Exhibit A - Contract Data Requirements List redacted.pdf
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- MK 695 Torpedo System Test Set Support
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- N66604-21-R-0222
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N66604-14-R-0921 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 da ta sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comment s 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 Proj ect (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Gover nment Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
A
C. CATEGORY
TDP________ TM___________ OTHER__MISC_______________
D. SYSTEM/ITEM
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A001
2. TITLE OF DATA ITEM:
Inventory/Utilization Data Report
3. SUBTITLE
Material Procurement Report
4. AUTHORITY (Date Acquisition Document No.)
DI-MISC-81107 SEE BLK 16
5. CONTRACT
REFERENCE
4.1
6. REQUIRING OFFICE
NUWC DIV Newport
7. DD 250 REQ
9. DIST STATEMNT
REQUIRED
10. FREQUENCY
QTRLY
12. DATE OF FIRST
SUBMISSION
90 DAC
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLK 16 b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
N/A N/A N/A Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
0 1 0
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
BLOCK 9: Distribution Statement D: See attached Block 16 Addendum.
BLOCK 10, 12: The Contractor shall include item part number, item serial number, nomenclature, source, and cost using Microsoft Excel format.
BLOCK 14: Distribution and submittal shall be by electronic media whenever possible. Electronic deliverables shall be delivered in the following formats unless otherwise approved by the Government: Text Document: Adobe PDF (.pdf, searchable), Microsoft Word (.doc), Presentation:
Adobe PDF (.pdf, searchable) or Microsoft PowerPoint (.ppt), Spreadsheet: Excel (.xls), and Schedule: Microsoft Project (.mpp) using Microsoft Office 2007 or later.
Distribution Addresses are specified in the Supplemental Information.
COR (Letter of Transmittal) 0 1
15. TOTAL ______> 0 2 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __1__ of __18 Pages
N66604-14-R-0921
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 regardi ng 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 Governm ent Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A002
2. TITLE OF DATA ITEM:
Technical Report Study/Services
Repair Feasibility Assessment Report
DI-MISC-80508 SEE BLK 16
5. CONTRACT
REFERENCE
4.2
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
N/A N/A N/A Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
0 1 0
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 9: Distribution Statement D: See attached Block 16 Addendum.
BLOCK 10 & 12: Report is required for each failed unit provided.
BLOCK 14: Distribution and submittal shall be by electronic media whenever possible. Electronic deliverables shall be delivered in the following formats unless otherwise approved by the Government: Text Document: Adobe PDF (.pdf, searchable), Microsoft Word (.doc), Presentation:
Adobe PDF (.pdf, searchable) or Microsoft PowerPoint (.ppt), Spreadsheet: Excel (.xls), and Schedule: Microsoft Project (.mpp) using Microsoft Office 2007 or later.
Distribution Addresses are specified in the Supplemental
15. TOTAL ______> 0 3 0
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __2__ of __18 Pages
(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.
B. EXHIBIT
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A003
2. TITLE OF DATA ITEM:
Technical Report Study/Services
Repair Status Report
DI-MISC-80508 SEE BLK 16
5. CONTRACT
REFERENCE
4.2
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
N/A SEE BLK 16 N/A Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
0 1 0
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10, 11, & 12: For repairs with estimated repair cost less than 60% of acquisition value, report required within 30 days. For other repairs, report required 30 days after Government authorization to proceed.
BLOCK 14: Distribution and submittal shall be by electronic media whenever possible. Electronic deliverables shall be delivered in the following formats unless otherwise approved by the Government: Text Document: Adobe PDF (.pdf, searchable), Microsoft Word (.doc), Presentation:
Adobe PDF (.pdf, searchable) or Microsoft PowerPoint (.ppt), Spreadsheet: Excel (.xls), and Schedule: Microsoft Project (.mpp) using Microsoft Office 2007 or later.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __3__ of _18_ Pages
(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 comment s 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 Red uction Project (0704-0188), Washington, DC 20503. Please DO NOT RETURN your form to either of these addresses. Send completed form to the Gover nment Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
TDP________ TM___________ OTHER__QCIC_______________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A004
2. TITLE OF DATA ITEM:
Government Industry Data Exchange Program (GIDEP) Alert/Safe-Alert Report
DI-QCIC-80125 SEE BLK 16
5. CONTRACT
REFERENCE
4.3
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
N/A N/A N/A Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
0 1 0
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10 & 12: Report required for each item identified.
BLOCK 14: Distribution and submittal shall be by electronic media whenever possible. Electronic deliverables shall be delivered in the following formats unless otherwise approved by the Government: Text Document: Adobe PDF (.pdf, searchable), Microsoft Word (.doc), Presentation:
Adobe PDF (.pdf, searchable) or Microsoft PowerPoint (.ppt), Spreadsheet: Excel (.xls), and Schedule: Microsoft Project (.mpp) using Microsoft Office 2007 or later.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __4__ of __18 Pages
(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.
B. EXHIBIT
TDP________ TM___________ OTHER______ MGMT _________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A005
2. TITLE OF DATA ITEM:
Forecasting Diminishing Manufacturing Sources and Material Shortages (DMSMS) Source Data
DI-MGMT-82275 SEE BLK 16
5. CONTRACT
REFERENCE
4.3
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
N/A N/A N/A Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
0 1 0
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10 & 12: Report required for each item identified.
BLOCK 14: Distribution and submittal shall be by electronic media whenever possible. Electronic deliverables shall be delivered in the following formats unless otherwise approved by the Government: Text Document: Adobe PDF (.pdf, searchable), Microsoft Word (.doc), Presentation:
Adobe PDF (.pdf, searchable) or Microsoft PowerPoint (.ppt), Spreadsheet: Excel (.xls), and Schedule: Microsoft Project (.mpp) using Microsoft Office 2007 or later.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __5__ of __18 Pages
(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 in structions, 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, Washingto n 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.
B. EXHIBIT
TDP________ TM___________ OTHER__MISC______________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A006
2. TITLE OF DATA ITEM:
Technical Report Study/Services
3. SUBTITLE
Obsolescence Analysis Report
17. PRICE GROUP
4. AUTHORITY (Date Acquisition Document No.)
DI-MISC-80508 SEE BLK 16
5. CONTRACT
REFERENCE
4.3
6. REQUIRING OFFICE
NUWC DIV Newport
18. ESTIMATED
TOTAL PRICE
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
A N/A SEE BLOCK
Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
1 1
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
1 1
BLOCK 10, 12 & 13: Report is required for each actual and potential issues addressed in CDRLs A004 and A005.
Government review and approval will be for technical content and format. Allow 15 business days for Government review and approval/disapproval. The contractor shall incorporate/adjudicate comments and resubmit to the Government within 5 business days.
BLOCK 14: Distribution and submittal shall be by electronic media whenever possible. Electronic deliverables shall be delivered in the following formats unless otherwise approved by the Government: Text Document: Adobe PDF (.pdf, searchable), Microsoft Word (.doc), Presentation:
Adobe PDF (.pdf, searchable) or Microsoft PowerPoint (.ppt), Spreadsheet: Excel (.xls), and Schedule: Microsoft Project (.mpp) using Microsoft Office 2007 or later.
Distribution Addresses are specified in the Supplemental
COR (Letter of Transmittal) 1 1
15. TOTAL ______> 3 3
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __6__ of __18 Pages
(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, Washingto n 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 Gove rnment Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
TDP________ TM___________ OTHER__IPSC_______________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A007
2. TITLE OF DATA ITEM:
System/Subsystem Specification (SSS)
17. PRICE GROUP
DI-IPSC-81431 SEE BLK 16
5. CONTRACT
REFERENCE
4.4
6. REQUIRING OFFICE
NUWC DIV Newport
18. ESTIMATED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
A N/A SEE BLOCK
Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
1 1
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10, 12 & 13: Government review and approval will be for technical completeness of data, change rationale, format and technical content. The Government will review and approve or disapprove within 30 business days. If disapproved, the contractor shall resubmit within 15 business days of receipt of Government comments. The Government will review the resubmittal and approve or disapprove within 30 business days.
The contractor shall submit upon receipt of TI.
BLOCK 14: Distribution and submittal shall be by electronic media whenever possible. Electronic deliverables shall be delivered in the following formats unless otherwise approved by the Government: Text Document: Adobe PDF (.pdf, searchable), Microsoft Word (.doc), Presentation:
Adobe PDF (.pdf, searchable) or Microsoft PowerPoint (.ppt), Spreadsheet: Excel (.xls), and Schedule: Microsoft Project (.mpp) using Microsoft Office 2007 or later.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __7__ of __18 Pages
(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 informa tion. 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, Washingto n 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 c ompleted form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
TDP________ TM___________ OTHER_____SESS_________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A008
2. TITLE OF DATA ITEM:
Developmental Design Drawings and Associated Lists
DI-SESS-81002 SEE BLK 16
5. CONTRACT
REFERENCE
4.4
6. REQUIRING OFFICE
NUWC DIV Newport
18. ESTIMATED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
A N/A SEE BLOCK
Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
1 1
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10, 12 & 13: Government review and approval will be for technical completeness of data, change rationale, format and technical content. The Government will review and approve or disapprove within 30 business days. If disapproved, the contractor shall resubmit within 15 business days of receipt of Government comments. The Government will review the resubmittal and approve or disapprove within 30 business days.
The contractor shall submit upon receipt of TI.
BLOCK 14: Distribution and submittal shall be by electronic media whenever possible. Electronic deliverables shall be delivered in the following formats unless otherwise approved by the Government: Text Document: Adobe PDF (.pdf, searchable), Microsoft Word (.doc), Presentation:
Adobe PDF (.pdf, searchable) or Microsoft PowerPoint (.ppt), Spreadsheet: Excel (.xls), and Schedule: Microsoft Project (.mpp) using Microsoft Office 2007 or later.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __8__ of __18 Pages
(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.
B. EXHIBIT
TDP__X_____ TM___________ OTHER_________________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A009
2. TITLE OF DATA ITEM:
Technical Data Package (TDP)
3. SUBTITLE
Product Drawings and Associated Lists
17. PRICE GROUP
4. AUTHORITY (Date Acquisition Document No.)
DI-SESS-80776 SEE BLK 16
5. CONTRACT
REFERENCE
4.4
6. REQUIRING OFFICE
NUWC DIV Newport
18. ESTIMATED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
DD D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
A N/A SEE BLOCK
Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
1 1
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10, 12 & 13: Government review and approval will be for technical completeness of data, change rationale, format and technical content. The Government will review and approve or disapprove within 30 business days. If disapproved, the contractor shall resubmit within 15 business days of receipt of Government comments. The Government will review the resubmittal and approve or disapprove within 30 business days.
The contractor shall submit upon receipt of TI.
BLOCK 14: Distribution and submittal shall be by electronic media whenever possible. Electronic deliverables shall be delivered in the following formats unless otherwise approved by the Government: Text Document: Adobe PDF (.pdf, searchable), Microsoft Word (.doc), Presentation:
Adobe PDF (.pdf, searchable) or Microsoft PowerPoint (.ppt), Spreadsheet: Excel (.xls), and Schedule: Microsoft Project (.mpp) using Microsoft Office 2007 or later.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __9__ of __18 Pages
(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 Iss uing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
TDP________ TM___________ OTHER_____AVCS________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A010
2. TITLE OF DATA ITEM:
Computer Software Product End Items
3. SUBTITLE
Software and Firmware Images
17. PRICE GROUP
4. AUTHORITY (Date Acquisition Document No.)
DI-AVCS-80700 SEE BLK 16
5. CONTRACT
REFERENCE
4.4
6. REQUIRING OFFICE
NUWC DIV Newport
18. ESTIMATED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
A N/A SEE BLOCK
Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
1 1
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10, 12 & 13: Government review and approval will be for technical completeness of data, change rationale, format and technical content. The Government will review and approve or disapprove within 30 business days. If disapproved, the contractor shall resubmit within 15 business days of receipt of Government comments. The Government will review the resubmittal and approve or disapprove within 30 business days.
The contractor shall submit upon receipt of TI.
BLOCK 14: Distribution and submittal shall be by electronic media.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __10__ of __18 Pages
(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 collect ion 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, Washingto n 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.
B. EXHIBIT
TDP________ TM___________ OTHER_______IPSC_______
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A011
2. TITLE OF DATA ITEM:
Computer Software Product
Associated Source Code
DI-IPSC-81488 SEE BLK 16
5. CONTRACT
REFERENCE
4.4
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
A N/A SEE BLOCK
Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
1 1
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10, 12 & 13: Source code shall be provided as required by the SOW. Government review and approval will be for technical content and completeness of data. The Government will review and comment within 45 business days. The contactor shall submit revised report addressing Government comments within 15 business days. The Government will review and comment within 15 business days.
The contractor shall submit upon receipt of TI.
BLOCK 14: Distribution and submittal shall be by electronic media.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page _ 11__ of __18 Pages
(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 comment s 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 Gover nment Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
TDP________ TM___________ OTHER_____IPSC_______
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A012
2. TITLE OF DATA ITEM:
Software Design Description (SDD)
3. SUBTITLE
Software Documentation - Detailed Design Description
DI-IPSC-81435
5. CONTRACT
REFERENCE
4.4
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
A N/A SEE BLOCK
Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
1 1
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10, 12 & 13: Government review and approval will be for technical completeness of data, change rationale, format and technical content. The Government will review and approve or disapprove within 30 business days. If disapproved, the contractor shall resubmit within 15 business days of receipt of Government comments. The Government will review the resubmittal and approve or disapprove within 30 business days.
The contractor shall submit upon receipt of TI.
BLOCK 14: Distribution and submittal shall be by electronic media.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page __12_ of __18 Pages
(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 D efense, 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 Co ntracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
TDP________ TM___________ OTHER_________________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A013
2. TITLE OF DATA ITEM:
Software Product Package (SPP)
3. SUBTITLE
Software Build Procedures and Build Environment
DI-IPSC-82090
5. CONTRACT
REFERENCE
4.4
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
A N/A SEE BLOCK
Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
1 1
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10, 12 & 13: Government review and approval will be for technical completeness of data, change rationale, format and technical content. The Government will review and approve or disapprove within 30 business days. If disapproved, the contractor shall resubmit within 15 business days of receipt of Government comments. The Government will review the resubmittal and approve or disapprove within 30 business days.
The contractor shall submit upon receipt of TI.
BLOCK 14: Distribution and submittal shall be by electronic media.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page _13__ of __18 Pages
(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 instructi ons, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of inf ormation. 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, Washingto n 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. Se nd completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
TDP________ TM___________ OTHER_____SESS________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A014
2. TITLE OF DATA ITEM:
Engineering Change Proposal (ECP)
DI-SESS-80639E SEE BLK 16
5. CONTRACT
REFERENCE
4.4
6. REQUIRING OFFICE
NUWC DIV Newport
18. ESTIMATED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
A N/A SEE BLOCK
Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
1 1
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10, 12 & 13: Government review and approval will be for technical completeness of data, change rationale, format and technical content. The Government will review and approve or disapprove within 30 business days. If disapproved, the contractor shall resubmit within 15 business days of receipt of Government comments. The Government will review the resubmittal and approve or disapprove within 30 business days.
The contractor shall submit upon receipt of Government evaluation and test results.
BLOCK 14: Distribution and submittal shall be by electronic media.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page _14__ of __ 18 Pages
(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, Washingto n 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.
B. EXHIBIT
TDP________ TM___________ OTHER____SESS_________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A015
2. TITLE OF DATA ITEM:
Specification Change Notice (SCN)
DI-SESS-80643 SEE BLK 16
5. CONTRACT
REFERENCE
4.4
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
A N/A SEE BLOCK
Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
1 1
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10, 12 & 13: Government review and approval will be for technical completeness of data, change rationale, format and technical content. The Government will review and approve or disapprove within 30 business days. If disapproved, the contractor shall resubmit within 15 business days of receipt of Government comments. The Government will review the resubmittal and approve or disapprove within 30 business days.
The contractor shall submit upon receipt of Government evaluation and test results.
BLOCK 14: Distribution and submittal shall be by electronic media.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page _15__ of __18 Pages
(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 comment s 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 Inf ormation 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 Gover nment Issuing Contracting Officer for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
TDP________ TM___________ OTHER____SESS________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A016
2. TITLE OF DATA ITEM:
Notice of Revision (NOR)
DI-SESS-80642 SEE BLK 16
5. CONTRACT
REFERENCE
4.4
6. REQUIRING OFFICE
NUWC DIV Newport
18. ESTIMATED
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
A N/A SEE BLOCK
Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
1 1
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10, 12 & 13: Government review and approval will be for technical completeness of data, change rationale, format and technical content. The Government will review and approve or disapprove within 30 business days. If disapproved, the contractor shall resubmit within 15 business days of receipt of Government comments. The Government will review the resubmittal and approve or disapprove within 30 business days.
The contractor shall submit upon receipt of Government evaluation and test results.
BLOCK 14: Distribution and submittal shall be by electronic media.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page _16__ of __ 18 Pages
(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 a ny other aspect of this collection of information, including suggestions for reducing this burden, to Department of Defense, Washin gton 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 Offic er for the Contract/PR No. listed in Block E.
A. CONTRACT LINE ITEM NO.
B. EXHIBIT
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A017
2. TITLE OF DATA ITEM:
Technical Report Study/Services
Technical Assistance Report
DI-MISC-80508
5. CONTRACT
REFERENCE
4.5
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D SEE BLK 16 SEE BLOCK
b. COPIES
8. APP CODE SEE BLK 16 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
N/A N/A N/A Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
0 1 0
BLOCK 4: See Supplemental Information in Block 16 Addendum for additional guidance.
NAVUNSEAWARCENDIVNPT
BLOCK 10 & 12: Report is required for each technical assist as requested by TI.
BLOCK 14: Distribution and submittal shall be by electronic media whenever possible. Electronic deliverables shall be delivered in the following formats unless otherwise approved by the Government: Text Document: Adobe PDF (.pdf, searchable), Microsoft Word (.doc), Presentation:
Adobe PDF (.pdf, searchable) or Microsoft PowerPoint (.ppt), Spreadsheet: Excel (.xls), and Schedule: Microsoft Project (.mpp) using Microsoft Office 2007 or later.
Distribution Addresses are specified in the Supplemental
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page _17__ of __18 Pages
(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 instruction s, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of infor mation. 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, Washingto n 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.
B. EXHIBIT
TDP________ TM___________ OTHER__MGMT_______________
MK 695 Torpedo System Test Set
E. CONTRACT / PR NO.
PR # 1300863758
F. CONTRACTOR
TBD
1. DATA ITEM NO.
A018
2. TITLE OF DATA ITEM:
CONTRACT STATUS REPORT
Monthly Status and Cost Report
DI-MGMT-81991 SEE BLK 16
5. CONTRACT
REFERENCE
5.0
10. FREQUENCY
ASREQ
12. DATE OF FIRST
SUBMISSION
14. DISTRIBUTION
LT D
See Block 16
SEE BLK 16 SEE BLK 16 b. COPIES
8. APP CODE 11. AS OF DATE 13. DATE OF
SUBSEQNT
SUBMISSION
a. ADDRESSEE Draft Final
N/A SEE BLK 16 SEE BLK 16 Reg Repro
16. REMARKS NAVUNSEAWARCENDIVNPT
0 1 0
NAVUNSEAWARCENDIVNPT
BLOCK 9: See Block 16 Addendum Block 10: The Contractor shall submit the report with each invoice.
BLOCK 11: The contractor shall submit the report for the same timeframe as each invoice it is submitted with.
BLOCK 12 & 13: Submission(s) shall be made within the same Calendar day as each invoice.
BLOCK 14: Media Requirements: All submissions shall be electronic with exception of CLASSIFIED documents.
Distribution Addresses are specified in the Supplemental
COR 0 1
DD Form 1423-1, Feb 2001 Previous Edition May be Used Page _18__ of __18 Pages
DD FORM 1423
CONTRACT DATA REQUIREMENTS LIST BLOCK 16
ADDENDUM
BLOCK 4: The following information is specifically included in amplification of the Block 4 Authority:
CDRLs : ALL BLOCK 4:
Supplemental Information:
Each CDRL delivered under this contract shall contain a title page identifying the following:
a. name and address;
b. Name and telephone number of preparer of the report;
c. Contract number;
d. Nomenclature of the system or program;
e. Date of the document;
f. Period covered by the document;
g. The title of the document;
h. The Contract Data Requirements List (CDRL) sequence number;
i. The security classification;
j. The name of the issuing Government activity.
BLOCK 9: The following information is specifically included in amplification of the Block 9 Distribution Statement selected:
Distribution Statement paragraphs are in addition to CLASSIFICATION markings of the data.
CDRLs : ALL
BLOCK 9:
Distribution Statement D: Distribution authorized to DoD and DoD Contractors only; Critical Technology; (date data generated). Other requests for this document shall be referred to NAVUNSEAWARCENDIVNPT DEPT. 85.
The following "EXPORT CONTROL WARNING NOTICE" must be used in conjunction with DISTRIBUTION STATEMENTS identified in all CDRL Items.
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.
Exhibit A - Supplemental Information Glossary for Contract Data
Requirements List (CDRL)
These instructions identify procedures applicable for both Government personnel and Contractor personnel for completing the DD form 1423.
Contractors. CDRL's should be prepared as directed by Section L of the applicable Government solicitation. If authorized or otherwise not specified, the blank form provided or another similar electronic reproduction of the DD Form 1423 may be used.
BLOCK A CONTRACT LINE ITEM NO.
Enter the Contract Line Item Number (CLIN) that is associated with the Contract Data Requirements List
(CDRL).
BLOCK B EXHIBIT
Enter the exhibit letter assigned to the CDRL.
(Note: DFARS 204.7101 prohibits use of a DD Form 1423 as an attachment for technical data.) Use alpha characters to identify exhibits. The alpha characters shall be either single or double capital letters. Do not use the letters O or I. Additional guidance for exhibit identification is outlined in DFARS 204.7105(b).
BLOCK C CATEGORY
Check the appropriate block with an "x" next to the category of data being procured (TDP or TM). If neither of these categories applies, type the name of the category in the other block.
Types of data in the category may be further categorized on a DD Form 1423 into single functional area assignments such as:
ADMN Administrative Data CMAN Configuration Management MGMT Management QCIC Quality Control/Assurance and Inspection SAFT System Safety SESS Systems Engineering Standards and Specifications NDTI Non Destructive Testing & Inspection
BLOCK D SYSTEM/ITEM
Enter the system/item/project designator or name.
BLOCK E CONTRACT/PR NO
Enter the contract or the Purchase Request (PR) number when known; if unknown, enter the Request For Proposal (RFP) number or other appropriate designator.
BLOCK F CONTRACTOR
Contractor. Place the Contractor's name or identification code in this field when known.
BLOCK G PREPARED BY
Government Personnel: Enter the name and signature of the CDRL preparer or the name of the activity responsible for preparation of the CDRL.
Contractors: Enter the person's name and office responsible for preparing/verifying the CDRL and the date of preparation.
BLOCK H DATE
Enter the date the CDRL was prepared.
BLOCK I APPROVED BY
Government Personnel: Enter the name and signature of the individual responsible for approving the CDRL.
Contractors: Leave blank. To be completed at contract award.
BLOCK J DATE
Enter the date the CDRL was approved.
Note: It is sound management practice to paginate, sign, and date each approved page of the CDRL package to ensure that no unauthorized pages have been added or previously approved pages have been changed. The specific method of CDRL package approval is the responsibility of each procuring activity. Blocks G through J should be signed and dated, as a minimum, on the first page of the CDRL package when the preparing and approval authority is the same throughout the entire package. Subsequent pages of the CDRL package should contain the typed names and addresses as shown in Blocks G through J on the first page of the CDRL package. Signature on the last gage of the package to preserve CDRL package integrity as approved should also be considered.
BLOCK 1 DATA ITEM NO.
Enter the Exhibit Line Item Number (ELIN) per DFARS 204.7105(c).
BLOCK 2 TITLE OF DATA ITEM
The title shall be identical to the title of the Data Item Description (DID) when cited in Block 4. When Technical Manual Contract Requirements (TMCRs) are used to prescribe technical manual preparation requirements, or the DD Form 1423 is used to acquire weapon system technical manual being acquired shall be entered in Block 2. If a -
DID is used, enter the exact title as it appears on the DD Form 1664 (Block 1) of the One-Time DID.
Note: Do not paraphrase titles.
BLOCK 3 SUBTITLE
If the title in Block 2 requires further identification, enter a subtitle. If necessary, use Block 16 for further identification of the data item.
BLOCK 4 AUTHORITY (DATA ACQUISITION DOCUMENT NO.)
Enter the Data Item Description (DID) number that provides the format and content requirements for the data item listed in Block 2.
BLOCK 5 CONTRACT REFERENCE
Contractor: Enter the specific paragraph number of the Statement of Work that identifies the task generating the data requirement for the data item.
BLOCK 6 REQUIRING OFFICE
Enter the technical office responsible for ensuring the adequacy of the data. When data requires approval, this office is responsible for determining if the data submitted should be approved as submitted or revised to meet contract requirements.
BLOCK 7 DD 250 REQ
Enter the applicable code, designating the requirements for inspection and acceptance of the data, as shown in the following list:
Code Inspection Acceptance SS Source (DD Form 250)* Source (DD Form 250)* DD Destination (DD Form 250) Destination (DD Form 250) SD Source (DD Form 250)* Destination (DD Form 250) DS Destination (DD Form 250) Source (DD Form 250)* LT** Letter of Transmittal only NO No inspection or acceptance required XX Inspection and acceptance requirements specified elsewhere in contract.
* Source indicates contractor's facility ** Use of these symbols is not authorized for high cost data such as drawings, specifications, and technical manuals.
Contractor: Leave blank. To be completed prior to contract award.
BLOCK 8 APP CODE
Items of critical…
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