Exhibit A_CDRLs.pdf
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- Solicitation number
- N6339425R0007
About this file
This document is a Contract Data Requirements List (CDRL) for the Integrated Lifecycle Sustainment and Depot-Level Repair Services contract, listing multiple data deliverable items for the Naval Surface Warfare Center, Port Hueneme Division (NSWCPHD). The CDRL contains 16 separate data item entries (A001-A00R) with unique requirements for various reports and documentation, including briefing materials, meeting minutes, management reports, personnel rosters, technical reports, quality assurance documents, and other administrative and technical deliverables.
Each CDRL entry specifies detailed submission guidelines, including frequency (monthly, as required), distribution requirements, and specific formatting instructions. The documents must be electronically submitted via email to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO), using NMCI-compatible Microsoft Office formats. All deliverables must comply with Controlled Unclassified Information (CUI) guidelines and include appropriate classification markings. The contract line items cover contract numbers 0001-0003 and 1001-4003, with most first submissions scheduled for April or June 2025 and subsequent submissions aligned with the Statement of Work requirements.
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DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED. Page of Pages Adobe Professional 8.0
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A MGMT
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A001
BRIEFING MATERIAL
DI-MGMT-81605 SOW 4.3 AND 6.3.2 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
(See Block 16) SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/08/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format).
0 2 2
6/23/2025CEGLIA, ANTOINETTE
INSTRUCTIONS FOR COMPLETING DD FORM1423
(See DoD 5010.12-M for detailed instructions.)
FOR GOVERNMENT PERSONNEL
Item A. Self-explanatory.
Item B. Self-explanatory.
Item C. Mark (X) appropriate category: TDP - Technical Data Package;
TM - Technical Manual; Other - other category of data, such as "Provisioning,""Configuration Management," etc.
Item D. Enter name of system/item being acquired that data will support.
Item E. Self-explanatory (to be filled in after contract award).
Item F. Self-explanatory (to be filled in after contract award).
Item G. Signature of preparer of CDRL.
Item H. Date CDRL was prepared.
Item I. Signature of CDRL approval authority.
Item J. Date CDRL was approved.
Item 1. See DoD FAR Supplement Subpart 4.71 for proper numbering.
Item 2. Enter title as it appears on data acquisition document cited in Item 4.
Item 3. Enter subtitle of data item for further definition of data item (optional entry).
Item 4. Enter Data Item Description (DID) number, military specification number, or military standard number listed in DoD 5010.12-L (AMSDL), or one-time DID number, that defines data content and format requirements.
Item 5. Enter reference to tasking in contract that generates requirement for the data item (e.g., Statement of Work paragraph number).
Item 6. Enter technical office responsible for ensuring adequacy of the data item.
Item 7. Specify requirement for inspection/acceptance of the data item by the Government.
Item 8. Specify requirement for approval of a draft before preparation of the final data item.
Item 9. For technical data, specify requirement for contractor to mark the appropriate distribution statement on the data (ref. DoDD 5230.24).
Item 10. Specify number of times data items are to be delivered.
Item 11. Specify as-of date of data item, when applicable.
Item 12. Specify when first submittal is required.
Item 13. Specify when subsequent submittals are required, when applicable.
Item 14. Enter addressees and number of draft/final copies to be delivered to each addressee. Explain reproducible copies in Item16.
Item 15. Enter total number of draft/final copies to be delivered.
Item 16. Use for additional/clarifying information for Items 1 through 15.
Examples are: Tailoring of documents cited in Item 4; Clarification of submittal dates in Items 12 and 13; Explanation of reproducible copies in Item 14.; Desired medium for delivery of the data item.
FOR THE CONTRACTOR
Item 17. Specify appropriate price group from one of the following groups of effort in developing estimated prices for each data item listed on the DD Form 1423.
a. Group I. Definition - Data which is not otherwise essential to the contractor's performance of the primary contracted effort (production, development, testing, and administration) but which is required by DD Form 1423.
Estimated Price - Costs to be included under Group I are those applicable to preparing and assembling the data item in conformance with Government requirements, and the administration and other expenses related to reproducing and delivering such data items to the Government.
b. Group II. Definition - Data which is essential to the performance of the primary contracted effort but the contractor is required to perform additional work to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, or quality of the data item.
Estimated Price - Costs to be included under Group II are those incurred over and above the cost of the essential data item without conforming to Government requirements, and the administrative and other expenses related to reproducing and delivering such data item to the Government.
c. Group III. Definition - Data which the contractor must develop for his internal use in performance of the primary contracted effort and does not require any substantial change to conform to Government requirements with regard to depth of content, format, frequency of submittal, preparation, control, and quality of the data item.
Estimated Price - Costs to be included under Group III are the administrative and other expenses related to reproducing and delivering such data item to the Government.
d. Group IV. Definition - Data which is developed by the contractor as part of his normal operating procedures and his effort in supplying these data to the Government is minimal.
Estimated Price - Group IV items should normally be shown on the DD Form 1423 at no cost.
Item 18. For each data item, enter an amount equal to that portion of the total price which is estimated to be attributable to the production or development for the Government of that item of data.
These estimated data prices shall be developed only from those costs which will be incurred as a direct result of the requirement to supply the data, over and above those costs which would otherwise be incurred in performance of the contract if no data were required. The estimated data prices shall not include any amount for rights in data. The Government's right to use the data shall be governed by the pertinent provisions of the contract.
DD FORM 1423-1 (BACK), FEB 2001
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A ADMN
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A002
MEETING MINUTES
DI-ADMN-81250C SOW 4.3 AND 6.3.2 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
(See Block 16) SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/03/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format).
CEGLIA, ANTOINETTE 6/23/2025
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A MGMT
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A003
CONTRACTING OFFICER'S MANAGEMENT REPORT
DI-MGMT-81864A SOW 5.1.6 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
MTHLY SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/03/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format).
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A MGMT
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A004
CONTRACTOR'S PERSONNEL ROSTER
DI-MGMT-81834A SOW 5.1.7 AND 5.1.8 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
MTHLY SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/03/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format).
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A MGMT
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A005
CONDITION FOUND REPORT (CFR)
DI-MGMT-81648A SOW 5.1.16 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
(See Block 16) SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/03/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format).
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A MGMT
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A006
INTEGRATED PROGRAM MANAGEMENT DATA ANALYSIS REPORT (IPMDAR)
DI-MGMT-81861C SOW 5.1.17 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
MTHLY SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 02/13/2025
NSP
1 1
Only the following paragraphs apply: 1.1-1.4.1; 1.7; 2.2.1-2.2.4; 2.3.1.5-2.3.1.8.3; 2.3.1.11-2.3.1.12;
2.3.1.14-2.3.1.18; 2.3.2.1.1; 2.3.2.1.5-2.3.2.1.6; 2.3.2.4.1-2.3.2.4.5; 2.3.2.5.2-2.3.2.5.4; 2.4.1.4;
2.4.2.2-2.4.2.4; 2.4.2.9; 2.5.2-2.5.2.2.1.
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format).
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A MISC
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A007
TRIP/TRAVEL REPORT
DI-MISC-81943 SOW 5.1.18, 5.10.4, AND 6.6.3 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
(See Block 16) SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/08/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format.
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A ADMN
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A008
REVISIONS TO EXISTING GOVERNMENT DOCUMENTS GFI
DI-ADMN-80925A SOW 5.4.1 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
(See Block 16) SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/08/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format.
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A MGMT
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A009
GOVERNMENT PROPERTY (GP) INVENTORY REPORT
DI-MGMT-80441D SOW 5.5.1 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
(See Block 16) SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/08/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format.
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A MGMT
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A00A
PRICED BILL OF MATERIAL (PBOM)
DI-MGMT-81994B SOW 5.6.1, 5.6.2, 5.6.3 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
ASREQ (See Block 16) SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/08/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format.
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A N/A
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A00B
COUNTERFEIT PREVENTATION PLAN
DFARS 252.246-7007 SOW 5.7.1 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
(See Block 16) 45DAC
N/A N/A N/A
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/08/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: OTIME
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format.
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A N/A
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A00C
TECHNICAL REPORT - STUDY/SERVICES, UNAUTHORIZED SUPPLIER PURCHASE REPORT
DFARS 252.246-7007 SOW 5.7.2 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
ASREQ (See Block 16) SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/08/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format).
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A N/A
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A00D
UNAUTHORIZED SUPPLIER PURCHASE REPORT
SAE AS5553 SOW 5.7.4 AND 5.7.5 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
(See Block 16) SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/08/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format.
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A MGMT
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A00E
HAZARDOUS MATERIAL MANAGEMENT PROGRAM (HMMP) PLAN
DI-MGMT-81398D SOW 5.8 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
(See Block 16) SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/08/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the Contracting Officer's Representative (COR) and Procuring Contracting Officer (PCO) specified in Section G of the contract, using the most recent NMCI-compatible Microsoft Office Suite of products (or a Microsoft Office-compatible format.
17. PRICEGROUP
18. ESTIMATED
TOTAL PRICE
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 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.
A. CONTRACT LINE ITEM NO. B. EXHIBIT C.CATEGORY:
TDP TM OTHER
D. SYSTEM/ITEM E. CONTRACT/PRNO. F. CONTRACTOR
1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE
4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6.REQUIRINGOFFICE
7. DD 250 REQ 9. DIST STATEMENT
REQUIRED
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
0001-0003 & 1001-4003 A MGMT
INTEGRATED LIFECYCLE SUSTAINMENT AND DEPOT-LEVEL REPAIR SERVICES CDRL-PHD-N03-2025-0001 TBD
A00F
PROJECT PLANNING CHART SCHEDULE PLAN
DI-MGMT-80507C SOW 6.3.1 PHD-N03-NSWCPHD
LT
SEE BLOCK 16
(See Block 16) SEE BLOCK 16
N/A SEE BLOCK 16 SEE BLOCK 16
PCO, CODE 0232
PHD-N03-NSWCPHD
1 1
DE JESUS, MATTHEW D. 04/08/2025
NSP
1 1
Contractor format is acceptable.
Block 9: Mark Controlled Unclassified Information (CUI) according to the DoDI 5200.48, March 6, 2020, and Distribution Statements on Technical Documents according to DoDI 5230.24, August 23, 2012. If a data submission requires a distribution statement, the contractor shall ensure that the deliverable contains the appropriate classification markings and distribution statement.
Block 10: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 11: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 12: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 13: The contractor shall submit and or re-work deliverable in accordance with the Statement of Work.
Block 14: The deliverable shall be sent via electronic mail to the…
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