: Category is Other – MGMT

Brian Wohler

H. DATE

DD FORM 1423

PR 1301003372

BLOCK 16 ADDENDUM

Export Warning

The following “EXPORT CONTROL WARNING NOTICE” must be used in conjunction with DISTRIBUTION STATEMENTS identified 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 amended, 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.

THE FOLLOWING DISTRIBUTION APPLIES TO:

CDRL A001 – A006

Distribution Statement D:

Distribution authorized to the Department of Defense and U.S. DoD contractors only, Critical Technology (26 March 2020). Other requests for this document shall be referred to NUWCDIVNPT Code 8541.