Data Requirements 4021.pdf
PDF 322 KB Posted
- Attached to
- Plug and Cable Assemblies Federal contract opportunity
- Solicitation number
- SPMYM321Q4021
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Telecom Provisions - Clause 4021.docx | DOCX document | |
| J and A 4021 Redacted.pdf | ||
| DLAD Clauses - Proc Notes 4021.docx | DOCX document | |
| Combined Synopsis Solicitation SPMYM321Q4021.docx | DOCX document |
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245R-0142-21 / 0290401 PAGE 5 OF 8
DD FORM 1423, JUNE 90 Previous editions are obsolete Page 1 of 1 Pages
CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 440 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
A
C. CATEGORY:
TDP X TM OTHER __
D. SYSTEM / ITEM
ICCP Cable Assemblies
E. CONTRACT / PR NO.
0290401
F. CONTRACTOR
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM
Certification of Compliance
3. SUBTITLE
Certification of Compliance
17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-81356A
5. CONTRACT REFERENCE
Section C.2
6. REQUIRING OFFICE
245.2 D
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
One Time
12. DATE OF FIRST SUBMISSION
W/Material
14. DISTRIBUTION
a. ADDRESSEE
b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUB
Draft
Final
Reg Repro
16. REMARKS
a) Vendor to provide Certificate of Compliance that all applicable drawings and notes were followed.
b) For Payment & Submission of Data refer to Clauses 252.232-7006 & 252.232-7003 or 52.232-36. Each Data Item Submitted by Vendor must be submitted under a Separate Shipment Number.
CODE 133.2 0 1 0
0 0 0
15. TOTAL 0 1 0
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM
Testing/Inspection Results
3. SUBTITLE
Test Results
17. PRICE GROUP
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
Section C.2
6. REQUIRING OFFICE
Code 245 18. ESTIMATED
TOTAL PRICE 7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
One Time
12. DATE OF FIRST SUBMISSION
8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT SUB
Final
Reg Repro
16. REMARKS
a. Paragraphs 10.2.2, 10.2.3, and 10.4 of DI-MISC-80678 do not apply.
b. Vendor to provide the Government with testing and inspection results on all Cable Assemblies IAW
MIL-DTL-24231E(SH) dtd 26APRIL2013 table 1 conformance type 1.
c. For Payment & Submission of Data refer to Clauses 252.232-7006 & 252.232-7003 or 52.232-36.
Each Data Item Submitted by Vendor must be submitted under a Separate Shipment Number.
G. Prepared By:
M. Douglas X 3188
H. Date
October 16, 2020
I. Approved By:
10/24/2020
X Steven W Harmon
Si d b O S 1289 06219
J. Date
245R-0188-21 / 0301400 PAGE 4 OF 7
CONTRACT DATA REQUIREMENTS LIST Form Approved OMB No. 0704-0188
Public reporting burden for this collection of information is estimated to average 440 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
A
C. CATEGORY:
TDP X TM _________ OTHER _____________________________
D. SYSTEM / ITEM E. CONTRACT / PR NO.
0275431
F. CONTRACTOR
ICCP Cable Assemblies
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A001 Certification of Compliance Certification of Compliance
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE DI-MISC-81356A Section C.2 245.2
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
One Time
12. DATE OF FIRST SUBMISSION
8. APP CODE
11. AS OF DATE
13. DATE OF SUBSEQUENT SUB
Final
Reg Repro
16. REMARKS
a) Vendor to provide Certificate of Compliance that all applicable drawings and notes were followed
b) For Payment & Submission of Data refer to Clauses 252.232-7006 & 252.232-7003 or 52.232-36. Each Data Item Submitted by Vendor must be submitted under a Separate Shipment Number.
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
A002 Testing/Inspection Results Test Results
4. AUTHORITY (Data Acquisition Document No.)
DI-MISC-80678
5. CONTRACT REFERENCE
Section C.2
6. REQUIRING OFFICE
Code 245
7. DD 250 REQ
DD
9. DIST STATEMENT
REQUIRED
10. FREQUENCY
One Time
12. DATE OF FIRST SUBMISSION
W/Material
14. DISTRIBUTION
8. APP CODE
11. AS OF DATE
13. DATE OF SUBSEQUENT SUB
Final
Reg Repro
16. REMARKS
a. Paragraphs 10.2.2, 10.2.3, and 10.4 of DI-MISC-80678 do not apply.
b. Vendor to provide the Government with testing and inspection results on all Cable Assemblies IAW
MIL-DTL-24231E(SH) dtd 26APRIL2013 table 1 conformance type 1.
c. For Payment & Submission of Data refer to Clauses 252.232-7006 & 252.232-7003 or 52.232-36.
Each Data Item Submitted by Vendor must be submitted under a Separate Shipment Number.
15. TOTAL
0 1 0
G. Prepared By: H. Date I. Approved By: J. Date
M. Douglas X 3188
September 30, 2020
11/14/2020
X Steven W Harmon
Signed by: HARMON.STEVEN.W.1289406219 DD FORM 1423, JUNE 90 Previous editions are obsolete Page __1__ of __1__ Pages
18. ESTIMATED
TOTAL PRICE
18. ESTIMATED
TOTAL PRICE
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