CDRLs Shot Peening-DRAFT.pdf

SSBN PROPULSION SHAFTING

SHOT PEENING

CONTRACT/PR NO.: N42158-TBD

DD FORM 1423-1, Rev B. Dated APR 2017

CONTRACT DATA REQUIREMENT LISTS (CDRLs)

TABLE OF CONTENTS

ITEM SUBTITLE

A001 CERTIFICATION OF SHOT PEENING

A002 SHOT PEENING INTENSITY

A003

PEENING MEDIA CERTIFICATION

CONTRACT/PR NO.: N42158-TBD

DD FORM 1423-1, Rev B. Dated APR 2017

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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

A

C. CATEGORY

TDP TM OTHER MISC 1

D. SYSTEM/ITEM

SSBN PROPULSION SHAFTING

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A001

2. TITLE OF DATA ITEM

CERTIFICATION/ DATA REPORT

3. SUBTITLE

CERTIFICATION OF SHOT PEENING

4. AUTHORITY (Data Acquisition Doc. No)

DI-MISC-80678 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW, PARA SECTIONS 1.1, 6 & 7

6. REQUIRING OFFICE

NNSY TBD

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

D (SEE BLK 16)

10. FREQUENCY

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

(SEE BLK 16)

8. APP CODE

N/A

11. AS OF DATE

13. DATE OF SUBSEQUENT

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (6 FEBRUARY 2018). OTHER REQUESTS SHALL BE REFERRED TO

POC AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13: APPROVAL OF REPORT IS REQUIRED AFTER SHOT PEENING. SEE

SOW SECTIONS 6 & 7.1.a AND REFERENCES 4.a & 4.b.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

NNSY POC: TBD

CONTRACT SPECIALIST POC:

NNSY, C452, TROY WEATHERS, troy.j.weathers2.civ@us.navy.mil

NNSY TBD 0 1 0

15. TOTAL 0 1 0

G. PREPARED BY

STEVEN ROLL

H. DATE

04/04/2022

I. APPROVED BY

J. DATE

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE

mailto:troy.j.weathers2.civ@us.navy.mil

CONTRACT/PR NO.: N42158-TBD

DD FORM 1423-1, Rev B. Dated APR 2017

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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

A

C. CATEGORY

TDP TM OTHER NDTI 1

D. SYSTEM/ITEM

SSBN PROPULSION SHAFTING

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A002

2. TITLE OF DATA ITEM

TEST/ INSPECTION REPORT

3. SUBTITLE

SHOT PEENING INTENSITY

4. AUTHORITY (Data Acquisition Doc. No)

DI-NDTI-80809B (SEE BLK 16)

5. CONTRACT REFERENCE

SOW, PARA SECTIONS 1.1, 6 & 7

6. REQUIRING OFFICE

NNSY TBD

7. DD 250 REQ

LT

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (6 FEBRUARY 2018). OTHER REQUESTS SHALL BE REFERRED TO POC

AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13: APPROVAL OF REPORT IS REQUIRED PRIOR TO SHOT PEENING.

SEE SOW SECTIONS 6 & 7.1.b AND REFERENCES 4.a & 4.b.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

NNSY POC: TBD

H. DATE

CONTRACT/PR NO.: N42158-TBD

DD FORM 1423-1, Rev B. Dated APR 2017

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

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 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

A

C. CATEGORY

TDP TM OTHER MISC 1

D. SYSTEM/ITEM

CVN-68CL PROPULSION SHAFTING

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO

A003

2. TITLE OF DATA ITEM

CERTIFICATION/ DATA REPORT

3. SUBTITLE

PEENING MEDIA CERTIFICATION

4. AUTHORITY (Data Acquisition Doc. No)

DI-MISC-80678 (SEE BLK 16)

5. CONTRACT REFERENCE

SOW, PARA, 3.6

6. REQUIRING OFFICE

NNSY TBD

7. DD 250 REQ

LT

ASREQ (SEE

BLK 16)

12. DATE OF FIRST SUBMISSION

ASREQ (SEE BLK 16)

14. DISTRIBUTION

SUBMISSION

ASREQ (SEE BLK 16)

ADDRESSEES Draft

Final

Reg Repro

16. REMARKS

BLK 9: DISTRIBUTION STATEMENT D DISTRIBUTION AUTHORIZED TO THE

DEPARTMENT OF DEFENSE AND U.S. DOD CONTRACTORS ONLY (CRITICAL

TECHNOLOGY) (6 FEBRUARY 2018). OTHER REQUESTS SHALL BE REFERRED TO

POC AT NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA.

BLK 10, 12, & 13: APPROVAL OF REPORT IS REQUIRED PRIOR TO SHOT PEENING.

SEE SOW SECTIONS 6 & 7.1.c AND REFERENCES 4.a & 4.b.

BLK 14: DATA SUBMISSION SHALL BE SUBMITTED TO ALL POCs VIA EMAIL IN A

DOWNLOADABLE MICROSOFT OFFICE ACCEPTABLE FORMAT THAT WILL BE WRITE-

PROTECTED OR PDF FORMAT. THE CONTRACTOR SHALL CALL THE APPROPRIATE

GOVERNMENT ORGANIZATIONAL ENTITIES TO ENSURE RECEIPT OF THE REPORT.

NNSY POC: TBD

H. DATE

17. PRICE

GROUP

18. ESTIMATED

TOTAL PRICE