DRAFT CDRL A002 Failure Analysis Report (Rev 8-26-21).docx

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(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.

N/A

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

A

BLK 5: TEST DATA SHEETS PER THE DRAWING AND SOW, ALONG WITH FAILURE ANALYSIS, CORRECTIVE ACTION REPORTING SHALL ACCOMPANY EACH DELIVERY OF MATERIAL WHEN APPLICABLE. (SEE SOW, ADDITIONAL REQUIREMENTS).

BLK 9: DISTRIBUTION AUTHORIZED TO THE U.S. DEPARTMENT OF DEFENSE AND DOD CONTRACTORS ONLY; CRITICAL TECHNOLOGY 1/15/2012; OTHER REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO NUWC, DIVISION KEYPORT, CODE 323, WEAPONS LOGISTICS SUPPORT BRANCH, TRACI SEELEY.

DESTRUCTION NOTICE-FOR UNCLASSIFIED, LIMITED DOCUMENTS, DESTROY BY ANY METHOD THAT WILL PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLKS 10-13: TEST DATA SHALL BE DELIVERED WITH EACH SHIPMENT OF MATERIAL (PRODUCTION AND FIRST ARTICLE UNITS AS APPLICABLE). SEE SOW AND CONTRACT CLINS 0001-0003.

BLK 14: DELIVERABLE FORMAT:

TEXT DOCUMENT: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT WORD (.DOC)

PRESENTATION: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT POWERPOINT (.PPT)

SPREADSHEET: MICROSOFT EXCEL (.XLS)

DISTRIBUTION ADDRESSEES AND ELECTRONIC MAILING ADDRESSES ARE PROVIDED BELOW:

1) NUWC DIVISION KEYPORT, TRACI SEELEY, LOGISTICS TECH POC, TRACI.SEELEY@NAVY.MIL.

2) NUWC DIVISION KEYPORT, PCO (CONTRACTING OFFICER), MONIQUE KLOSE, MONIQUE.KLOSE@NAVY.MIL

3) NUWC DIVISION KEYPORT, CONTRACT SPECIALIST, JULIE THOMAS, JULIE.THOMAS@NAVY.MIL

4) NUWC DIVISION KEYPORT, MIKHAIL VAYNER, ENGINEERING TECH POC, MIKHAIL.VAYNER@NAVY.MIL

MAILING ADDRESS:

SEE CONTRACT, SECTION F

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages