EXHIBIT A2_CDRL A002.pdf

CONTRACT DATA REQUIREMENTS LIST (CDRL)

(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:

0002 A TDP TM _____ OTHER SESS

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

MK54 PRESSURE CYLINDER TBD N/A

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE 17. PRICE GROUP

A002 FAILURE ANALYSIS AND CORRECTIVE ACTION REPORT

FAILURE ANALYSIS AND CORRECTIVE ACTION

REPORT

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE 18. ESTIMATED

TOTAL PRICE

DI-SESS-81927 SOW, SEE BLK 16 N00253

7. DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

LT

REQUIRED ASREQ ASREQ

a. ADDRESSEE

b. COPIES

8. APP CODE

D, SEE BLK 16

11. AS OF DATE 13. DATE IF SUBSEQUENT SUBM.

Draft

Final

A N/A ASREQ Reg Repro

16. REMARKS TECHNICAL POC 1 1

BLK 5: FAILURE ANALYSIS AND RESOLUTION REPORT SHALL BE SUBMITTED AS REQUIRED, SEE

SOW PARA 4, (D)

BLK 9: DISTRIBUTION AUTHORIZED TO THE DEPARTMENT OF DEFENSE AND U.S. DOD

CONTRACTORS ONLY. CRITICAL TECHNOLOGY, EXPORT CONTROLLED, (2020/03/02). OTHER

REQUESTS FOR THIS DOCUMENT SHALL BE REFERRED TO PEO SUB (PMS 404).

WARNING: THIS DOCUMENT CONTAINS TECHNICAL DATA WHOSE EXPORT IS RESTRICTED BY

THE ARMS EXPORT CONTROL ACT (TITLE 22, USC SEC 2751, ET SEQ) OR THE EXPORT

ADMINISTRATION ACT OF 1979 (TITLE 50, USC, APP 2401, ET SEQ) AS AMENDED. VIOLATIONS OF

THESE EXPORT LAWS ARE SUBJECT TO SEVERE CRIMINAL PENALTIES. DISSEMINATE IN

ACCORDANCE WITH THE PROVISIONS OF DOD DIRECTIVE 5230.25.

DESTRUCTION NOTICE: FOR CLASSIFIED DOCUMENTS FOLLOW APPLICABLE PROCEDURES IN

DOD 5220.22M, INDUSTRIAL SECURITY MANUAL, CHAPTER 5, SECTION 7 OR SECNAVIST 5510.36, CHAPTER10. FOR UNCLASSIFIED, LIMITED DOCUMENTS, DESTROY BY ANY METHOD THAT WILL

PREVENT DISCLOSURE OF CONTENTS OR RECONSTRUCTION OF THE DOCUMENT.

BLKS 10-13: AS REQUIRED, FAILURE ANALYSIS AND RESOLUTION REPORT SHALL BE PROVIDED, SEE SOW

BLK 14: DELIVERABLE FORMAT:

TEXT DOCUMENT: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT WORD (.DOC)

PRESENTATION: ADOBE PDF (.PDF, SEARCHABLE) OR MICROSOFT POWERPOINT (.PPT)

SPREADSHEET: MICROSOFT EXCEL (.XLS)

DISTRIBUTION ADDRESSEES AND ELECTRONIC MAILING ADDRESSES ARE PROVIDED BELOW:

1) NUWC DIVISION KEYPORT, DAN WHINERY, LOGISTICS TECH POC, DAN.WHINERY@NAVY.MIL.

2) NUWC DIVISION KEYPORT, PCO (CONTRACTING OFFICER), MONIQUE KLOSE,

MONIQUE.KLOSE@NAVY.MIL

3) NUWC DIVISION KEYPORT, CONTRACT SPECIALIST, JULIE THOMAS, JULIE.THOMAS@NAVY.MIL

4) NUWC DIVISION KEYPORT, KEVIN TIROHN, ENGINEERING TECH POC,

KEVIN.TIROHN@NAVY.MIL

MAILING ADDRESS:

SEE CONTRACT, SECTION F

PCO 1 1

CONTRACT SPECIALIST 1 1

ENGINEER 1 1

15. TOTAL ▬▬▬▬► 4 4

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

DAN WHINERY

5 May 2022

DD FORM 1423-1, FEB 2001 PREVIOUS EDITION MAY BE USED Page 1 of 1 Pages