Draft CDRL DD1423-1 B001-B00K_Redacted.pdf

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER_______MISC__________

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B001

2. TITLE OF DATA ITEM:

TECHNICAL REPORT-STUDY/SERVICES

3. SUBTITLE

Analysis Report

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MISC-80508B

5. CONTRACT REFERENCE

SOW Para# 4.4.1, 4.6.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ

LT

9. DIST STATEMNT

REQUIRED

10. FREQUENCY

ASREQ*

12. DATE OF FIRST

SUBMISSION

See Block 16

14. DISTRIBUTION *

D* b. COPIES

8. APP CODE See Block 16 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS Code 3412 0 1 0 Block 3: (SOW 4.4.1, 4.6.1) Analysis Report Code 3434 0 1 0

COR 0 1 0

3432 DM 0 1 0

Block 9: See attached Block 16 addendum.

Block 10: Estimated 12 submittals per year for 10 year period.

Block 12: (SOW 4.4.1, 4.6.1) Analysis Reports shall be submitted within 10 calendar days after Government acceptance of the repaired unit and shall provide detailed information relative to the repair activities performed.

Block 14: Media Requirements: The report shall be delivered electronically in editable Microsoft 2016 format with email notification to all addressees:

15. TOTAL

______> 0 4 0

H. DATE

04/08/2024

I. APPROVED BY

J. DATE

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

DRAFT

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__NDTI

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B002

2. TITLE OF DATA ITEM:

TEST_INSPECTION REPORT

3. SUBTITLE

See Block 16

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW Para# 4.4.1, 4.6.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS Code 3412 0 1 0 Block 3: Mechanical Test Report, Electrical Test Report, LRU Deficiency Code 3413 0 1 0 Report Code 3434 0 1 0

COR 0 1 0

Block 9: See attached Block 16 addendum. 3432 DM 0 1 0

Block 10: Estimated 50 submittals per year for 10 year period.

Block 12: Reports shall be submitted within 20 calendar days after completion of inspection.

______> 0 5 0

(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.

TBD

B. EXHIBIT

A FFP

C. CATEGORY

TDP_________ TM___________ OTHER__ SESS

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B003

2. TITLE OF DATA ITEM:

FAILURE SUMMARY ANALYSIS REPORT

3. SUBTITLE

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-SESS-80255A

5. CONTRACT REFERENCE

SOW Para# 4.4.1, 4.6.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

MTHLY*

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS Code 3412 0 1 0 Block 9: See attached Block 16 addendum. Code 3413 0 1 0 Code 3434 0 1 0 Block 10: Estimated 12 submittals per year for 10 year period. COR 0 1 0

3432 DM 0 1 0

Block 12: Reports shall be submitted no later than the10th of each month.

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__MGMT

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B004

2. TITLE OF DATA ITEM:

MAINTENANCE SERVICE REPORT

3. SUBTITLE

See Block 16

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MGMT-80995A

5. CONTRACT REFERENCE

SOW Para# 4.4.1, 4.5.2, 4.6.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS Code 3412 0 1 0 Block 3: (SOW 4.4.1) Maintenance Action Reports (MARs), Ultrasonic Scan Code 3434 0 1 0 Reports, and LRU Deficiency Reports, (SOW 4.5.2) Acceptance Test, COR 0 1 0 (SOW 4.6.1) Maintenance Action Report 3432 DM 0 1 0

Block 9: See attached Block 16 addendum.

Block 10: Estimated 35 submittals per year for 10 year period.

Block 12: Reports shall be submitted within 21 calendar days after completion of repair.

(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.

TBD

B. EXHIBIT

A FFP

C. CATEGORY

TDP_________ TM___________ OTHER__MGMT

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B005

2. TITLE OF DATA ITEM:

ENGINEERING AND TECHNICAL SERVICES

ACCOMPLISHMENT REPORT

DI-MGMT-80061A

5. CONTRACT REFERENCE

SOW Para# 4.4.1, 4.5.2, 4.6.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

N/A 10 EOM Reg Repro

16. REMARKS Code 3412 0 1 0 Block 9: See attached Block 16 addendum. Code 3434 0 1 0

COR 0 1 0

Block 10: Estimated 12 submittals per year for 10 year period. 3432 DM 0 1 0

Block 12: Reports shall be submitted no later than the 10th of each month.

G. PREPARED BY: H. DATE

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ADMN

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B006

2. TITLE OF DATA ITEM:

REPORT RECORD OF MEETING/MINUTES

DI-ADMN-81505

5. CONTRACT REFERENCE

SOW Para# 4.4.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS Code 3412 0 1 0 Block 9: See attached Block 16 addendum. Code 3413 0 1 0 Code 3434 0 1 0 Block 10: Estimated 52 submittals per year for 10 year period. COR 0 1 0

3432 DM 0 1 0

Block 12: Meeting minutes shall be submitted within 7 calendar days of meeting.

G PREPARED BY: H. DATE

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ ADMN

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B007

2. TITLE OF DATA ITEM:

PRESENTATION MATERIALS

DI-ADMN-81373

5. CONTRACT REFERENCE

SOW Para# 4.4.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

A See Block 16 See Block 16 Reg Repro

16. REMARKS Code 3412 1 1 0 Block 9: See attached Block 16 addendum. Code 3413 1 1 0 Code 3434 1 1 0 Block 10: Estimated 6 submittals per year for 10 year period. COR 0 1 0

3432 DM 0 1 0

Block 11, 12, & 13: Draft materials shall be submitted within 14 calendar days prior to presentation. Government will review and comment within 7 calendar days of presentation. Final to be submitted within 3 calendar days of presentation.

Block 14: Media Requirements: The report shall be delivered electronically in editable Microsoft 2016 format with email notification to all addressees listed below. Electronic and paper format is required for final.

______> 3 5 0

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ MGMT

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B008

2. TITLE OF DATA ITEM:

CONTRACT FIELD SERVICE REPORT

DI-MGMT-81238

5. CONTRACT REFERENCE

SOW Para# 4.4.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS Code 3412 0 1 0 Block 9: See attached Block 16 addendum. Code 3413 0 1 0 Code 3434 0 1 0 Block 10: Estimated 6 submittals per year for 10 year period. COR 0 1 0

3432 DM 0 1 0

Block 12: Report shall be submitted within 7 calendar days after field services have been provided.

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ MISC

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B009

2. TITLE OF DATA ITEM:

TRIP/TRAVEL REPORT

DI-MISC-81943

5. CONTRACT REFERENCE

SOW Para# 4.4.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS Code 3412 0 1 0 Block 9: See attached Block 16 addendum. Code 3413 0 1 0 Code 3434 0 1 0 Block 10: Estimated 6 submittals per year for 10 year period. COR 0 1 0

3432 DM 0 1 0

Block 12: Report shall be submitted within 7 calendar days after each trip is completed.

editable Microsoft 2010 format with email notification to all addressees:

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ TMSS

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B00A

2. TITLE OF DATA ITEM:

FIELD CHANGE BULLETIN

DI-TMSS-81393

5. CONTRACT REFERENCE

SOW Para# 4.4.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

A See Block 16 See Block 16 Reg Repro

16. REMARKS Code 3412 1 1 0 Block 9: See attached Block 16 addendum. Code 3413 1 1 0 Code 3434 1 1 0 Block 10: Estimated 2 submittals per year for 10 year period. COR 0 1 0

3432 DM 0 1 0

Block 11, 12, & 13: Draft materials shall be submitted within 60 calendar days of delivery order. Government will review and comment within 30 calendar days of contractor submission. Final to be submitted within 30 calendar days of Government review.

Block 14: Media Requirements: The report shall be delivered electronically in

G. PREPARED BY:

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ MGMT

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B00B

2. TITLE OF DATA ITEM:

CONTRACTORS STANDARD OPERATING

PROCEDURES

3. SUBTITLE

Standard Operation Procedure (SOP) for

Operation, Maintenance and Repair

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MGMT-81580

5. CONTRACT REFERENCE

SOW Para# 4.4.1, 4.5.2

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

14DAC

SUBMISSION

a. ADDRESSEE Draft Final

A See Block 16 See Block 16 Reg Repro

16. REMARKS Code 3412 1 1 0 Block 9: See attached Block 16 addendum. Code 3434 1 1 0

COR 0 1 0

Block 10: Estimated 4 submittal per year for 10 year period. 3432 DM 0 1 0

Block 11 & 13: Draft SOP shall be submitted within 14 calendar days of contract award. Government will review and comment within 7 calendar days of contractor submission. Final to be submitted within 7 calendar days of Government review.

______> 2 4 0

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ SESS

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B00C

2. TITLE OF DATA ITEM:

DESIGN REVIEW INFORMATION PACKAGE

(DRIP)

3. SUBTITLE

Preliminary/Critical Design Review

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-SESS-81757A

5. CONTRACT REFERENCE

SOW Para# 4.4.1, 4.5.2

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

A N/A N/A Reg Repro

16. REMARKS Code 3412 2 2 0 Block 9: See attached Block 16 addendum. Code 3434 1 1 0

COR 0 1 0

Block 10: Estimated 4 submittal per year for 10 year period. 3432 DM 0 1 0

Block 12: Draft shall be submitted within 90 calendar days of delivery order. Government will review and comment within 30 calendar days of contractor submission. Final to be submitted within 30 calendar days of Government review.

Block 14: Media Requirements: The report shall be delivered electronically in

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ SESS

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B00D

2. TITLE OF DATA ITEM:

DEVELOPMENTAL DESIGN

DRAWINGS_MODELS AND ASSOCIATED

LISTS

DI-SESS-81002F

5. CONTRACT REFERENCE

SOW Para# 4.5.2

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

A N/A N/A Reg Repro

16. REMARKS Code 3412 2 2 0 Block 9: See attached Block 16 addendum. Code 3434 1 1 0

COR 0 1 0

Block 10: Estimated 6 submittal per year for 10 year period. 3432 DM 0 1 0

Block 12: Redlined drawings shall be submitted within 90 calendar days of delivery order. Government will review and comment within 30 calendar days of contractor submission. Final to be submitted within 30 calendar days of Government review.

Block 14: Media Requirements: The report shall be delivered electronically in

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ MGMT

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B00F

2. TITLE OF DATA ITEM:

ITEM UNIQUE IDENTIFICATION (IUID)

MARKING ACTIVITY VALIDATION AND

VERIFICATION REPORT

DI-MGMT-81804A

5. CONTRACT REFERENCE

SOW Para# 4.5.2

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS Code 3412 0 1 0 Block 9: See attached Block 16 addendum. Code 3434 0 1 0

COR 0 1 0

Block 10: Estimated 12 submittal per year for 10 year period. 3432 DM 0 1 0

Block 12: Report shall be submitted within 10 calendar days of delivery order.

______> 1 4 0

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ MGMT

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B00G

2. TITLE OF DATA ITEM:

ITEM UNIQUE IDENTIFICATION (IUID)

MARKING AND VERIFICATION REPORT

DI-MGMT-81858

5. CONTRACT REFERENCE

SOW Para# 4.5.2

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

A N/A N/A Reg Repro

16. REMARKS Code 3412 0 1 0 Block 9: See attached Block 16 addendum. Code 3434 0 1 0

COR 0 1 0

Block 10: Estimated 12 submittal per year for 10 year period. 3432 DM 0 1 0

Block 12: Report shall be submitted within 10 calendar days of delivery order.

______> 1 4 0

G.

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ SESS

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B00H

2. TITLE OF DATA ITEM:

CONFIGURATION STATUS ACCOUNTING

(CSA) INFORMATION

DI-SESS-81253C

5. CONTRACT REFERENCE

SOW Para# 4.6.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

N/A 10 EOM Reg Repro

16. REMARKS Code 3412 0 1 0 Block 9: See attached Block 16 addendum. Code 3434 0 1 0

COR 0 1 0

Block 10: Estimated 12 submittal per year for 10 year period. 3432 DM 0 1 0

Block 12: Reports shall be submitted no later than the10th of each month.

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.

TBD

B. EXHIBIT

B

C. CATEGORY

TDP_________ TM___________ OTHER__ SAFT

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B00J

2. TITLE OF DATA ITEM:

SAFETY ASSESSMENT REPORT (SAR)

DI-SAFT-80102C

5. CONTRACT REFERENCE

SOW Para# 4.5.2

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

A N/A N/A Reg Repro

16. REMARKS Code 3412 2 2 0 Block 9: See attached Block 16 addendum. Code 3434 1 1 0

COR 0 1 0

Block 10: Estimated 6 submittal per year for 10 year period. 3432 DM 0 1 0

Block 12: Draft shall be submitted within 14 calendar days of delivery order.

Government will review and comment within 7 calendar days of contractor submission. Final to be submitted within 7 calendar days of Government review.

Block 14: Media Requirements: The report shall be delivered electronically in

G.

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.

TBD

B. EXHIBIT

A FFP

C. CATEGORY

TDP_________ TM___________ OTHER__QCIC

D. SYSTEM/ITEM

Submarine High Data Rate Mast

E. CONTRACT / PR NO.

1301140163

F. CONTRACTOR

TBD

1. DATA ITEM NO.

B00K

2. TITLE OF DATA ITEM:

INCOMING INSPECTION SUMMARY REPORT

3. SUBTITLE

Visual Inspection for Configuration and Condition

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-QCIC-80376A

5. CONTRACT REFERENCE

SOW Para# 4.6.1

6. REQUIRING OFFICE

NUWCDIVNPT, Code 349

18. ESTIMATED

SUBMISSION

a. ADDRESSEE Draft Final

N/A N/A N/A Reg Repro

16. REMARKS Code 3412 0 1 0 Block 9: See attached Block 16 addendum. Code 3434 0 1 0

COR 0 1 0

Block 10: Estimated 40 submittals per year for 10 year period. 3432 DM 0 1 0

Block 12: Reports shall be submitted within 10 calendar days after receipt of hardware.

DD FORM 1423

BLOCK 16 ADDENDUM

PR 1301140163

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 B001, B002, B003, B004, B005, B006, B007, B008, B009, B00A, B00B, B00C, B00D, B00E, B00F, B00G, B00H, B00J, B00K.

Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors only Critical Technology (24 Sept 2017). Other requests shall be referred to NUWCDIVNPT, Code 349.

The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with DISTRIBUTION STATEMENTS identified in the CDRL.

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.