Exhibit A_CDRL A001.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved CMB 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 Services, Directorate for Information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 222202-2302, 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 C. CATEGORY

TDP ____ TM _____ OTHER _____

D. SYSTEM/ITEM F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM: 3. SUBTITLE:

4. AUTHORITY (DATA IDENTIFICATION NO.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ 9. DIST STATEMENT REQD.

10. FREQUENCY

12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

a. Addressee

b. Copies

8. APP CODE 11. AS OF DATE 13. DATE OF SUBSEQUENT

SUBMISSION Draft Final

Reg Repro

16. REMARKS

15. TOTAL

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

X

E. CONTRACT/PR NO.

N68

N/ARequest for Variance (RFV)A001

CONTRACTORS FORMAT SOW para 4.0 6.7.6.1.1- LOGISTICS

LT D

See Block 16

As Req See Block 16

N/A N/A stefanie.l.sohosky.civ@us.navy.mil

Request for Variance (RFV) shall be submitted IAW this CDRL and Statement of Work. MIL-HDBK-61 referenced in the Data Item Description (DID) associated with this CDRL is for guidance only. DD Form 1694 required.

Block 8: Government approval/disapproval shall be provided 30 days after receipt.

7/12/2022 john.l.laird.civ@us.navy.mil 1

STEFANIE SOHOSKY

0006 A

4156AS0150-1

7/12/2022RUSSELL ZACHARY

E. CONTRACT/PR NO.