Contract Data Requirements List (CDRL).pdf

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N6660425Q0559
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This Contract Data Requirements List (CDRL) covers a Universal Slip Ring contract (PR 1301257148) for the Naval Undersea Warfare Center, Newport Division (NPT-15-NUWC). The document outlines four data items that the contractor must submit: (1) Certificate of Compliance, (2) Mercury Free Certification, (3) Certificate of Analysis, and (4) Technical Report for Process Certification. Each item requires a one-time submission upon completion of each delivered batch, with distribution limited to U.S. Department of Defense agencies and contractors due to critical technology classification.

The contract includes an export control warning, noting that the technical data is restricted under the Arms Export Control Act and Export Administration Act, with potential severe criminal penalties for violations. The documents are dated 5/19/25, with the contractor to be determined (TBD), and are associated with Contract Line Item Number 0002. All submissions must be made to NPT-15-NUWC and are subject to Distribution Statement D, which authorizes distribution to U.S. Government Agencies and their contractors with critical technology considerations.

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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 Service, 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

A

C. CATEGORY

TDP_________ TM___________ OTHER MISC

D. SYSTEM/ITEM

UNIVERSAL SLIP RING

E. CONTRACT / PR NO.

1301257148

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

CERTIFICATE OF COMPLIANCE

3. SUBTITLE

CERTIFICATE OF COMPLIANCE (COC)

17. PRICE

GROUP 1

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

RIR_QAP_W04977

6. REQUIRING OFFICE

NPT-15-NUWC 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

DD

SEE BLOCK 16

1 TIME SEE BLOCK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE

Draft

Final

N/A N/A N/A Reg Repro

16. REMARKS NPT-15-NUWC 0 1 0

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

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

TECHNOLOGY. OTHER REQUEST FOR THIS DOCUMENT SHALL BE REFERRED

TO NAVAL UNDERSEA WAREFARE CENTER, NEWPORT DIVISION

Block 12: Submit certification of compliance data sheet upon completion of each delivered batch.

15. TOTAL

______> 0 1 0

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

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 1 of 4 Pages

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 Service, 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

A

C. CATEGORY

TDP_________ TM___________ OTHER MISC

D. SYSTEM/ITEM

UNIVERSAL SLIP RING

E. CONTRACT / PR NO.

1301257148

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

CERTIFICATE OF COMPLIANCE

3. SUBTITLE

MERCURY FREE CERTIFICATION

17. PRICE

GROUP 1

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

RIR_QAP_W04977

6. REQUIRING OFFICE

NPT-15-NUWC 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

REQUIRED

10. FREQUENCY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

DD

SEE BLOCK 16

1 TIME SEE BLOCK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE

Draft

Final

N/A N/A N/A Reg Repro

16. REMARKS NPT-15-NUWC 0 1 0

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

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

TECHNOLOGY. OTHER REQUEST FOR THIS DOCUMENT SHALL BE REFERRED

TO NAVAL UNDERSEA WAREFARE CENTER, NEWPORT DIVISION

Block 12: Submit certification of compliance data sheet upon completion of each delivered batch.

15. TOTAL

______> 0 1 0

G. PREPARED BY:

H. DATE

I. APPROVED BY J. DATE

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 2 of 4 Pages

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 Service, 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

A

C. CATEGORY

TDP_________ TM___________ OTHER MISC

D. SYSTEM/ITEM

UNIVERSAL SLIP RING

E. CONTRACT / PR NO.

1301257148

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

CERTIFICATE OF COMPLIANCE

3. SUBTITLE

CERTIFICATE OF ANALYSIS

17. PRICE

GROUP 1

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-81356A

5. CONTRACT REFERENCE

RIR_QAP_W04977

6. REQUIRING OFFICE

NPT-15-NUWC 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

DD

SEE BLOCK 16

1 TIME SEE BLOCK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE

Draft

Final

N/A N/A N/A Reg Repro

16. REMARKS NPT-15-NUWC 0 1 0

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

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

TECHNOLOGY. OTHER REQUEST FOR THIS DOCUMENT SHALL BE REFERRED

TO NAVAL UNDERSEA WAREFARE CENTER, NEWPORT DIVISION

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 3 of 4 Pages

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 Service, 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

A

C. CATEGORY

TDP_________ TM___________ OTHER MISC

D. SYSTEM/ITEM

UNIVERSAL SLIP RING

E. CONTRACT / PR NO.

1301257148

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

TECHNICAL REPORT – STUDY/SERVICES

3. SUBTITLE

PROCESS CERTIFICATION

17. PRICE

GROUP 1

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

RIR_QAP_W04977

6. REQUIRING OFFICE

NPT-15-NUWC 18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

DD

SEE BLOCK 16

1 TIME SEE BLOCK 16 b. COPIES

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

SUBMISSION

a. ADDRESSEE

Draft

Final

N/A N/A N/A Reg Repro

16. REMARKS NPT-15-NUWC 0 1 0

Block 9: DISTRIBUTION STATEMENT D: DISTRIBUTION AUTHORIZED TO THE

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

TECHNOLOGY. OTHER REQUEST FOR THIS DOCUMENT SHALL BE REFERRED

TO NAVAL UNDERSEA WAREFARE CENTER, NEWPORT DIVISION

DD Form 1423-1, Feb 2001 Previous Edition May be Used Page 4 of 4 Pages

Enclosure (3)

DD FORM 1423, CONTRACT DATA REQUIREMENTS LIST

BLOCK 16 ADDENDUM

PR 1301257148

BLOCK 9: The following information is provided in amplification of the Block 9 Distribution Statement shown on each DD FORM 1423.

Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.

CDRLs A001 through A004

Distribution Statement D . Distribution authorized to U.S. Government Agencies and their contractors (Critical Technology) (4/26/2017). Other requests for this document shall be referred to insert (controlling DoD office – NUWCDIVNPT Code 1534

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.

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