Draft CDRLs.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

A

C. CATEGORY

TDP TM OTHER: NDTI

D. SYSTEM/ITEM

Radome Procurement

E. CONTRACT / PR NO.

1300967570

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM:

TEST/INSPECTION REPORT

3. SUBTITLE

N/A

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-NDTI-80809B

5. CONTRACT REFERENCE

SOW Para# 4.1, 4.2, 4.3, 4.4.2

6. REQUIRING OFFICE

NUWCDIVNPT Code 3413

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT ASREQ See Block 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft

Final

N/A See Block 16 N/A See Block 16 Reg Repro

16. REMARKS 349 0 1 0

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

Block 10: One (1) per hardware unit delivered. Approximately one hundred eleven (111) over entire contract.

Block 12 & 13: Test report shall be delivered concurrent with hardware delivery.

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

349:

3432 DM:

15 TOTAL

______> 0 3 0

G. PREPARED BY H. DATE

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

DRAFT

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

C. CATEGORY

TDP TM OTHER: PSSS

D. SYSTEM/ITEM

Radome Procurement

E. CONTRACT / PR NO.

1300967570

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM:

REPAIRABLE ITEM INSPECTION REPORT

3. SUBTITLE

N/A

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-PSSS-80386A

5. CONTRACT REFERENCE

SOW Para# 4.4.1

6. REQUIRING OFFICE

NUWCDIVNPT Code 3413

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ

9. DIST STATEMNT

REQUIRED 10. FREQUENCY

12. DATE OF FIRST

SUBMISSION 14. DISTRIBUTION

LT ASREQ See Block 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION a. ADDRESSEE

Draft Final N/A See Block 16 N/A N/A Reg Repro

16. REMARKS 349 0 1 0

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

Block 10: One (1) per hardware unit sent for evaluation. Approximately nineteen (19) over entire contract.

Block 12: Report shall be delivered thirty (30) calendar days after receipt of hardware unit sent for evaluation.

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

349:

3432 DM:

15 TOTAL

______> 0 3 0

G. PREPARED BY

H. DATE

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

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

C. CATEGORY

TDP TM OTHER: MGMT

D. SYSTEM/ITEM

Radome Procurement

E. CONTRACT / PR NO.

1300967570

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM:

PRODUCTION REPORT

3. SUBTITLE

N/A

17. PRICE GROUP

4. AUTHORITY (Date Acquisition Document No.)

DI-MGMT-81867

5. CONTRACT REFERENCE

SOW Para# 5.0

6. REQUIRING OFFICE

NUWCDIVNPT Code 3413

18. ESTIMATED

TOTAL PRICE

7. DD 250 REQ 9. DIST STATEMNT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

LT MTHLY See Block 16 b. COPIES

8. APP CODE D 11. AS OF DATE 13. DATE OF SUBSEQNT

SUBMISSION

a. ADDRESSEE Draft

Final

N/A See Block 16 N/A See Block 16 Reg Repro

16. REMARKS 349 0 1 0

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

Block 10: Approximately twelve (12) per year over the entire contract.

Block 12 & 13: Production report shall be provided monthly listing all material units delivered within that month. The contractor shall upload the report into the Acquisition Management System (AMS) CDRL.

module. In addition, the contractor shall upload the DD Form 1149 Requisition Invoice/Shipping Document in the Procurement Integrated Enterprise Environment (PIEE) module of Wide Area Work Flow (WAWF).

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

349:

3432 DM:

15 TOTAL

______> 0 3 0

G. PREPARED BY H. DATE

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

DD FORM 1423

BLOCK 16 ADDENDUM

PR 1300906459

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-A003

Distribution Statement D: Distribution authorized to Department of Defense and U.S. DoD contractors only Critical Technology (15 March 2022). 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.

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