EXHIBIT C for 2278-9810-CDRL Radiographic Shooting Skethes (Pre-Deliverable).pdf

DD FORM 1423-2, AUG 96 PREVIOUS EDITION MAY BE USED. Page _1___ of __1__ Pages

CONTRACT DATA REQUIREMENTS LIST

(2 Data Items) Form Approved OMB No. 0704-0188

The public reporting burden for this collect ion of information is est imated to average 220 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 o ther aspect o f th i s co l lec t ion o f in fo rmat ion , in c lud ing suggest ions fo r reducin g the burden, to the Department o f Defe nse, Execut ive Se rv ices Di rec tora te (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for fai ling to comply with a collect ion 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___MISC_________

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

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

CERTIFICATION/DATA REPORT

3. SUBTITLE

RADIOGRAPHIC SHOOTING SKETCHES (RSS)

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-82386

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

15DAC

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A Draft Final

Reg Repro

16. REMARKS

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 10/7/2022. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Submit Radiographic Shooting Sketches report unless proof of prior acceptance by NAVSEA Activity.

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of RT test

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:

ddpw_wawf_group.fct@navy.mil

N4523A 0 1 0

15. TOTAL 0 1 0

1. DATA ITEM NO. 2. TITLE OF DATA ITEM

TEST/INSPECTION REPORT

3. SUBTITLE

RADIOGRAPHIC SHOOTING SKETCHES (RSS)

PRIOR ACCEPTANCE

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-82386

5. CONTRACT REFERENCE

PER CONTRACT

6. REQUIRING OFFICE

PURCHASING ACTIVITY

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

07DAC

14. DISTRIBUTION

a. ADDRESSEE b. COPIES

8. APP CODE

N/A

D 11. AS OF DATE

N/A

13. DATE OF SUBSEQUENT

SUBMISSION

N/A

Draft Final

Reg Repro

16. REMARKS

Block 4 - Tailored to allow vendor to provide only requirement 7.

Block 9 - Distribution Statement D. Distribution authorized to DoD and DoD contractors only.

Administration and operations only, effective 10/7/2022. Other U.S. requests shall be referred to COMNAVSEASYSCOM.

Block 10 - Proof of prior acceptance by a NAVSEA Activity shall be submitted in lieu of Radiographic Shooting Sketches

Block 12 - Allow 45 Days from date of entry in WAWF for certification acceptance prior to performance of RT test.

Block 14 - Certification/Data Report documentation shall be attached in the Wide Area Workflow (WAWF) e-Business Suite. Upon submission in WAWF send email notifications to:

ddpw_wawf_group.fct@navy.mil

Document number: 2278-9810

N4523A

0 1 0

15. TOTAL

0 1 0

G. PREPARED BY

/S/ Benjamin Knowles

H. DATE

10/7/2022

I. APPROVED BY

/S/ N. Martinez

J. DATE

10/7/2022

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

17. PRICE GROUP

19. ESTIMATED

TOTAL PRICE

0006AA C

C001 mailto:ddpw_wawf_group.fct@navy.mil mailto:ddpw_wawf_group.fct@navy.mil