DD1423.doc

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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 and Communications Directorate (0704-1088). 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: Engineering Data

D. SYSTEM/ITEM

Prototype Piston Design and Manufacturing

E. CONTRACT/PR NO.

PR 0011774860

F. CONTRACTOR

MAHLE Powertrain, LLC

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Modified Piston Design /Materials

3. SUBTITLE

Piston Design Drawing and Analysis Data

4. AUTHORITY (Data Acquisition Document No.)

MIL-D-1000/1A

5. CONTRACT REFERENCE

6. REQUIRING OFFICE

FCDD-RLC-V

7. DD 250 REQ

XX

9. DIST STATEMENT

REQUIRED

A

10. FREQUENCY

OTIME

12. DATE OF FIRST SUBMISSION

See Block 16 14.

DISTRIBUTION

8. APP CODE

N/A

11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

16. REMARKS

BLK 4: Each submission shall be delivered electronically in a media selected by the government at time of delivery. Media types which can be accepted include: File Transfer Protocol (FTP), CD- ROM and DVD-ROM.

BLK 12:

Design and tooling development report – 3 months after the contract award Piston fabrication and rebuild – 4.5 months after the contract award

BLK 14:

Electronic delivery for reports, data and documents Physical delivery for the pistons The government shall have 30 days for review and acceptance/rejection of initial submission and 15 days for review and acceptance/rejection of subsequent submissions.

All submittals shall be sent to:

US Army Research Laboratory FCDD-RLC-V (Dr. Chol-Bum Kweon)

Bldg. 4603, Room 110

6340 Rodman Road Aberdeen Proving Ground, MD 21005

G. PREPARED BY

Dr. Kweon

H. DATE

04/11/2022

I. APPROVED BY

J. DATE

DD FORM 1423-1, FEB 2001

PREVIOUS EDITION MAY BE USED.

Page of Pages

EXHIBIT A – ATTACHMENT 1

ARMY RESEARCH LABORATORY

Report Title Goes Here

Any Subtitles Go Here

By Some Author and Another Author

Month XXXX

Prepared by

Whatever Technology Corporation

0000 Research Drive

Anywhere, ST 20006-1000

Under contract

W911QX-XX-C-XXXX

DISTRIBUTION STATEMENT GOES HERE

EXHIBIT A – ATTACHMENT 2

The findings in this report are not to be construed as an official Department of the Army position unless so designated by other authorized documents.

Citation of manufacturer's or trade names does not constitute an official endorsement or approval of the use thereof.

DESTRUCTION NOTICE: For classified documents, follow the procedures in DoD 5220.22-M, National Industrial Security Program Operating Manual, Chapter 5, Section 7. For unclassified, limited documents, destroy by any method that will prevent disclosure of contents or reconstruction of the document.